Articles: emergency-medicine.
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To determine how often trainees in emergency medicine (EM) are observed while performing a history, a physical examination, or specific procedures. ⋯ Many residents report that they are infrequently observed performing histories and physical examinations during their EM training, with a significant number of residents reporting that they were never observed performing basic bedside clinical skills. More direct observation with trained faculty observers may provide an opportunity for better evaluation and remediation of bedside clinical skills.
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Foreign body aspiration is not an uncommon problem in infants and toddlers, and should be considered as a serious and sometimes fatal condition. We report three cases of foreign body aspiration which were located below the vocal cords, causing a nearly complete airway obstruction with severe respiratory distress. ⋯ It is important for physicians who take care of children in emergency department to know the management of these life-threatening situations. Knowledge of pediatric advanced life support measures with airway management and proper training in laryngoscope and Magill forceps management can save lives in many children.