Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To determine the success and complication rates associated with endotracheal intubation in an urban emergency medical services (EMS) system. ⋯ Reasonable success and complication rates of endotracheal intubation in the out-of-hospital setting can be achieved in a busy, urban EMS system without the assistance of medications.
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To determine whether family members (FMs) remaining with pediatric patients during invasive procedures interfere with delivery of care. ⋯ In this study, family members remaining with children during invasive procedures were not a risk for disruption of patient care.
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Comparative Study
Performance of a population-based cardiac risk stratification tool in Asian patients with chest pain.
Most contemporary cardiac risk stratification tools have been derived and validated in mixed-race populations. Their validity in single-race populations has not been tested. The authors sought to compare the performance of a risk stratification tool between a mixed-race U.S. patient population and an Asian patient population. ⋯ Differences exist in presentation and factors associated with ACS among patients from the United States and Singapore that may affect the performance of risk stratification tools. These findings suggest that cardiac clinical decision rules need international validation.
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Disaster planning is a core curriculum requirement for emergency medicine (EM) residency programs. Few comprehensive training opportunities in disaster planning incorporating the appropriate competencies have been reported. ⋯ Emergency medicine residency programs can benefit from participating in high-quality medical disaster exercises coordinated with local disaster response agencies. Residents report high satisfaction and learning from realistic simulations of disasters, and from collaboration with other community services.