People working in health care centers and hospitals, especially the emergency departments, often experience severe stresses due to the nature of their jobs. The current study was aimed at determining the effect of eye movement desensitization and reprocessing (EMDR) on severity of stress of medical emergency technicians. In the current field trial, 50 emergency medical technicians working in emergency medical centers were selected by convenience sampling method and randomly assigned to either the intervention or control group; each group had 25 subjects. In the intervention group, EMDR training was provided during five consecutive sessions, while in the control group the subjects did not receive any intervention. The data collection instrument in the study, in addition to the demographic questionnaire, was the Alken stress scale. Data had normal distribution and were analyzed using independent , the Mann-Whitney, or chi-squared tests, and their within-group comparisons were performed by paired and marginal homogeneity tests. The mean score of stress before and after the intervention in the intervention and control groups was 32.2±7.8 and 33.6±13.8, respectively. However, after EMDR implementation, the intensity of stress in the intervention and control groups was 25.9±7.3 and 33±13.1, respectively and the difference between the groups was statistically significant (<0.05). Chi-squared test showed that after the intervention, the degree of stress intensity in the experimental group was lower than that of the control group, and there was a significant difference between the groups in terms of stress intensity (<0.05). The current study results indicated that EMDR technique significantly reduced the intensity of stress in the intervention group and can be helpful to control stress experienced by emergency medical staff.
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http://dx.doi.org/10.2147/PRBM.S190428 | DOI Listing |
Liver Int
February 2025
General Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Background And Aims: Cirrhosis is characterised by hyperdynamic circulation, which contributes to cirrhotic cardiomyopathy (CCM). However, the expert consensus on CCM did not initially include cardiac structure because of scant evidence. Therefore, this study investigated the associations of cardiac chamber geometry with mortality and CCM.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Department of Emergency Medicine, University of California Davis, Davis.
JAMA Netw Open
January 2025
Department of Emergency Medicine, University of Massachusetts Chan Medical School-Baystate, Springfield.
Importance: Despite guideline recommendations to use low-molecular-weight heparins (LMWHs) or direct oral anticoagulants in the treatment of most patients with acute pulmonary embolism (PE), US-based studies have found increasing use of unfractionated heparin (UFH) in hospitalized patients.
Objective: To identify barriers and facilitators of guideline-concordant anticoagulation in patients hospitalized with acute PE.
Design, Setting, And Participants: This qualitative study conducted semistructured interviews from February 1 to June 3, 2024, that were recorded, transcribed, and analyzed in an iterative process using reflexive thematic analysis.
CJEM
January 2025
Department of Emergency Medicine and Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Objectives: POCUS is a core emergency medicine skill and mainstay of early pregnancy assessment. The ultrasound competency assessment tool was developed as an entrustment-based assessment tool for use by content experts evaluating trainees performing multiple POCUS study types. The objective of this study was to evaluate the scoring and extrapolation inferences of the tool within Kane's validity framework when used to assess trainees performing an early pregnancy POCUS.
View Article and Find Full Text PDFCJEM
January 2025
Department of Emergency Medicine, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
Objectives: This initiative assessed the integration of the Human Factors Analysis and Classification System, adapted from aviation, into emergency medicine morbidity and mortality rounds. The objective was to determine whether incorporating the Human Factors Analysis and Classification System could lead to a perceived increase in the overall quality of morbidity and mortality presentations through the standardization of classifying cause factors of medical errors.
Methods: This study involved eight emergency medicine residents who applied the adapted Human Factors Analysis and Classification System framework to their morbidity and mortality case presentations over 6 months.
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