Communication
Communication can be defined as imparting or exchanging of information by speaking, writing, or using some other medium, such as phone lines or computers. We all know that communication involves more than one person, one cannot communicate to themselves. Communication is a two way street.
Clinical: 1 points
The responsibility to care: lessons learned from emergency department workersâ perspectives during the first wave of the COVIDâ19 pandemic in Canada
Background This studyâs objective was to examine emergency department (ED) workersâ perspectives during the Canadian COVID-19 first wave. This qualitative study included workers from nine Canadian EDs who participated in 3 monthly video focus groups between April and July 2020 to explore (1) personal/professional experiences, (2) patient care and ED work, (3) relationships with teams, institutions and governing bodies. Framework analysis informed data collection and analysis.
Ethics: 2 points
Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association
This paper provides an update on the European Society of Cardiology task force report on the management of chest pain. Its main purpose is to provide an update on the decision algorithms and diagnostic pathways to be used in the emergency department for the assessment and triage of patients with chest pain symptoms suggestive of acute coronary syndromes.
Ethics: 2 points
Delirium Prevention, Detection, and Treatment in Emergency Medicine Settings: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement
Older adult delirium is often unrecognized in the emergency department (ED), yet the most compelling research questions to overcome knowledge-to-practice deficits remain undefined. The Geriatric Emergency care Applied Research (GEAR) Network was organized to identify and prioritize delirium clinical questions.
Ethics: 2 points
Curricula for empathy and compassion training in medical education: A systematic review
Empathy and compassion are vital components of health care quality; however, physicians frequently miss opportunities for empathy and compassion in patient care. Despite evidence that empathy and compassion training can be effective, the specific behaviors that should be taught remain unclear. We synthesized the biomedical literature on empathy and compassion training in medical education to find the specific curricula components (skills and behaviors) demonstrated to be effective
Ethics: 2 points
Clinical Audits â A Quality Improvement Tool in Transfusion Medicine
A clinical audit is a quality improvement process that seeks to improve services and outcomes through a systematic review of care against explicit criteria. It is now a recognized tool for improving clinical quality of care. However, in transfusion medicine, they have been utilized in a limited manner.
Ethics: 3 points
Early versus Later Anticoagulation for Stroke with Atrial Fibrillation
The effect of early as compared with later initiation of direct oral anticoagulants
(DOACs) in persons with atrial fibrillation who have had an acute ischemic stroke is unclear.
Ethics: 2 points
Health effects of voluntary exposure to cold water â a continuing subject of debate
This review is based on a multiple database survey on published literature to determine the effects on health following voluntary exposure to cold-water immersion (CWI) in humans. After a filtering process 104 studies were regarded relevant. Many studies demonstrated significant effects of CWI on various physiological and biochemical parameters.
Ethics: 2 points
Training, knowledge, experience and perceptions regarding cardiopulmonary resuscitation of doctors at an academic hospital in central South Africa
Cardiopulmonary resuscitation (CPR) improves immediate survival and survival to discharge in patients with cardiac arrest in hospital. Without frequent retraining in CPR, healthcare providers may lose their skills and knowledge earlier than the recommendation of CPR retraining every two years. To determine the competencies of doctors at an academic hospital regarding CPR training, knowledge, experience and perceptions.
Ethics: 2 points
Multiple sclerosis
Multiple sclerosis (MS) is one of the most common neurological disorders. It has the potential to disable the brain and spinal cord, meaning the central nervous system. MS affects almost 2.1 million people worldwide.
Ethics: 1 points
Association between early postoperative nutritional supplement utilisation and length of stay in malnourished hip fracture patients
Malnutrition in older hip fracture patients is associated with increased complication rates and mortality. As postoperative nutrition delivery is essential to surgical recovery, postoperative nutritional supplements including oral nutritional supplements or tube feeding formulas can improve postoperative outcomes in malnourished hip/femur fracture patients. The association between early postoperative nutritional supplements utilisation and hospital length of stay was assessed in malnourished hip/femur fracture patients.
Ethics: 3 points
Effects of glutamine supplementation on critically ill patients: Focus on efficacy and safety. An overview of systematic reviews
The aim of this overview of systematic reviews was to synthesize, appraise, and present all systematic review (SR) evidence on the clinical efficacy of glutamine administration to severely ill patients. Medline, Scopus, the Cochrane Library, and Prospero were searched up to March 2020. Systematic reviews and meta-analyses of randomized controlled trials published in English, comparing immunomodulating dietsâcontaining exclusively glutamineâwith standard diets for critically ill adult patients were selected.
Ethics: 3 points
The POPI Act and the laboratory
The POPI Act is essentially an act which protects people from harm by protecting their personal information. The act regulates the flow of information and sets out a code of conduct pertaining to how personal information is collected, handled, distributed and stored and eventually discarded. The POPI Act sets out the minimum standards regarding accessing and âprocessingâ of any personal information belonging to another. The Act defines âprocessingâ as collecting, receiving, recording, organising, retrieving, the use, distribution or sharing of any such information.
Ethics: 2 points
Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults
Whether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain.
Ethics: 2 points
What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers
In light of the current coronavirus disease 2019 (COVID-19) pandemic and potential future infectious disease outbreaks, a comprehensive understanding of the negative effects of epidemics and pandemics on healthcare workersâ mental health could inform appropriate support interventions. Thus, we aimed to synthesize and quantify the psychological and psychosomatic symptoms among frontline medical staff.
Ethics: 2 points
Prevalence of Discrimination, Abuse, and Harassment in Emergency Medicine Residency Training in the US
The prevalence of workplace mistreatment and its association with the well-being of emergency medicine (EM) residents is unclear. More information about the sources of mistreatment might encourage residency leadership to develop and implement more effective strategies to improve professional well-being not only during residency but also throughout the physicianâs career. To examine the prevalence, types, and sources of perceived workplace mistreatment during training among EM residents in the US and the association between mistreatment and suicidal ideation.
Ethics: 2 points
Gender Differences in Experiences of Leadership Emergence Among Emergency Medicine Department Chairs
The number of women entering medicine continues to increase, but women remain underrepresented at all tiers of academic rank and chair leadership in EM. The proportion of female chairs in EM has not exceeded 12% in 2 decades.
Ethics: 2 points
Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I
Each year more than 400 physicians take their lives, likely related to increasing depression and burnout. Burnoutâa psychological syndrome featuring emotional exhaustion, depersonalization, and a reduced sense of personal accomplishmentâis a disturbingly and increasingly prevalent phenomenon
in healthcare, and emergency medicine (EM) in particular.
Ethics: 2 points