Article
Medicine, General & Internal
Bennett W. Clark, Timothy Niessen, Ariella Apfel, Joyce Luckin, Yi Zhen Joan Lee, Sanjay Desai, Brian T. Garibaldi
Summary: The purpose of this research was to examine the role of physical examination technique in diagnostic accuracy. The study found that physical examination technique was significantly correlated with accurate identification of physical signs, differential diagnosis, and clinical judgment. Interns rated the feedback received from this assessment higher than traditional clinical skills feedback.
AMERICAN JOURNAL OF MEDICINE
(2022)
Article
Multidisciplinary Sciences
Alexandre Matet, Ludovic Fournel, Francois Gaillard, Laurence Amar, Jean-Benoit Arlet, Stephanie Baron, Anne-Sophie Bats, Celine Buffel du Vaure, Caroline Charlier, Victoire De Lastours, Albert Faye, Eve Jablon, Natacha Kadlub, Julien Leguen, David Lebeaux, Alexandre Malmartel, Tristan Mirault, Benjamin Planquette, Alexis Regent, Jean-Laurent Thebault, Alexy Tran Dinh, Alexandre Nuzzo, Guillaume Turc, Gerard Friedlander, Philippe Ruszniewski, Cecile Badoual, Brigitte Ranque, Mehdi Oualha, Marie Courbebaisse
Summary: This study aimed to investigate the relationships between OSCE grades and current evaluation modalities in French medical schools. The results showed that OSCE scores designed to assess clinical competence correlated with multiple choice exam grades and traineeship skill grades, while OSCE scores focused on behavioral skills correlated with traineeship skill and behavior grades. The study suggested that OSCEs can enhance the discriminatory capacity of current evaluation modalities.
Article
Pediatrics
Calvin Heal, Sarah Cotterill, Andrew Graeme Rowland, Natalie Garratt, Tony Long, Stephen Brown, Grainne O'Connor, Chloe Rishton, Steve Woby, Damian Roland
Summary: The study found that different nurses showed good inter-rater reliability when collecting acute assessments needed for the PAGE score, reinforcing the applicability of the tool. The importance of determining reliability in scoring systems is highlighted, and a suitable methodology was presented.
ARCHIVES OF DISEASE IN CHILDHOOD
(2021)
Article
Education & Educational Research
Andreas Zoller, Tobias Hoelle, Martin Wepler, Peter Radermacher, Benedikt L. Nussbaum
Summary: The study developed and validated a global rating scale for emergency medical simulation trainings, demonstrating its effectiveness in objectively assessing technical skills. In this study, novice teams scored significantly lower than expert teams, indicating the scale's ability to discriminate between different team performances.
BMC MEDICAL EDUCATION
(2021)
Review
Medicine, General & Internal
Christophe Alain Fehlmann, Christian Hans Nickel, Emily Cino, Zinnia Al-Najjar, Nigele Langlois, Debra Eagles
Summary: This scoping review examines the current use of the Clinical Frailty Scale (CFS) in emergency medicine and identifies gaps in research. The findings indicate a significant increase in the use of CFS in emergency medicine research, but there is a need for more standardized reporting and further studies evaluating the impact of frailty assessment in the emergency department.
INTERNAL AND EMERGENCY MEDICINE
(2022)
Article
Education & Educational Research
Flora P. Gittinger, Martin Lemos, Jan L. Neumann, Juergen Foerster, Daniel Dohmen, Birgit Berke, Anke Olmeo, Gisela Lucas, Stephan M. Jonas
Summary: This study aims to assess the interrater reliability and assessment behavior of examiners in the assessment process of psychomotor skills in physiotherapy education. The results showed poor interrater reliability and demonstrated the presence of biases in the examiners' assessment behavior. Improvements in the assessment process are crucial for providing reliable and objective feedback to students and ensuring a certain level of professional competence.
