Articles: emergency-medicine.
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Arch Pediat Adol Med · Jan 1994
A statewide evaluation of pediatric prehospital and hospital emergency services.
To evaluate the extent of pediatric emergency training and the availability of pediatric equipment and patient care protocols in the prehospital and hospital settings. ⋯ These survey data are inexpensive to obtain and demonstrate EMS system deficiencies. The survey information provides a baseline measurement that can lead to measurable, targeted changes in the state's EMS system for children.
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To determine characteristics motivating physicians to choose careers in academic and nonacademic emergency medicine. ⋯ Factors influencing career decisions can be used to plan strategies to meet the future needs of academic emergency medicine.
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Southern medical journal · Jan 1994
Multicenter StudyAre emergency physicians too stingy with analgesics?
Several recent reports suggest that emergency physicians do not use adequate analgesia for patients with acutely painful conditions in the emergency department (ED). To quantify the extent of this problem, we retrospectively studied 401 patients who were treated for acute fracture over a 17-day period in eight area-wide emergency departments. ⋯ Only 121 patients (30%) received analgesics while in the ED; neither fracture site, ED setting, or patient age significantly altered analgesic dispensing practices. We conclude that inadequate use of analgesics in patients who come to the ED for treatment of acute fractures is widespread and that efforts aimed at improving the appropriate use of analgesics in the ED are warranted.
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A model curriculum for the implementation and training of physicians in emergency medicine ultrasonography is described. Widespread use of limited bedside ultrasonography by emergency physicians will improve diagnostic accuracy and efficiency, increase the quality of care, and prove to be a cost-effective technique for the practice of emergency medicine.