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Emergency Medicine Journal current issue
Highlights from this issue
Walter, D. Wed, 11 Jan 2012 15:30:57 -0800
This month we range from Politics to philosophy, from basic science to standards of care. There is a spread of material on the resuscitation of cardiac arrest and lots of pre-hospital care; triage at ‘front’ and ‘rear’, trauma transfer times, airway care in the field and even how to improve ambulance safety. The meaning of words In this month's editorial, Hughes (see page 90) shows how easy it is to become confused with the political language of the performance culture in UK Emergency Medicine and translates some into simple terms that can be understood! On a much simpler and certainly more fundamental level, Body and Foex (see page 91) consider the philosophical difference between pain and suffering. Do we see and try to manage the disease/injury or care for the patient? Try their thought experiments to find out. Real science Tura et al (see...
A&E quality indicators
Hughes, G. Wed, 11 Jan 2012 15:30:57 -0800
International readers may need reminding that in April 2011 a new set of clinical quality (A&E) indicators was introduced in the NHS in England to replace the previous 4 h waiting time standard, the new indicators providing a platform with which to measure the quality of care delivered in A&E departments in England. The indicators were developed by the national clinical director for urgent and emergency care, working with the College of Emergency Medicine, the Royal College of Nursing and informed patient representatives. At the beginning of October last year the government released data for May 2011, related to A&E attendances for that month and drawing on just over 1.4 million detailed records of attendances at major A&E departments, single specialty A&E departments (eg, dental), minor injury units and walk-in centres in England.1 Five indicators are reported:left department before being seen for treatment rate; re-attendance rate;...
Optimising well-being: is it the pain or the hurt that matters?
Body, R., Foex, B. A. Wed, 11 Jan 2012 15:30:57 -0800
In recent years there has been a commendable focus on patient-centred medicine, with increasing attention being paid to the timely assessment and management of acute pain. 78% of patients who attend the emergency department report pain, the severity of which is often used to determine clinical priority at triage. Clinical guidelines are increasingly including the timely provision of appropriate analgesia as a clinical standard. Pain scoring has been widely adopted, causing pain to be considered as the ‘fifth vital sign’ by some. Interestingly, there remains little evidence to support the benefit of this approach for patients. The aim of this review is to explore some of the assumptions that made in defining and addressing ‘pain’, and to explore whether it is truly ‘nociception’ or ‘suffering’ that ought to be addressed. Through two thought experiments, it is demonstrated that the current approach to pain relies heavily on addressing ‘nociception’ but does little to address the ‘suffering’ that is undoubtedly they key determinant of well-being in patients. It is demonstrated that the current naturalistic approach risks neglecting many ‘non-nociceptive’ sources of suffering, including physical (eg, nausea, vertigo, dyspnoea, pruritus) and mental (anxiety, depression, fear, anger) symptoms. In the humane quest to relieve suffering, there is a clear need to examine current practice. Indeed, the philosophical enquiry presented even questions whether our culture risks overemphasising the importance of pharmacological analgesia and calls for emergency physicians to take a more holistic approach to meeting patient needs.
GruntDoc
Pride is a Fall Risk
GruntDoc Wed, 08 Feb 2012 16:00:22 -0000
Stick with it. I’m good at intubating (the procedure by which a tube is passed through the vocal cords into the trachea to assist ventilation). I’m not the world’s expert, and I haven’t written a book about it, but I know what I’m about. I was trained by people who knew what they were doing, [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.
Last Known WWI Veteran Florence Green Dies at 110 – ABC News
GruntDoc Wed, 08 Feb 2012 03:14:35 -0000
Florence Green never saw the front line. Her war was spent serving food, not dodging bullets. But Green, who has died at age 110, was the last known surviving veteran of World War I. She was serving with the Women’s Royal Air Force as a waitress at an air base in eastern England when the [...] Related posts: Last living U.S. World War I veteran dies – CNN.com Washington (CNN) — Frank Buckles, the last living U.S. World... Truman CO dies after collapsing – Navy News | News from Afghanistan & Iraq – Navy Times Carrier Command. On the path to Stars. Died at age... Benjamin Siu, doctor at Cook Children’s Medical Center, dies at 51 | Obituaries | News f… Awful. FORT WORTH — When Dr. Benjamin Siu saw patients... Related posts brought to you by Yet Another Related Posts Plugin.
