In the era of the SI unit everything in medicine is supposed to be accurately measured and standardised. Nevertheless, medicine remains essentially a descriptive science, particularly where the communication of appearance is concerned: whether abnormal physical signs, techniques of surgery, radiological shadows, or pathological abnormalities of organs or cells. The frequency with which allusions are made in medical writing to food and drink is impressive. We have culled 99 items of food and distilled 22 beverage-related items from various publications, and present an analysis of this harvest. Fruit The more delectable the fruit the more likely it is to be mentioned, although most of the references are to temperate fruits. The strawberry seems to lend itself particularly to descriptive analogy: easily remembered are the strawberry nose (rhinophyma) and naevus (cavernous haemangioma), as well as the strawberry gall bladder (cholesterolosis). In addition, a strawberry tongue is seen, with a coating, in scarlet fever; when this coating disappears-uncovering congested, oedematous papillae resulting in a darker red colour-a raspberry tongue is produced. The cutaneous lesions of secondary (framboesiform)
Aim of the study: Debriefing is central to simulation-based education. As its optimal format is unknown, video-feedback may optimize the learning process. The purpose of the study was to evaluate the potential benefits of videoassisted oral debriefing (VAOD) versus oral debriefing alone (ODA) for improving performance in a Basic Life Support with an Automated External Defibrillator (BLS/ AED) scenario.Methods: One hundred and forty candidates (physicians and nurses) were enrolled in the study. After performing a pretest scenario, participants were randomized into two groups to receive a facilitated debriefing: either ODA or VAOD. Participants were then asked to complete a posttest scenario. Pre-and posttests were video recorded to allow a blinded independent reviewer to rate each participant's skills in both tests, using the European Resuscitation Council BLS/AED provider assessment record tool.Results: Overall BLS/AED resuscitation performance scores improved in both groups [mean (SD), 57.08% (1.77%) for ODA pretests vs. 89.77% (2.15%) for ODA posttests (p<0.001); 64.31% (2.54%) for VAOD pretests vs. 91.15% (3.08%) for VAOD posttests (p=0.06)]. Score improvement was not found to be very different between the two groups (+33% for ODA vs. +27% for VAOD, p=0.06).
Conclusion:Using VAOD in human resuscitation simulation did not show any advantage over ODA and did not enhance its impact on the participants' perception. However, our results suggested that the use of a debriefing process (either oral or video-assisted) contributes to a significant improvement in resuscitation skills.
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