Handshaking has been practiced as far back as the 5th century BC and used today as a common way of greeting others. In the hospital setting this occurs multiple times throughout the day. Many alternatives to the handshake have been developed and utilized, but they have failed to replace the handshake as a form of greeting. Nosocomial infections have been identified as a major preventable complication of inpatient care and one of the most important initiatives to reduce this is hand hygiene. The authors of this study propose the fist bump as a safe and effective way to avoid hand-to-hand contact and therefore reduce transmission of infection.
The Case of the Culture Clash presented a conflict within a multi-cultural team of doctors. Mary, a registrar was unable to effectively teach all her interns, who had diverse personal and professional backgrounds. Working in teams with many cultural and linguistic difficulties is becoming more and more common worldwide. This month we asked about personal experiences of difficulties with multi-cultural teams, how to overcome these difficulties, and how we as educators can improve our teaching of learners from different backgrounds.
There is significant practice variability when providers are asked to determine if a patient is intoxicated. Some providers will evaluate a patient to determine if a patient is “clinically sober”, while other providers will rely on a patient’s blood alcohol concentration (BAC) to evaluate a patient’s level of intoxication. There is very little data to suggest that either approach is superior; however, both practice patterns have significant limitations and carry a certain degree of medicolegal risk.
Don’t know when to use ketofol for procedure sedation or if you can rapidly load phenytoin? See the new PV-Plus Cards on AgileMD for free on any smartphone/tablet/desktop. Other topics include:
- Thrombolytics for submassive PE
- Vasopressor agents for the hypotensive patients
- t-PA for codes
- Searchable Emergency Drug Card with dosages for Adults and Pediatrics
You can find them in Cardiology, Endocrine, Tox-Med, and Pulmonary Folders at AgileMD’s ALiEM Emergency Medicine PV Cards.