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  1. Article ; Online: Can the HEART Score Rule Out Acute Coronary Syndromes in the Emergency Department?

    Finnerty, Nathan M / Weinstock, Michael B

    Annals of emergency medicine

    2018  Volume 72, Issue 6, Page(s) 668–669

    Language English
    Publishing date 2018-01-05
    Publishing country United States
    Document type Editorial
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2017.12.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1344: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Time to Move On: Redefining Chest Pain Outcomes.

    Weinstock, Michael B / Finnerty, Nathan M / Pallaci, Michael

    Journal of the American Heart Association

    2019  Volume 8, Issue 12, Page(s) e012542

    MeSH term(s) Chest Pain/diagnosis ; Chest Pain/etiology ; Emergencies ; Emergency Service, Hospital ; Heart Diseases/complications ; Heart Diseases/diagnosis ; Humans
    Language English
    Publishing date 2019-06-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.119.012542
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Can a Negative High-Sensitivity Troponin Result Rapidly Rule Out Acute Myocardial Infarction?

    Finnerty, Nathan M / Weinstock, Michael B

    Annals of emergency medicine

    2017  Volume 71, Issue 1, Page(s) 122–124

    MeSH term(s) Humans ; Limit of Detection ; Myocardial Infarction ; Troponin I ; Troponin T
    Chemical Substances Troponin I ; Troponin T
    Language English
    Publishing date 2017-10-09
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2017.08.049
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1344: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Coronary Computed Tomography Angiography for Low-Risk Chest Pain.

    Finnerty, Nathan M / Weinstock, Michael B

    Annals of emergency medicine

    2016  Volume 68, Issue 5, Page(s) 645

    MeSH term(s) Chest Pain ; Computed Tomography Angiography ; Coronary Angiography ; Humans
    Language English
    Publishing date 2016-10-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2016.06.003
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1344: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Determining the rate of follow-up after hospital emergency department visits for dental conditions.

    Meyer, Beau / Adkins, Eric / Finnerty, Nathan M / Robinson, Fonda G

    Clinical, cosmetic and investigational dentistry

    2016  Volume 8, Page(s) 51–56

    Abstract: Background: Emergency department (ED) visits for dental reasons continue to impact EDs nationwide. This investigation determined the rate of follow-up in an emergency dental clinic (EDC) after hospital ED visits for nontraumatic dental conditions.: ... ...

    Abstract Background: Emergency department (ED) visits for dental reasons continue to impact EDs nationwide. This investigation determined the rate of follow-up in an emergency dental clinic (EDC) after hospital ED visits for nontraumatic dental conditions.
    Methods: This prospective investigation reports the number of patients who presented to an ED for nontraumatic dental conditions and the rate of follow-up at an EDC. Upon ED discharge, patients were provided instructions to follow-up for low-cost care at the EDC. Telephone contact was attempted following failed referrals. Descriptive statistics were reported for comparing referral sources and demographic trends.
    Results: Two hundred and forty-seven referrals were made and 31% followed up for definitive treatment at the EDC. More referrals were made on weekends than on weekdays. Failed referrals were unreachable by telephone in 75% of cases. Tooth extraction was the most common treatment rendered in the EDC. Of the ED patients who accessed EDC care, 14% became comprehensive patients in the EDC's regular dental clinic.
    Conclusion: Less than one-third of ED referrals to the EDC followed up for definitive care when provided an opportunity to do so, and 75% of referrals were unreachable by telephone in the week following the ED dental visit.
    Language English
    Publishing date 2016-03-30
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2508154-8
    ISSN 1179-1357
    ISSN 1179-1357
    DOI 10.2147/CCIDE.S101195
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  6. Article ; Online: Inferior Vena Cava Measurement with Ultrasound: What Is the Best View and Best Mode?