FBI warns of threat from anti-government extremists | Reuters
GruntDoc Tue, 07 Feb 2012 03:29:49 -0000
A fisking of a grossly awful article. (Reuters) – Anti-government extremists opposed to taxes and regulations pose a growing threat to local law enforcement officers in the United States, the FBI warned on Monday. These extremists, sometimes known as “sovereign citizens,” believe they can live outside any type of government authority, FBI agents said at [...] Related posts: World’s first malaria vaccine works in major trial | Reuters Okay, like all of us I want an effective and... Congressman Phil Roe performs CPR on man at airport | Reuters Nice! (Reuters) – Representative Phil Roe retired from his medical... Wisconsin licensing panel investigating fake doctors’ notes during anti-Walker protests | Philip Klein | Beltway Confidential | San Francisco Examiner Wisconsin’s physician licensing panel is investigating eight physicians who have... Related posts brought to you by Yet Another Related Posts Plugin.
Interactive: Who Are the Uninsured in Texas?
GruntDoc Tue, 07 Feb 2012 02:18:39 -0000
Nearly a quarter of the Texas population lacked health insurance in 2010, according to the most recent data released by the American Community Survey, which the U.S. Census Bureau conducted. That’s more than 5.7 million Texans.It’s likely that someone you know — and probably one you wouldn’t have guessed — doesn’t have health insurance. More [...] Related posts: Guest Column: Better Care, Thanks to Tort Reform — Health Reform and Texas | The Texas Tribune Wait, I was told this would Never Work. Thanks to... Texas budget crunch could delay M.D. program in Fort Worth | Texas Legislature | News fr… AUSTIN — A proposal to add an M.D. program to... Is the UT System Preparing for a New Medical School? — Higher Education | The Texas Tribune The headline is disingenuous: yes, there’s a Med School headed... Related posts brought to you by Yet Another Related Posts Plugin.
US Army: Brigadier general has died in Afghanistan
GruntDoc Sat, 04 Feb 2012 19:46:34 -0000
Natural causes. FORT HOOD, Texas (AP) – A 49-year-old brigadier general who died Friday in Afghanistan of apparent natural causes is likely the highest-ranking military officer to die in that conflict, according to military records. via US Army: Brigadier general has died in Afghanistan. At 49. Wow. Condolences to his family. Related posts: Army [...] Related posts: Army seeking troops bitten by stray animals following rabies death – Army – Stripes Wow, that is awful beyond belief. Army seeking troops bitten... Truman CO dies after collapsing – Navy News | News from Afghanistan & Iraq – Navy Times Carrier Command. On the path to Stars. Died at age... Wish comes true for cancer-stricken 10-year-old inducted into Army – Yahoo! News Most kids might hope to get an Xbox or an... Related posts brought to you by Yet Another Related Posts Plugin.
Worker Trapped Under Boeing 787 Tires
GruntDoc Sat, 04 Feb 2012 19:44:19 -0000
EVERETT, Wash. – Officials say emergency crews have rescued a worker who was temporarily trapped beneath the tires of a Boeing 787 jetliner at an Everett, Wash., airfield. via Worker Trapped Under Boeing 787 Tires Is Rescued. Yikes. Best wishes. via Drudge. Related posts: Boeing Providing Facebook Fan With the ‘Opportunity of a Lifetime’ [...] Related posts: Boeing Providing Facebook Fan With the ‘Opportunity of a Lifetime’ — CHICAGO, Feb. 9, 2011 /PRNewswire/ – This weekend, Dr. Jeremy Hampton, an aviation enthusiast and amateur... Related posts brought to you by Yet Another Related Posts Plugin.
Permanent Emergency Jobs
Emergency jobs
Thu, 09 Feb 2012 10:36:32 -0500
All Emergency jobs for Thu Feb 9 2012
Emergency jobs in "Victorville, 70 miles to Los Angeles, near San Bernardino" - CA
Thu, 02 Feb 2012 13:27:44 -0500
Emergency Medicine for High Desert Clinic only 68 miles of Los Angeles , Enjoy a rich array of life styles, excellent schools, and the most affordable housing in Southern CA . Close proximity
Emergency jobs in "Easy access to Dallas" - TX
Wed, 25 Jan 2012 13:27:44 -0500
EMERGENCY MEDICINE – TEXAS – ACCESS TO DALLAS 10-12 SHIFTS PER MONTH - $200 PER HOUR Financial Details $200 per hour Full time: 10 shifts per month ER docs typically
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Highlights from this issue
Walter, D. Wed, 11 Jan 2012 15:30:57 -0800
This month we range from Politics to philosophy, from basic science to standards of care. There is a spread of material on the resuscitation of cardiac arrest and lots of pre-hospital care; triage at ‘front’ and ‘rear’, trauma transfer times, airway care in the field and even how to improve ambulance safety. The meaning of words In this month's editorial, Hughes (see page 90) shows how easy it is to become confused with the political language of the performance culture in UK Emergency Medicine and translates some into simple terms that can be understood! On a much simpler and certainly more fundamental level, Body and Foex (see page 91) consider the philosophical difference between pain and suffering. Do we see and try to manage the disease/injury or care for the patient? Try their thought experiments to find out. Real science Tura et al (see...
