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Rupture of an infrarenal abdominal aortic aneurysm 肾下腹主动脉瘤破裂
Academic Medicine & Surgery Pub Date : 2024-07-07 DOI: 10.62186/001c.120989
Jovans R Lorquet, Jesse Wu, Annines Quinones
{"title":"Rupture of an infrarenal abdominal aortic aneurysm","authors":"Jovans R Lorquet, Jesse Wu, Annines Quinones","doi":"10.62186/001c.120989","DOIUrl":"https://doi.org/10.62186/001c.120989","url":null,"abstract":"The authors present the case of a man who presented with hypotension and altered metal status, and highlight the importance of conisdering a ruptured abdominal aortic aneurysm in the differential.","PeriodicalId":516872,"journal":{"name":"Academic Medicine & Surgery","volume":"353 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141836969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Brilliance, Attitude, Leadership and Materials (BALM) framework of clinical excellence: an adoptable model for sub-Saharan Africa 辉煌、态度、领导力和材料（BALM）临床卓越框架：撒哈拉以南非洲可采用的模式
Academic Medicine & Surgery Pub Date : 2024-05-08 DOI: 10.62186/001c.117454
Taoreed Azeez
{"title":"The Brilliance, Attitude, Leadership and Materials (BALM) framework of clinical excellence: an adoptable model for sub-Saharan Africa","authors":"Taoreed Azeez","doi":"10.62186/001c.117454","DOIUrl":"https://doi.org/10.62186/001c.117454","url":null,"abstract":"Clinical excellence is the ability to provide rigorous, evidence-based, and rewarding care to the right patients. The BALM (brilliance, attitude, leadership, and materials) framework is a novel model for adjudicating clinical excellence. There are a few models and frameworks for evaluating clinical excellence, but each has its flaws and does not consider the peculiarities of economically-challenged regions such as sub-Saharan Africa. Coincidentally, such low-resource areas have an urgent need for a framework to assess clinical excellence because of their low health-related indices. The five-step model of professional excellence is a well-recognised tool and was the model upon which the BALM framework was built. So, the BALM framework determines to what extent, using the five-step stages of novice, advanced beginner, competent, proficient, and expert, a clinician has achieved in each of the four critical domains, namely brilliance, attitude, leadership, and materials. Therefore, a clinician, who strives for excellence, aims to be an “expert” in each of the domains of the BALM framework. The framework is concise, practical, easy to use, and multidimensional, although it still needs to be applied widely to assess its reproducibility.","PeriodicalId":516872,"journal":{"name":"Academic Medicine & Surgery","volume":" 100","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Geriatric Patient with Fewer Classical Symptoms of Hyperthyroidism 一位老年患者的甲状腺功能亢进症典型症状较少
Academic Medicine & Surgery Pub Date : 2024-05-08 DOI: 10.62186/001c.117286
Jyothsna Bandaru
{"title":"A Geriatric Patient with Fewer Classical Symptoms of Hyperthyroidism","authors":"Jyothsna Bandaru","doi":"10.62186/001c.117286","DOIUrl":"https://doi.org/10.62186/001c.117286","url":null,"abstract":"","PeriodicalId":516872,"journal":{"name":"Academic Medicine & Surgery","volume":" 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Four Common Upper Body Injuries in Tennis Players: Prevention, Description, and Treatment 网球运动员常见的四种上半身损伤：预防、描述和治疗
Academic Medicine & Surgery Pub Date : 2024-05-01 DOI: 10.62186/001c.117284
Jai Patel, Michelle Wallen
{"title":"Four Common Upper Body Injuries in Tennis Players: Prevention, Description, and Treatment","authors":"Jai Patel, Michelle Wallen","doi":"10.62186/001c.117284","DOIUrl":"https://doi.org/10.62186/001c.117284","url":null,"abstract":"The average tennis player gets injured 2-3 times every two years. This may not seem relevant but when added over a lifetime career in tennis these numbers become significant. This is why it is important to be aware of the most common tennis injuries, as well as the best prevention and treatment methods for each injury. This literature review will discuss four of the most common tennis injuries, which include tennis elbow, tendonitis, shoulder bursitis, and a rotator cuff tear. This review covers how to prevent and treat them, with a focus on the elbow and shoulder as two of the most common places for injury in tennis players.","PeriodicalId":516872,"journal":{"name":"Academic Medicine & Surgery","volume":"38 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
