Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Comparative Study
On-line telemetry: prospective assessment of accuracy in an all-volunteer emergency medical service system.
To evaluate the need for on-line telemetry control in an all-volunteer, predominantly advanced emergency medical technician (A-EMT) ambulance system. ⋯ In this all-volunteer, predominantly A-EMT ALS system, patients with a field interpretation of a sinus rhythm do not require ECG rhythm transmission. Field interpretations of atrial fibrillation/flutter, supraventricular tachycardia, ventricular tachycardia, and atrioventricular blocks are frequently incorrect and should continue to be transmitted.
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To determine the extent and effects of abuse and harassment, including sexual harassment and racial or ethnic discrimination, experienced by residents in emergency medicine (EM). ⋯ Residents frequently encounter abuse or harassment, particularly from patients. They also report adverse consequences from these episodes.
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1) To systematically describe emergency medicine (EM) program directors' perceptions of the benefits and risks of resident moonlighting. 2) To assess moonlighting policies of EM residencies, the degree of compliance with these policies, and the methods of dealing with residents who are out of compliance. ⋯ EM residency directors are concerned about the effect of moonlighting on resident education. The directors' concerns regarding litigation, excessive work hours, and interference with residency duties are balanced by a general acceptance of the financial need to supplement residency income.
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To determine the specialty training and responsibilities of urban U.S. emergency medical service (EMS) medical directors how these factors relate to the type of service involved (fire, hospital, private, municipal). ⋯ EMS training officers believe that urban ALS medical directors in the United States primarily provide quality assurance and educational support. With the exception of fire-based EMS systems. physicians appear to have limited involvement in other EMS administrative and executive functions.
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Case Reports
Exertional heat stroke in a young woman: gender differences in response to thermal stress.
Exertional heat stroke (EHS) is an acute life-threatening emergency that necessitates the immediate institution of cooling measures. Reported here is a case of EHS in a nonacclimatized young woman who was undergoing strenuous exercise. ⋯ While EHS is relatively common in young men, the condition is rare in women. This case presentation addresses gender differences in the response to the thermal stress of intense physical activity.