A prospective survey of procedures performed by emergency medicine residents during a 36-month residency.

Future specialty training requirements for emergency medicine may include adequately documented records of procedures and resuscitations performed. A computer database was developed to track these data and to report the experience of one graduating class of nine emergency medicine residents. This study was a prospective survey conducted at a community hospital with a fully accredited (PGY 1-3) emergency medicine residency program.

"Pneumo-ptosis" in the emergency department.

The authors report the case of a 16-year-old female who presented with a left tension pneumothorax and a left Horner's syndrome. Chest tube thoracostomy performed to relieve the tension pneumothorax also resulted in the immediate resolution of the patient's ptosis and miosis. The probable mechanism for the patient's focal neurologic signs was traction upon the cervical sympathetic chain secondary to the mediastinal shift of the tension pneumothorax.