The American journal of emergency medicine
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We aim to evaluate the effectiveness of a broadly inclusive, comparatively low intensity intervention linking ED patients to a primary care home. ⋯ Low intensity, broadly inclusive, ED care coordination linked nearly 50% of patients referred for intervention, and two-thirds of willing participants, with a primary care home.
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Letter Randomized Controlled Trial
Time to successful completion of simulated pediatric lumbar puncture in lateral vs seated position: Comparison in novice providers.
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Community-acquired pneumonia (CAP) is a common presentation to the emergency department (ED) and has high mortality rates. The aim of our study is to investigate the risk stratification and prognostic prediction value of precalcitonin (PCT) and clinical severity scores on patients with CAP in ED. ⋯ Serum PCT is a valuable single predictor for SCAP. SOFA is superior in prediction of 28-day mortality. Combination of PCT and SOFA could improve the performance of single predictors. More further studies with larger sample size are warranted to validate our results.
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The aim of this study was to identify factors associated with absent hematuria in patients with symptomatic urinary stones. ⋯ In this large cohort of patients with renal colic, 6% had no microhematuria. Although some CT findings and elevated BUN were independently associated with hematuria absence, there was no difference in the demographics, time of presentation and degree and location of pain between the groups.
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Diagnostic value of QRS and S wave variation in patients with suspicion of acute pulmonary embolism.
This study aimed to investigate the diagnostic value of QRS and S wave variation in patients admitted to the emergency department with suspicion of acute pulmonary embolism (APE). ⋯ The present study demonstrated that QRS and S wave variation could be useful electrocardiographic signs for the diagnosis of APE.