European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Randomized Controlled Trial Comparative Study
'Knocking-fingers' chest compression technique in infant cardiac arrest: single-rescuer manikin study.
We designed a new chest compression technique, the 'knocking-fingers' chest compression (KF) technique, for a single rescuer in infant cardiac arrest. We compared the effectiveness and feasibility between the KF technique and the two-finger (TF) and two-thumb encircling hands (TT) techniques. ⋯ The single-rescuer KF chest compression technique is an effective alternative to the TF or TT techniques for infant cardiac arrest.
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Comparative Study
Accuracy of ultrasound exam performed by emergency medicine versus radiology residents in the diagnosis of acute appendicitis.
Although the traditional approach to the diagnosis of acute appendicitis (AA) is using clinical methods, experience has shown that strict reliance on clinical data can lead to mismanagement or unnecessary surgery. ⋯ US has a high diagnostic specificity in patients suspected of having AA and EM residents can perform this modality as accurately as radiologists after training in the emergency setting.
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Multicenter Study
Determinants of self-rated health in older adults before and 3 months after an emergency department visit: a prospective study.
Self-rated health (SRH) is an important patient-reported outcome, but little is known about SRH after a visit to the emergency department (ED). We investigated the determinants of decline in SRH during 3 months after an ED visit in older patients. ⋯ Decline in SRH after an ED visit in older patients is at least partly dependent on factors of functional capacity and functional decline. Preventive interventions to maintain functional status may be the solution to maintain SRH, but more research is needed to further improve and firmly establish the clinical usability of these findings.
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Multicenter Study
Medically unexplained physical symptoms in patients visiting the emergency department: an international multicentre retrospective study.
The objective of this study was to assess the incidence and characteristics of patients presenting with physical symptoms that remain medically unexplained at the emergency department (ED). ⋯ Physical symptoms remain unexplained in a significant number of patients at the time of ED assessment.