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10.1186/s13089-017-0066-z http://scihub22266oqcxt.onion/10.1186/s13089-017-0066-z C5422216!5422216!28484942     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Crit+Ultrasound+J 2017 ; 9 (ä): ä Nephropedia Template TP {{tp|p=28484942|t=2017. Minimal training sufficient to diagnose pediatric wrist fractures with ultrasound |pdf=|usr=}}{{28484942}} gab.com Text Minimal training sufficient to diagnose pediatric wrist fractures with ultrasound JO: Crit Ultrasound J http://www.kidney.de/pget.php?&tw=1&pmid=28484942 #FOAvip Background: In children, non-fractured wrists generally need no treatment and those that are fractured may only require a 3-week cast without any clinical follow-up. The ability to perform a point-of-care triage decision if radiographs are needed could improve patient flow and decrease unnecessary radiographs. The aim of this study was to evaluate the role of ultrasound (US) as a point-of-care triage tool for pediatric wrist injuries with limited training. Methods: Physicians with no previous US experience attended a 1.5 h course in the use of US to diagnose distal radius fractures at the Emergency Department (ED). The physicians firstly used US to diagnose a potential fracture and, if the patient had a fracture, grouped the patient according to how they wanted him/her to be treated based on US. The physician then interpreted the subsequent radiographs and decided on a treatment based on this information. Consultant traumatologists and a senior radiologist established a gold standard for correct treatment and radiological diagnosis, respectively. Results: One hundred and sixteen injuries in 115 patients were included. The ED physician identified 75 fractures on radiographs. With the exception of a minimal buckle fracture, all were identified on US. US had a tendency to interpret complete fractures on radiographs as incomplete (n = 7) leading to incorrect treatment decisions. Conclusions: In the hands of an US novice, US examination is comparable with radiographs as a point-of-care tool to distinguish a fractured wrist from a non-fractured one. US is not, however, as good as radiographs for placing fractured wrists into the correct treatment group. Level of Evidence: Level III. Diagnostic study of non-consecutive patients. Electronic supplementary material: The online version of this article (doi:10.1186/s13089-017-0066-z) contains supplementary material, which is available to authorized users. Twit Text FOAVip Minimal training sufficient to diagnose pediatric wrist fractures with ultrasound ????Crit Ultrasound J http://www.kidney.de/pget.php?&tw=1&pmid=28484942 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28484942 #FOAvip English Wikipedia <ref>{{Cite pmid|28484942}}</ref> Minimal training sufficient to diagnose pediatric wrist fractures with ultrasound #MMPMID28484942 Hedelin H; Tingström C; Hebelka H; Karlsson J Crit Ultrasound J 2017[]; 9 (ä): ä PMID28484942show ga Background: In children, non-fractured wrists generally need no treatment and those that are fractured may only require a 3-week cast without any clinical follow-up. The ability to perform a point-of-care triage decision if radiographs are needed could improve patient flow and decrease unnecessary radiographs. The aim of this study was to evaluate the role of ultrasound (US) as a point-of-care triage tool for pediatric wrist injuries with limited training. Methods: Physicians with no previous US experience attended a 1.5 h course in the use of US to diagnose distal radius fractures at the Emergency Department (ED). The physicians firstly used US to diagnose a potential fracture and, if the patient had a fracture, grouped the patient according to how they wanted him/her to be treated based on US. The physician then interpreted the subsequent radiographs and decided on a treatment based on this information. Consultant traumatologists and a senior radiologist established a gold standard for correct treatment and radiological diagnosis, respectively. Results: One hundred and sixteen injuries in 115 patients were included. The ED physician identified 75 fractures on radiographs. With the exception of a minimal buckle fracture, all were identified on US. US had a tendency to interpret complete fractures on radiographs as incomplete (n = 7) leading to incorrect treatment decisions. Conclusions: In the hands of an US novice, US examination is comparable with radiographs as a point-of-care tool to distinguish a fractured wrist from a non-fractured one. US is not, however, as good as radiographs for placing fractured wrists into the correct treatment group. Level of Evidence: Level III. Diagnostic study of non-consecutive patients. Electronic supplementary material: The online version of this article (doi:10.1186/s13089-017-0066-z) contains supplementary material, which is available to authorized users. äMinimal training sufficient to diagnose pediatric wrist fractures with(epmc).pdf DeepDyve Pubget Overpricing