medical students deserve training in active listening and counseling before they encounter patients in distress. At the Alpert medical school of Brown university we created and evaluated a workshop that trains first-year medical students to assess patients’ emotional states and express empathy in an efficient and effective manner. using second-year students as near-peer facilitators, we integra...

Severe Alkalemia (pH 7.85): Compatible with Life? A Triple Acid-Base Conundrum Kishan B Patel1, James Espinosa2, Joan Wiley3, Nicholas Roy4, Alan Lucerna5 1Department of Emergency medicine/ Internal Medicine resident at Rowan-SOM in Stratford, NJ, USA. 2Assistant professor, Department of Emergency at Rowan-SOM and an attending physician at Kennedy USA. 3Associate program director of emergency m...

the emergency severity index (esi) is a five-level triage system that has shown promising reliability and validity. according to esi algorithm, in the presence of danger zone respiratory rate (rr), heart rate (hr) or oxygen (o2) saturation, patients should be up-triaged from esi level 3 to 2 hence, the current study aimed to investigate the value of the measurement of vital signs in predicting ...

orf is a mucocutaneous disease that occurs when non-intact skin comes into contact with contaminated sheep saliva. the lesions may complicate to lymphangitis or secondary bacterial infection, but systemic complications such as erythema multiforme, maculopapular rash, and generalized lymphadenopathy are rare. in this paper, we present two cases of erythema multiforme following orf disease.

BACKGROUND Sonography is an established diagnostic procedure in hospitals, but is not routinely used in prehospital emergency medicine. Several studies have addressed the use of ultrasound during helicopter flights and in emergency rooms, few in prehospital settings, but most focused on abdominal blunt trauma. Several case reports describe crucial decisions distinguished by ultrasound. METHOD...

The impact of trauma is a major public health challenge which is likely to escalate in the early 21st century. A systematic approach to this problem is required. This review explains the conceptual framework that defines a trauma system, gives a brief historical perspective and describes some of the essential elements of the system which should make a difference to patient outcome. Emergency ph...

The quality of pediatric emergency care may depend on the competence of the emergency department physicians. It is important to know whether parents and general pediatricians associate the quality of pediatric emergency care with the pediatric emergency medicine (PEM) training of the emergency department physicians. We designed the study to determine parental and pediatricians' opinion and expe...

BACKGROUND The new postgraduate medical education (PGME) was recently introduced to improve quality of emergency care in Japan. OBJECTIVES To compare the quality of care and confidence in provision of emergency medicine between physicians who completed the old and new PGME programs. METHODS A cross-sectional survey was sent to 279 physicians of postgraduate years 4-9, and 208 responses (75%...