Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To examine unexpected events (UEs) that occur during the intrahospital transport of critically ill emergency department patients. ⋯ Unexpected events during the intrahospital transport of critically ill patients from the emergency department are common and can be potentially life threatening. Transporting physician experience is associated with UE rate. Strict adherence to and review of existing transport guidelines is recommended.
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Studies have only recently begun to investigate the effects of interruptions on physicians in the emergency department (ED). ⋯ Attending emergency physicians frequently interrupt learners during new patient OCPs, with the number of interruptions varying by learner level of training. Teacher interruptions appear to have minimal, if any, detrimental effect on the perceived effectiveness of OCPs as a learning experience.
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To explore hospital characteristics and indicators of emergency department (ED) care of older patients associated with return visits to the ED. ⋯ In general, more limited ED resources and indicators of ED care (weekend visits, fewer available hospital beds) are associated with return ED visits in seniors, although the magnitude of the effects is generally small.
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An estimate of a child's weight is required for critical interventions, particularly pharmacotherapy. Weight measurement is not always practical, so weight estimation methods are used. Recently, a new weight estimation formula was suggested. The Argall formula estimates weight in kilograms as follows: (age in years + 2) x 3. ⋯ The Argall weight estimation formula has poor accuracy for weight estimation in Australian children, in particular those weighing more than 35 kg.