Improving the quality and transparency of prehospital case reports using CARE

2019 ◽  
Vol 9 (3) ◽  
pp. 57-60
Author(s):  
James Pearce ◽  
Paul Simpson
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Clinical Case ◽  
Case Reports ◽  
Structured Reporting ◽  
Reporting Guideline ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Current State ◽  
Robust Evidence

Clinical case reports play an important role in supporting evidence-based paramedicine. When research on a topic is limited and there is no robust evidence, a case report may be the best available, especially for rare or unusual presentations or in novel clinical practice. Case reports in paramedicine journals are common. However, adherence to the published consensus-based reporting guideline is rare, which may weaken the evidence arising from this body of case report literature. There is a need for greater awareness of the structured reporting guideline for case reports, and for the development of a paramedicine-specific extension. The objectives of this paper are to: describe the current state of case reports in paramedicine; promote the adoption of an internationally accepted, consensus-based reporting guideline; and propose an extension to that guideline, adapted to the unique characteristics of prehospital practice.

scholarly journals An Overview of Reports on Clinical Case Report

2017 ◽  
Vol 7 (1) ◽  
pp. 50-55
Author(s):  
Md Abdul Wohab Khan ◽  
Abdus Salam Arif
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Scientific Inquiry ◽  
Scientific Community ◽  
Clinical Case ◽  
Case Reports ◽  
Effective Means ◽  
Scholarly Writing ◽  
Medical College ◽  
Familiar Form

Case reports represent the oldest and most familiar form of medical communication. It is one of the best ways for the beginners to get familiar with scholarly writing. It is the time-honored vehicle for medical teaching. It is also the foundational 'building block' of scientific inquiry. Unfortunately from late 1970s in scientific community there was a tendency to see the case report as least important and a 'second class' publication. The authors tried to find out how this 'fertile seeds' were cultivated and valued by the scientific community. Articles on case reports were collected consecutively by daisy chaining from web and published journals. Many logical arguments are found in favor of encouraging in writing and publishing case reports. There are also issues to be addressed further. Diversified criteria and stylescan be followed. Uniqueness is not the only principle, any information which someone find useful and beneficial in clinical practice can be presented as case report. Facts in a case report can be considered as one of the weakest evidence and should not be considered as anecdotal information. To make others aware of unusual presentationsor complications;case report is the rapid and effective means of communication.Anwer Khan Modern Medical College Journal Vol. 7, No. 1: Jan 2016, P 50-55

scholarly journals Case report of von willebrand disease after tonsillotomy and adenotomy in a child

2021 ◽  
Vol 20 (1) ◽  
pp. 89-92
Author(s):  
S. S. Makhmudov ◽  
◽  
A. A. Ochilzoda ◽  
F. P. Dzhamolov ◽  
A. Z. Mutalibov ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Von Willebrand Disease ◽  
Rare Occurrence ◽  
Von Willebrand

The authors present a clinical case of von Willebrand disease detected after tonsillotomy and adenotomy in a child. The peculiarity of this observation lies in the rare occurrence of von Willebrand disease in clinical practice, as well as the manifestation of the clinical manifestations of this pathology against the background of surgical treatment in a child.

scholarly journals Improvement in refractory psychosis after initiating management for underlying ADHD

2015 ◽  
Vol 84 (S1) ◽  
pp. 6-8
Author(s):  
Michael Blaszak ◽  
Danica Brister ◽  
Jordon Charlebois ◽  
Erica Hoe ◽  
Maggie Siu
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Case Report ◽  
Clinical Practice ◽  
Attention Deficit ◽  
Clinical Case ◽  
Psychotic Symptoms ◽  
Visual Hallucinations ◽  
Hyperactivity Disorder ◽  
Stimulant Medications ◽  
Pathophysiologic Mechanisms

We report on a unique clinical case of psychosis precipitated by Attention Deficit Hyperactivity Disorder (ADHD) and explore its implications for clinical practice as well as our understanding of these conditions. We describe a clinical case of a 46-year-old male presenting with auditory, olfactory, tactile, and visual hallucinations. We reviewed the literature on reported cases in which psychotic symptoms were treated with stimulant medications for ADHD comorbidity. This case report reveals the potential for properly selected patients to benefit from a consideration of ADHD comorbidity and a trial of treatment with that focus. In addition, the literature reveals a pathophysiologic association between psychosis and ADHD supported by neurobiological data. However, far more research is required to fully understand these conditions and their relationship. We conclude that ADHD and psychosis have some related pathophysiologic mechanisms but their connection has not been adequately explored. This case adds support to literature suggesting that in refractory psychosis, clinicians should re-evaluate the diagnosis and one of the considerations should be ADHD. In certain cases, the presence of psychotic symptoms with ADHD should not exclude the use of stimulants.

scholarly journals Use of miniplates as a method for orthodontic anchorage: a case report

2016 ◽  
Vol 21 (5) ◽  
pp. 95-102
Author(s):  
Fernando Gianzanti Peres ◽  
◽  
Luis Eduardo Marques Padovan ◽  
Leandro Eduardo Kluppel ◽  
Gustavo Calvalcanti Albuquerque ◽  
...  
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Case Reports ◽  
Orthodontic Anchorage ◽  
Temporary Anchorage Devices

ABSTRACT Introduction: Temporary anchorage devices (TADs) have been developed to be used as direct adjuncts in orthodontic treatment and have facilitated treatment of more complex orthodontic cases, including patients with dental impaction. Objectives: This clinical case reports the applicability of TADs in the orthodontic treatment of a patient with impacted mandibular second molars. Surgical and orthodontic procedures related to the use of miniplates were also discussed in this study. Conclusions: The use of temporary anchorage devices, such as miniplates, can be suggested as an alternative to treat patients with impacted mandibular second molars.

