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  1. Artikel ; 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  Band 72, Heft 6, Seite(n) 668–669

    Sprache Englisch
    Erscheinungsdatum 2018-01-05
    Erscheinungsland United States
    Dokumenttyp 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
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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

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

    Journal of the American Heart Association

    2019  Band 8, Heft 12, Seite(n) e012542

    Mesh-Begriff(e) Chest Pain/diagnosis ; Chest Pain/etiology ; Emergencies ; Emergency Service, Hospital ; Heart Diseases/complications ; Heart Diseases/diagnosis ; Humans
    Sprache Englisch
    Erscheinungsdatum 2019-06-11
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.119.012542
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; 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  Band 71, Heft 1, Seite(n) 122–124

    Mesh-Begriff(e) Humans ; Limit of Detection ; Myocardial Infarction ; Troponin I ; Troponin T
    Chemische Substanzen Troponin I ; Troponin T
    Sprache Englisch
    Erscheinungsdatum 2017-10-09
    Erscheinungsland United States
    Dokumenttyp 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
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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

    Finnerty, Nathan M / Weinstock, Michael B

    Annals of emergency medicine

    2016  Band 68, Heft 5, Seite(n) 645

    Mesh-Begriff(e) Chest Pain ; Computed Tomography Angiography ; Coronary Angiography ; Humans
    Sprache Englisch
    Erscheinungsdatum 2016-10-22
    Erscheinungsland United States
    Dokumenttyp 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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  5. Artikel: 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  Band 8, Seite(n) 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.
    Sprache Englisch
    Erscheinungsdatum 2016-03-30
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 2508154-8
    ISSN 1179-1357
    ISSN 1179-1357
    DOI 10.2147/CCIDE.S101195
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; 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  Band 18, Heft 3, Seite(n) 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.
    Sprache Englisch
    Erscheinungsdatum 2017-04
    Erscheinungsland United States
    Dokumenttyp 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
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; 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  Band 22, Heft 12, Seite(n) 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-Begriff(e) 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
    Sprache Englisch
    Erscheinungsdatum 2015-12
    Erscheinungsland United States
    Dokumenttyp 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
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; 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  Band 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.]
    Schlagwörter 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
    Sprache Englisch
    Erscheinungsdatum 2017-04-01T00:00:00Z
    Verlag eScholarship Publishing, University of California
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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