Articles Tagged With: Diagnostics
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Updated Abdominal Pain Guidelines Close Knowledge Gap
Without clear guidelines, patients could undergo unnecessary testing (or not receive tests they need), which could lead to misdiagnoses — or worse.
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New Checklist Offers Roadmap for Improved Diagnostic Performance
Researchers created 10 high-priority practices they maintain are key to promoting diagnostic excellence.
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Remain Vigilant for Signs of Monkeypox
Emergency clinicians should include the possibility of monkeypox in any patient presenting with early symptoms suggestive of the illness and certainly for those with a new rash and epidemiological risk factors.
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What Is This Tachycardia?
How would one interpret the tachycardia in the ECG? Is the rhythm ventricular tachycardia or some form of supraventricular tachycardia? How should one proceed?
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Echo vs. Cardiac MRI for Grading Mitral Regurgitation Severity
A comparison of echocardiographic-measured severity of mitral regurgitation with that of cardiac MRI-determined severity demonstrated poor agreement in the diagnosis of severe mitral regurgitation. Only cardiac MRI was predictive of left ventricular reverse remodeling after mitral valve surgery.
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Is the Canadian Syncope Risk Score Valid?
Researchers found the Canadian Syncope Risk Score accurately predicts which patients are low risk for discharge. However, since it is largely driven by the physician’s final risk classification at ED discharge, the score’s clinical utility is uncertain.
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Decision Support Tool Boosts Outcomes for ED Patients with Pneumonia
The authors of a new study demonstrated that when deployed in the EDs of community hospitals, an electronic decision support tool for pneumonia can improve treatment while dramatically reducing mortality and inpatient utilization.
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Detecting Cancer Treatment-Related Cardiac Dysfunction
When searching for breast cancer-related cardiac dysfunction, a sequential algorithm using echo ejection fraction and strain parameters produced an area under the receiver operating curve of 89%. Adding biomarkers did not improve the ability to diagnose cardiac dysfunction.
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Does Chart State Why Syncope Patient Was Deemed Low Risk?
Prolonged ECG monitoring in the ED, in an observation unit followed by ambulatory monitoring, can mitigate risks for intermediate- and higher-risk patients.
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The Unique Legal Risks of Treating Geriatric Patients
When compared to younger persons, older adults are more likely to experience missed or incorrect diagnoses and inadequate pain management. Older adults who are discharged from the ED are more likely to be readmitted. They also risk functional loss and higher rates of mortality. Whenever possible, and with the permission of the older adult, the ED nurse should include the patient’s significant other, family, or support person in the assessment process.