Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Randomized Controlled Trial Clinical Trial
Does the lateral chest radiograph help pediatric emergency physicians diagnose pneumonia? A randomized clinical trial.
To determine whether the addition of the lateral chest radiograph to the frontal view influences the pediatric emergency physician's diagnosis and management of patients with pneumonia. ⋯ The addition of the lateral chest radiograph to the frontal view did not improve the sensitivity or specificity of pediatric emergency physicians in their diagnosis of pneumonia in children.
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Randomized Controlled Trial Comparative Study Clinical Trial
Factors affecting pain scores during female urethral catheterization.
To compare pain and discomfort ratings of female patients undergoing urethral catheterization randomized to topical application of plain lubricant versus lidocaine gel prior to the procedure. ⋯ Catheter size and lubricant type did not affect the severity of pain after urethral catheterization in women.
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Clinical Trial Controlled Clinical Trial
Raising our HEADSS: adolescent psychosocial documentation in the emergency department.
To determine the effectiveness of a chart stamp featuring the acronym "HEADSS" (Home, Education, Alcohol, Drugs, Smoking, Sex) at improving adolescent psychosocial documentation in the emergency department (ED) chart. ⋯ The HEADSS stamp is useful in prompting psychosocial documentation in the ED chart. Further study is needed to determine whether routine use of the HEADSS stamp technique can improve the detection and management of adolescent psychosocial problems.
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To evaluate the hypothesis that computed tomography (CT) angiography often yields a result interpreted as an alternative diagnosis to pulmonary embolism (PE) in emergency department (ED) patients. ⋯ In ED patients with suspected PE, the CT angiogram frequently provides evidence suggesting an important alternative diagnosis to PE. Pulmonary infiltrate suggesting pneumonia was the most common non-PE finding.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of topical anesthetics and lubricants prior to urethral catheterization in males: a randomized controlled trial.
Although male urethral catheterization in the emergency department (ED) is both common and painful, few studies have evaluated the use of topical anesthesia prior to catheterization. ⋯ Use of topical lidocaine gel reduces the pain associated with male urethral catheterization in comparison with topical lubricants only.