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|

Article review: Preparing for clinical clerkships during medical school

TurtleScaredsmDo you remember the sheer terror you felt, when you first started your medical school clinical rotations? Your first two years were probably spent in classrooms and small-group labs discussing anatomy, pharmacology, pathology, etc.

Then BAM! You are thrown into the deep end of the pool. You are now on a clinical team of medical professionals taking care of actual patients!

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By |2016-11-11T19:01:26-08:00Apr 5, 2010|Education Articles, Medical Education|