Trainees frequently present data, including vital signs, laboratory test results, and imaging results, just after the history or presenting illness in a section labeled "ED Course." This practice distracts from the history and physical and decenters the patient as the most valuable source of diagnostic data. Reformatting presentations to appropriately present objective data after the complete history may improve diagnosis and refocuses attention on the patient.
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Why I Discourage "ED Course" in Oral Patient Presentations.
J Gen Intern Med
January 2025
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Trainees frequently present data, including vital signs, laboratory test results, and imaging results, just after the history or presenting illness in a section labeled "ED Course." This practice distracts from the history and physical and decenters the patient as the most valuable source of diagnostic data. Reformatting presentations to appropriately present objective data after the complete history may improve diagnosis and refocuses attention on the patient.
View Article and Find Full Text PDFFactors Associated with Pediatric Drowning-Associated Lung Injury.
J Pediatr
December 2024
Division of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, Houston, TX.
Objective: To identify risk factors for clinically-important drowning-associated lung injury (ciDALI) in children.
Study Design: This was a cross-sectional study of children (0 through 18 years) who presented to 32 pediatric emergency departments (EDs) from 2010 through 2017. We reviewed demographics, comorbidities, prehospital data, chest radiographs reports, and ED course from emergency medical services, medical, and fatality records.
Caregiver Experiences with Prescribed Antibiotic Access After a Pediatric Emergency Department Visit: A Qualitative Study.
Acad Pediatr
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Division of Emergency Medicine, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA 19104.
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Impact of Surgical Team Involvement at the Time of Trauma Activation for Pediatric Patients With Motorized Cycle or All-Terrain Vehicle Injury Mechanism.
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From the Nationwide Children's Hospital, Columbus, OH.
Objectives: At our institution, level 2 trauma (L2T) activations are primarily managed by pediatric emergency medicine (PEM) physicians, whereas level 1 activations are co-managed by pediatric surgery and PEM. Starting in September 2019, the response to L2T activations due to all-terrain vehicles or motorized cycles (ATVs/MCs) changed to include surgical assessment upon patient arrival due to increased likelihood of significant injuries and need for higher level of care. The impact of PEM/surgery co-management of ATV/MC L2T patients on time to an admission decision is unknown.
View Article and Find Full Text PDFEvaluation of hand infections in the emergency department using point-of-care ultrasound.
World J Emerg Med
January 2024
Department of Emergency Medicine, University of Arizona College of Medicine, Tucson 85724, USA.
Article Synopsis
- A study evaluated the effectiveness of point-of-care ultrasound (POCUS) in diagnosing hand infections in emergency department patients over six years.
- The review included 50 cases, with common symptoms being pain, swelling, and redness; POCUS helped influence medical decisions in 68% of cases and changed patient management in 38%.
- The findings suggest that POCUS is a valuable tool in assessing hand infections, aiding in quicker treatment and decision-making processes.
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