Developing and Implementing a Multisource Feedback Tool to Assess Competencies of Emergency Medicine Residents in the United States.

Objectives: Multisource feedback (MSF) has potential value in learner assessment, but has not been broadly implemented nor studied in emergency medicine (EM). This study aimed to adapt existing MSF instruments for emergency department implementation, measure feasibility, and collect initial validity evidence to support score interpretation for learner assessment.

Methods: Residents from eight U.

Views of emergency physicians on thrombolysis for acute ischemic stroke.

Background: The 3-hour window for treating stroke with intravenous tissue plasminogen activator (t-PA) requires well-organized, integrated efforts by emergency physicians and stroke neurologists.

Objective: To evaluate attitudes and knowledge of emergency physicians about intravenous t-PA for acute ischemic stroke, particularly in primary stroke centers (PSCs) with stroke neurology teams.

Methods: A 15-question pilot Internet survey administered by the Arizona College of Emergency Physicians.

Electrocardiographic intervals in the healthy geriatric population--what are the "normals"?

The authors compared the average electrocardiographic (ECG) intervals in a population of patients 80 years and older with published "normal" values. The medical records of patients who presented to the Mayo Clinic for health maintenance examinations and who had a routine ECG performed (N=702) were selected. Age; sex; rhythm; PR, QRS, and QTc intervals; incidence of cardiac disease; and presence of interval-prolonging medication were recorded.

Survival of a neurologically intact patient with subarachnoid hemorrhage and cardiopulmonary arrest.

Subarachnold hemorrhage (SAH) is a relatively common cause of cardiopulmonary arrest (CPA). Long-term survival with SAH and CPA is rare, and the vast majority of those who survive have moderate to severe neurologic disability. To our knowledge, there are no prior reports of patients with SAH who experience CPA and survive without neurologic deficit.