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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To determine the perceptions of emergency medicine (EM) academic faculty leaders and other academic emergency physicians regarding importance and knowledge of specific research methodology content areas and training priorities. ⋯ These data support the continued need to offer broad training in research methodology, but suggest that greater emphasis be given to concepts involved in initiating and planning a study and to strengthening research proposal writing skills. These results should be of interest to academic departments who must address their own training needs, and help support the development of research methodology curricula on regional and national levels to advance the state of research in the specialty of EM.
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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.
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To evaluate the impact of environmental factors on emergency medicine (EM) resident career choice. ⋯ Modification of the EM training environment may influence the career choices of graduates. Specifically, greater commitment of departmental funds and support of resources for research may enhance the likelihood of a trainee's choosing an academic research career.
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Comparative Study
Ambulance services: could the UK learn from the French?
Ambulance services, as part of Accident and Emergency provision, are once again under scrutiny. This article reflects on a recent visit to a SAMU (Service d'Aide Medicale Urgente) unit in France, and considers those issues that could be explored in terms of effective UK provision. Recommendations will be proposed for future provision.