Jeffrey P. Green, Tony Berger, Nidhi Garg, Alison Suarez, Yolanda Hagar, Michael S. Radeos, Edward A. Panacek
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.014
Published online: March 19 2012
xThe objective of this study is to determine if metformin use affects the prevalence and prognostic value of hyperlactatemia to predict mortality in septic adult emergency department (ED) patients.
Hyun Jun Park, Sun Hyu Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.015
Published online: March 19 2012
xThe aim of this study was to investigate the clinical characteristics of anaphylactic shock and the factors associated with anaphylactic shock in anaphylaxis.
Young-Tae Jeon, Jung-won Hwang, Kyuseok Kim, Cheol-Kyu Jung, Hee-Pyoung Park, Sang-Heon Park
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.016
Published online: March 19 2012
xWe hypothesized that the oro-pharyngolaryngeal axes, occipito-atlanto-axial extension (OAA) angle and intubation distance would be influenced by the height of headrests.
Ivan Murad, Simone C.V. Abib, Daniela P.A. Lima, Paulo S.V.S. Ferreira, Eduardo Q. dos Santos, Thomas V. Bataglia
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.017
Published online: March 30 2012
xThe aim of this study was to examine the effects of controlled hemorrhage and shock on oxygenation and ventilation using needle cricothyroidotomy and jet ventilation in an animal model.
Maureen Chase, Richard S. Klasco, Nina R. Joyce, Michael W. Donnino, Richard E. Wolfe, Nathan I. Shapiro
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.018
Published online: May 25 2012
xThe goal of this study is to identify clinical variables associated with bacteremia. Such data could provide a rational basis for blood culture testing in emergency department (ED) patients with suspected infection.
Alberto Conti, Claudio Poggioni, Gabriele Viviani, Margherita Luzzi, Sonia Vicidomini, Maurizio Zanobetti, Francesca Innocenti, Riccardo Pini, Luigi Padeletti, Gian Franco Gensini
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.022
Published online: March 19 2012
xThe aim of this study is to evaluate incidence of adverse cardiac events in patients with chest pain with or without known existing coronary disease presenting normal electrocardiogram (ECG) and initial troponin.
Adam J. Singer, Anna Domingo, Henry C. Thode Jr., Melissa Daubert, Alan F. Vainrib, Summer Ferraro, Amee Minton, Annie Poon, Mark C. Henry, Michael Poon
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.025
Published online: March 19 2012
xWe describe our preliminary experience with coronary computed tomography angiography (CCTA) in emergency department (ED) patients with low- to intermediate-risk chest pain.
Marie-Louise Södersved Källestedt, Anders Berglund, Mats Enlund, Johan Herlitz
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.026
Published online: March 30 2012
xSurvival after in-hospital cardiac arrest (CA) has been reported to be surprisingly low without any major improvement during the last decade.
Alberto Conti, Claudio Poggioni, Gabriele Viviani, Yuri Mariannini, Margherita Luzzi, Gabriele Cerini, Erica Canuti, Maurizio Zanobetti, Francesca Innocenti, Riccardo Pini
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.028
Published online: March 30 2012
xSeveral risk scores are available for prognostic purpose in patients presenting with chest pain.
Raphael van Tulder, Dominik Roth, Christoph Weiser, Benedikt Heidinger, Harald Herkner, Wolfgang Schreiber, Christof Havel
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.029
Published online: March 30 2012
xIn the case of chest pain, the current guidelines require electrocardiogram (ECG) recording and patient assessment within 10 minutes upon arrival in the emergency department.
Khrongwong Musikatavorn, Ploykaew Tansangngam, Suthaporn Lumlertgul, Atthasit Komindr
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.001
Published online: March 30 2012
xAcute, severe dyspeptic pain is a common condition in the emergency department. Despite the traditional “GI cocktail” (GI indicates gastrointestinal), an intravenous (IV) proton pump inhibitor (PPI), a novel acid-lowering drug, has recently been used to treat this condition. The aim of this study was to evaluate the immediate effect of IV pantoprazole in addition to the conventional GI cocktail in the relief of severe dyspeptic pain.
Clare L. Atzema, R. Alexandra Stefan, Refik Saskin, Greg Michlik, Peter C. Austin
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.030
Published online: June 4 2012
xThe aim of the study was to determine whether the number of procedures performed by residents and medical students in the emergency department (ED) is affected by ED crowding.
