Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2011
Clinical diagnosis and outcomes for Troponin T 'positive' patients assessed by a high sensitivity compared with a 4th generation assay.
High sensitivity troponin T (hsTnT) detects lower levels of troponin T with greater precision than the 4th generation (cTnT) assay. However, the clinical implications of this are uncertain. ⋯ Many patients with diagnoses other than AMI will have hsTNT above the reference level. Indiscriminate testing with hsTnT might lead to more patients requiring serial troponin testing and/or invasive further tests, which will have process and resource implications for EDs and health services.
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Emerg Med Australas · Aug 2011
Multicenter StudyFactors associated with failure to successfully complete a procedure during emergency department sedation.
To determine factors associated with failure to successfully complete a procedure during sedation in the ED. ⋯ Procedures performed under sedation in the ED have a low failure rate. However, increased body weight and specific procedures, such as hip reduction, are associated with significantly higher failure rates. Special consideration should be given to these patient groups before undertaking sedation in the ED.