    Finnerty, Nathan M / Panchal, Ashish R / Boulger, Creagh / Vira, Amar / Bischof, Jason J / Amick, Christopher / Way, David P / Bahner, David P

    The western journal of emergency medicine

    2017  Volume 18, Issue 3, Page(s) 496–501

    Abstract: ... physician sonographers (EP). Gray scale (B-mode) and motion-mode (M-mode) diameters were measured and IVC ... for all M-mode IVCCI were low. Significant interaction effects between anatomical view and EP were observed ... for B-mode and M-mode measurements. Post-hoc analyses revealed difficulty in consistent view acquisition ...

    Abstract Introduction: Intravascular volume status is an important clinical consideration in the management of the critically ill. Point-of-care ultrasonography (POCUS) has gained popularity as a non-invasive means of intravascular volume assessment via examination of the inferior vena cava (IVC). However, there are limited data comparing different acquisition techniques for IVC measurement by POCUS. The goal of this evaluation was to determine the reliability of three IVC acquisition techniques for volume assessment: sub-xiphoid transabdominal long axis (LA), transabdominal short axis (SA), and right lateral transabdominal coronal long axis (CLA) (aka "rescue view").
    Methods: Volunteers were evaluated by three experienced emergency physician sonographers (EP). Gray scale (B-mode) and motion-mode (M-mode) diameters were measured and IVC collapsibility index (IVCCI) calculated for three anatomic views (LA, SA, CLA). For each IVC measurement, we calculated descriptive statistics, intra-class correlation coefficients (ICC), and two-way univariate analyses of variance.
    Results: EPs evaluated 39 volunteers, yielding 351 total US measurements. Measurements of the three views had similar means (LA 1.9 ± 0.4cm; SA 1.9 ± 0.4cm; CLA 2.0 ± 0.5cm). For B-Mode, LA had the highest ICC (0.86, 95% CI [0.76-0.92]) while CLA had the poorest ICC (0.74, 95% CI [0.56-0.85]). ICCs for all M-mode IVCCI were low. Significant interaction effects between anatomical view and EP were observed for B-mode and M-mode measurements. Post-hoc analyses revealed difficulty in consistent view acquisition between EPs.
    Conclusion: Inter-rater reliability of the IVC by EPs was highest for B-mode LA and poorest for all M-Mode IVC collapsibility indices (IVCCI). These results suggest that B-mode LA holds the most promise to deliver reliable measures of IVC diameter. Future studies may focus on validation in a clinical setting as well as comparison to a reference standard.
    Language English
    Publishing date 2017-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375700-0
    ISSN 1936-9018 ; 1936-900X
    ISSN (online) 1936-9018
    ISSN 1936-900X
    DOI 10.5811/westjem.2016.12.32489
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  7. Article ; Online: Clinical Decision Rules for Diagnostic Imaging in the Emergency Department: A Research Agenda.

    Finnerty, Nathan M / Rodriguez, Robert M / Carpenter, Christopher R / Sun, Benjamin C / Theyyunni, Nik / Ohle, Robert / Dodd, Kenneth W / Schoenfeld, Elizabeth M / Elm, Kendra D / Kline, Jeffrey A / Holmes, James F / Kuppermann, Nathan

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2015  Volume 22, Issue 12, Page(s) 1406–1416

    Abstract: Background: Major gaps persist in the development, validation, and implementation of clinical decision rules (CDRs) for diagnostic imaging.: Objectives: The objective of this working group and article was to generate a consensus-based research agenda ...