You Hwan Jo, Kyuseok Kim, Jae Hyuk Lee, Joong Eui Rhee, Jin Hee Lee, Kyeong Won Kang, Kwang Pil Rim, Seung Sik Hwang, Hyun-Mi Park
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.005
Published online: March 30 2012
xThis study was performed to evaluate whether heart-type fatty acid–binding protein (H-FABP) could predict 28-day mortality in patients with severe sepsis and septic shock.
Tomoki Nishiyama, Yumiko Kohno, Ha Jung Kim, Won Jung Shin, Hong Seuk Yang
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.009
Published online: May 25 2012
xThe supraglottic airway, I-gel (Intersurgical, Wokingham, United Kingdom), has a noninflatable cuff, which softens at body temperature to fit to laryngeal structure. The present study was performed to investigate the hypothesis that the cuff of I-gel can fit to laryngeal structure faster when prewarmed to body temperature than kept at room temperature.
Birsen Ozkurt, Orhan Cinar, Erdem Cevik, Ayhan Yahya Acar, Deniz Arslan, Emrah Yusuf Eyi, Loni Jay, Levent Yamanel, Troy Madsen
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.010
Published online: May 4 2012
xWe aimed to assess the efficacy of oxygen inhalation therapy in emergency department (ED) patients presenting with all types of headache.
Andrew M. Kepner, Jerome V. Bacasnot, Barbara A. Stahlman
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.011
Published online: May 25 2012
xWhen the diagnosis of appendicitis is uncertain, computerized tomography (CT) scans are frequently ordered. Oral contrast is often used but is time consuming and of questionable benefit. This study compared CT with intravenous contrast alone (IV) to CT with IV and oral contrast (IVO) in adult patients with suspected appendicitis.
Brian W. Lin, Donald H. Schreiber, Gigi Liu, Beau Briese, Brian Hiestand, David Slattery, Jeffrey A. Kline, Samuel Z. Goldhaber, Charles V. Pollack Jr.
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.012
Published online: May 25 2012
xClinical guidelines recommend fibrinolysis or embolectomy for acute massive pulmonary embolism (PE) (MPE). However, actual therapy and outcomes of emergency department (ED) patients with MPE have not previously been reported. We characterize the current management of ED patients with MPE in a US registry.
Chi-Chun Lin, Jiun-Hao Yu, Chih-Chuan Lin, Wen-Cheng Li, Yi-Ming Weng, Shou-Yen Chen
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.013
Published online: May 25 2012
xThe risks of intravenous (IV) lidocaine before rapid sequence induction (RSI) have become a great concern. No study has investigated the hemodynamic effects of IV lidocaine during endotracheal intubation in patients with severe traumatic brain injury.
Nguyen Dang Thang, Björn Wilgot Karlson, Bo Bergman, Marco Santos, Thomas Karlsson, Ann Bengtson, Per Johanson, Araz Rawshani, Johan Herlitz
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.014
Published online: May 25 2012
xThe aims of this study were to describe the characteristics of and outcome of patients with chest pain in relation to transport by the emergency medical services (EMS) and to describe possible changes in this relationship in a 20-year perspective.
Shey-Ying Chen, Yee-Chun Chen, Wen-Chu Chiang, Hsiang-Chi Kung, Chwan-Chuen King, Mei-Shu Lai, Wei-Chu Chie, Shyr-Chyr Chen, Wen-Jone Chen, Shan-Chwen Chang
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.016
Published online: May 25 2012
xThe aim of this study was to assess the performance of 3 different influenza-like illness (ILI) case definitions, adopted by the European (European-CDC), USA (USA-CDC), and Taiwan Centers for Disease Prevention and Control (Taiwan-CDC), as screening tools for influenza during the 2009 H1N1 pandemic.
Kenan Ahmet Turkdogan, Ali Zorlu, Fatma Mutlu Kukul Guven, Ismail Ekinozu, Umut Eryigit, Mehmet Birhan Yilmaz
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.017
Published online: May 25 2012
xMatrix metalloproteinases (MMPs) have a central role in disease progression after ischemia-reperfusion injury. However, its prognostic significance in cardiac arrest (CA) patients having cardiopulmonary resuscitation (CPR) is unknown. The aim of this study was to investigate the relation between admission MMP-9 level and early mortality in CA patients.
Ki Ok Ahn, Sang Do Shin, Seung Sik Hwang
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.018
Published online: May 25 2012
xThe aim of this study was to investigate the association between sex, cardiopulmonary resuscitation efforts, and outcomes of out-of-hospital cardiac arrests in Korea.
