Articles: emergency-department.
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Healthcare discharge instructions are important for patients who are discharged from the emergency department (ED). ⋯ Patient who received SMS-based health discharge instructions improved knowledge, care confidence, and satisfaction after ED visits. Future research should explore the application of the system across a broader range of emergency medical conditions.
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Eur J Trauma Emerg Surg · Jan 2025
Assessing the role of chest CT in minor blunt trauma: evaluation of the NEXUS decision instrument across an expanded population.
To evaluate the NEXUS Chest CT ALL decision instrument (DI) in reducing unnecessary chest CT imaging in minor blunt trauma patients while preserving high sensitivity for detecting clinically meaningful injuries. Additionally, we examined the impact of delayed presentation, chronic disease, and anticoagulation/anti-aggregation medications on trauma outcomes. ⋯ The NEXUS Chest CT ALL DI significantly reduces unnecessary imaging while maintaining high diagnostic precision. A modified version enhances sensitivity, refining decision-making in emergency care. Integrating such decision tools, particularly in cases of minor trauma, is highly recommended to optimize resource use and improve patient outcomes.