British journal of anaesthesia
-
Randomized Controlled Trial
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.
Simulation is an important component of postgraduate medical education, but optimal parameters for simulation are not known. Managing simulations independently and allowing simulated morbidity and mortality have been shown to improve follow-up performance in simulation. We hypothesised that allowing simulated mortality improves performance in follow-up simulations more than independent practice. ⋯ Independence and the potential for simulated mortality have a greater impact on performance in follow-up simulations when combined than either factor alone.
-
Around 10-15% of the in-patient population carry unsubstantiated 'penicillin allergy' labels, the majority incorrect when tested. These labels are associated with harm from use of broad-spectrum non-penicillin antibiotics. Current testing guidelines incorporate both skin and challenge tests; this is prohibitively expensive and time-consuming to deliver on a large scale. We aimed to establish the feasibility of a rapid access de-labelling pathway for surgical patients, using direct oral challenge. ⋯ ClinicalTrials.gov: AN17/92982.
-
Observational Study
Grief reactions and coping strategies of trainee doctors working in paediatric intensive care.
The death of a child can have significant emotional effects on doctors responsible for their care. Trainee doctors working in the paediatric intensive care unit (PICU) may be particularly vulnerable. The aim of this study was to examine the emotional impact of, and grief reactions to, a child's death in PICU trainee doctors, along with coping strategies they used. ⋯ Paediatric deaths evoke significant grief and emotional reactions in a subset of PICU trainee doctors. Trainee PICU doctors highlighted a lack of professional support and tailored debriefs.
-
Editorial Comment
Special issue on suspected perioperative allergic reactions.