Trained participants exhibited more frequent teamwork behaviors (especially the HFT group) and better workload management and completed the resuscitation more quickly than did control subjects. The impact on team behaviors persisted for at least 6 months. Incorporating team training into the NRP curriculum is a feasible and effective way to teach interns teamwork skills. It also improves simulated resuscitation quality by shortening the duration.

Compartment syndrome of the forearm is a well described entity but there have been relatively few case reports in the emergency medicine literature of hand compartment syndromes (HCS). Prompt recognition and treatment of this potential limb threat are essential to minimize morbidity and mortality. Presented is a case of a documented hand compartment syndrome following a motor vehicle collision.

Administrative chief residents do not demonstrate higher Emotional Intelligence, as measured by the EQ-i, than other senior-year residents.

No abstract

Eye growth and the formation of the ciliary folds during development depend on the maintenance of normal intraocular pressure. In this study we measured labeling index, packing density, height, and volume of the prospective ciliary epithelial cells during the early development of the eye in chicken embryos. Changes in these values were related to the formation of the ciliary folds and to experimental alterations of intraocular pressure. These variables changed independently in the outer, pigmented layer and the inner, non-pigmented epithelial layer of the ciliary epithelium. The labeling index in the pigmented epithelium declined steadily throughout development. Decreases in cell density and increases in cell height resulted in a four-fold increase in calculated average cell volume in the pigmented epithelium during Hamburger-Hamilton stages 29 and 30, the day before the formation of the ciliary folds. In the non-pigmented epithelium, the labeling index increased abruptly at stage 31, the stage at which ciliary folds begin to form. At the same time there was a three-fold increase in average cell volume. When intraocular pressure was reduced by intubating the eye, the formation of ciliary folds was prevented. Intubation also blocked the increase in labeling index and blunted the increase in cell volume that normally occur in the non-pigmented epithelium at the time of fold formation. In the pigmented epithelium, intubation caused a sustained, three-to six-fold increase in cell volume, but had no effect on labeling index. Based on these data, we suggest that increases in cell number and volume just before and during the formation of ciliary folds contribute to the formation of the ciliary folds.