A&E quality indicators
Hughes, G. Wed, 11 Jan 2012 15:30:57 -0800
International readers may need reminding that in April 2011 a new set of clinical quality (A&E) indicators was introduced in the NHS in England to replace the previous 4 h waiting time standard, the new indicators providing a platform with which to measure the quality of care delivered in A&E departments in England. The indicators were developed by the national clinical director for urgent and emergency care, working with the College of Emergency Medicine, the Royal College of Nursing and informed patient representatives. At the beginning of October last year the government released data for May 2011, related to A&E attendances for that month and drawing on just over 1.4 million detailed records of attendances at major A&E departments, single specialty A&E departments (eg, dental), minor injury units and walk-in centres in England.1 Five indicators are reported:left department before being seen for treatment rate; re-attendance rate;...
Optimising well-being: is it the pain or the hurt that matters?
Body, R., Foex, B. A. Wed, 11 Jan 2012 15:30:57 -0800
In recent years there has been a commendable focus on patient-centred medicine, with increasing attention being paid to the timely assessment and management of acute pain. 78% of patients who attend the emergency department report pain, the severity of which is often used to determine clinical priority at triage. Clinical guidelines are increasingly including the timely provision of appropriate analgesia as a clinical standard. Pain scoring has been widely adopted, causing pain to be considered as the ‘fifth vital sign’ by some. Interestingly, there remains little evidence to support the benefit of this approach for patients. The aim of this review is to explore some of the assumptions that made in defining and addressing ‘pain’, and to explore whether it is truly ‘nociception’ or ‘suffering’ that ought to be addressed. Through two thought experiments, it is demonstrated that the current approach to pain relies heavily on addressing ‘nociception’ but does little to address the ‘suffering’ that is undoubtedly they key determinant of well-being in patients. It is demonstrated that the current naturalistic approach risks neglecting many ‘non-nociceptive’ sources of suffering, including physical (eg, nausea, vertigo, dyspnoea, pruritus) and mental (anxiety, depression, fear, anger) symptoms. In the humane quest to relieve suffering, there is a clear need to examine current practice. Indeed, the philosophical enquiry presented even questions whether our culture risks overemphasising the importance of pharmacological analgesia and calls for emergency physicians to take a more holistic approach to meeting patient needs.
GruntDoc
Pride is a Fall Risk
GruntDoc Wed, 08 Feb 2012 16:00:22 -0000
Stick with it. I’m good at intubating (the procedure by which a tube is passed through the vocal cords into the trachea to assist ventilation). I’m not the world’s expert, and I haven’t written a book about it, but I know what I’m about. I was trained by people who knew what they were doing, [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.
Last Known WWI Veteran Florence Green Dies at 110 – ABC News
GruntDoc Wed, 08 Feb 2012 03:14:35 -0000
Florence Green never saw the front line. Her war was spent serving food, not dodging bullets. But Green, who has died at age 110, was the last known surviving veteran of World War I. She was serving with the Women’s Royal Air Force as a waitress at an air base in eastern England when the [...] Related posts: Last living U.S. World War I veteran dies – CNN.com Washington (CNN) — Frank Buckles, the last living U.S. World... Truman CO dies after collapsing – Navy News | News from Afghanistan & Iraq – Navy Times Carrier Command. On the path to Stars. Died at age... Benjamin Siu, doctor at Cook Children’s Medical Center, dies at 51 | Obituaries | News f… Awful. FORT WORTH — When Dr. Benjamin Siu saw patients... Related posts brought to you by Yet Another Related Posts Plugin.
FBI warns of threat from anti-government extremists | Reuters
GruntDoc Tue, 07 Feb 2012 03:29:49 -0000
A fisking of a grossly awful article. (Reuters) – Anti-government extremists opposed to taxes and regulations pose a growing threat to local law enforcement officers in the United States, the FBI warned on Monday. These extremists, sometimes known as “sovereign citizens,” believe they can live outside any type of government authority, FBI agents said at [...] Related posts: World’s first malaria vaccine works in major trial | Reuters Okay, like all of us I want an effective and... Congressman Phil Roe performs CPR on man at airport | Reuters Nice! (Reuters) – Representative Phil Roe retired from his medical... Wisconsin licensing panel investigating fake doctors’ notes during anti-Walker protests | Philip Klein | Beltway Confidential | San Francisco Examiner Wisconsin’s physician licensing panel is investigating eight physicians who have... Related posts brought to you by Yet Another Related Posts Plugin.
