Articles: emergency-medicine.
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Rotating residents (RRs) were surveyed to determine their impressions of an emergency department (ED) run by career emergency physicians (EPs), in the hope of generating insights into controversies that occur between the ED and other hospital departments. A questionnaire was distributed to RRs at Taipei Veterans General Hospital in September 1993. The questionnaire inquired about basic data, workload, and ED training and teaching, and also asked respondents for their overall evaluation of emergency medicine and EPs. ⋯ Fear of malpractice suits and difficult interaction with patients and patients' families were also cited as stressful factors. All RRs considered ED training important; self-learning and the accumulation of ED experience, as well as the conference on emergency pitfalls, were the two aspects of training most favored, garnering approval by 92% and 80%, respectively. The overall impression of the RRs on emergency medicine and the performance of EPs was favorable.(ABSTRACT TRUNCATED AT 250 WORDS)
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To determine: 1) the extent of emergency physicians' (EPs') training in smoking cessation counseling; 2) their understanding of counseling and pharmacologic treatment techniques; 3) their current practices in screening, counseling, and referring patients who smoke; and 4) perceived barriers to routine smoking cessation counseling in emergency medical practice. ⋯ Emergency physicians have received little training in smoking cessation and perceive many barriers to ED-based smoking cessation interventions. Not surprisingly, they infrequently take action to encourage or assist their patients to quit smoking.
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Disaster medicine, which is based primarily on military and emergency medicine, is a young branch on the old tree of medicine. It touches on various disciplines within and outside the medical field. ⋯ The first chair in disaster medicine was established in Linkoping, Sweden; the second is now in Amsterdam, The Netherlands. Some aspects of disaster medicine specifically oriented toward Europe are presented.
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Editorial Comment
Point-of-care blood testing and cost-effective emergency medicine.