Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2018
Observational StudyDoes respiratory variation of inferior vena cava diameter predict fluid responsiveness in spontaneously ventilating children with sepsis.
The intent of fluid bolus therapy (FBT) is to increase cardiac output and tissue perfusion, yet only 50% of septic children are fluid responsive. We evaluated respiratory variation of inferior vena cava (IVC) diameter as a predictor of fluid responsiveness. ⋯ IVC collapsibility has poor test characteristics for predicting fluid responsiveness in spontaneously ventilating children with sepsis.
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Emerg Med Australas · Aug 2018
Observational StudyManagement of distal radius fractures in the emergency department: A long-term functional outcome measure study with the Disabilities of Arm, Shoulder and Hand (DASH) scores.
Distal radius fracture (DRF) is a common presentation to the ED. However, little is known about the long-term functional outcome of these patients following their initial management in the ED. ⋯ Conservative management had lower DASH scores signifying better functional outcomes. Further prospective multicentre studies may be suggested to assess the generalisability of the study.
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Emerg Med Australas · Aug 2018
The Sydney Triage to Admission Risk Tool (START): A prospective validation study.
The present study aims to prospectively validate the Sydney Triage to Admission Risk Tool (START) to predict ED disposition. ⋯ The overall performance of the START tool with respect to model discrimination and accuracy has been prospectively validated. Further clinical trials are required to test the clinical effectiveness of the tool in improving patient flow and overall ED performance.