Interactive: Who Are the Uninsured in Texas?
GruntDoc Tue, 07 Feb 2012 02:18:39 -0000
Nearly a quarter of the Texas population lacked health insurance in 2010, according to the most recent data released by the American Community Survey, which the U.S. Census Bureau conducted. That’s more than 5.7 million Texans.It’s likely that someone you know — and probably one you wouldn’t have guessed — doesn’t have health insurance. More [...] Related posts: Guest Column: Better Care, Thanks to Tort Reform — Health Reform and Texas | The Texas Tribune Wait, I was told this would Never Work. Thanks to... Texas budget crunch could delay M.D. program in Fort Worth | Texas Legislature | News fr… AUSTIN — A proposal to add an M.D. program to... Is the UT System Preparing for a New Medical School? — Higher Education | The Texas Tribune The headline is disingenuous: yes, there’s a Med School headed... Related posts brought to you by Yet Another Related Posts Plugin.
US Army: Brigadier general has died in Afghanistan
GruntDoc Sat, 04 Feb 2012 19:46:34 -0000
Natural causes. FORT HOOD, Texas (AP) – A 49-year-old brigadier general who died Friday in Afghanistan of apparent natural causes is likely the highest-ranking military officer to die in that conflict, according to military records. via US Army: Brigadier general has died in Afghanistan. At 49. Wow. Condolences to his family. Related posts: Army [...] Related posts: Army seeking troops bitten by stray animals following rabies death – Army – Stripes Wow, that is awful beyond belief. Army seeking troops bitten... Truman CO dies after collapsing – Navy News | News from Afghanistan & Iraq – Navy Times Carrier Command. On the path to Stars. Died at age... Wish comes true for cancer-stricken 10-year-old inducted into Army – Yahoo! News Most kids might hope to get an Xbox or an... Related posts brought to you by Yet Another Related Posts Plugin.
Worker Trapped Under Boeing 787 Tires
GruntDoc Sat, 04 Feb 2012 19:44:19 -0000
EVERETT, Wash. – Officials say emergency crews have rescued a worker who was temporarily trapped beneath the tires of a Boeing 787 jetliner at an Everett, Wash., airfield. via Worker Trapped Under Boeing 787 Tires Is Rescued. Yikes. Best wishes. via Drudge. Related posts: Boeing Providing Facebook Fan With the ‘Opportunity of a Lifetime’ [...] Related posts: Boeing Providing Facebook Fan With the ‘Opportunity of a Lifetime’ — CHICAGO, Feb. 9, 2011 /PRNewswire/ – This weekend, Dr. Jeremy Hampton, an aviation enthusiast and amateur... Related posts brought to you by Yet Another Related Posts Plugin.
Permanent Emergency Jobs
Emergency jobs
Thu, 09 Feb 2012 10:36:32 -0500
All Emergency jobs for Thu Feb 9 2012
Emergency jobs in "Victorville, 70 miles to Los Angeles, near San Bernardino" - CA
Thu, 02 Feb 2012 13:27:44 -0500
Emergency Medicine for High Desert Clinic only 68 miles of Los Angeles , Enjoy a rich array of life styles, excellent schools, and the most affordable housing in Southern CA . Close proximity
Emergency jobs in "Easy access to Dallas" - TX
Wed, 25 Jan 2012 13:27:44 -0500
EMERGENCY MEDICINE – TEXAS – ACCESS TO DALLAS 10-12 SHIFTS PER MONTH - $200 PER HOUR Financial Details $200 per hour Full time: 10 shifts per month ER docs typically
Sites:
Trauma.org: Largest Internet Trauma Care Site - Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, Trauma Imagebank, Fellowship database. Home of Trauma Moulage on the Internet.eMedHome.com: Features articles, reviews, pearls, radiology, employment, discussion boards, and archived data.
Emergency jobs: Emergency jobs site with automatic email updates and directory of recruitment firms.
Emergency Medicine Resources On The Web: Emergency Medicine Resources: Free emergency medicine tools at NCEMI.
Family Practice Notebook: Emergency Medicine: Read about Environmental Injury, Examination, Fluids, Electrolytes, and Nutrition, Procedure, Resources, Poisoning and Toxicology and Traumatic Injury. Related chapters from other specialties include Cardiovascular, Dermatology, Neurology, Obstetrics, Pharmacology, Prevention, Radiology and Spor...
Maritime Health, Telemedicine and Medical Advice: GMS operates 24-hours a day, 365 days a year to provide physician consultations to vessels at sea and remote locations worldwide.
