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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

SALAD Demonstration w the SSCOR DuCanto Catheter

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viernes, 10 de marzo de 2017

Triage ECGs

R.E.B.E.L.EM - March 9, 2017
Ref. Hughes KE et al. Safety of Computer Interpretation of Normal Triage Electrocardiograms. 
Acad Emerg Med 2017; 24(1): 120 – 24. PMID: 27519772
"Background: Lets face it. All of us have been interrupted by the onslaught of triage ECGs for interpretation. This constant flow of pink paper with black scribble causes frequent task switching, interrupts train of thought, and ultimately can lead to medical errors, which affects the patients in front of us. On the other hand, it is important to avoid delays in care and, in accordance with the American Heart Association guidelines, ECGs in triage should be obtained and interpreted by an attending emergency physician within 10 minutes of arrival to the emergency department for any patients with concerns of acute coronary syndrome. Is there a way to maybe minimize the number of interruptions?...
Author Conclusion:Our data suggest that triage ECGs identified by the computer as normal are unlikely to have clinical significance that would change triage care. Eliminating physician review of triage ECGs with a computer interpretation of normal may be a safe way to improve patient care by decreasing physician interruptions.”
Clinical Take Home Point: Although this is a small, single center study, who’s results need to be replicated, this seems like a very feasible intervention to try and reduce one of the most common interruptions encountered by EM physicians at the work place."