Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2008
Australasian emergency physicians: a learning and educational needs analysis. Part three: participation by FACEM in available CPD: what do they do and do they like it?
To determine the participation of Emergency Physicians (EP) in currently available continuing professional development opportunities (CPD), their perception of the usefulness of available CPD and their preferred format or method of CPD desired in the future. ⋯ Whilst emergency physicians currently participate in a wide variety of learning methods, the results of this survey suggest EP most appreciate ED based teaching, would like more contact with other departments, along with increased opportunities for simulation based learning and attendance at international conferences.
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Emerg Med Australas · Feb 2008
Comparative StudyHow fast is the focused assessment with sonography for trauma examination learning curve?
Although accuracy for focused assessment with sonography for trauma (FAST) examination interpretation has been widely reported, the learning curve for FAST interpretation by emergency medicine (EM) residents who are novice to ultrasound has not been well described. The present study's objective was to analyse EM resident FAST interpretation accuracy over 18 months. ⋯ Over 18 months, EM resident FAST interpretation accuracy steadily increased. By 12 months (or 35 examinations), the accuracy of EM residents novice to ultrasound approximated previously reported accuracy rates.
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Emerg Med Australas · Feb 2008
Case ReportsEndovascular treatment of an acute left middle cerebral artery >6 h post stroke in a patient presenting with dysphasia and dense right hemiplegia.
This paper describes the case of a 32-year-old man presenting with dense right hemiplegia and global aphasia caused by an acute left middle cerebral artery infarct that underwent successful endovascular therapy after being determined ineligible for intravenous tissue plasminogen activator. Clot transversion and balloon disruption followed by intra-arterial Alteplase resulted in successful re-canalization of his middle cerebral artery at 7 h 30 min. At 3 months post stroke, the patient had moderately severe expressive dysphasia but was mobilizing independently with normal right upper and lower limb strength. In conclusion, the 3 month outcome suggests that the therapeutic time window for endovascular therapy might exceed 6 h post stroke.