The American journal of emergency medicine
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Randomized Controlled Trial
Volumetric bladder ultrasound performed by trained nurses increases catheterization success in pediatric patients.
The objective of the study was to determine whether the use of volumetric ultrasound by trained pediatric emergency department (ED) nurses improves first-attempt urine collection success rates. ⋯ Although there is a time delay, urine collection in the ultrasound arm generated a significant improvement over conventional catheterization in obtaining an adequate urine sample.
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The aim of this study was to evaluate emergency department (ED) management of childhood syncope, focusing on diagnostic tests ordered, whether a reason for specific testing was recorded, and hospital admission rates. ⋯ A relatively high number of our subjects were admitted (10%), most often because of questions raised by the ECG. Although an ECG is widely recommended for pediatric syncope presenting to the ED, this suggests that ECG interpretation by a pediatric cardiologist would be helpful before the decision to admit is made. In addition, 58% of our subjects had a head CT in the ED; all CT results were negative. This high percentage of head CTs for pediatric syncope has not been previously reported.
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The objectives of the study were to examine the last decade of general emergency medicine (EM) literature published in the United States for trends with regard to authorship and multidisciplinary collaboration and to estimate the effect on extramural funding. ⋯ The number of authors per article in the EM literature has steadily increased over the last decade, as has evidence of collaboration with other specialties. This increase in collaboration and author number has not been associated with increased extramural funding in the general EM literature published in the United States.
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We hypothesized that emergency physician-performed endovaginal ultrasound (EVUS) would change diagnostic decision making in nonpregnant women with right lower quadrant (RLQ) pain. ⋯ Emergency department EVUS changes physician diagnostic decision making in nonpregnant women with undifferentiated RLQ pain.