A reprint filing system for the emergency physician

CONCEPTS. COMPONENTS AND CONFIGURATIONS

A reprint filing system for the emergency physician Robert H. Dailey, MD* Richard M. Goldberg, MD** Ronald D. Stewart, MD*** Los Angeles, California

One of the most useful adjuncts to on-going~ physician education is an up-to-date file of specialty reports. For those in emergency medicine, the possession of such a file has particular importance. There is a paucity of indexed publications gathering under one c o v e r m a t e r i a l o r i e n t e d toward this newly evolving specialty. Thus, physicians are encouraged to develop their own resources through an active reprint file. There are many objectives to be considered in assembling such a filing system and numerous difficulties to be overcome. These have been r e c e n t l y w e l l r e v i e w e d and discussed? Most important are simplicity of organization and accessibility of material. A system of c a t e g o r i e s offering these features is illustrated in the table. To aid in recapture of reprints that might be filed under m o r e than one category, articles should be filed according to effect instead of cause. For example, an article about Rheumatoid Pericarditis should be filed under "Pericarditis" *Director, Emergency Physician Residency, Assistant Professor of Emergency Medicine **Resident Instructor ***Resident From the Department of Emergency Medicine, Los Angeles County-University of Southern Cafifornia School of Medicine Address for reprints: Robert H. Dailey, MD, LAC/USC Medical Center, 1200 North State Street, Los Angeles, Cafifornia 90033

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(Med II D) instead of " C o l l a g e n Disease" (Med XlV). This obviates the need of a cross reference or referral card in "Collagen Disease." Following this principle, the filing system outlined was devised and instituted in our center for use in the emergency medicine residency. It has proven practical and is r e c o m m e n d ed to others.

Section I: M e d i c i n e

V. C.N.S.

A. B. C. D. E. F_

Coma Seizure Headache Brain and cord CSF/meningitis Peripheral nerves

VI. PSYCHIATRY A. Psychosomatic B. Suicide C. Psychosis VII. OVERDOSE (General) VIII. ALCOHOL AND DTs IX. ELECTROLYTE~METABOLISM~ ENDOCRINE

I. C.P.R.

I1. CARDIOVASCULAR A. CHF B. Dysrhythmia/EKG C. Hypertension D. Pericardium E. Myocardium F. Coronary artery disease G. Valvular H. Treatment (i.e., drugs, etc.) II1. SHOCK A. Cardiogenic B. Hypovolemia C. Septic D. Other types E. General IV. RESPIRATORY A. COPD 1. Cor pulmonale and bronchitis 2. Emphysema B. Inflammatory 1. Pneumonia 2. Other C. Masses D. Asthma E. Aspiration/Inhalation/Drowning F. Pulmonary embolus G. Respiratory failure H. Respiratory appliances I. Other pulmonary disease J. Mediastinum/pleura

A. NaCI and H20 B. Acid-base C. Diabetes 1. General 2. Ketoacidosis 3. Hyperosmolar N-K coma D. K+ and Ca+ E. Thyroid F. Other endocrine G. Nutrition X. GASTROINTESTINAL

A. B. C. D. E. F. G.

Stomach and esophagus Small intestine Large intestine and anorectal Liver and biliary UGI bleed Pancreas Other

XI. GENITOURINARY A. Venereal disease B. Other infections C. Renal failure D. Stones and obstruction XlI. MUSCULOSKELETAL A. Acute arthritis B. Pain syndromes C. Other XlII. HEMATOLOGY AND LYMPHATICS XIV. COLLAGEN DISORDERS

Journal of the A m e r i c a n C o l l e g e of E m e r g e n c y Physicians

Nov/Dec

1913

XV. DERMATOLOGY XV}. ENVIRONMENTAL A. Thermal B. Recreational (sea, mountain, desert) C. Plant and animal toxins

D. E. F. G. H.

Local and regional anesthesia Taps, tubes, trachs Manipulation Acupuncture IV and CVP lines

B. Funding and grants C. Emergency Medical Systems I1. EDUCATION AND TRAINING A. Undergraduate B. Resident and postgraduate C. Continuing education D. Other emergency health professionals E. Emergency professional organizations (ACEP, etc.) F. Conferences, seminars G. Library and instructional aids

Section Ih S u r g e r y

II1. ANATOMIC AND SPECIALTY AREAS A. Neurosurgical (head and spine) B. ENT C. Eye D. Cardiothoracic E. Abdomen 1. Acute abdomen 2. Blunt trauma 3. Penetrating trauma 4. Obstruction and perforation F. Vascular G. Genitourinary H. Anorectal I. Pediatrics J. Ob-Gyn

}. GENERAL KNOWLEDGE AREAS A. Multiple injuries B. Patterns of injuries C. Soft tissue injuries D. Penetrating injuries E. Thermal Burns F. Environmental injuries: radiation, frostbite, blast, recreational, industrial, electrical, chemical. G. Fluid replacement

IV. ORTHOPEDICS (musculoskeletal)..~ A. Axial skeleton B. Upper extremity C. Hand D. Lower extremity E. Foot F. Ligaments, tendons, joints G. Peripheral nerves H. Complications of ortho injuries (for example, vascular, systemic)

IV. COMMUNITY A. Disaster planning B. Ambulance and prehospital care C. Communications D. Public relations and education E. Outreach services (welfare, jail, missions) F. Safety (auto restraint devices, etc.)

I[. GENERAL SKILLS AREAS A. Wound repair and dressing B. Plaster techniques C. Injections

Section IIh E m e r g e n c y

Reference

XVII. INFECTIONS (General) )~Vlll. PHARMACOLOGY A. Hypnotics--barbs B. Hypnotics--other C. Analgesics--narcotics D.. Analgesics--general E. Antibiotics--general F. Immunization G. Miscellaneous XlX. LABORATORY MEDICINE

Nov/Dec

Medicine

I. EMERGENCY MEDICAL SERVICES A. Concepts and systems

II1. EMERGENCY UNIT-OPERATION AND MANAGEMENT A. Staffing and contracts B. Design and equipment C. Budget and billing D. Record keeping E. Medicolegal

1. Gaeke RF, Gaeke MEB: Filing Medical Literature. Ann Intern M e d 78: 985-7, 1973.

J o u r n a l of the A m e r i c a n C o l l e g e of E m e r g e n c y P h y s i c i a n s

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