ENT and airways in the emergency department: national survey of junior doctors' knowledge and skills

AbstractBackground:Given the urgent nature of ENT emergencies, appropriate knowledge is required amongst front-line staff. Junior doctors account for almost one quarter of emergency department doctors. It has been shown that undergraduate coverage of ENT is variable. This study therefore aimed to determine whether emergency department junior doctors were confident in dealing with ENT emergencies, with special focus on the airway.Method:An online survey was circulated to junior doctors working in emergency medicine, at the discretion of their training co-ordinators.Results:A total of 104 responses were received. Junior doctors were not confident in managing patients who have undergone tracheostomy or laryngectomy. Management of stridor varied, with 51 per cent giving oxygen and only 77 per cent referring such patients as an emergency to ENT. Most training on the management of airway emergencies was not provided through hospital induction.Conclusion:Training should be provided to junior doctors starting work in the emergency department. We suggest mandatory multidisciplinary induction training for such staff.

Download Full-text

Emergency Medicine Resident Clinical Hours in the Emergency Department: A National Survey

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2013.06.051 ◽

2013 ◽

Vol 62 (5) ◽

pp. S175

Author(s):

T. Vohra ◽

S. Luber

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

National Survey ◽

Emergency Medicine Resident ◽

Medicine Resident

Download Full-text

Academic Emergency Medicine Staffing Nonacademic Emergency Department Sites: A National Survey

Academic Emergency Medicine ◽

10.1111/j.1553-2712.1999.tb00398.x ◽

1999 ◽

Vol 6 (4) ◽

pp. 334-338 ◽

Cited By ~ 3

Author(s):

Stephen W. Meldon ◽

Rita K. Cydulka ◽

Nicholas J. Jouriles ◽

Charles L. Emerman

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

National Survey

Download Full-text

Assessment of Competency of Point-of-Care Ultrasound in Emergency Medicine Residents during Ultrasound Rotation at the Emergency Department

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.5954 ◽

2021 ◽

Vol 9 (E) ◽

pp. 293-297

Author(s):

Korakot Apiratwarakul ◽

Kamonwon Ienghong ◽

Nichaphat Tongthummachat ◽

Takaaki Suzuki ◽

Somsak Tiamkao ◽

...

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Residency Program ◽

Clinical Decision Making ◽

Journal Club ◽

Point Of Care ◽

Bedside Ultrasound ◽

Average Score ◽

Point Of Care Ultrasound ◽

Knowledge And Skills

BACKGROUND: Point-of-care ultrasound (POCUS) is the core competency in the Emergency Medicine (EM) residency training. However, there are many methods that can be used to evaluate this competency, and the best practices for teaching ultrasonography to residents have yet to be determined. AIM: The researchers aimed at evaluating the POCUS knowledge and skills of the EM residents after having participated in the POCUS training during their first ultrasound rotation in the Emergency Department. METHODS: A curriculum was developed in the form of a 2-week rotation in the EM residency program at the Department of EM at Khon Kaen University’s Srinagarind Hospital. It consisted of didactic lectures, bedside ultrasound trainings, the journal club, and the process of reviewing the images. Tools were developed, which included a knowledge exam. For each resident, the assessments were administered before and after the rotation. Furthermore, an ultrasound skills test was developed to be used at the end of the 1st year EM residency program. RESULTS: Nine EM residents completed their rotations and the tests. The average pre-training score and post-training scores were 5.25 ± 1.03 and 8.50 ± 1.20, respectively. The mean difference score between pre- and post-test was 3.25 ± 1.28. (95% CI −4.321, −2.178). In terms of the ultrasound skills test, the average total score was 26.13 out of 30 (87.1%). Moreover, the residents had higher scores in the aspects of image acquisition (87.5%) and image interpretation (87.5%). However, for the aspect of clinical decision-making, the average score was 75%. The survey questions indicated that with respect to all of the academic activities, the “Bedside ultrasound,” which had encouraged the residents to learn POCUS, was given the highest score (4.75 of 5). CONCLUSIONS: The 2-week ED ultrasound rotation had improved the residents’ EM ultrasound knowledge and skills.

