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Tag Archives: FCEM

Critical Appraisal Practice Paper 11 (Diagnostic Systematic review and meta-analysis)

FCEM Critical-appraisal

Total marks: 23 Time allowed: 90 mins Paper: Oxygen Therapy for Acute Myocardial Infarction: A Systematic Review and Meta-Analysis. Burls et al Emerg Med J 2011 1. Provide a summary / abstract for the paper. (Up to 5 marks) 2. Give three strengths of the study design (up to 3 marks) 3. Give two advantages and two disadvantages of conducting a systematic review (up to …

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Critical Appraisal Practice Paper 7 (Diagnostic)

FCEM Critical-appraisal

Total marks: 30 Time allowed: 90 mins Paper: Usefulness of 64-slice Cardiac CT Angiography for Diagnosing Acute coronary Syndromes and Predicting Clinical Outcome in Emergency Department Patients with Chest Pain of Uncertain Origin.  Rubinshtein et al    Circulation 2007. 1. Provide a summary / abstract for the paper. (Up to 5 marks) 2. Give the names of three types of bias evident in …

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Critical Appraisal Practice Paper 6 (Therapeutic)

FCEM Critical-appraisal

Total marks: 30 Time allowed: 90 mins Paper: Erythromycin Infusion or Gastric Lavage for Upper Gastrointestinal Bleeding: A Multicenter Randomized Controlled Trial Pateron et al  ANNALS EMERG MED • 2011;57:582-589  1. Provide a summary / abstract for the paper. (Up to 5 marks) 2. Give 3 strengths and 3 weaknesses of the study design? (Up to 3 marks) 3. This study randomised individual patients. …

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Critical Appraisal Practice Paper 5 (Diagnostic)

FCEM Critical-appraisal

Total marks: 17 Time allowed: 90 mins   Paper: Initial Salivary Amylase Activity Predicts Malignant Ventricular Arrhythmias and Short Term Prognosis after ST-Segment elevation Myocardial Infarction. Shen et al     Emergency Medical Journal 2011. 1. Provide a summary / abstract for the paper. (Up to 5 marks) 2. Give three strengths and three weaknesses of the study design (up to 6 marks) …

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Atrial Fibrillation

Atrial fibrillation (AF) is the most common cardiac arrhythmia. It is rarely a one-time event. Patients who develop AF once tend to be predisposed to developing it again & again. Current research indicates that this is primarily due to a change in the expression of ion channels that is caused by fibrillation (which may be mediated by changes in intracellular …

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Critical Appraisal Practice Paper 4 (Diagnostic)

Critical Appraisal Practice Paper 4

Total marks: 23 Time allowed: 90 mins Paper: Mallampati test as a predictor of laryngoscopic view Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010 Dec;154(4):339-43. 1. Provide a summary / abstract for the paper. (Up to 5 marks) 2. Give three weaknesses of the study design and suggest improvements for these (up to 3 marks) 3. Name one checklist which …

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Doctors in Difficulty – Drugs and Alcohol

Doctors in Difficulty: Drug and Alcohol Abuse

A reasonable number of trainees can become ill during training: of these, most have a psychiatric or stress-related problem. Many can be ill for some time, & either not recognised that they were ill or decided against reporting this. A small number use drugs or alcohol. There are several things to consider. Immediate patient safety must come first; a person …

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