Jacob Steenblik, Mark Goodman, Virgil Davis, Christopher Gee, Christy L. Hopkins, Robert Stephen, Troy Madsen
DOI: http://dx.doi.org/10.1016/j.ajem.2012.02.019
Published online: May 25 2012
xPainful extremity injuries are common patient complaints in resort clinics, urgent care clinics, and emergency departments. We hypothesized that intranasal (IN) sufentanil could provide rapid, noninvasive, effective pain relief to patients presenting with acute extremity injuries.
Michele M. Pelter, Barbara Riegel, Sharon McKinley, Debra K. Moser, Lynn V. Doering, Hendrika Meischke, Patricia Davidson, Heather Baker, Wei Yang, Kathleen Dracup
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.002
Published online: May 25 2012
xSymptoms are compared among patients with coronary artery disease (CAD) admitted to the emergency department with or without acute coronary syndrome (ACS). Sex and age are also assessed.
Francis M. Fesmire, Erik J. Martin, Yu Cao, Gregory W. Heath
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.017
Published online: May 25 2012
xThe HEART score uses elements from patient History, Electrocardiogram, Age, Risk Factors, and Troponin to obtain a risk score on a 0- to 10-point scale for predicting acute coronary syndromes (ACS). This investigation seeks to improve on the HEART score by proposing the HEARTS3 score, which uses likelihood ratio analysis to give appropriate weight to the individual elements of the HEART score as well as incorporating 3 additional “S” variables: Sex, Serial 2-hour electrocardiogram, and Serial 2-hour delta troponin during the initial emergency department valuation.
Koichiro Shinozaki, Shigeto Oda, Tomohito Sadahiro, Masataka Nakamura, Yo Hirayama, Eizo Watanabe, Yoshihisa Tateishi, Kasuya Nakanishi, Nobuya Kitamura, Hiroyuki Hirasawa
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.024
Published online: July 16 2012
xDetailed procedures for optimal therapeutic hypothermia (TH) have yet to be established. We examined how duration of well-controlled core temperature within the first 24 hours after cardiac arrests (CA) correlated with neurological outcomes of successfully resuscitated out-of-hospital CA (OHCA) patients.
Vi Am Dinh, H. Samuel Ko, Rajiv Rao, Ramesh C. Bansal, Dustin D. Smith, Tae Eung Kim, H. Bryant Nguyen
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.025
Published online: July 16 2012
xNoninvasive technology may assist the emergency department (ED) physician in determining the hemodynamic status in critically ill patients. The objective of our study was to show that ED physicians can accurately measure cardiac index (CI) by performing a bedside focused cardiac ultrasound examination.
Benjamin W. Friedman, Laura Mulvey, Michelle Davitt, Hong Choi, David Esses, Polly E. Bijur, E. John Gallagher
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.027
Published online: May 25 2012
xRecent work has shown that two-thirds of patients report functional disability 1 week after an emergency department (ED) visit for nontraumatic musculoskeletal low back pain (LBP). Nearly half of these patients report functional disability 3 months later. Identifying high-risk predictors of functional disability at each of these 2 time points will allow emergency clinicians to provide individual patients with an evidence-based understanding of their risk of protracted symptoms.
Jennifer L. Wiler, Daniel A. Handel, Adit A. Ginde, Dominik Aronsky, Nicholas G. Genes, Jeffrey L. Hackman, Joshua A. Hilton, Ula Hwang, Michael Kamali, Jesse M. Pines, Emilie Powell, Medhi Sattarian, Rongwei Fu
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.028
Published online: May 25 2012
xProlonged emergency department (ED) length of stay (LOS) is linked to adverse outcomes, decreased patient satisfaction, and ED crowding. This multicenter study identified factors associated with increased LOS.
Tien-En Chen, Ping-Han Lo, Tsai-Chung Li, Kuo-Hung Lin, Jen-Jyh Lin, Li-Chuan Hsieh, Chih-Ping Chang, Yeh-Peng Chen, Kuan-Cheng Chang, Huang-Joe Wang
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.032
Published online: May 25 2012
xReciprocal changes are frequent in patients with acute ST-segment elevation myocardial infarction (STEMI). However, their prognostic significance is not clear in patients undergoing immediate invasive intervention.
Samuel Delerme, Viviane Montout, Hélène Goulet, Amandine Arhan, Frederic Le Saché, Catherine Devilliers, Bruno Riou, Patrick Ray
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.033
Published online: July 16 2012
xTranscutaneous carbon dioxide pressure (PtcCO2) has been suggested as a noninvasive surrogate of arterial carbon dioxide pressure (PaCO2). Our study evaluates the reliability of this method in spontaneously breathing patients in an emergency department.
