The American journal of emergency medicine
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Limited health literacy is a risk factor for poor outcomes in numerous health care settings. Little is known about the impact of instructional modality and health literacy on adherence to emergency department (ED) discharge instructions. ⋯ Discharge instructional modality impacts antibiotic retrieval in patients with low health literacy. Preference for discharge instructional modality varies by degree of health literacy, but does not predict which modality will optimize 72-hour antibiotic retrieval.
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Letter Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of O2 and EtCO2 achieved by the polypropylene and conventional polyvinyl chloride face mask in healthy individuals.
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Chart review has been the mainstay of medical quality assurance practices since its introduction more than a century ago. The validity of chart review, however, has been vitiated by a lack of methodological rigor. ⋯ Agreement in the chart review process can be achieved among physician-reviewers. The degree of agreement attainable is comparable to or superior to that of similar studies reported to date. These results highlight the potential for the use of computerized screening, explicit criteria, and training of expert reviewers to improve the reliability and validity of chart review-based quality assurance.
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Randomized Controlled Trial
Negative pressure wound therapy for serious dog bites of extremities: a prospective randomized trial.
The objectives were to investigate the emergency treatment of serious dog bite lacerations on limbs and to identify whether negative pressure wound therapy (NPWT) was beneficial in these instances. ⋯ Therapeutic/care management, level II.
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Comparative Study
Comparison between systemic and catheter thrombolysis in patients with pulmonary embolism.
Although systemic thrombolysis (ST) or catheter-directed therapy (CDT) is performed in patients with acute massive or submassive pulmonary embolism (PE), clinical data comparing between both therapies remain limited. We compared clinical outcomes between ST and CDT in patients with acute massive and submassive PE. ⋯ Similar clinical outcomes were shown between ST and CDT in patients with acute massive or submassive PE.