Monthly Archives: June 2011

Winter 2011 – 10 Minutes with Paul Hebert, Editor-in-Chief of the Canadian Medical Association Journal

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10 Minutes with Paul Hebert, Editor-in-Chief of the Canadian Medical Association Journal.

Pamela Verma, Diane Wu.

Author Affiliations:
University of British Columbia, Vancouver, BC, Canada
[button link=”http://msrj.chm.msu.edu/wp-content/uploads/2014/04/MSRJ-Spring-2011-10-minutes-with-Paul-Hebert-Editor-in-Chief-of-the-Canadian-Medical-Association-Journal.pdf” type=”icon” icon=”download” color=green] Full Text Article PDF [/button]

*Corresponding Author: Pamela Verma; pamverma[at]interchange.ubc.ca

Key Words: N/A

Abstract:
Background: Most medical students, at some point in their career, aspire to publish a research paper of enough significance to join the pages of the major international medical journals. At the helm of these journals are physicians renowned for their academic and research acumen; in Canada, one of these physicians is Dr. Paul Hebert. We sat down with Dr. Hebert to talk about submission tips, becoming a journal editor, and how he got the job. This feature is part of Editors in Medicine, an ongoing series within student medical journals. Other interviews will be published periodically in various student journals internationally.
Published: June 30, 2011

Senior Editor: Andrew Wyman

Junior Editor: Steven Plato

DOI: http://dx.doi.org/10.15404/msrj.001.001.winter/03

Citation:
Verma P, Wu D. 10 Minutes with Paul Hebert, Editor-in-Chief of the Canadian Medical Association Journal. Medical Student Research Journal. 2011;1(Spring):8-9.

References:
N/A

Winter 2011 – Pregnant Patient Presenting with Syncope and a Medulloblastoma: A Case Report

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Pregnant Patient Presenting with Syncope and a Medulloblastoma: A Case Report.

Mark Ishak.

Author Affiliations:
New York College of Osteopathic Medicine of NYIT, Old Westbury, NY, USA
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*Corresponding Author: Mark Ishak, mishak[at]nyit.edu

Key Words: Adult medulloblastoma; pregnant; syncope.
Abstract:
Medulloblastoma is a primary cerebellar tumor seen most commonly in the pediatric population. In adults, it represents about 1% of cancer found in the central nervous system. In adult medulloblastoma, only one third of cases occur in women and even less in pregnant women. This case describes a 34-year-old pregnant woman who presented to the emergency department with the syncope, which was found to be secondary to a medulloblastoma.
Published: June 25, 2011

Senior Editor: Steven Plato

Junior Editor: David Hobbs

DOI: http://dx.doi.org/10.15404/msrj.001.001.winter/02

Citation:
Ishak M. Pregnant Patient Presenting with Syncope and a Medulloblastoma: A Case Report. Medical Student Research Journal. 2011;1(Spring):5-7.

References:
1. Adult medulloblastomas. Holland-Frei cancer medicine. Hamilton, ON: BC Decker; 2003. Available from: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book_cmed6&part_ A19676. [cited July 2010].

2. Oliver TG, Grasfeder LL, Carroll AL, Kaiser C, Gillingham CL, Lin SM, et al. Transcriptional profiling of the sonic hedgehog response; a critical role for N-myc in proliferation of neuronal precursors. Proc Natl Acad Sci. 2003; 100(12):7331-36. http://dx.doi.org/10.1073/pnas.0832317100.

3. Sasai K, Romer JT, Lee Y, Finkelstein D, Fuller C, McKinnon PJ, et al. Shh pathway is down-regulated in cultured medulloblastoma cells: implications for preclinical studies. Cancer Res. 2006; 66(8): 4215-22. http://dx.doi.org/10.1158/0008-5472.CAN-05-4505.

4. Belcher SM, Ma X, Le HH. Blockade of estrogen receptors signaling inhibits growth and migration of medulloblastoma. Endocrinology. 2009; 150(3):1112-21. http://dx.doi.org/10.1210/en.2008-1363.

5. Pregnancy and Dizziness. 2007. Available from: http://www.americanpregnancy.org/pregnancyhealth/dizziness.html. [cited July 2010].

6. Morag R, Brenner B. Syncope: differential diagnosis & workup. eMedicine 2010. http://emedicine.medscape.com/article/811669-differential. [cited 13 April 2011].

7. Ismail K, Coakham HB, Walters JM. Intracranial meningioma with progesterone positive receptors in late pregnancy. Eur J Anaesthesiol. 1998; 15(1):106-9. http://dx.doi.org/10.1046/j.1365-2346.1998.00225.x.

Winter 2011 – Retention of Cardiopulmonary Resuscitation Skills in Medical Students Utilizing a High-Fidelity Patient Simulator

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Retention of Cardiopulmonary Resuscitation Skills in Medical Students Utilizing a High-Fidelity Patient Simulator.

Travis Behrend*, John Heineman, Lei Wu, Chad Burk, Ngoc-Truc Duong, Mark Munoz, Dawn Pruett, Michael Seropian, Dawn Dillman.

