Annals of emergency medicine
-
We describe electronic medical record use in automated eligibility determination for an emergency department (ED)-based nontargeted HIV screening program. ⋯ Clinical informatics solutions can provide automated delineation of ED subpopulations eligible for HIV screening, according to predetermined criteria, which could increase program efficiency and might accelerate integration of HIV screening into clinical practice.
-
Review Meta Analysis
Systematic review and meta-analysis of the effect of warming local anesthetics on injection pain.
Local anesthetics are the main class of analgesics used for pain management during laceration repair and other minor surgeries; however, they are administered by injection, which is painful. Warming local anesthetics has been proposed as a cost-free intervention that reduces injection pain. A systematic review of the effectiveness of this technique has not yet been undertaken. We determine the effectiveness of warming local anesthetics to reduce pain in adults and children undergoing local anesthetic infiltration into intradermal or subcutaneous tissue. ⋯ Warming local anesthetics leads to less pain during injection and therefore should be done before administration.
-
Comparative Study
Physician-initiated rapid HIV testing in an urban emergency department: comparison of testing using a point-of-care versus a laboratory model.
We compare the outcomes of 2 models of physician-initiated rapid HIV testing in an emergency department (ED). ⋯ Relatively few ED patients undergo physician-initiated rapid HIV testing regardless of whether a point-of-care or laboratory approach is used. Differences exist in most outcome measures when point-of-care and laboratory models are compared, which should be considered when testing is implemented.