Articles: emergency-department.
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Pediatric emergency care · Dec 2013
Development and Evaluation of a Program for the Use of Ultrasound for Central Venous Catheter Placement in a Pediatric Emergency Department.
A growing body of literature supports the use of ultrasound (US) to assist central venous catheter (CVC) placement, and in many settings, this has become the standard of care. However, this remains a relatively new and uncommonly performed procedure for pediatric emergency medicine physicians. ⋯ The development of an emergency US program was associated with significantly increased physician use of US for CVC placement.
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Violence is a growing problem worldwide. In Switzerland, interpersonal violence seems to be an increasing problem as well. The aim of the current study was to describe a comprehensive picture of violence in a swiss city with regard to medical and social aspects. ⋯ There were no relevant changes regarding the number of within the observation period. However, the proportion of affected females increased. Especially at the weekend, there is a need for preventive measures to reduce the high number of affected patients and the associated costs.
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Review Meta Analysis
The Diagnosis of Acute Mesenteric Ischemia: A Systematic Review and Meta-analysis.
Acute mesenteric ischemia is an infrequent cause of abdominal pain in emergency department (ED) patients; however, mortality for this condition is high. Rapid diagnosis and surgery are key to survival, but presenting signs are often vague or variable, and there is no pathognomonic laboratory screening test. A systematic review and meta-analysis of the available literature was performed to determine diagnostic test characteristics of patient symptoms, objective signs, laboratory studies, and diagnostic modalities to help rule in or out the diagnosis of acute mesenteric ischemia in the ED. ⋯ The quality of the overall literature base for mesenteric ischemia is varied. Signs, symptoms, and laboratory testing are insufficiently diagnostic for the condition. Only CT angiography had adequate accuracy to establish the diagnosis of acute mesenteric ischemia in lieu of laparotomy.
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Australas Emerg Nurs J · Nov 2013
Factors associated with delayed treatment onset for acute myocardial infarction in Victorian emergency departments: a regression tree analysis.
Minimising time to treatment onset for acute myocardial infarction (AMI) in the emergency department (ED) is essential, yet little is understood about the interactions between variables affecting it. The aim of this study was to develop a regression tree model explicating the influence of patient and non-patient factors on the time taken to commence treatment for patients with AMI in Victorian EDs. ⋯ Interactions between specific variables influenced whether patients with AMI were treated with equity in Victorian EDs, resulting in previously unidentified evidence-practice gaps and an improved understanding of which patient groups were vulnerable to delayed treatment for AMI.