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A model for teaching bedside detection of glass in wounds.

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A model for teaching bedside detection of glass in wounds.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Levine, Matthew R. Gorman, Stephen M. Yarnold, Paul R.
Description	Country affiliation: United States Author Affiliation: Levine MR ( Department of Emergency Medicine, Northwestern University, Feinberg School of Medicine, 259 East Erie Street, Suite 100, Chicago, IL 60611, USA. mrlevine@comcast.net)
Abstract	BACKGROUND: Emergency physicians often manage wounds contaminated with glass. Even when glass is visible on x rays, removal may require real-time bedside imaging. AIM: To assess whether novices can be easily trained to accurately detect tiny glass foreign bodies (GFBs) using low-power portable fluoroscopy. METHODS: 21 medical students with no prior experience using fluoroscopy were taught to detect 1 mm GFBs in chicken legs either by training over three separate days or by training on 1 day. Skills were reassessed at 3 months. The number of mean correct responses was compared between groups using analysis of variance (ANOVA) and by examination of 95% CIs. RESULTS: Examination of CI overlap and ANOVA suggested that asymptotic accuracy was achieved after 15-30 training specimens. The final accuracy was similar between protocols, was comparable to prior accuracy reports of plain film radiography and was maintained in both protocols at the 3 month follow-up: 10.9 (0.3) and 12.0 (0.8; out of 15). CONCLUSIONS: Novices can easily be taught to detect GFBs using fluoroscopy, with accuracy comparable to that achieved by radiologists using plain films. Further studies are needed to assess doctors' use of the technique in real patients.
File Format	HTM / HTML
ISSN	14720205
e-ISSN	14720213
Journal	Emergency Medicine Journal
Issue Number	6
Volume Number	24
Language	English
Publisher	BMJ Publishing Group Ltd
Publisher Date	2007-06-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Emergency Discipline Medicine Disease Models, Animal Emergency Medicine Foreign Bodies Point-of-care Systems Wounds, Penetrating Animals Attitude Of Health Personnel Educational Measurement Fluoroscopy Prospective Studies Sensitivity And Specificity
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Critical Care and Intensive Care Medicine

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3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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