Article Review: Impact of family presence in a code

CPRanimationFamily presence in the ED resuscitation of a dying patient is a controversial topic. Some surveys suggest that families favor this practice and would repeat it again in a similar situation.

An article in Critical Care Medicine examines the impact of family presence on the ED personnel’s actions, rather than the impact on the families themselves. Second and third-year EM residents were randomized into paired teams in simulation exercises. All resuscitations involved a cardiac arrest patient. Each team was exposed to one of three types of resuscitation groups:

  1. No family witness
  2. Non-obstructive family witness (quiet person) – quiet crying and conversation with social worker
  3. Overtly grieving family witness – loud crying, attempts to hug patient during resuscitation

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By |2016-11-11T19:00:42-08:00Jun 21, 2010|Medical Education|

Article Review: Conceptual Model on Learner Reflection

Reflection Reflective journals and electronic portfolios are becoming increasingly popular within undergraduate and graduate medical education. I’m starting to be a believer in this learning approach, which teaches learners about professional development and life-long learning principles. Academic Medicine just published a great qualitative paper proposing a conceptual model for reflection.

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By |2019-02-19T18:43:35-08:00Jun 7, 2010|Education Articles, Medical Education|

SAEM 2010 (June 2-6, 2010)

SAEMlogo

The Society of Academic Emergency Medicine’s (SAEM) annual meeting starts this week. Instead of my regular posts, I thought I’d try using the Twitter widget to post real-time, first-hand accounts and photos from the conference.

SAEM is a very dynamic and productive conference, where academicians in Emergency Medicine meet to pow-wow about the future of our specialty.

By |2016-11-11T19:00:44-08:00Jun 1, 2010|Medical Education|

Amazing video: Awake endotracheal intubation

Videos are priceless when trying to teach procedures. This amazing teaching video by Dr. Michael Bailin at Mass General demonstrates a novel way of anesthetizing the airway during an awake intubation.

  1. Inject 3 cc of lidocaine using a small butterfly needle through the cricothyroid membrane. This causes coughing, which spreads the lidocaine throughout the upper airway.
  2. Inject 5 cc of atomized lidocaine through the fiberoptic scope port to anesthetize the posterior oropharynx and vocal cords.
  3. Slide the endotracheal tube over the fiberoptic scope.

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By |2019-01-28T23:43:42-08:00Apr 8, 2010|Medical Education|
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