Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To better understand the perceptions, needs, and responses of family members after an out-of-hospital death. ⋯ In this small sample, survivors of out-of-hospital death were generally satisfied with the care their loved ones had received. None of the survivors believed their loved ones should have been transported to the hospital. They also believed the paramedics had been supportive and met their needs at the time of death. It appears that paramedics may be able to meet the needs of a patient's survivors by terminating out-of-hospital resuscitation efforts on the patient.
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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.