Virginie Lvovschi, Amandine Arhan, Gaëlle Juillien, Viviane Montout, Mouhssine Bendahou, Hélène Goulet, Khaled Saïdi, Bruno Riou
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.037
Published online: July 16 2012
xNeuropathic pain has been poorly investigated in the emergency department, although it is known to be less sensitive to opioids than other forms of pain. We tested the hypothesis that morphine requirements are increased in patients having severe pain classified as neuropathic using the DN4 score. We included adult patients with acute severe pain (visual analog scale ≥70), assessed using the DN4 score, and treated with intravenous morphine titration (bolus of 2 or 3 mg [body weight >60 kg] with 5-minute intervals between each bolus).
Jennifer Prah Ruger, Lawrence M. Lewis, Christopher J. Richter
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.001
Published online: July 16 2012
xThis study aims to better understand the patterns and factors associated with the use of emergency department (ED) services on high-volume and intensive (defined by high volume and high-patient severity) days to improve resource allocation and reduce ED overcrowding.
Keith A. Marill
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.002
Published online: August 2 2012
xThe Bayesian approach to disease diagnosis in the emergency department is facilitated by the use of likelihood ratios (LRs) to evaluate diagnostic tests. The use of dichotomous, interval, and joint LRs for single and multiple tests is reviewed, and comparison is made to regression modeling. The clinical motivation for a single statistic to describe the average change in the odds of disease associated with the use of a particular test or series of tests is described. This new extension of the LR concept is termed the average absolute LR (AALR).
Ming-Xiang Zou, Rong-Rong Zhou, Wen-Jun Wu, Ning-Jie Zhang, Wen-En Liu, Xue-Gong Fan
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.004
Published online: July 16 2012
xWe aimed to perform a systematic review and meta-analysis of the diagnostic performance of pleural fluid procalcitonin (PCT) or C-reactive protein (CRP) in differentiating parapneumonic effusion in patients with pleural effusion.
Orhan Cinar, Erdem Cevik, Ayhan Acar, Cengiz Kaya, Sukru Ardic, Bilgin Comert, Mehmet Yokusoglu, Cumhur Bilgi, Michael Meisner, Troy Madsen
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.009
Published online: June 29 2012
xThe aim of this study was to evaluate the diagnostic and the prognostic value of a laboratory panel consisting of mid-regional pro-atrial natriuretic peptide (MR-proANP), procalcitonin (PCT), and mid-regional pro-adrenomedullin (MR-proADM) for patients presenting to the emergency department (ED) with acute dyspnea.
Rafaela Elizabeth Bayas Queiroz, Leilane Siqueira Nobre de Oliveira, Cláudio Alves de Albuquerque, Caroline de Alencar Santana, Patrícia Maia Brasil, Luzia Layla Rodrigues Carneiro, Alexandre Braga Libório
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.011
Published online: July 16 2012
xAcute kidney injury (AKI) is common in acute myocardial infarction (AMI) patients and has serious prognostic implications. The early identification of patients at risk of developing AKI at the emergency department (ED) can reduce its incidence.
Mustapha Sebbane, Megan Hayter, Joaquim Romero, Sophie Lefebvre, Colette Chabrot, Grégoire Mercier, Jean-Jacques Eledjam, Richard Dumont, Patricia L. Houston, Sylvain Boet
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.013
Published online: July 16 2012
xMultiple factors may contribute to the observed survival variability following in-hospital cardiopulmonary resuscitation (CPR). While in-hospital CPR is most often performed on patients lying on a bed or stretcher, CPR training uses primarily manikins placed on the floor. We analyzed the quality of external chest compressions (ECC) in simulated cardiac arrest scenarios occurring both on a stretcher and on the floor.
Vasileios Dragoumanos, Nicoletta Iacovidou, Athanasios Chalkias, Pavlos Lelovas, Anastasios Koutsovasilis, Apostolos Papalois, Theodoros Xanthos
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.014
Published online: July 16 2012
xThe objective was to evaluate whether passive leg raising during cardiopulmonary resuscitation in a porcine model of prolonged ventricular fibrillation improves hemodynamics, return of spontaneous circulation, 24-hour survival, and neurological outcome.