History of the Ultrasound Machine in Obstetrics and Gynecology 妇产科超声波机的历史
Academic Medicine & Surgery Pub Date : 2024-03-20 DOI: 10.62186/001c.115458
Ada Douglas, Anjali Daniel, Savithri Veluri
{"title":"History of the Ultrasound Machine in Obstetrics and Gynecology","authors":"Ada Douglas, Anjali Daniel, Savithri Veluri","doi":"10.62186/001c.115458","DOIUrl":"https://doi.org/10.62186/001c.115458","url":null,"abstract":"This paper goes through the evolution of the ultrasound machine. It examines the various inventions and improvements to the machine over time, starting with the first 2D scanning machine in 1958 to present-day portable point-of-care machines. This paper will further explore the various uses of the ultrasound machine in obstetrics and gynecology over time, including the more recent developments in artificial intelligence. There have been many different modifications and improvements to ultrasound machines over the years making technology increasingly more valuable. Although the machine is used widely in various fields of medicine, it has significantly impacted obstetrics and gynecology.","PeriodicalId":516872,"journal":{"name":"Academic Medicine & Surgery","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140388479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shock index for prehospital sepsis recognition 院前败血症识别休克指数
Academic Medicine & Surgery Pub Date : 2024-02-29 DOI: 10.62186/001c.94556
Anjali Banerjee, Andrew Barbera, James Melton, Paul Banerjee
{"title":"Shock index for prehospital sepsis recognition","authors":"Anjali Banerjee, Andrew Barbera, James Melton, Paul Banerjee","doi":"10.62186/001c.94556","DOIUrl":"https://doi.org/10.62186/001c.94556","url":null,"abstract":"The authors of this study aimed to assess the effectiveness of prehospital shock index (SI) and modified shock index (MSI) as predictors for sepsis and related outcomes. They aimed to determine whether the SI and MSI correlated with hyperlactatemia, which is considered a marker of sepsis severity and a predictor of poor prognosis. This was a prospective cohort study including all adult patients transported by our county EMS system as per our system’s prehospital sepsis protocol. The study was approved by our medical school’s institutional review board. The study cohort included 1,426 patients. Of these, 969 had an elevated SI. The initial SI ranged from 0.260 to 2.840, with a median of 1.11, and 68% had a “positive” SI (>1.0). The initial MSI ranged from 0.336 to 3.727, with a median of 1.465, and 74% of the cohort had a “positive” MSI (<0.7, or >1.3). Of the patients, 92% had repeat vitals during transport, and the second SI was elevated in 41%. The study found that patients with an elevated SI were significantly more likely to have an elevated lactate (P=0.0309) and be admitted for sepsis (P<0.0001, 95% CI 0.1038 to 0.2714). Patients with an elevated serum lactate were significantly more likely to die during their hospital stay (P<0.0001, 95% CI 0.1503 to 0.3210) with an odds ratio of 2.38 (95% CI 1.59 to 3.56). The study data suggest that an elevated shock index >1 can be used as a surrogate marker for elevated lactate, which in turn correlates with sepsis and poor outcomes following sepsis.","PeriodicalId":516872,"journal":{"name":"Academic Medicine &amp; Surgery","volume":"48 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Rare Case of Intussusception in an Elderly Adult Diagnosed by Point-of-Care Ultrasound 护理点超声诊断出一例罕见的成人肠套叠病例
Academic Medicine &amp; Surgery Pub Date : 2024-02-23 DOI: 10.62186/001c.94123
Luke Winter, Derrick Huang, Frank Fraunfelter