BMC MEDICAL EDUCATION
(2022)
Article
Medicine, General & Internal
Toby J. L. Humphrey, Glen James, Ian B. Wilkinson, Thomas F. Hiemstra
Summary: This study describes the emergency management of hyperkalaemia in adults using insulin-dextrose (IDex) and explores the clinical outcomes associated with IDex treatment. The study found that multiple doses of IDex were associated with an increased risk of hypoglycaemia and death. Additionally, patients who received multiple doses or doses exceeding the recommended limit were more likely to be admitted to the intensive care unit.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jaakko Heikkinen, Janne Nurminen, Jarno Velhonoja, Heikki Irjala, Tatu Happonen, Tero Soukka, Kimmo Mattila, Jussi Hirvonen
Summary: This study retrospectively analyzed MRI findings of 371 patients with acute neck infections, showing that MRI findings such as retropharyngeal and mediastinal edema, and abscess diameter, can predict the clinical course of patients, including the need for ICU treatment and length of hospital stay (LOS).
EUROPEAN RADIOLOGY
(2022)
Review
Public, Environmental & Occupational Health
Amaya Burgos-Esteban, Vicente Gea-Caballero, Patricia Marin-Maicas, Azucena Santillan-Garcia, Maria de Valvanera Cordon-Hurtado, Elena Marques-Sule, Marta Gimenez-Luzuriaga, Raul Juarez-Vela, Juan Luis Sanchez-Gonzalez, Jorge Garcia-Criado, Ivan Santolalla-Arnedo
Summary: This review examined the application of different Early Warning Score (EWS) systems in outpatient emergency care settings and found that NEWS/NEWS2 is the most suitable tool for screening potentially deteriorating medical emergency outpatients in pre-hospital settings. The study concluded that EWS systems can predict short-term patient mortality and support clinical patient evaluation and medical decision making.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Multidisciplinary Sciences
Jonathan G. Gold, Christopher L. Knight, Jennifer G. Christner, Christopher E. Mooney, David E. Manthey, Valerie J. Lang
Summary: Improving clinical reasoning education is considered important across specialties, but there is a lack of consistent instruction in clinical reasoning during clerkships. Faculty development and curriculum restructuring are needed to address this potential gap.
Article
Education, Scientific Disciplines
Victor Soukoulis, James Martindale, Megan J. Bray, Elizabeth Bradley, Maryellen E. Gusic
Summary: This study found a significant correlation between medical students' supervision ratings in EPA assessments and their clinical performance evaluations and CPX scores, supporting the use of supervision ratings in decisions about students' curricular progression.
Article
Infectious Diseases
Benjamin Jones, Amy Paterson, Naseem AlKhoury, Josephine Bourner, Jake Dunning, Piero Olliaro, Amanda Rojek
Summary: The study revealed moderate inter-rater reliability and agreement in clade IIb mpox lesion assessment among clinicians, highlighting the importance of standardizing lesion classification systems for facilitating clinical care and public health decisions.
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
(2023)
Article
Medicine, General & Internal
Kerstin de Wit, Mathew Mercuri, Natasha Clayton, Andrew Worster, Eric Mercier, Marcel Emond, Catherine Varner, Shelley L. McLeod, Debra Eagles, Ian Stiell, David Barbic, Judy Morris, Rebecca Jeanmonod, Yoan Kagoma, Ashkan Shoamanesh, Paul T. Engels, Sunjay Sharma, Clive Kearon, Alexandra Papaioannou, Sameer Parpia
Summary: This study aims to establish a clinical decision rule for older adults presenting to the emergency department after a fall, in order to identify patients who do not have intracranial bleeding. Methods include enrolling patients aged 65 and older, collecting data on 17 potential predictor variables, and deriving the decision rule through binary recursive partitioning.
Article
Green & Sustainable Science & Technology
Maosen Cao, Changzheng Shao, Bo Hu, Kaigui Xie, Wenyuan Li, Lvbin Peng, Weixin Zhang
Summary: This paper proposes a reliability assessment technique for integrated energy systems (IES) based on the dynamic optimal energy flow (OEF) approach. By considering the dynamic characteristics of energy systems, the reliability of energy supply is improved. The proposed model combines linear programming and Monte Carlo simulation to assess the reliability of IES. Additionally, novel reliability indices for heat systems are proposed.
