Annals of emergency medicine
-
Multicenter Study
Association of Traumatic Brain Injuries With Vomiting in Children With Blunt Head Trauma.
We aimed to determine the prevalence of traumatic brain injuries in children who vomit after minor blunt head trauma, particularly when the vomiting occurs without other findings suggestive of traumatic brain injury (ie, isolated vomiting). We also aimed to determine the relationship between the timing and degree of vomiting and traumatic brain injury prevalence. ⋯ Traumatic brain injury on CT is uncommon and clinically important traumatic brain injury is very uncommon in children with minor blunt head trauma when vomiting is their only sign or symptom. Observation in the emergency department before determining the need for CT appears appropriate for many of these children.
-
We study the effect of an emergency department (ED) electronic health record implementation on the operational metrics of a diverse group of community EDs. ⋯ There is no meaningful difference in 8 measures of operational performance for community EDs experiencing optimized ED electronic health record implementation between a baseline and steady-state period.
-
We assess whether screening laboratory tests obtained to medically clear pediatric psychiatric patients altered management or disposition. ⋯ Screening laboratory tests resulted in few management and disposition changes in patients with noncontributory history and physical examination results but were associated with increased length of stay.