European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Observational Study
What happens in the shock room stays in the shock room? A time-based audio/video audit framework for trauma team performance analysis.
A precise tool for analysis of trauma team performance is missing. ⋯ During the study period, we were able to measure the time needed for certain steps in trauma patient evaluation and management. Based on this analysis, a performance improvement program will be devised, including the HybridLab medical simulation, audio/video debriefing, and individualised feedback sessions.
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Meta Analysis
Application of decision rules on diagnosis and prognosis of renal colic: a systematic review and meta-analysis.
Renal colic is a prevalent emergency department presentation resulting from urolithiasis. Clinical decision rules for the diagnosis of urolithiasis were developed to help clinicians with better judgment. In this systematic review, we assessed the performance of prediction rules on urolithiasis diagnosis and prognosis. ⋯ In the high risk score group, prevalence of clinically important alternative diagnosis was 1% (95% confidence interval 0%-2%) and 11% (95% confidence interval 8%-13%) of patients needed intervention. STONE scoring system is useful in estimating the prevalence of urolithiasis but high heterogeneity among the studies makes it unsuitable for application. Other decision tools were poorly studied and cannot be recommended for clinical use.