Annals of emergency medicine
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To determine the accuracy of diagnosing appendicitis in the pediatric population by using graded compression ultrasonography. ⋯ Use of ultrasound to diagnose acute appendicitis was performed with a sensitivity of 85% and a specificity of 94%. This allows the same accuracy in children as has been reported with adults.
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To characterize the role of tissue adhesion as an adjunct in wound closure. ⋯ Our report indicates that tissue bonding may be a preferred and cost-effective method of repair of appropriate traumatic lacerations in the ED.
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This study examined the success rate, time required, technical ease, and reported patient discomfort for the use of scapular manipulation in the reduction of anterior shoulder dislocation. This study included a new variation of this technique using the seated position. ⋯ Scapular manipulation generally is a simple, rapid, and reliable technique for the reduction of anterior shoulder dislocation.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomized, controlled trial comparing a tissue adhesive with suturing in the repair of pediatric facial lacerations.
To compare the tissue adhesive Histoacryl Blue with suturing in the repair of pediatric facial lacerations. ⋯ Histoacryl Blue is a faster and less painful method of facial laceration repair that has cosmetic results similar to the use of sutures.
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Randomized Controlled Trial Clinical Trial
Effect of needle changing and intravenous cannula collection on blood culture contamination rates.
We tested the hypotheses that blood culture positivity and contamination rates were not increased by not changing needles between venipuncture and inoculation of blood culture bottles or by taking blood for culture by freshly inserted IV cannulae. ⋯ The results of this study do not support the practice of changing needles before inoculating blood samples into blood culture bottles. Collection of blood for culture through freshly inserted IV cannulae is associated with a low contamination rate and is an acceptable alternative to direct venipuncture. Sources of bias in this study suggest that further research is needed to determine the optimal technique for collecting blood cultures.