Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
-
To assure a smooth transition to their new work environment, rotating students and housestaff require detailed orientations to the physical layout and operations of the emergency department. Although such orientations are useful for new staff members, they represent a significant time commitment for the faculty members charged with this task. ⋯ The videos are viewed through Web-based streaming technology that allows learners to complete the orientation process from any computer with Internet access before their first shift. This report describes the stepwise process used to produce these videos and discusses the potential benefits of converting to an Internet-based orientation system.
-
To identify risk factors for fractures associated with an anterior shoulder dislocation treated in an emergency department (ED). ⋯ Three risk factors predict clinically important fractures that are associated with shoulder dislocation: age, first episode, and mechanism of dislocation. A prospective validation may lead to standardized use of prereduction radiographs of the shoulder in the ED.
-
The Society for Academic Emergency Medicine (SAEM) surveyed the Council of Academic Societies (CAS) organizations to obtain useful information to project SAEM goals into the year 2010. The objective of this work was to understand common and varying organizational operations and identify opportunities. ⋯ The survey methodology was used to gain insight into modes of operation of CAS organizations and enable SAEM to review its own operations and identify potential organizational changes based on the experiences of others. Individual CAS organizations might similarly benefit by reviewing the results of the survey and comparing themselves with others.
-
Comparative Study
Multiple episodes of mild traumatic brain injury result in impaired cognitive performance in mice.
Results from recent studies on animal models of concussion suggest that multiple, rather than single, episodes of mild traumatic brain injury result in impaired cognitive performance in mice. The objective of the present study was to administer multiple impacts to the heads of mice while directly measuring the force of the impacts to determine how these parameters are related to transient loss of consciousness, cognitive deficits, and potential neuropathologic effects. ⋯ This multiple-impact model, delivered within a specifiable force range, results in transient, reversible loss of consciousness, a contra-coup brain injury, and cognitive impairment.
-
A substantial number of emergency medicine providers are publishing stories and other creative expressions related to their medical experiences. This is a systematic review of such publications, introduces the term "emergency medicine narratives" to describe such pieces, and proposes a framework to classify the various forms of expression. Specifically, six genres of emergency medicine narratives are discussed: medical autobiography, clinical narratives, creative narratives, out-of-hospital narratives, lay exposition, and photojournalism. This review explores the utility of these narratives and the role they play within the field of emergency medicine, provides a bibliography of emergency narratives, and suggests future questions that might be addressed regarding this growing phenomenon in the field of emergency medicine.