The American journal of emergency medicine
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Review Meta Analysis
The prevalence of serious bacterial infections in neutropenic immunocompetent febrile children.
Febrile neutropenic immunocompromised children are at a high risk of Serious Bacterial Infections (SBI). ⋯ If the clinical suspicion is low, the risk for SBI is similar between febrile healthy neutropenic and non-neutropenic children.
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Multicenter Study
Association between patient-physician gender concordance and patient experience scores. Is there gender bias?
Patient satisfaction, a commonly measured indicator of quality of care and patient experience, is often used in physician performance reviews and promotion decisions. Patient satisfaction surveys may introduce gender-related bias. ⋯ Female patients prefer female emergency physicians but were less satisfied with their physician and emergency department visit overall. Over-representation of female patients on patient satisfaction surveys introduces bias. Patient satisfaction surveys should be deemphasized from physician compensation and promotion decisions.
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Comparative Study
A comparison of physician-staffed helicopters and ground ambulances transport for the outcome of severe thoracic trauma patients.
We retrospectively investigated prognostic factors for severe thoracic trauma patients evacuated by a physician-staffed helicopter emergency medical service (HEMS) and ground ambulance using the Japan Trauma Data Bank (JTDB). ⋯ The present study showed that transport by the HEMS improved the survival rate compared to that by a ground ambulance for patients with severe thoracic trauma.