Articles: emergency-medicine.
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To examine perceptions of nurse-physician collaboration and research utilization in a large, county medical center with an emergency medicine (EM) residency program, to assess differences among nurses, residents, and attending physicians, and to explore the relationship between collaboration and research utilization. ⋯ Interdisciplinary collaboration showed some significance in promoting research use in the ED, especially for physicians. However, nurse-physician differences in perceptions of collaboration and research use should be examined more fully.
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The purpose of this review is to present a guide to help readers critically appraise the methodologic quality of an article or articles describing a clinical decision rule. This guide will also be useful to clinical researchers who wish to answer 1 or more questions detailed in this article. We consider the 6 major stages in the development and testing of a new clinical decision rule and discuss a number of standards within each stage. We use examples from emergency medicine and, in particular, examples from our own research on clinical decisions rules for radiography in trauma.
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Postgraduate medicine · Apr 1999
ReviewManaging the unstable patient. The first 10 minutes often set the course.
Some patients die shortly after the onset of an acute illness, despite the best of care. However, a well-led well-organized approach during the first 10 minutes of care can greatly improve the chances of survival and minimize subsequent morbidity. Early treatment should emphasize proper airway management, adequate intravenous access, and a thoughtful approach to the use of medications.