Does Coaching Make Pediatric Airway Safer?
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Implementation of video laryngoscope (VL) assisted coaching for intubation in the pediatric intensive care unit (PICU) was associated with reduced intubation-associated adverse events.
Source
Implementation of Video Laryngoscope Assisted Coaching Reduces Adverse Tracheal Intubation Associated Events in the PICU. Crit Care Med. 2023 Mar 27. doi: 10.1097/CCM.0000000000005847. Online ahead of print.
Resident Physician Work Hours – Association with Harm and Occupational Injury
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Working extended duration shifts (≥ 24 hours) and > 48 hours/week were associated with an increased risk of medical errors, adverse events, MVAs, occupational exposures, percutaneous injuries, and attentional failures regardless of experience level in a large nationwide prospective cohort study.
Source
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. BMJ Medicine 2023;2:e000320. doi: 10.1136/bmjmed-2022-000320
Is Your Favorite Blog Any Good? New Digital Impact Factor Can Help
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The Digital Impact Factor is a way to objectively determine the impact, quality, reach, and consistency of free emergency medicine and critical care blogs and podcasts.
Source
Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023 Mar 24;S0196-0644(23)00119-1. doi: 10.1016/j.annemergmed.2023.02.011. Online ahead of print.
Pregnancy and Residency – Laboring for Equity
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Though incremental progress has occurred over the last several decades, inequities loom for people that wish to become pregnant during medical training.
Source
Pregnancy and Residency - Overdue for Equity. N Engl J Med. 2023 Mar 16;388(11):966-967. doi: 10.1056/NEJMp2215288. Epub 2023 Mar 11.
Bad News – You May Be Bad at Delivering Bad News
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When delivering bad news, authenticity is the name of the game.
Source
Delivering Bad News Badly. JAMA. 2023 Feb 14;329(6):463-464. doi: 10.1001/jama.2022.24765.
How to Read a CXR – A CXR Checklist
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Here is a consistent, systematic, and comprehensive approach to interpreting chest x-rays and a checklist to prevent common errors. We modified the checklist to make it easier to remember.
Does Fidelity of Simulation Equipment Matter in Fiber-Optic Airway Training?
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Anesthesia residents with little experience in fiber-optic intubation achieved competency faster when trained with a high-fidelity versus low-fidelity model.
Source
Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study. Anesth Analg. 2022 Nov 29. doi: 10.1213/ANE.0000000000006283. Online ahead of print.
Do Burned Out Doctors Give Low Quality Care?
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Physician burnout has extensive negative effects, not just on individuals, but on hospital systems and on patient safety and satisfaction.
Source
Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. BMJ. 2022 Sep 14;378:e070442. doi: 10.1136/bmj-2022-070442.
Should We Mention Race or Ethnicity at the Beginning of Case Presentations?
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These authors think race is best unmentioned early in case presentations. However, some clinicians come down on the opposite side of this debate. Let's take a look at both sides.
Source
First Impressions - Should We Include Race or Ethnicity at the Beginning of Clinical Case Presentations? N Engl J Med. 2021 Dec 30;385(27):2497-2499. doi: 10.1056/NEJMp2112312. Epub 2021 Dec 25.