Articles: emergency-medicine.
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The paper deals with the contemporary state of undergraduate training in emergency care and in primary emergency care at medical faculties in the CSSR. The discipline of emergency care is a new interdisciplinary entity which is becoming part of basic medical education. ⋯ The author discusses the concept of teaching at the Faculty of General Medicine, Charles University, Prague which foresees two stages of training in emergency care, the basic stage in the 3rd 5th year and the stage of practical training in the 6th year devoted mainly to problems of primary emergency care. She submits the proposal of a graduate course for extending basic skills of primary emergency care during the early postgraduate period and wants to take advantage of the increasing interest of students in the training of emergency care within the framework of methodical innovations.
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Swiss medical weekly · Feb 1990
[Transportation of patients in the prehospital phase: education of physicians].
Pre-hospital emergency medicine is developing in Switzerland. At present, however, there is no training standard for this specific and sometimes confusing aspect of extra-hospital activity. ⋯ The training programs of fourteen Swiss hospitals which cooperate with ambulance or helicopter rescue services are then presented. An enquiry by the Centre Hospitalier Universitaire Vaudois (CHUV) among 46 physicians participating regularly in Swiss Air Rescue (REGA) helicopter operations shows the very varied pathology involved and the problems encountered in creating a training program of this kind.
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Instruction in medical ethics has become standard in undergraduate medical education within the past decade; more recently, several specialty boards have formally endorsed ethics teaching and evaluation for residents as well. However, the current emergency medicine Core Content, representing emergency medicine's central body of knowledge, makes no specific mention of ethics. ⋯ Issues frequently encountered in the emergency department are emphasized, and topics include moral foundations of clinical medicine, the unique ethical concerns of emergency medicine, patient competence, informed consent and refusal of treatment, truthfulness, confidentiality, foregoing life-sustaining treatment, duty to provide care, moral issues in disaster medicine, allocation of health care, and research and teaching involving human subjects. Educational objectives and readings for each of these topics are presented along with sample case scenarios to be used in a small group discussion format.
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A prospective study of emergency physician whole body and extremity exposure to ionizing radiation during trauma resuscitation over a three-month period was conducted. Radiation film badges and thermoluminescent dosimeter finger rings were permanently attached to leaded aprons worn by emergency medicine residents during all trauma resuscitations. One set of apron and finger ring dosimeters was designated for the resident who managed the airway and stabilized the neck, when necessary, during cervical spine radiography (A-CS resident). ⋯ To exceed the annual extremity exposure limit, the A-CS resident would have to treat 5.9 trauma patients per shift. Of note, European exposure limits are 10% of current US limits. We conclude that significant exposures may occur to physicians working in trauma centers and that the use of shielding devices is indicated.