Articles: emergency-services.
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Cochrane Db Syst Rev · May 2024
Parenteral medication for the management of acute severe behavioural disturbance (ASBD) in the emergency department.
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effectiveness and safety profiles of different parenteral medications for the management of acute severe behavioural disturbance in the emergency department setting. These medications are required following the failure of less restrictive means of controlling the patient's behavioural disturbance.
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Multicenter Study
Predictive performance of the common red flags in emergency department headache patients: a HEAD and HEAD-Colombia study.
Only a small proportion of patients presenting to an ED with headache have a serious cause. The SNNOOP10 criteria, which incorporates red and orange flags for serious causes, has been proposed but not well studied. This project aims to compare the proportion of patients with 10 commonly accepted red flag criteria (singly and in combination) between patients with and without a diagnosis of serious secondary headache in a large, multinational cohort of ED patients presenting with headache. ⋯ The sensitivity and specificity of the red flag criteria in this study were lower than previously reported. Regarding clinical practice, this suggests that red flag criteria may be useful to identify patients at higher risk of a serious secondary headache cause, but their low specificity could result in increased rates of CT scanning.