All news from Emergency Medicine

Simulation-Based Training of Emergency Medical Providers In USA

Training emergency medical services (EMS) workforce is challenging in rural and remote settings. Moreover, critical access hospitals (CAHs) struggle to ensure continuing medical education for their emergency department (ED) staff. This project collected information from EMS and ED providers across Nebraska to identify gaps in their skills, knowledge, and abilities and thus inform curriculum development for the mobile simulation-based training program.

Pediatric Medicolegal Autopsy in France: A Forensic Histopathological Approach

The aim of postmortem medicolegal examination in pediatric death is primarily to establish the circumstances and causes of death and to exclude child abuse. In France, pediatric death is systematically documented by medicolegal or medical autopsy. In the case of a medicolegal autopsy, the complementary examinations, requested and financed by justice, are rarely limited to a histopathological examination.

Ion Beam Therapy Based On Laser Plasma Accelerators

Only few ten radiotherapy facilities worldwide provide ion beams, in spite of their physical advantage of better achievable tumor conformity of the dose compared to conventional photon beams. Since mainly the large size and high costs hinder their wider spread, great efforts are ongoing to develop more compact ion therapy facilities.

PIEB Versus CEI for Postoperative Analgesia

Continuous epidural infusion (CEI) is the standard application setting for epidural infusion. A new mode, the programmed intermittent epidural bolus (PIEB) technique, showed reduced local anesthetic (LA) consumption and improved analgesia in obstetric analgesia. Goal of this trial was to evaluate the effects of PIEB versus CEI [combined with patient-controlled bolus (PCEA)] on LA consumption and pain scorings in major abdominal cancer surgery.