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The online version of the manual I like the most is
- Version 3 (54%, 26 Votes)
- Version 1 (29%, 14 Votes)
- Version 2 (17%, 8 Votes)
Total Voters: 48
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The neuromuscular paralysing agent I usually use for intubation in the ED is
- Rocuronium (65%, 77 Votes)
- Suxamethonium (35%, 41 Votes)
Total Voters: 118
Loading ...Rocuronium is used by about twice as many subscribers as suxamethonium – the opposite to the results from the same poll in 2013.
The troponin assay available where I work is usually
- hsTnI (37%, 28 Votes)
- hsTnT (34%, 26 Votes)
- 4th generation TnI (21%, 16 Votes)
- 4th generation TnT (8%, 6 Votes)
Total Voters: 76
Loading ...The verdict- most people are using hsTn of one sort or another.
Loading ...Well the verdict is in – 65% of respondents think the new format ACEM OSCE exam is better than the old clinical exam format.
How do you pronounce dabigatran?
- Dabi-gatran (55%, 6 Votes)
- Dabig-a-tran (45%, 5 Votes)
- Che? (0%, 0 Votes)
Total Voters: 11
Loading ...It looks like most people don’t really care how dabigatran is pronounced, but dabi-ga-tran appears to be the most popular.
Clinical examination skills in the current ACEM Fellowship exam format are given
- About the right amount of importance (60%, 12 Votes)
- Far too much importance (20%, 4 Votes)
- A bit too much importance (20%, 4 Votes)
- Not quite enough importance (0%, 0 Votes)
- Far too little importance (0%, 0 Votes)
Total Voters: 20
Loading ...Comment
It looks like most people think that examination skills are currently given enough or slightly too much importance in the ACEM Fellowship exam. This might be an interesting poll to repeat after the change of exam format in 2015.
For a comatose patient with ROSC following a VF arrest I will be aiming to
- Cool to 36C (59%, 17 Votes)
- Cool to 33-34C (28%, 8 Votes)
- Maintain temperature at 37C (10%, 3 Votes)
- Not use any active temperature management (3%, 1 Votes)
Total Voters: 29
Loading ...Comment
Recent evidence suggests that cooling to 36C is as good as cooling to lower temperatures in patients with ROSC following cardiac arrest. However this still means that active temperature management is required and hyperthermia should definitely be avoided.
When prescribing IV opioids for pain, I use prophylactic antiemetics..
- Rarely (49%, 23 Votes)
- Routinely (30%, 14 Votes)
- Sometimes (21%, 10 Votes)
Total Voters: 47
Loading ...Comment
Routine anti-emetics do not reduce the incidence of nausea or vomiting associated with opioid use, and may cause adverse effects. A more selective approach is recommended targeting patients who are already nauseated, have an abdominal cause for their pain, or the elderly.
What effect has the National Emergency Access Target ('the 4 hour rule') or the '6 hour rule' in NZ, had on the health system overall?
- It hasn't really changed anything (32%, 6 Votes)
- It has improved it a bit (26%, 5 Votes)
- It has made things a bit worse (26%, 5 Votes)
- It has improved it considerably (11%, 2 Votes)
- It has made things considerably worse (5%, 1 Votes)
Total Voters: 19
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Which agent do you usually use to relieve severe pain in ED patients?
- Morphine (84%, 21 Votes)
- Fentanyl (16%, 4 Votes)
- Pethidine (0%, 0 Votes)
- Other (0%, 0 Votes)
Total Voters: 25
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Which neuromuscular paralysing agent do you usually use for intubation in the ED?
- Suxamethonium (67%, 10 Votes)
- Rocuronium (33%, 5 Votes)
- Vecuronium (0%, 0 Votes)
Total Voters: 15
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