Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
-
Clinical Trial Controlled Clinical Trial
Raising our HEADSS: adolescent psychosocial documentation in the emergency department.
To determine the effectiveness of a chart stamp featuring the acronym "HEADSS" (Home, Education, Alcohol, Drugs, Smoking, Sex) at improving adolescent psychosocial documentation in the emergency department (ED) chart. ⋯ The HEADSS stamp is useful in prompting psychosocial documentation in the ED chart. Further study is needed to determine whether routine use of the HEADSS stamp technique can improve the detection and management of adolescent psychosocial problems.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of topical anesthetics and lubricants prior to urethral catheterization in males: a randomized controlled trial.
Although male urethral catheterization in the emergency department (ED) is both common and painful, few studies have evaluated the use of topical anesthesia prior to catheterization. ⋯ Use of topical lidocaine gel reduces the pain associated with male urethral catheterization in comparison with topical lubricants only.
-
To evaluate the hypothesis that computed tomography (CT) angiography often yields a result interpreted as an alternative diagnosis to pulmonary embolism (PE) in emergency department (ED) patients. ⋯ In ED patients with suspected PE, the CT angiogram frequently provides evidence suggesting an important alternative diagnosis to PE. Pulmonary infiltrate suggesting pneumonia was the most common non-PE finding.
-
To derive and validate a model to identify women who would benefit from further evaluation of chest pain after an initial negative emergency department (ED) evaluation for acute coronary syndrome (ACS). ⋯ The risk of underlying CAD in women who present to the ED with potential ACS may be determined using a simple risk stratification score.