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Fluid Resuscitation in Sepsis: A Systematic Review and Network Meta-analysis.
Conclusion: Among patients with sepsis, resuscitation with balanced crystalloids or albumin compared with other fluids seems to be associated with reduced mortality. Primary Funding Source: The Hamilton Chapter of the Canadian Intensive Care Foundation and the Critical Care Medicine Residency Program and Critical Care Division Alternate Funding Plan at McMaster University. PMID: 25047428 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - July 22, 2014 Category: Internal Medicine Authors: Rochwerg B, Alhazzani W, Sindi A, Heels-Ansdell D, Thabane L, Fox-Robichaud A, Mbuagbaw L, Szczeklik W, Alshamsi F, Altayyar S, Ip WC, Li G, Wang M, Wludarczyk A, Zhou Q, Guyatt GH, Cook DJ, Jaeschke R, Annane D Tags: Ann Intern Med Source Type: research

Exploration in Critical Care
I’ve spent the past few weeks away from the emergency department. Having tackled my first three months of residency, the schedule now has me rotating through one of our hospital’s critical care units. I show up every day and take my spot among the ranks of internal medicine residents who keep the hospital floors humming.   It’s a different experience from what I’m used to. The hours are longer, but usually not as hurried as my shifts in the ED. Where I might strive to see and disposition 20 patients from the department, it’s a busy day on the floor when I see more than a half-dozen. The day progresses differentl...
Source: Little White Coats - October 15, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Walmart Foundation Gives $750K to Northwest Arkansas Residency Program
The Walmart Foundation has given $750,000 to support the Northwest Arkansas Community Internal Medicine Residency Program, a partnership among three health care providers that aims to bring more physicians to the region. The money will go toward covering the program's first two years of operating costs, including residents' salaries. Program is a partnership among the University of Arkansas for Medical Sciences, Mercy Health System Northwest Arkansas in Rogers and the Veterans Health Care System of the Ozarks.  The program, based at UAMS' campus in Fayetteville, started its first eight resident physicians on June 30. ...
Source: Arkansas Business - Health Care - August 13, 2016 Category: American Health Source Type: news

What ’s New and In the Queue for Academic Medicine
  What’s New: A Preview of the November Issue The November issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: Holistic Review in Medical School Admissions and Selection: A Strategic, Mission-Driven Response to Shifting Societal Needs Conrad and colleagues argue that holistic review is a strategic, mission-driven, evidence-based process that recognizes diversity as critical to excellence, offers a flexible framework for selecting future physicians, and facilitates achieving in...
Source: Academic Medicine Blog - November 1, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview addiction medicine admissions holistic review medical students primary care residents selection Source Type: blogs

Supply and Demand of Residency Programs: Systemic Implications for Workforce Trends*
No abstract available
Source: Pediatric Critical Care Medicine - January 1, 2018 Category: Pediatrics Tags: Editorials Source Type: research

Exploration in Critical Care
I’ve spent the past few weeks away from the emergency department. Having tackled my first three months of residency, the schedule now has me rotating through one of our hospital’s critical care units. I show up every day and take my spot among the ranks of internal medicine residents who keep the hospital floors humming.   It’s a different experience from what I’m used to. The hours are longer, but usually not as hurried as my shifts in the ED. Where I might strive to see and disposition 20 patients from the department, it’s a busy day on the floor when I see more than a half-dozen. The day progresses differen...
Source: Little White Coats - October 15, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Supply and Demand of Residency Programs: Systemic Implications for Workforce Trends*
No abstract available
Source: Pediatric Critical Care Medicine - January 1, 2018 Category: Pediatrics Tags: Editorials Source Type: research

GridlockED: A Serious Game for Teaching About Multipatient Environments
Photo courtesy of Thomas Owen and Teresa Chan. “Emergency department gridlock is in effect.” I used to hear this nearly every day as a clinical clerk, but at first, I had no idea what it really meant. Clinical training starts with an emphasis on the individual patient, as you explore one case at a time to understand what is going on. Over time, you move on to care for multiple patients at once, gaining more responsibility. It is at this point that many students, myself included, struggle. The paradigm changes; it is no longer you and one patient, it is you and three, five, or even twenty patients. Through trial and err...
Source: Academic Medicine Blog - September 13, 2018 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective clinical care emergency department game multiple patients Source Type: blogs

