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Improving medical record keeping is a key part of the World Health Organization’s (WHO’s; Geneva, Switzerland) drive to standardize and evaluate emergency medical team (EMT) response to sudden onset disasters (SODs).
In response to the WHO initiative, the UK EMT is redeveloping its medical record template in line with the WHO minimum dataset (MDS) for daily reporting. When changing a medical record, it is important to understand how well it functions before it is implemented.
The redeveloped medical record was piloted at a UK EMT deployment course using simulated patients in order to examine ease of use by practitioners, and rates of data capture for key MDS variables.
Some parts of the form were consistently poorly filled in, and the way in which the form was completed suggested that the flow of the form did not align with the recorder’s natural thought processes when under pressure.
Piloting of a single-sheet triplicate medical record during an EMT deployment simulation led to significant modifications to improve data capture and function.
Jafar AJN, Fletcher RJ, Lecky F, Redmond AD. A pilot of a UK emergency medical team (EMT) medical record during a deployment training course. Prehosp Disaster Med. 2018;33(4):441–447.
Genetic and environmental contributions to preferences for rational and experiential thinking were examined in 100 pairs of monozygotic and 73 pairs of same-sex dizygotic Australian twins. Univariate analyses for experiential thinking and working memory capacity (WMC) revealed genetic effects accounted for 44% and 39% of the variability respectively, with non-shared environmental effects accounting for the balance. For rational thinking, the univariate models produced ambiguous results about the relative roles of heritability and shared environment, but a subsequent Cholesky analysis suggested genetic effects accounted for 34%, with the balance, 66%, explained by the non-shared environment. The Cholesky analysis revealed that shared genetic effects accounted for 60%, and non-shared environment accounted for 40% of the relationship between preference for rational thinking and WMC.
A small collection of family papers provides intimate and illuminating material on the illness and death of a much-loved teenager. Charlotte Bloomfield was the daughter of Lord Benjamin Bloomfield, confidant of the Prince Regent and from 1823 British ambassador at Stockholm. In 1825 Bloomfield had Charlotte painted with pretty golden curls by the fashionable miniaturist Anne Mee (Fig. 1). She holds her pet rabbit. Her story has rich resonances for the study of the evangelical household. This essay explores how a lingering death of this kind could produce a family crisis, which was in effect a test of faith. The case is also interesting in terms of the history of the medical treatment of children at home. Moreover, it shows how memorialization of such a death sustained the evangelical piety of the family in the decades that followed. This account gives particular attention to the particular roles and responsibilities of family and household members.
The paper examines the upbringing of five teenagers between 1671 and 1860. It is based on close reading of their diaries. It deals with the relationship between these teenagers and their parents, siblings, friends and tutors or governesses. Politeness, it is argued, was a framework of behaviour which, learnt and observed, made sense of social life. For boys it was rooted in a training in the classics; for girls it meant a training in manners and the social accomplishments which were believed to guarantee a good marriage. English politeness was inculcated across the board in the higher social ranks. The paper considers a few of the human stories that lay behind this inculcation.