User:Fahrenheit436/sandbox

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This is place to practice clicking the "edit" button and practice adding references (via the citation button). Please see Help:My_sandbox or contact User_talk:JenOttawa with any questions.

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 * Note: Please use your sandbox to submit assignment # 3 by pasting it below. When uploading your improvements to the article talk page please share your exact proposed edit (not the full assignment 3).


 * Talk Page Template: CARL Medical Editing Initiative/Fall 2019/Talk Page Template

Assignment #2
Truhlář, A., Deakin, C. D., Soar, J., Khalifa, G. E. A., Alfonzo, A., Bierens, J. J., ... & Koster, R. W. (2015). European resuscitation council guidelines for resuscitation 2015: section 4. Cardiac arrest in special circumstances. Resuscitation, (95),148-201. I went on the Point of Care Tools section of the Queen’s University Library website. I searched “lightning injury” on BMJ Best Practice for a broader view of the topic. There was no page dedicated to the topic of lightning injury on BMJ Best Practice, but some management guidelines on lightning injury could be found under the topic of electrical injury. Under the Management Guidelines of the electrical injury topic, I chose the European Resuscitation Council guidelines for resuscitation 2015. 2. There were other management guidelines under the topic of electrical injury on BMJ Best Practice such as Wilderness Medical Society practice guidelines for the prevention and treatment of lightning injuries: 2014 update, and 2015 Americna Heart Association (AHA) guidelines for CPR and ECC. 3. Notwithstanding the broad nature of the selected source which included relatively small lightning injury subsection, this source provided sufficient “bird’s-eye view” of the lightning injury topic with significant authority. Specifically, the source provides an international management guideline that present clinical recommendations for caregivers around the world. In addition, it is a readily available source for the general public, which allows for efficient dissemination of the information. 4. The reasons why the source that was selected meets Wikipedia’s reliable medical sources (MEDRS) criteria: • The source is a published secondary source; • This is the most up-to-date management guideline published by the European Resuscitation Council; and • The nature of the source being an international management guideline ensures that they are presenting prevailing medical and/or scientific consensus and contain assessments of underlying evidence. 5. I plan to use the source to succinctly provide a broad overview/introduction of lightning injuries and provide some relevant up to date epidemiological information.

Proposed Changes

 * 1) I plan to move the "Epidemiology" section up to the Introduction paragraph.
 * 2) I propose to add the following sentences: "Geographical factors contribute to the incidence of lightning strikes. Areas with mountainous terrain with moisture-heavy airflow, such as Central Africa, have the highest incidence of lightning strikes.
 * 3) *Good addition - my only suggestion would be "Areas with mountainous terrain AND moisture-heavy airflow...." to avoid the double "with" - HW
 * 4) *I also obviously agree with taking out the redundancy of two identical paragraphs to help streamline the article - HW

Rationale for Proposed Changes

 * 1) The "Epidemiology" section is repeated twice on the Wikipedia page. It would be more appropriate for the epidemiological information to be part of the introduction since it would give a general overview of the prevalence of the lightning injury.
 * 2) The epidemiological information planned to be added has been fulfilled by another Wikipedia author. Therefore, no additional epidemiological information will be added. Instead, I will add the geographical factors contributing to the incidence of lightning strikes. The reason for this proposed change is twofold. First, individuals living in "high risk" areas with high thunderstorm activities could be aware of the inherent lightning injury risks and use the preventative and treatment approaches outlined on this article to better prepare themselves. Second, individuals living in "low risk" areas with low thunderstorm activities can be cautioned to be particularly attentive in case of lightning activities because they may normally be less exposed to the potential threat of lightning strikes.

Critique of Source
The practice guideline used for the proposed changes was developed by an expert panel that does not seem to have any conflict of interest, financial or otherwise. It provides recommendation based on multiple sources including systematic reviews. However, there is lack of inclusion of community stakeholders. Although the practice guideline provides recommendations that are graded by a criteria from the American College of Chest Physicians, there seldom are information on cost effectiveness of intervention and risk/benefit analysis.

in terms of epidemiological information on lightning injuries, significant under-reporting may affect the data.


 * I agree with underreporting being a significant factor impacting epidemiological info - there isn't any mandatory reporting or centralized data collecting system etc
 * I like that we are including the WMS guidelines in the references as I suspect they are the most up to date/accurate practice guidelines that exist - despite being from 2014 - HW