Author Affiliations:
Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University (OHSU), Portland, OR, USA

[button link=”http://msrj.chm.msu.edu/wp-content/uploads/2014/04/MSRJ-Spring-2011-Retention-of-cardiopulmonary-resuscitation-skills-in-medical-students-utilizing-a-high-fidelity-patient-simulator.pdf” type=”icon” icon=”download” color=green] Full Text Article PDF [/button]

*Corresponding author: Travis Behrend; behrendt[at]ohsu.edu

Key Words: CPR; simulation; medical education; medical students; skills retention.

Abstract:
Objective: To evaluate the difference in retention of cardiopulmonary resuscitation (CPR) skills between first and second year medical students in accordance with American Heart Association (AHA) recommended basic life support (BLS) guidelines from 2005. Introduction: Cardiopulmonary resuscitation has a narrow window of opportunity. It must be started early and followed by defibrillation in a timely manner for maximal benefit. Many studies have demonstrated that health care providers trained in CPR lose their skills quickly. However, little research has been done to evaluate the retention of CPR skills in pre-clinical medical students prior to beginning their clinical training.
Methods: 22 first-year and 19 second-year medical students were voluntarily enrolled in the prospective cohort study. Participants were queried regarding BLS training, familiarity with the computerized mannequin simulator (SimMan), and CPR experience. Each participant was then introduced to SimMan and a standardized cardiac arrest scenario was read to them. Data was collected manually behind a two-way mirror. Participants were scored on their compliance with BLS criteria.
Results: Overall, key steps in CPR were omitted by many participants. One out of five subjects began CPR without first checking for a response, two out of three subjects did not request a defibrillator, and an average of 35.9 (0.0, 100.7) seconds elapsed before CPR was initiated. The average compression rate per minute in first-year medical students (MS1s) (22 subjects) was 63.6 (37.2, 90.1) compared to 52.5 (13.4, 91.6) in second-year students (MS2s) (19 subjects) with a BLS recommendation of 100 (p-0.04). There were 84.2% of MS1s and 68.2% of MS2s that completed an average compressions to two breaths ratio of (greater than or equal to) 27 with BLS recommendation of 30 compressions for every 2 breaths (p=0.04).
Conclusion: Despite their training and proximity to a health care environment, medical students quickly forget important CPR rates and maneuvers. This deterioration of skills occurs regardless of training latency, a potential problem as they enter the patient care environment. Simulation provides a more real-life scenario in which to both train and evaluate medical students CPR skills.
Published: June 25, 2011

Senior Editor: Andrew Wyman

Junior Editor: Marissa Baca

DOI: http://dx.doi.org/10.15404/msrj.001.001.winter/01

Citation:
Behrend T, Heineman J, Wu L, Burk C, Duong N, Munoz M, Pruett M, Seropian M, Dillman D. Retention of Cardiopulmonary Resuscitation Skills in Medical Students Utilizing a High-Fidelity Patient Simulator. Medical Student Research Journal. 2011;1(Spring):1-4.

References:
1. Thel MC, O’Connor CM. Cardiopulmonary resuscitation: historical perspective to recent investigations. Am Heart J. 1999; 137(1):39-48. http://dx.doi.org/10.1016/S0002-8703(99)70458-8.

2. Cummins RO. Emergency medical services and sudden cardiac arrest: The ‘chain of survival’ concept. Ann Rev Public Health. 1993; 14:313-33. http://dx.doi.org/10.1146/annurev.pu.14.050193.001525.

3.Herlitz J, Svensson L, Holmberg S, Angquist KA, Young M. Efficacy of bystander CPR: Intervention by lay people and by health care professionals. Resuscitation. 2005; 66(3):291-95. http://dx.doi.org/10.1016/j.resuscitation.2005.04.003.

4.Isbye DL, Meyhoff CS, Lippert FK, Rasmussen LS. Skill retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin. Resuscitation. 2007; 74(2):296-302. http://dx.doi.org/10.1016/j.resuscitation.2006.12.012.

5.Smith KK, Gilcreast D, Pierce K. Evaluation of staff’s retention of ACLS and BLS skills. Resuscitation. 2008; 78(1):59-65. http://dx.doi.org/10.1016/j.resuscitation.2008.02.007.

6. Riegel B, Nafziger SD, McBurnie MA, Powell J, Ledingham R, Sehra R, et al. How well are cardiopulmonary resuscitation and automated external defibrillator skills retained over time? Results from the Public Access Defibrillation (PAD) Trial. Acad Emer Med. 2006; 13(3):254-263. http://dx.doi.org/10.1197/j.aem.2005.10.010.

7. Brison RJ, Davidson JR, Dreyer JF, Jones G, Maloney J, Munkley DP, et al. Cardiac arrest in Ontario: circumstances, community response, role of prehospital defibrillation and predictors of survival. CMAJ. 1992; 147:191-99.

8. Weaver WD, Hill D, Fahrenbruch CE, Copass MK, Martin JS, Cobb LA, et al. Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest. N Engl J Med. 1988; 319:661-66. http://dx.doi.org/10.1056/NEJM198809153191101.

9. Roppolo LP, Pepe PE, Campbell L, Ohman K, Kulkarni H, Miller R, et al. Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study. Resuscitation. 2007; 74:276-85. http://dx.doi.org/10.1016/j.resuscitation.2006.12.017.