A Commentary on the Complexity of Tinnitus Management

2011 ◽  
Vol 34 (4) ◽  
pp. 421-428 ◽  
Author(s):  
Grant Searchfield
Keyword(s):  
Clinical Practice ◽  
Practice Guidelines ◽  
Strong Evidence ◽  
Clinical Guidelines ◽  
Evidence Based ◽  
Current State ◽  
High Level

There is a desire among many tinnitus researchers and clinicians for greater standardization in the assessment and management of tinnitus. In their commentary on the complexity of tinnitus, Hoare et al. have highlighted the need for strong evidence-based protocols. The authors make many valid and important conclusions as to the current state of clinical guidelines; they identify clear gaps in evidence and limited consensus as to clinical practice. While I agree with the bulk of their commentary there are a few areas where I will offer a counter view. In particular I will address their view that only high-level evidence has a place in forming practice guidelines for tinnitus.

Orofacial dyskinesia: caused by antidepressants?

1991 ◽  
Vol 3 (1) ◽  
pp. 1-4
Author(s):  
A.R. Van Gool ◽  
R.C. Van Der Mast ◽  
P. Moleman
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Movement Disorder ◽  
Elderly People ◽  
High Frequency ◽  
Antidepressant Treatment ◽  
Case Reports ◽  
Orofacial Dyskinesia

SummaryA case report is presented of a 72 year old woman, who has been treated for a depression with amitriptyline. During the treatment an orofacial dyskinesia develloped. Data in the literature concerning a possible link between the manifestation of orofacial dyskinesia and treatment with antidepressants were mainly found to be case reports. A closer study of the total in all of 25 case reports reveals that the antidepressant is often at most one of more possible determinants of the movement disorder. Particularly, it was frequently noted that patients were treated with other drugs or that the use of other drugs was not specified. A controverse exists in the literature whether or not a so called spontaneous orofacial dyskinesia is found in high frequency in elderly people. For clinical practice the advice is given that, in case an orofacial dyskinesia arises during antidepressant treatment, attention should be paid to other provoking factors in the first place.

scholarly journals LA ESTRUCTURA NARRATIVA DE LOS CASOS CLÍNICOS

2021 ◽  
Vol 30 ◽  
pp. 533
Author(s):  
Adéla KOŤÁTKOVÁ
Keyword(s):  
Case Report ◽  
Clinical Experience ◽  
Clinical Case ◽  
Healthcare Professionals ◽  
Case Reports

Resumen: Los casos clínicos son un género propio de las comunidades de profesionales de la salud que se basa en la experiencia clínica de uno o unos pocos pacientes. A diferencia de otros autores, consideramos que tienen una naturaleza principalmente narrativa y que, por lo tanto, se pueden caracterizar por una estructuración en los cinco apartados canónicos de la narración: situación inicial, nudo, (re)acción o evaluación, desenlace y situación final. Verificamos la presencia de estos componentes en un caso clínico prototípico del campo de la neurología, comparándolos con sus análogos en textos provenientes del género reconocidamente narrativo de los cuentos clínicos.Abstract: Clinical case reports are a genre developed within the communities of healthcare professionals and based on the clinical experience of one or a few patients. Unlike other authors, we consider that they have a mainly narrative nature and, therefore, can be characterized by a structure following the five canonical sections of the narrative: initial situation, node, (re) action or evaluation, denouement and final situation. We verify the presence of these components in a prototypical clinical case report from the field of neurology, comparing them with analogous samples of another genre that is widely recognised as narrative: clinical tales. 

Training

2017 ◽  
Author(s):  
Tom Burns ◽  
Mike Firn
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Staff Training ◽  
Community Outreach ◽  
Comprehensive Care ◽  
Multidisciplinary Teams ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Key Skills ◽  
Information Governance

This chapter sets out training frameworks and key skills and competencies that underpin comprehensive care in community outreach in mental health. A framework of core and advanced competencies for multidisciplinary teams is presented capable of supporting evidence-based clinical practice. Safe non-clinical operations are also supported by a schedule of mandatory staff training in areas such as equality, diversity, and information governance.

scholarly journals Student-Generated Case Reports

2009 ◽  
Vol 23 (2) ◽  
pp. 165-173 ◽  
Author(s):  
Christopher J. Good
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Writing Skills ◽  
Evidence Based ◽  
Management Options ◽  
Learning Skills ◽  
Clinical Topic ◽  
The University ◽  
Evidence Based Care ◽  
Self Learning

When students create teaching materials, learning can be enhanced. Therefore, a project was designed based on the traditional clinical case report and the chiropractic technique and principles curriculum at the University of Bridgeport College of Chiropractic. The objectives were to increase mastery in a clinical topic, increase awareness of different patient presentations and management options, and enhance information technology skills. Following lectures about the components of a case report and neurological reflexes related to visceral comorbidities and subluxation and joint dysfunction, students created a case report based on a template provided by the instructor. A survey gathered student perspectives on the exercise. More than 70% of the surveyed students felt the project was at least moderately helpful in improving understanding of a case report, the condition investigated, their clinical reasoning, and the ability to integrate information. Most felt that they improved their understanding of neurological reflexes, use of the literature, and the practice of evidence-based care. The majority believed that they identified weakness in knowledge, improved self-learning skills, and increased confidence in managing patients. Most enjoyed it at least somewhat and 70% agreed that the project should be continued. Many believed that they were better prepared for national boards and had improved their writing skills.

Sign in / Sign up

Export Citation Format

Share Document