The American journal of emergency medicine
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Review Meta Analysis
Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis.
Point-of-care ultrasound performed by emergency physicians to diagnose intussusception has a diagnostic accuracy equivalent to radiology-performed ultrasound.
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Multicenter Study Comparative Study
Differences in patient population and length of stay between freestanding and hospital-based emergency departments.
Freestanding emergency departments (FEDs) represent over 10% of emergency departments (EDs) in the United States. Little is known about differences in encounter characteristics. We compared ED length of stay (LOS) clinical demographics, method of arrival, acuity level, and patient disposition for encounters to FEDs vs. hospital-based EDs (HBEDs). ⋯ Overall ED LOS was significantly less for FED vs. HBED patients. Acuity level, insurance status, method of arrival, and patient disposition were significantly different at FEDs vs. HBEDs.
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Observational Study
Effect of hypoxia on mortality and disability in traumatic brain injury according to shock status: A cross-sectional analysis.
This study aimed to test the association between hypoxia level and outcomes according to shock status in traumatic brain injury (TBI) patients. ⋯ There was a trend toward worsened outcomes with mild and severe hypoxia in patient with and without shock, however, the only met statistical significance for patients with both severe hypoxia and non-shock status.
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Letter Multicenter Study Observational Study
Current use and training needs of point-of-care ultrasound in emergency departments: A national survey of VA hospitals.
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Different scoring methods exist for the Month of the Year Backward Test (MBT), which is designed to detect inattention, the core feature of delirium. When used as a part of the modified Confusion Assessment Method for the Emergency Department (mCAM-ED), each error in the MBT scores one point. Because this scoring procedure is complex, we aimed to simplify the scoring method of the MBT. ⋯ We suggest omitting the factor time and using a more practical scoring method with good performance: "last month in correct order" with the requirement to reach September to rule out delirium.