Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The risk of radiation exposure from computed tomography (CT) imaging in children is well recognized. Patient history and physical examination findings, including costal margin tenderness (CMT), influence a physician's decision to image a child with blunt torso trauma. The objective of this study was to determine the importance of CMT for identifying children with intraabdominal injuries (IAI) found on CT and IAI undergoing acute intervention. ⋯ The risk of IAI associated with isolated CMT is minimal. For children with blunt abdominal trauma and isolated CMT, abdominal CT scan is of low yield.
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Observational Study
Key High-efficiency Practices of Emergency Department Providers: A Mixed-methods Study.
The objective of this study was to determine specific provider practices associated with high provider efficiency in community emergency departments (EDs). ⋯ Average patient load, running the board, conversations with team member, and using names of team members are associated with enhanced provider productivity. Identification of behaviors associated with efficiency can be utilized by medical directors, clinicians, and trainees to improve personal efficiency or counsel team members.
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Life sometimes creates interesting confluences, and these should not be ignored. I was the Chair who sat on the other side of the desk during the job interview of the author of this remarkable essay. ⋯ This article is protected by copyright. All rights reserved.