Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Comparative Study
The psychological effects of a four-week emergency medicine rotation on residents in training.
To prospectively evaluate psychological stress reactions among residents in an emergency medicine (EM) rotation during a 4-week period. ⋯ A significant increase in psychologic distress was found among the non-EM residents during an EM rotation. The EM residents showed a trend for a decrease in psychological distress over the same 4-week period.
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Review
Burnout and its correlates in emergency physicians: four years' experience with a wellness booth.
To measure the degree of burnout among emergency physicians (EPs) and to identify and rank predictive factors. ⋯ Elevated levels of burnout exist among a substantial percentage of surveyed EPs. However, there is evidence for a "survivor" category of practitioners for whom burnout either does not develop or is a reversible process. The projected attrition rate over 5 and 10 years appears to be no greater than that of the average medical specialty.
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Randomized Controlled Trial Clinical Trial
Intravenous morphine for early pain relief in patients with acute abdominal pain.
To determine whether morphine affects evaluation or outcome for patients with acute abdominal pain. ⋯ When compared with saline placebo, the administration of MS to patients with acute abdominal pain effectively relieved pain and did not alter the ability of physicians to accurately evaluate and treat patients.
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Comparative Study
A model for an integrated emergency medicine/trauma service.
To describe a model for an integrated multidisciplinary trauma service and to compare survival outcomes for patients resuscitated by either emergency medicine (EM) or surgical housestaff assigned to the trauma service. ⋯ These results suggest that in this model of integrated EM/trauma service, equivalent survival outcomes occur whether EM or surgery housestaff act as team leaders.