IEEE TRANSACTIONS ON SUSTAINABLE ENERGY
(2022)
Article
Education, Scientific Disciplines
Ru-zhen Luo, Jing-ying Liu, Chun-mei Zhang, Yan-hui Liu
Summary: The study aimed to assess the validity and reliability of the Chinese version of the modified Clinical Supervision Self Assessment Tool (mCAST) among registered nurses in Tianjin, China. The Chinese version of the mCSAT demonstrated high reliability and validity in evaluating the knowledge and skills of clinical supervision. Further validation and confirmatory factor analysis are recommended for future studies.
NURSE EDUCATION TODAY
(2021)
Article
Emergency Medicine
Julian Ganter, Domagoj Damjanovic, Georg Trummer, Hans-Joerg Busch, Klemens Baldas, Thomas Steuber, Jan Niechoj, Michael P. Mueller
Summary: The study focuses on shortening the resuscitation-free interval in cardiac arrest using smartphone-based alerting systems, with key factors being increasing the number of registered rescuers and improving the alarm acceptance rate. Additionally, various features were designed and released to optimize the system, including dynamic adjustment of the alarm radius, critical alert function, etc.
NOTFALL & RETTUNGSMEDIZIN
(2022)
Letter
Critical Care Medicine
Michael Patrick Mueller, Domagoj Damjanovic, Julian Ganter, Georg Trummer
Article
Emergency Medicine
Camilla Metelmann, Bibiana Metelmann, Dorothea Kohnen, Peter Brinkrolf, Linn Andelius, Bernd W. Boettiger, Roman Burkart, Klaus Hahnenkamp, Mario Krammel, Tore Marks, Michael P. Mueller, Stefan Prasse, Remy Stieglis, Bernd Strickmann, Karl Christian Thies
Summary: This paper reviews the current state of smartphone-based activation of Community First Responders (CFR) in five European countries, presenting similarities and controversies, as well as consensus statements generated in an international conference to support future public decision making on CFR's SBA strategies.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2021)
Article
Surgery
Sarah Koenig, Rabi Raj Datta, Sven Flemming, Anne Kauffels-Sprenger, Miriam Ruesseler, Jasmina Sterz
Summary: This article discusses the development and implementation of online teaching in surgical education, highlighting its importance in the digitalization process and current pandemic. It emphasizes the opportunities and limitations of online teaching, as well as the interplay between technical feasibility, practical experience, and educational objectives.
ZENTRALBLATT FUR CHIRURGIE
(2022)
Article
Education & Educational Research
Arne Nelskamp, Benedikt Schnurr, Alexandra Germanyuk, Jasmina Sterz, Jonas Lorenz, Robert Sader, Miriam Russeler, Lukas B. Seifert
Summary: This study demonstrated the effectiveness of "Mental Training" in teaching and maintaining basic clinical skills, showing superior results compared to the commonly used "See One, Do One" approach in learning how to perform a structured facial examination.
BMC MEDICAL EDUCATION
(2021)
Article
Education & Educational Research
J. Sterz, S. Linssen, M. C. Stefanescu, T. Schreckenbach, L. B. Seifert, M. Ruesseler
Summary: The study suggests that implementing structured written feedback in medical examinations is feasible, and both students and examiners prefer this type of feedback to be consistent.
BMC MEDICAL EDUCATION
(2021)
Article
Surgery
J. Sterz, V. Britz, P. Carstensen, T. Kollewe, S. H. Voss, M. C. Stefanescu, T. Schreckenbach, R. D. Verboket, Miriam Ruesseler
Summary: All 22 participants acknowledged the importance of teaching in clinical practice, but noted that learning goals are not always achieved due to lack of time. Most respondents mentioned feeling unappreciated for teaching, yet found the task to be extremely worthwhile.
