The American journal of emergency medicine
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Multicenter Study Observational Study
History and physical exam predictors of intracranial injury in the elderly fall patient: A prospective multicenter study.
A prior single-center study demonstrated historical and exam features predicting intracranial injury (ICI) in geriatric patients with low-risk falls. We sought to prospectively validate these findings in a multicenter population. ⋯ In low-risk geriatric fall patients, the best predictors of ICI were physical findings of head trauma and history of LOC.
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Multicenter Study
Emergency department visits for electric scooter-related injuries after introduction of an urban rental program.
Providers in Salt Lake City emergency departments (EDs) anecdotally noted a significant number of electronic scooter (e-scooter)-related injuries since the launch of e-scooter rentals in the downtown area in June 2018. The aim of this study was to quantify and characterize these injuries. ⋯ Since the launch of e-scooter share programs in Salt Lake City, we have seen a substantial increase in e-scooter related trauma in our EDs. Of particular note is the number of patients with major head injuries and major musculoskeletal injuries.
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Multicenter Study
Association of age and opioid use for adolescents and young adults in community emergency departments.
Adolescents and young adults are at high risk for opioid misuse and abuse. The emergency department (ED) plays a key role in treatment of acute and chronic pain and is a primary place that this patient population is exposed to prescription opioids. We evaluate the effect of patient age on use of opioids for adolescents and young adults in community EDs. ⋯ For adolescent and young adult patients in the ED, there is a significant association between opioid prescribing and increasing age. This describes an opportunity to reduce opioid use in older adolescents and young adults.
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Multicenter Study
Clinical prediction rule to predict pneumonia in adult presented with acute febrile respiratory illness.
To derive a clinical prediction rule to predict pneumonia in patients with acute febrile respiratory illness to emergency departments. ⋯ AFRI score could assist emergency physicians in identifying pneumonia patients among all adult patients presented to ED for acute febrile respiratory illness.