Articles: emergency-medicine.
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An educational program that teaches undergraduate students about clinical research related to emergency medicine is described. The students work as research assistants within the ED, thus providing a departmental framework for the enrollment of patients in clinical studies. Volunteers interested in the program undergo a physical examination, vaccination history, and standard serologic testing, and sit through a formal blood and body fluid exposure course offered by the university prior to their clinical research participation. ⋯ While there was only 1 faculty member with a research publication in 1992, there were 9 faculty with manuscripts accepted for publication in the first 6 months of 1996. Similarly, more nurses and ancillary staff have become involved in prospective clinical research. Much of this success is attributed to the novel use of resources through the academic associate program.
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(1) To see whether children are weighted before drugs are prescribed in an accident and emergency (A&E) department; (2) to assess how safe it is for doctors to guess children's weight if they prescribe "by eye". ⋯ The average guess of doctors as a group was approximately correct. However, there was a wide range of estimates for individuals. If the child's weight is guessed, the doctor could risk under- or overprescribing analgesia, sedation, or intravenous fluids. Given the wide range of estimates, actual weights are required for accurate prescribing. Prescribing on an age basis may be acceptable for drugs such as paracetamol or amoxycillin, but it is imperative to prescribe on a mg/kg basis for opiates, sedatives, and intravenous fluids because of the large variation in weight that can occur for a single age.
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Minerva anestesiologica · Mar 1997
Guideline[IRC (Italian Resuscitation Council). Recommendations for training in basic life support (BLS)].
This report, drawn up by the BLS Committee of the IRC, gives the guidelines for BLS training, according to the conclusions of the Consensus Conference (CPCR Methodology Consensus Meeting: BLS and training) held in Monte Conero, Sirolo (Ancona) on June 24th, 1994. American Heart Association and European Resuscitation Council guidelines, published in 1992, were considered for reference. This document aims to achieve two purposes: to promote standardization in teaching and performing BLS techniques and to outline the minimum features of an effective BLS program.
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To summarize the processes used to develop a curriculum and model of care for the emergency medical treatment of elder patients and to assess the efficacy of the teaching material in a pilot course. ⋯ The process of developing a curriculum for geriatric EM is described. The initial training of instructors was effective in improving participants' knowledge of geriatric issues in EM. Participants considered the training to be effective. The effect of the training on the emergency care of elder persons remains to be determined.