Article
Emergency Medicine
Jasmina Sterz, Niklas Gutenberger, Maria-Christina Stefanescu, Uwe Zinsser, Lena Bepler, Svea Linssen, Verena Schaefer, Patrick Carstensen, Rene Danilo Verboket, Farzin Adili, Miriam Ruesseler
Summary: This study on emergency medicine training for undergraduate medical students found that simulated patients are rated as more realistic and superior to manikins in terms of gained competence. Students preferred training with simulated patients and scored higher in objective structured clinical examination (OSCE) when trained with simulated patients for 'chest pain' and 'impaired consciousness'.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Medicine, General & Internal
Julian Ganter, Domagoj Damjanovic, Georg Trummer, Hans-Joerg Busch, Klemens Baldas, Mike Haensel, Michael Patrick Mueller
Summary: The study aimed to establish a safe concept for operating a smartphone alerting system during the COVID-19 pandemic and evaluated the willingness of volunteers to respond to alerts. Results showed that with the provision of personal protective equipment, first responders' willingness to respond to alerts remained high.
Article
Emergency Medicine
Julian Ganter, Jan-Steffen Pooth, Domagoj Damjanovic, Georg Trummer, Hans-Joerg Busch, Klemens Baldas, Daniel Schmitz, Michael P. Mueller
Summary: The study compared response times in a Smartphone Alerting System using GPS data or manual confirmation. Results showed that GPS arrival times were approximately 1.5 minutes shorter with a 100-meter radius, but significantly longer with a 10-meter radius. Manual confirmation provided accurate response times, but there were instances of missing data.
PREHOSPITAL EMERGENCY CARE
(2022)
Editorial Material
Orthopedics
Adrian Meder, Maria-Christina Stefanescu, Atesch Ateschrang, Susanne Froehlich, Udo Obertacke, Arndt Peter Schulz, Hauke S. Meyerhoff, Eva J. Oswald, Jasmina Sterz, Miriam Ruesseler
Summary: Digitalisation has become prevalent in medical student teaching, with teaching videos serving as a valuable tool for practical skill acquisition. Evidence-based classification of techniques is essential for effective technology implementation.
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
(2021)
Article
Medicine, General & Internal
J. Sterz, P. R. Tueckmantel, L. Bepler, M. C. Stefanescu, Y. Gramlich, A. Flinspach, M. Ruesseler
Summary: A checklist for evaluating instructional videos on resuscitation was developed and validated through expert workshops and testing by emergency physicians. The checklist consists of 25 items rated in 4 categories, with varying ratings found in different subtopics.
MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN
(2022)
Article
Emergency Medicine
Camilla Metelmann, Bibiana Metelmann, Michael P. Muller, Bernd W. Bottiger, Georg Trummer, Karl Christian Thies
Summary: This study investigated the impact of COVID-19 on out-of-hospital cardiac arrest first responder schemes in Europe. The study found that many schemes were affected, with decreased activity, but some continued operating and implemented specific protective measures. However, there were still schemes that did not provide personal protective equipment. In addition, there was a decrease in volunteer recruitment and accepted call outs.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Armin N. Flinspach, Florian J. Raimann, Richard Schalk, Lena Bepler, Miriam Ruesseler, Mairen H. Flinspach, Kai Zacharowski, Jasmina Sterz
Summary: This study analyzed videos on YouTube about epidural catheter placement and found that most of the videos were of poor quality and unsuitable for self-study due to serious errors and patient safety issues. The lack of quality control makes it difficult to find suitable videos for educational purposes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Emergency Medicine
Domagoj Damjanovic, Jan-Steffen Pooth, Rebecca Steger, Martin Boeker, Michael Steger, Julian Ganter, Tobias Hack, Klemens Baldas, Paul Marc Biever, Daniel Schmitz, Hans-Joerg Busch, Michael Patrick Mueller, Georg Trummer, Bonaventura Schmid
Summary: In the Freiburg region, bystander CPR in witnessed OHCA cases as well as the number of patients transported to hospital significantly decreased during the first pandemic wave. Several important parts of the resuscitation landscape were paused, impeding OHCA care. Countermeasures should be taken.
BMC EMERGENCY MEDICINE
(2022)