{"title":"A Rare Case of Intussusception in an Elderly Adult Diagnosed by Point-of-Care Ultrasound","authors":"Luke Winter, Derrick Huang, Frank Fraunfelter","doi":"10.62186/001c.94123","DOIUrl":"https://doi.org/10.62186/001c.94123","url":null,"abstract":"This clinical image article depicts bowel intussusception secodary to colorectal adenocarcinoma.","PeriodicalId":516872,"journal":{"name":"Academic Medicine &amp; Surgery","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140437735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Nerve Block Team in the Emergency Department 急诊科神经阻滞小组
Academic Medicine &amp; Surgery Pub Date : 2024-02-18 DOI: 10.62186/001c.94119
Leland Perice, Taryn Hoffman, Joann Hsu, Christopher Stoll, Judy Lin, S. Motov, A. Likourezos, L. Haines, E. Dickman, L. Naraghi
{"title":"A Nerve Block Team in the Emergency Department","authors":"Leland Perice, Taryn Hoffman, Joann Hsu, Christopher Stoll, Judy Lin, S. Motov, A. Likourezos, L. Haines, E. Dickman, L. Naraghi","doi":"10.62186/001c.94119","DOIUrl":"https://doi.org/10.62186/001c.94119","url":null,"abstract":"To improve pain management in the emergency department (ED), emergency physicians are performing an increasing number of ultrasound-guided regional anesthesia procedures (nerve blocks). We aimed to examine the effect of a dedicated emergency department (ED) nerve block team (NBT) on the number and types of ultrasound-guided nerve blocks administered in the ED. We performed a retrospective chart review comparing the nine-month period before and after the creation of a dedicated NBT. This was performed at a tertiary care urban hospital that is a level 1 trauma center. We assessed and compared the number and types of nerve blocks performed, level of learners who performed nerve blocks, and time of ED arrival to disposition, before and after implementation of the NBT. The utilization of nerve blocks rose from 79 prior to the establishment of the NBT to 108 following its creation, representing a 36.7% increase. The average duration of stay in the emergency department decreased by 51 minutes, though this change did not demonstrate statistical significance (P=0.1237). There was an increased variety in the types of nerve blocks performed. The introduction of a NBT led to a rise in both the quantity and diversity of nerve blocks conducted in the ED.","PeriodicalId":516872,"journal":{"name":"Academic Medicine &amp; Surgery","volume":"1 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140452938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traumatic Bilateral Quadriceps Tendon Rupture from a Ground Level Fall 高空坠落造成的创伤性双侧股四头肌腱断裂
Academic Medicine &amp; Surgery Pub Date : 2024-02-06 DOI: 10.62186/001c.92688
Brian Tan, Dipal Shah, Joshua Walker
{"title":"Traumatic Bilateral Quadriceps Tendon Rupture from a Ground Level Fall","authors":"Brian Tan, Dipal Shah, Joshua Walker","doi":"10.62186/001c.92688","DOIUrl":"https://doi.org/10.62186/001c.92688","url":null,"abstract":"This is a clincal image submission depicting traumatic bilateral quadriceps tendon rupture from a ground level fall.","PeriodicalId":516872,"journal":{"name":"Academic Medicine &amp; Surgery","volume":"473 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139895855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Atraumatic Unilateral Myositis with Rhabdomyolysis of the Right Lower Extremity 右下肢创伤性单侧肌炎伴横纹肌溶解症
Academic Medicine &amp; Surgery Pub Date : 2024-01-31 DOI: 10.62186/001c.92654
Michael Cho, Alex Dluzneski, Samyr Elbadri, Derrick Huang
{"title":"Atraumatic Unilateral Myositis with Rhabdomyolysis of the Right Lower Extremity","authors":"Michael Cho, Alex Dluzneski, Samyr Elbadri, Derrick Huang","doi":"10.62186/001c.92654","DOIUrl":"https://doi.org/10.62186/001c.92654","url":null,"abstract":"This clinical image article depicts unilateral myositis with rhabdomyolysis of the right lower extremity.","PeriodicalId":516872,"journal":{"name":"Academic Medicine &amp; Surgery","volume":"18 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140477492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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