Emergency medicine (EM) chief residents are traditionally drawn from the most-senior class of residents. Our training program's chief residency structure is, to our knowledge, unique in that it is the only 4-year EM training program to select PGY 3 residents as chief residents. This structure allows PGY 4 residents enrolled in a 4-year curriculum to focus their final year of residency training on their professional development and on laying a foundation for a career in academic EM while unencumbered with the responsibilities of chief residency.
View Article and Find Full Text PDFPurpose: To survey emergency medicine (EM) residency and hand surgery fellowship program directors (PDs) to identify consensus in their perceptions of appropriate emergency care of upper extremity emergencies.
Methods: We created a framework to group common upper extremity emergency diagnoses and surveyed PDs to evaluate the training background--EM, general orthopedic or plastic surgery, or hand fellowship--most appropriate to provide acute, point-of-care management for each of these diagnostic groupings. Responses were pooled and consensus was established with greater than 75% agreement between groups.
Objective: We investigated the difference in incidence of acute akathisia related to the rate of infusion in patients receiving metoclopramide for acute nausea, vomiting, or migraine headache in the emergency department (ED).
Methods: Randomized, prospective, double-blind clinical trial of patients aged 18 years and older who were to receive intravenous metoclopramide for the treatment of nausea, vomiting, or headache were eligible. Patients were excluded if they were taking medications that might mimic or mask akathisia, had a movement disorder, renal insufficiency, or were unable or unwilling to consent.