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Tag Archives: FCEM

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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Management Viva – Complaint related documents

NHS Complaints

The following documents are freely available in the internet which I found important for the understanding of NHS complaints. Few important points to remember: Time frame to make a complaint is one year. The acknowledgement of a formal complain should be sent out within 3 days. If complaint comes directly to the department, it should be diverted to the Complaint …

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Obstetrics & Gynaecology – Short Answer Questions (SAQ)

Obstetrics & Gynaecology SAQ Questions FCEM

I have found the following Obstetrics and Gynaecology questions. If you have any more questions, you want to share, kindly drop me a line. Question 1 A 20 year old female presents with pyrexia, lower abdominal pain and offensive vaginal discharge. Give 5 signs or symptoms that are suggestive of PID. What investigations would you perform in the ED? You …

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Critical appraisal for Emergency Medicine series by Steve Goodacre: A must read before your Critical Appraisal preparation

Skill in critical appraisal has always been valued in our specialty because it is essential for the practice of evidence-based emergency medicine. The new series of six papers written by Steve Goodacre will therefore be welcomed by both trainees and trainers alike. They provide a fresh, lucid and succinct description of the important aspects of this topic with the important points reinforced by examples from emergency medicine. The section covering evaluation …

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Surrogate endpoints and Composite endpoints

When you do a randomised controlled trial, you are supposed to say up front what your endpoint is going to be. For example, if you're studying a new cholesterol-lowering drug, then good endpoints to study would be heart attack, stroke, and death. (Not-so-good endpoints to study would be level of cholesterol. This is the infamous "surrogate endpoints" where we simply …

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