Emergency medicine journal : EMJ
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First attempt intubation success is used by many prehospital services as a marker of quality and safety. An increasing complication rate is associated with repeated intubation attempts. The aim of this study was to identify changes to intubation technique following a failed intubation attempt. ⋯ Although a high overall intubation success was found, one in ten patients who were intubated had a failed first attempt. The majority of successful subsequent attempts were preceded by at least one change to intubating technique. Intubating clinicians need the ability to identify and correct issues leading to a failed first attempt.
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To explore the impact of an adapted goals-of-care communications skills workshop created for ED physicians from the physicians' perspective. ⋯ A short, focused training workshop directed at improving palliative care communication skills among ED clinicians appears to be welcomed and useful.
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Inter-rater reliability (IRR) is rarely determined for scoring systems used to recognise deterioration in children. Thus, the primary objective of this study was to determine the IRR of the Paediatric Observation Priority Score (POPS), a bespoke paediatric scoring system for ED use. The IRR of both the overall POPS and its individual parameters are to be investigated. ⋯ This study suggests there is statistically moderate to excellent IRR of the POPS when assessing a variety of clinical presentations between different healthcare professionals with a range of experience.