• Adv Emerg Nurs J · Oct 2014

    Case Reports

    Does emergency department observation impact the rate of computed tomography in children with minor blunt head trauma?

    • Kari J Blackburn and Patricia Kunz Howard.
    • Makenna David Pediatric Emergency Center, University of Kentucky Chandler Hospital, Lexington.
    • Adv Emerg Nurs J. 2014 Oct 1;36(4):294-8.

    AbstractReview of recent evidence with translation to practice for the advanced practice nurse (APN) role is presented using a case study module for "The Effect of the Duration of Emergency Department Observation on Computed Tomography Use in Children With Minor Blunt Head Trauma." The study results showed that 49% of the patients were "observed" in the emergency department (ED). Of those "observed" (N = 676) in the ED, the authors found that 20% had a computed tomographic (CT) scan performed. However, "observed" patients did experience a lower rate of CT scan (5%) than "nonobserved" patients. The implications and clinical relevance of these findings for APNs are discussed, highlighting best practice evidence.

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