Articles: emergency-medicine.
-
J Trauma Acute Care Surg · Jul 2013
Multicenter StudyWaiver of consent in noninterventional, observational emergency research: the PROMMTT experience.
In the PRospective Observational Multicenter Major Trauma Transfusion (PROMMTT) study, waiver of consent was used because previous literature reported low response rates and subsequent bias. The goal of this article was to examine the rationale and tradeoffs of using waiver of consent in PROMMTT. ⋯ Waiver of consent was used in PROMMTT because of the potential adverse impact of consent refusals; however, there were no refusals. If the IRB for Site 8 had required withdrawal of patients unable to consent and destruction of their data, a serious bias would likely have been introduced. Other tradeoffs included a reduction in sites participating in residual blood collection and a smaller than expected amount of residual blood collected among sites operating under a waiver of consent. Noninterventional emergency research studies should consider these potential tradeoffs carefully before deciding whether waiver of consent would best achieve the goals of a study.
-
Multicenter Study Observational Study
A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills.
To evaluate a new tool to assess emergency physicians' non-technical skills. ⋯ This study shows the performance of the assessment tool is acceptable and provides valuable information to structure the assessment and training of non-technical skills, especially in relation to leadership. The framework of skills may be used to identify areas for development in individual trainees, as well as guide other patient safety interventions.
-
Multicenter Study
Accuracy of emergency physician-performed ultrasound in detecting traumatic pneumothorax after a 2-h training course.
Pneumothorax is one of the leading causes of preventable death in trauma patients. Chest radiograph has a lower sensitivity than a computed tomography (CT) scan for the diagnosis of pneumothorax. ⋯ After just a 2-h training course, emergency physicians showed a good success rate in finding pneumothoraces. Thoracic US can be an easy to learn and an accurate diagnostic modality for the detection of traumatic pneumothorax in emergency departments.
-
Multicenter Study Comparative Study Clinical Trial
The use of delayed telephone informed consent for observational emergency medicine research is ethical and effective.
The objective was to describe the rate of successful consent using an altered (deferred telephone) consent process in emergency department (ED) patients. ⋯ The authors achieved a very high rate of successful telephone follow-up in this predominantly older ED population. Obtaining consent to participate in a research study using a deferred telephone contact process was effective and well received by both subjects and surrogates. IRBs should consider deferred telephone consent for minimal-risk studies requiring telephone follow-up, as opposed to a consent process requiring written documentation at the time of initial ED visit.
-
Letter Multicenter Study Comparative Study
Positive computed tomography rate for lone acute severe headache: a potential quality marker for emergency care?