Juan Torres-Macho, Juan M. Antón-Santos, Isabel García-Gutierrez, María de Castro-García, Sergio Gámez-Díez, Pilar García de la Torre, Gonzalo Latorre-Barcenilla, Yolanda Majo-Carbajo, Juan C. Reparaz-González, Gonzalo García de Casasola, Working Group of Clinical Ultrasound, Spanish Society of Internal Medicine
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.015
Published online: July 16 2012
xEmergency physician–performed ultrasonography holds promise as a rapid and accurate method to diagnose multiple diseases in the emergency department (ED). Our objective was to assess the initial diagnostic accuracy (first 55 explorations) of emergency physician–performed ultrasonography for multiple categories of ultrasound use after a short training period.
Arthur K. Au, Masashi J. Rotte, Robert J. Grzybowski, Bon S. Ku, J. Matthew Fields
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.016
Published online: July 16 2012
xObtaining intravenous (IV) access in the emergency department (ED) can be especially challenging, and physicians often resort to placement of central venous catheters (CVCs). Use of ultrasound-guided peripheral IV catheters (USGPIVs) can prevent many “unnecessary” CVCs, but the true impact of USGPIVs has never been quantified. This study set out to determine the reduction in CVCs by USGPIV placement.
Wesley H. Self, Candace D. McNaughton, Carlos G. Grijalva, Yuwei Zhu, James D. Chappell, John V. Williams, H. Keipp Talbot, David K. Shay, Marie R. Griffin
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.018
Published online: July 16 2012
xThe objective of this study is to evaluate the diagnostic performance of the BinaxNow Influenza A&B rapid antigen test (RAT) in emergency department (ED) patients.
Alberto Conti, Erica Canuti, Yuri Mariannini, Gabriele Viviani, Claudio Poggioni, Vanessa Boni, Riccardo Pini, Simone Vanni, Luigi Padeletti, Gian Franco Gensini
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.022
Published online: July 16 2012
xNovel facilities such as an intensive observation unit and an outpatient clinic could result in improving management of patients presenting with atrial fibrillation (AF).
Chu-Lin Tsai, Ashley F. Sullivan, James A. Gordon, Rainu Kaushal, David J. Magid, David Blumenthal, Carlos A. Camargo Jr.
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.023
Published online: July 16 2012
xThe aim of the study was to investigate racial/ethnic differences in emergency care for patients with joint dislocation.
Yu Chan Kye, Joong Eui Rhee, Kyuseok Kim, Taeyun Kim, You Hwan Jo, Jin Hee Jeong, Jin Hee Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.030
Published online: July 2 2012
xThe prophylactic coadministration of anticholinergics during dissociative sedation has been considered necessary to mitigate ketamine-associated hypersalivation. Given recent conflicting conclusions regarding adjunctive atropine, we compared the incidence of hypersalivation, degree of secretion, and related side effects with atropine or placebo as an adjunct to intravenous (IV) ketamine sedation for children.
Sune Forsberg, Jonas Höjer, Ulf Ludwigs, Harriet Nyström
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.032
Published online: July 16 2012
xPatients presenting unconscious may reasonably be categorized as suffering from a metabolic or structural condition.
Joaquín R. Rodelo, Gisela De la Rosa, Martha L. Valencia, Sigifredo Ospina, Clara M. Arango, Carlos I. Gómez, Alex García, Edilberto Nuñez, Fabián A. Jaimes
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.033
Published online: July 16 2012
xThe aim of the study was to determine whether C-reactive protein (CRP), procalcitonin (PCT), and d-dimer (DD) are markers of mortality in patients admitted to the emergency department (ED) with suspected infection and sepsis.
Salima Ismail, Arielle Lévy, Helena Tikkanen, Marcel Sévère, Franciscus Johannes Wolters, Lionel Carmant
DOI: http://dx.doi.org/10.1016/j.ajem.2011.11.007
Published online: March 2 2012
xFever is the most common precipitant of status epilepticus in children. Animal models suggest that only γ-aminobutyric acidic drugs are effective in the treatment of febrile seizures, but there is limited clinical evidence to support this.
Nir Samuel, Karyn Winkler, Shuny Peled, Baruch Krauss, Itai Shavit
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.010
Published online: March 19 2012
xExternal laryngeal manipulation (ELM) is a technique used in cases of poor glottic view in direct laryngoscopy. Studies investigating ELM in the pediatric population are lacking. The objective of this study was to examine if use of ELM by inexperienced intubators improves the success rate of pediatric intubation.
Bryan D. Hayes, Leila Zaharna, Michael E. Winters, Agnes Ann Feemster, Brian J. Browne, Jon Mark Hirshon
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.027
Published online: March 19 2012
xThe primary objective was to determine if providing patients with a complete course of antibiotics for select conditions would decrease the rate of return to the emergency department (ED) within 7 days of the initial visit.