Volume 18, Issue 1, Pages 1 – 60 (2019)

Acute Internal Medicine Trainee Survey 2017

Trainee Section, Volume 18, Issue 1, Pages 1 – 60 (2019)

Introduction: Survey to ascertain views of Acute Internal Medicine trainees regarding their training programme.

Methods: Online survey circulated to higher specialty trainees (HSTs) via the Society of Acute Medicine (SAM), Training programme Directors (TPDs) and social media platforms.

Results: A total of 57 trainees participated in the survey; 43.86% trainees are either ‘happy’ or ‘very happy’ with their training, 10.53% are ‘quite unhappy’ with their training. Trainees enjoy the variety of workload and the variety of specialist exposure.

Discussion: The number of trainees who responded to this years survey was significantly lower than the previous two years. Perhaps this is because trainees feel that there is a lack of change/improvement over time and hence do not feel the need to participate in such a survey.

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Predicting value of prehospital body temperature for ICU admission of septic shock patients

Correspondence, Volume 18, Issue 1, Pages 1 – 60 (2019)

To specify whether an association exists between pre-hospital body temperature collected by the emergency medical services (EMS) call centre, and intensive care unit (ICU) admission of patients with septic shock. An observational study based on data collected by the EMS of Paris. All septic shocks were included. Among, the 140 calls concerning septic shock, 22 patients (16%) were admitted to ICU. The mean core temperature was 37.4±1.6°C for ICU and 38.6±1.1°C (p<4.10^-5) for non-ICU patients. Using propensity score analysis, the relative risk for ICU admission of patients with pre-hospital fever or hypothermia was 0.31 and 2 respectively. The study highlights the potential usefulness of early temperature measurement in septic shock patients to allow early proper orientation.

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Risk prediction in acute medical care: the potassium story

Guest Editorial, Volume 18, Issue 1, Pages 1 – 60 (2019)

The increased demand for secondary healthcare services has led to overflow in emergency departments and acute medical units throughout the world. And, as all patients therefore cannot be seen at once, most departments have introduced triage by experienced nurses at arrival. Triage is meant to predict time to be seen by a qualified healthcare professional and not – necessarily – to predict outcome.

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