Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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In 1997 the U.S. government funded the Children's Health Insurance Program (CHIP), but the 48 billion dollars initiative has had limited success in finding and enrolling uninsured children. While such children are more likely to receive care in emergency departments (EDs), no national initiative has targeted EDs for child health insurance outreach. ⋯ The ED may be an important outreach site for child health insurance programs. National efforts to address the lack of insurance among children should include partnerships with the ED.
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Multicenter Study Clinical Trial
Children with first-time simple febrile seizures are at low risk of serious bacterial illness.
To describe the rates of serious bacterial illness (SBI) in children presenting to emergency departments (EDs) with first-time uncomplicated febrile seizures. ⋯ Rates of SBI in this multi-institution population of children with first-time simple febrile seizures were low and are consistent with those published in the literature for febrile children without seizures.
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Patients with seizure disorders are common in the emergency department (ED), yet little is known regarding the management of these patients. This study was performed to define the frequency of patients with seizure disorders in the ED patient population and to determine possible seizure etiologies, characteristics of diagnostic activities, treatments, and dispositions. ⋯ Patients with presenting complaints related to seizures are frequent in the ED population and make considerable demands on EMS and ED resources. Six percent of patients with seizure-related presentations were in status epilepticus and more than a fourth of all patients required hospitalization.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Intranasal lidocaine for the treatment of migraine headache: a randomized, controlled trial.
To evaluate the effect of intranasal lidocaine for immediate relief (5 minutes) of migraine headache pain. ⋯ There was no evidence that intranasal lidocaine provided rapid relief for migraine headache pain in the emergency department setting.
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Multicenter Study
Faculty evaluation by residents in an emergency medicine program: a new evaluation instrument.
Evaluation of preceptors in training programs is essential; however, little research has been performed in the setting of the emergency department (ED). The goal of this pilot study was to determine the validity and reliability of a faculty evaluation instrument-the Emergency Rotation (ER) scale-developed specifically for use in emergency medicine (EM). ⋯ The ER scale appears to be valid and reliable. It performs well when compared with previously psychometrically tested tools. It is a sensible, well-adapted tool for the teaching environment offered by EM.