A Call to Restore Your Calling: Self-care of the Emergency Physician in the Face of Life-Changing Stress: Part 6 of 6: Trainee Burnout
This article is dedicated to the trainees we have lost to suicide. We miss you.
Source: Pediatric Emergency Care - May 1, 2020 Category: Emergency Medicine Tags: Physician Wellness/Burnout Source Type: research

A Novel Approach to Neonatal Resuscitation Education for Senior Emergency Medicine Residents
We describe a novel clinical rotation for emergency medicine (EM) residents that specifically augments skills in neonatal resuscitation through direct participation as a member of the neonatal resuscitation team. The neonatal resuscitation rotation evaluation median score of 4 (interquartile range [IQR] 3,4) was higher compared to all other off-service senior resident rotations combined (median 3, IQR 3,4) for the academic year 2018-2019. Ninety-two percent of residents evaluated the curriculum change as beneficial (median 4, IQR 4,4). The neonatal resuscitation rotation was rated more favorably than the pediatric intensiv...
Source: Western Journal of Emergency Medicine - November 20, 2020 Category: Emergency Medicine Source Type: research

Pinellas County (FL) Implements Model Vaccination Programs for Skilled Nursing Facilities and Emergency Personnel
Special JEMS “EMS TODAY SHOW” Join JEMS Editor Emeritus A.J. Heightman and Pinellas County, Florida, EMS/medical direction officials as they discuss model COVID vaccination programs implemented for emergency responders and skilled nursing home facility (SNF) residents and staff. Ulyee Choe, DO, director of the Florida Department of Health (DOH) in Pinellas County; Angus Jameson, MD, Pinellas County EMS medical director and Charles (Chuck) Walker, Pinellas County EMS clinical services coordinator responsible for quality assurance discuss the planning and implementation of these important programs. Related...
Source: JEMS Patient Care - December 23, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: Coronavirus Exclusives Florida Medicine Nursing Homes Source Type: news

Impact of a 1-Year Pediatric Emergency Medicine Training Program for International Medical Graduates
Conclusions Many participants attained leadership positions in PEM in countries outside of North America and/or participated in training program development. There was no significant change in the proportion of participants living in North America at the time of application compared with the time of survey completion.
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Internal Applicants to Pediatric Emergency Medicine Fellowships and Current Use of the National Resident Matching Program Match: A Survey of Fellowship Directors
Conclusions: Twenty-nine percent of current PEM fellows are in training at the same institution where they completed their residency. Both internal and external candidates are valued by PEM fellowship directors. The exclusive use of the NRMP SMS is high and not confounded by internal factors.
Source: Pediatric Emergency Care - July 1, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Why Doctors Are Leaving Medicine For Tech
By DAVID SHAYWITZ, MD The world looks different when you’re eighteen and when you’re thirty – in some cases because your perspective has evolved, other times because the world has changed.  Men and women drawn to careers in medicine while in high school or college are finding that when they emerge on the other side, things aren’t quite what they expected. Typically, this is portrayed as the (well-worn) “Narrative of Disillusionment” – i.e. idealistic youth drawn to help people discover the practice of medicine is more rushed/bureaucratic/corporate/burdensome than they were expecting, and now are searching fo...
Source: The Health Care Blog - August 3, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

Successful management of a neck hematoma following simulation training
Publication date: Available online 10 April 2017 Source:Anaesthesia Critical Care & Pain Medicine Author(s): Marie-Ève Bélanger, Issam Tanoubi, Mihai Georgescu, Roger Perron, Arnaud Robitaille, Marie-Pierre Charron, Pierre Drolet Simulation-based education is gaining widespread acceptance in many medical specialties as an effective method to teach technical and non-technical skills. The ultimate goal of simulation is to improve health care and patient safety. Boet et al. [1] published a review on simulation-based crisis resources management (CRM) teaching, looking for evidence that it can lead to improved workpl...
Source: Anaesthesia, Critical Care and Pain Medicine - April 11, 2017 Category: Anesthesiology Source Type: research