Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
-
Review Meta Analysis
Efficacy of ketorolac in the treatment of acute migraine attack: a systematic review and meta-analysis.
This review was designated to evaluate the efficacy of parenteral ketorolac in treating acute migraine headache. ⋯ Ketorolac may have similar efficacy to phenothiazines and metoclopramide in treating acute migraine headache. Ketorolac may also offer better pain control than sumatriptan, dexamethasone, and sodium valproate. However, given the lack of evidence due to inadequate number of trials available, future studies are warranted.
-
Review
Mechanism of Injury and Special Considerations as Predictive of Serious Injury: A Systematic Review.
The Centers for Disease Control and Prevention's field triage guidelines (FTG) are routinely used by emergency medical services personnel for triaging injured patients. The most recent (2011) FTG contains physiologic, anatomic, mechanism, and special consideration steps. Our objective was to systematically review the criteria in the mechanism and special consideration steps that might be predictive of serious injury or need for a trauma center. ⋯ Select mechanism and special consideration criteria contribute positively to appropriate field triage of potentially injured patients.
-
Observational Study
Association Between Advanced Image Ordered in the Emergency Department on Subsequent Imaging for Abdominal Pain Patients.
Abdominal pain is associated with high rates of emergency department (ED) imaging utilization and revisits. While imaging often improves diagnosis, a better understanding is needed on when the decision to image is justified and how it influences subsequent resource utilization and outcomes for patients in the ED presenting with abdominal pain. We evaluated the association between advanced ED imaging on subsequent outpatient imaging and on revisits among abdominal pain patients discharged from the ED. ⋯ Abdominal imaging in the ED was associated with significantly lower imaging utilization after discharge and 30-day revisit rates, suggesting that imaging in the ED may replace downstream outpatient imaging.
-
There are disparities in pain management for children presenting to the emergency department (ED) according to their racial and ethnic backgrounds. It is not known if there are differences in the treatment of pain associated with pediatric migraines by race, ethnicity, and language for care (REaL). ⋯ These data align with previous studies on pain management disparities and highlight another area where we must improve equity for patients in the ED.