1. Research in Emergency Medicine
Medical School Aspect
Boriboon Chenthanakij MD.
Family Medicine Department
Faculty of Medicine Chiangmai University
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6. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
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7. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
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8. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
• Undergraduate program
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9. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
• Undergraduate program
• Postgraduate program
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10. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
• Undergraduate program
• Postgraduate program
–Research 2
22. Check
• To ensure that things are in the way we would like to see.
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23. Check
• To ensure that things are in the way we would like to see.
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24. Check
• To ensure that things are in the way we would like to see.
• To find some problems that can occur in our process.
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25. Check
• To ensure that things are in the way we would like to see.
• To find some problems that can occur in our process.
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26. Check
• To ensure that things are in the way we would like to see.
• To find some problems that can occur in our process.
• Can help us find the way to improve our process.
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32. Patient Care
• We have STEMI fast tract, Stroke fast tract.
• Many resources were use in fast tract policies.
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33. Patient Care
• We have STEMI fast tract, Stroke fast tract.
• Many resources were use in fast tract policies.
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34. Patient Care
• We have STEMI fast tract, Stroke fast tract.
• Many resources were use in fast tract policies.
• Were these policies really improve quality of life for our
patient?
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36. Patient care
• We have 5 triage level for patient in Emergency
Department.
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37. Patient care
• We have 5 triage level for patient in Emergency
Department.
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38. Patient care
• We have 5 triage level for patient in Emergency
Department.
• But in the past we use only 3 level triage.
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39. Patient care
• We have 5 triage level for patient in Emergency
Department.
• But in the past we use only 3 level triage.
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40. Patient care
• We have 5 triage level for patient in Emergency
Department.
• But in the past we use only 3 level triage.
• Is 5 level triage improve quality of care compare to
3 level triage ?
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43. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
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44. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
–we now have 2 weeks selective program about
disaster medicine for medical student in 4th year.
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45. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
–we now have 2 weeks selective program about
disaster medicine for medical student in 4th year.
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46. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
–we now have 2 weeks selective program about
disaster medicine for medical student in 4th year.
–Is our selective program can actually improve our
medical student performance when disaster occur?
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49. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
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50. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
–The price of manikin is around 1 or more million B.
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51. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
–The price of manikin is around 1 or more million B.
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52. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
–The price of manikin is around 1 or more million B.
–Is advance life support manikin can actually improve our
resident’s skill?
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55. POLICY
• Chiangmai University concern about Global warming
and Energy crisis.
• We should know how much energy we use and how
much plastic garbage we produce.
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56. POLICY
• Chiangmai University concern about Global warming
and Energy crisis.
• We should know how much energy we use and how
much plastic garbage we produce.
• And how much we can reduce them.
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61. Interest
• Some questions come from ourself.
• May be we interest in some specific topic.
• We know that IV beta blockers is very helpful to control
heart rate in AF patients, but we don’t have this
medication form in ED.
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62. Interest
• Some questions come from ourself.
• May be we interest in some specific topic.
• We know that IV beta blockers is very helpful to control
heart rate in AF patients, but we don’t have this
medication form in ED.
• So, which medication can be used when we don’t have
this medication. 12
68. Question
• Many questions occur in our daily life practice.
• How can we answer these questions?
• Some questions can be answered easily, but many are not.
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69. Question
• Many questions occur in our daily life practice.
• How can we answer these questions?
• Some questions can be answered easily, but many are not.
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70. Question
• Many questions occur in our daily life practice.
• How can we answer these questions?
• Some questions can be answered easily, but many are not.
• We need evidences before we can do evidence
based ............
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72. How strong is our evidence?
• We must have good methodology while looking for evidence.
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73. How strong is our evidence?
• We must have good methodology while looking for evidence.
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74. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
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75. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
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76. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
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77. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
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78. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
• Which statistics is/are appropriate for our data?
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79. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
• Which statistics is/are appropriate for our data?
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80. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
• Which statistics is/are appropriate for our data?
• Epidemiologist is our good friend in this situation.
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87. ICH GCP
• An international ethical and scientific quality
standard in
–Designing
–Conducting
–Recording
–Reporting
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88. ICH GCP
• An international ethical and scientific quality
standard in
–Designing
–Conducting
–Recording
–Reporting
trials that involve human subjects.
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