Download Full-text

Practice variability in the management of complex febrile seizures by pediatric emergency physicians and fellows

CJEM ◽

10.2310/8000.2011.110290 ◽

2011 ◽

Vol 13 (03) ◽

pp. 145-149 ◽

Cited By ~ 8

Author(s):

Justin W. Sales ◽

Blake Bulloch ◽

Mark A. Hostetler

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Lumbar Puncture ◽

Online Survey ◽

Admission Rate ◽

Febrile Seizures ◽

Pediatric Emergency ◽

Pediatric Emergency Medicine ◽

Case Vignettes ◽

Department Evaluation

ABSTRACT Objective: Febrile seizures are the most common type of childhood seizure and are categorized as simple or complex. Complex febrile seizures (CFSs) are defined as events that are focal, prolonged (> 15 minutes), or recurrent. The management of CFS is poorly defined. The objective of this study was to determine the degree of variability in the emergency department evaluation of children with CFSs. Methods: An online survey questionnaire was developed and sent to physicians identified via the listserv of the emergency medicine section of the American Academy of Pediatrics and the pediatric emergency medicine discussion list. The questionnaire consisted of five hypothetical case vignettes describing children under 5 years of age presenting with a CFS. Following review of the first four vignettes, participants were asked if they would (1) obtain blood and urine for evaluation; (2) perform a lumbar puncture; (3) perform neurologic imaging while the child was in the emergency department; (4) admit the child to the hospital; or (5) discharge with follow-up as an outpatient, with either the primary care provider or a neurologist. The final vignette determined if antiepileptic medication would be prescribed by the physician on discharge. Results: Of the 353 physicians who participated, 293 (83%) were pediatric emergency medicine attending physicians and 60 (17%) were pediatric emergency medicine fellows. Overall, 54% of participants indicated that they would obtain blood for evaluation, 62% would obtain urine, 34% would perform a lumbar puncture, and 36% would perform neurologic imaging. The overall hypothetical admission rate for the case vignettes was 42%. Conclusions: This study indicates that extensive variability exists in the emergency department approach to patients with CFS. Our findings suggest that optimal management for CFS remains unclear and support the potential benefit of future prospective studies on this subject.

Download Full-text

Emergency department management of early sepsis: a national survey of emergency medicine and intensive care consultants

Emergency Medicine Journal ◽

10.1136/emermed-2013-202883 ◽

2013 ◽

Vol 31 (12) ◽

pp. 1000-1005 ◽

Cited By ~ 8

Author(s):

Zoeb Jiwaji ◽

Shirin Brady ◽

Lauralyn A McIntyre ◽

Alasdair Gray ◽

Timothy S Walsh

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Intensive Care ◽

National Survey ◽

Emergency Department Management ◽

Early Sepsis ◽

Department Management

Download Full-text

The role of emergency medicine residents during the global SARS-Cov-2 pandemic: The Pavia experience

Emergency Care Journal ◽

10.4081/ecj.2021.9747 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Gianmarco Secco ◽

Giovanni Cappa ◽

Bruno Barcella ◽

Stefano Perlini

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Front Line ◽

Hospital Emergency ◽

Close Cooperation ◽

Second Wave

In late January 2020, the first cases of Covid-19 were diagnosed in Italy. A month later the epidemic broke out in Lombardy bringing along dire consequences. Up to January 23rd 2021, the region counted 522,000 cases, and 26.518 deaths on a population of nearly 10 million. For many weeks thereafter tens of emergency COVID-19 patients were admitted every day through the ED requiring further adjustments in the organization of the Hospital, always in close cooperation with the out-of-hospital Emergency network. Among these, important and time-sensitive changes took place in the role of Residents in Emergency Medicine. As residents who worked through the first and second wave of the Sars-CoV-2 pandemic in the Emergency Department, we would like to discuss the consequences of our massive involvement on the front line of the healthcare effort to fight it.

Download Full-text