European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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The epidemiology and optimal management of injury to the paediatric scaphoid (carpal navicular) is unknown.The objective of this study is to evaluate these parameters in the Emergency Department of a tertiary children's hospital. ⋯ Pain in the anatomical snuff box is a poor indicator of bone injury to the scaphoid of any sort. Scaphoid fracture is a rare injury in childhood and from this study, it is extremely unlikely to occur under the age of 9 years.The actual bone pathology of an injured paediatric scaphoid may not be clear, but these children have significant pain and tenderness. Further studies are warranted to improve the diagnostic process and the management of paediatric scaphoid injury.
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This study evaluates the effects of an educational intervention and the use of a preprinted form on the adequacy of documentation of procedural sedation in an adult emergency department. ⋯ Baseline documentation was poor and improved slightly after both the educational interventions. Use of a preprinted form was associated with no medical records being classified as having poor documentation; however, uptake of the form use was low. Emergency departments should develop and consider mandatory use of such an aid together with training staff in the use of the aid and the important implications of adequate procedural documentation.