Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To survey emergency medicine (EM) residents regarding moonlighting practices and perceptions for clarifying: 1) resident moonlighting remuneration; 2) any association of perceived educational debt with moonlighting income and hours; and 3) perceptions related to moonlighting (including motivations, impact on resident training, and potential medicolegal difficulties). ⋯ Education about EM practice matters including the risks of moonlighting should begin early in residency, because moonlighting is widespread. Residents are vulnerable to medicolegal action while moonlighting and have insufficient knowledge of their malpractice insurance coverage. Although educational debt is perceived as a strong motivating factor for moonlighting, there is only a weak relationship between educational debt and moonlighting hours.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effects of warming and buffering on pain of infiltration of lidocaine.
To investigate the effects of warming vs buffering, and warming with buffering, on the pain of lidocaine infiltration. ⋯ To reduce the pain of lidocane infiltration, buffering is more effective than warming. Warming does not enhance buffering.
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Comparative Study
Association of drug therapy with survival in cardiac arrest: limited role of advanced cardiac life support drugs.
To generate hypotheses regarding the association of standard Advanced Cardiac Life Support (ACLS) drugs with human cardiac arrest survival. ⋯ Initiating cause of arrest, time to ACLS, and duration of ACLS were important correlates of survival. Other than procainaimide, standard ACLS drugs had relatively little association with survival, but timing of administration may be an important factor. Further research using definitive large randomized controlled trials is warranted to assess the role of drug therapy in improving cardiac arrest survival.
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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.