J Emerg Med
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Randomized Controlled Trial
Prednisone for Emergency Department Low Back Pain: A Randomized Controlled Trial.
Although oral corticosteroids are commonly given to emergency department (ED) patients with musculoskeletal low back pain (LBP), there is little evidence of benefit. ⋯ We detected no benefit from oral corticosteroids in our ED patients with musculoskeletal LBP.
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Comparative Study Observational Study
Oblique-axis vs. Short-axis View in Ultrasound-guided Central Venous Catheterization.
Ultrasound (US) guidance during central venous catheterization (CVC) reduces complications and improves success rates compared to landmark-guided techniques. A novel "oblique view" (US transducer held at approximately 45° with respect to the target vessel) has been suggested to be superior to the standard short-axis approach usually used during US-guided CVC. ⋯ We found decreased PVWP using the oblique axis approach, though the difference was not statistically significant, and participants felt more confident in their needle tip location using the oblique axis view. Further research into the potential benefits of the oblique axis approach is warranted.
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Observational Study
Hourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds.
Methods of increasing patient and family involvement in and understanding of their medical care are plentiful, and hourly rounding specifically has shown benefit in several clinical settings. Although the approach has shown a variety of advantages in other areas, its use in urgent care pediatric settings is not well described. ⋯ This model of hourly rounding shows no measurable improvement in patient satisfaction or provider-patient communication using call bell data, family discharge opinion surveys, or vendor-collected patient satisfaction data. Further studies may be indicated to identify different methods of analyzing the effects of this method, and to examine alternative methods of improving these outcomes in the pediatric ED setting.