Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Observational Study
Physician Gestalt for Emergency Department Triage: A Prospective Videotaped Study.
Appropriate triage in patients presenting to the emergency department (ED) is often challenging. Little is known about the role of physician gestalt in ED triage. We aimed to compare the accuracy of emergency physician gestalt against the currently used computerized triage process. ⋯ Emergency physician gestalt for triage showed similar performance to a computerized system; however, physicians redistributed patients to lower triage levels. Physician gestalt has advantages for identifying low-risk patients. This approach may avoid undue time pressure for health care providers and promote rapid discharge.
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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.