Journal of the American College of Emergency Physicians open
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This study aims to compare the actual weights of Filipino children with their estimated weights obtained from the Broselow tape and the Pediatric Advanced Weight Prediction in the Emergency Room eXtra Length-Mid-arm Circumference (PAWPER XL-MAC) tape. ⋯ The PAWPER XL-MAC tape performed better as a weight estimation tool compared to Broselow tape across different age groups and BMI-for-age groups of Filipino children. Both tapes tend to overestimate weight among younger and underweight children while underestimating weight among ages 7 to 10 years old, overweight, or obese children.
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J Am Coll Emerg Physicians Open · Dec 2020
Not all HEART scores are created equal: identifying "low-risk" patients at higher risk.
We sought to identify sub-groups of "low-risk" HEART score patients (history, ECG, age, risk factors, and troponin) at elevated risk of acute myocardial infarction or death within 30 days. ⋯ Among "low-risk" suspected acute coronary syndrome encounters, increasing points within each of the 5 categories demonstrated small increases in risk of death or acute myocardial infarction, with the troponin and ECG components representing the largest risk increases.
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J Am Coll Emerg Physicians Open · Dec 2020
A comparison of handheld ultrasound versus traditional ultrasound for acquisition of RUSH views in healthy volunteers.
Few studies evaluate the use of handheld ultrasound devices for point-of-care ultrasonography in the emergency department. We hypothesized that image acquisition time and image quality are similar between a handheld device and a traditional device. We compared these 2 types of devices in healthy, non-pregnant adults with using a crossover non-inferiority design while acquiring Rapid Ultrasound for Shock and Hypotension (RUSH) view. ⋯ Images were determined to be of adequate quality for interpretation in 41/50 (82%) and 43/50 (86%) in the handheld and traditional devices, respectively (P = 0.786). Neither time to image acquisition nor image quality differed between the handheld and traditional devices. The handheld device may be an alternative for use in RUSH exams.
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J Am Coll Emerg Physicians Open · Dec 2020
Artificial intelligence in emergency medicine: A scoping review.
Despite the growing investment in and adoption of artificial intelligence (AI) in medicine, the applications of AI in an emergency setting remain unclear. This scoping review seeks to identify available literature regarding the applications of AI in emergency medicine. ⋯ AI-related research is rapidly increasing in emergency medicine. There are several promising AI interventions that can improve emergency care, particularly for acute radiographic imaging and prediction-based diagnoses. Higher quality evidence is needed to further assess both short- and long-term clinical outcomes.
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J Am Coll Emerg Physicians Open · Dec 2020
Prediction of emergency department resource requirements during triage: An application of current natural language processing techniques.
Accurate triage in the emergency department (ED) is critical for medical safety and operational efficiency. We aimed to predict the number of future required ED resources, as defined by the Emergency Severity Index (ESI) triage protocol, using natural language processing of nursing triage notes. ⋯ Machine learning of nursing triage notes, combined with clinical data available at ED presentation, can be used to predict the number of required future ED resources. These findings suggest that machine learning may be a valuable adjunct tool in the initial triage of ED patients.