    Abstract Background: Major gaps persist in the development, validation, and implementation of clinical decision rules (CDRs) for diagnostic imaging.
    Objectives: The objective of this working group and article was to generate a consensus-based research agenda for the development and implementation of CDRs for diagnostic imaging in the emergency department (ED).
    Methods: The authors followed consensus methodology, as outlined by the journal Academic Emergency Medicine (AEM), combining literature review, electronic surveys, telephonic communications, and a modified nominal group technique. Final discussions occurred in person at the 2015 AEM consensus conference.
    Results: A research agenda was developed, prioritizing the following questions: 1) what are the optimal methods to justify the derivation and validation of diagnostic imaging CDRs, 2) what level of evidence is required before disseminating CDRs for widespread implementation, 3) what defines a successful CDR, 4) how should investigators best compare CDRs to clinical judgment, and 5) what disease states are amenable (and highest priority) to development of CDRs for diagnostic imaging in the ED?
    Conclusions: The concepts discussed herein demonstrate the need for further research on CDR development and implementation regarding diagnostic imaging in the ED. Addressing this research agenda should have direct applicability to patients, clinicians, and health care systems.
    MeSH term(s) Clinical Competence ; Clinical Decision-Making/methods ; Consensus Development Conferences as Topic ; Diagnostic Imaging/utilization ; Emergency Medicine ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/standards ; Female ; Health Services Research/organization & administration ; Humans ; Patient-Centered Care ; Quality of Health Care
    Language English
    Publishing date 2015-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.12828
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    Zs.A 4479: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Inferior Vena Cava Measurement With Ultrasound

    Nathan M. Finnerty / Ashish R. Panchal / Creagh Boulger / Amar Vira / Jason J. Bischof / Christopher Amick / David P. Way / David P. Bahner

    Western Journal of Emergency Medicine, Vol 18, Iss 3, Pp 496-

    What is The Best View and Best Mode?

    2017  Volume 501

    Abstract: ... sonographers (EP). Gray scale (B-mode) and motion-mode (M-mode) diameters were measured and IVC collapsibility ... for all M-mode IVCCI were low. Significant interaction effects between anatomical view and EP were observed ... for B-mode and M-mode measurements. Post-hoc analyses revealed difficulty in consistent view acquisition ...

    Abstract Introduction: Intravascular volume status is an important clinical consideration in the management of the critically ill. Point-of-care ultrasonography (POCUS) has gained popularity as a non-invasive means of intravascular volume assessment via examination of the inferior vena cava (IVC). However, there are limited data comparing different acquisition techniques for IVC measurement by POCUS. The goal of this evaluation was to determine the reliability of three IVC acquisition techniques for volume assessment: subxiphoid transabdominal long axis (LA), transabdominal short axis (SA), and right lateral transabdominal coronal long axis (CLA) (aka “rescue view”). Methods: Volunteers were evaluated by three experienced emergency physician sonographers (EP). Gray scale (B-mode) and motion-mode (M-mode) diameters were measured and IVC collapsibility index (IVCCI) calculated for three anatomic views (LA, SA, CLA). For each IVC measurement, we calculated descriptive statistics, intra-class correlation coefficients (ICC), and two-way univariate analyses of variance. Results: EPs evaluated 39 volunteers, yielding 351 total US measurements. Measurements of the three views had similar means (LA 1.9 ± 0.4cm; SA 1.9 ± 0.4cm; CLA 2.0 ± 0.5cm). For B-Mode, LA had the highest ICC (0.86, 95% CI [0.76-0.92]) while CLA had the poorest ICC (0.74, 95% CI [0.56-0.85]). ICCs for all M-mode IVCCI were low. Significant interaction effects between anatomical view and EP were observed for B-mode and M-mode measurements. Post-hoc analyses revealed difficulty in consistent view acquisition between EPs. Conclusion: Inter-rater reliability of the IVC by EPs was highest for B-mode LA and poorest for all M-Mode IVC collapsibility indices (IVCCI). These results suggest that B-mode LA holds the most promise to deliver reliable measures of IVC diameter. Future studies may focus on validation in a clinical setting as well as comparison to a reference standard. [West J Emerg Med. 2017;18(3)496-501.]
    Keywords Inferior vena cava ; Point-of-care ; Ultrasonography ; Variation in inferior vena cava ; Critical illness ; Fluid responsiveness ; Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Language English
    Publishing date 2017-04-01T00:00:00Z
    Publisher eScholarship Publishing, University of California
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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