Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Comparative Study
Disagreement between formal and medical record criteria for the diagnosis of acute coronary syndrome.
To measure agreement between formal and medical record criteria for the diagnosis of acute coronary syndrome (ACS) among patients undergoing an emergency department evaluation for potential acute coronary symptoms. ⋯ In a single-site study, among subjects who have possible ACS as determined by either or both formal and medical record criteria, these two sets of criteria disagree in almost one third of cases. Among discordant cases, even two expert judges frequently disagreed on the final diagnosis. A modified Delphi technique to address these disagreements is described.
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As the marketplace for academic positions in emergency medicine grows more competitive, it becomes increasingly important for residents who desire academic careers to distinguish themselves during their residency. This report attempts to outline a road map for department and residency program leaders to help their houseofficers become successful candidates for an academic emergency medicine position. Specific ways a resident can enhance his or her "academic marketability" include 1) involvement in research, 2) establishment of a track record of productivity via scholarly writing, 3) awareness of the literature in the specialty, 4) involvement in specialty organizations and hospital committees, 5) competition for national awards, 6) gaining education skills, 7) developing an academic niche, and 8) fellowship training.
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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.