Abstracts

Comparing Point-of-Care Ultrasound With X-Rays in Pediatric Physeal Injuries Take Home Point: Point-of-care ultrasound (POCUS) demonstrated a high sensitivity in detecting traumatic bone and physeal fractures in children. However, it had only moderate concordance with x-rays (XR) in assessing the extension of the fracture into the joint space and Salter-Harris classification. Citation: Gurkan O, Kozaci N, Colak S, et al. Diagnostic accuracy of point-of-care ultrasonography in physeal fractures. Am J Emerg Med. 2026 Feb;100:198-204. doi: 10.1016/j.ajem.2025.12.009 Relevance: Limb injuries in children are a common presentation to urgent care centers (UCCs) …
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Variation in Pretibial Laceration Management Take Home Point: Assessment and management of pretibial lacerations lack consistent standardized guidelines, which is needed to improve patient outcomes. Citation: Shafi S, Shaw A, Koubeh W, et al. Management of pretibial lacerations: A systematic review. Injury. 2026;57(4):113101. doi: 10.1016/j.injury.2026.113101 Relevance: Pretibial lacerations are commonly encountered in both emergency departments (EDs) and urgent care (UC) settings, especially among older adults. Despite their frequency, management approaches vary widely across settings and regions. Study Summary: This was a systematic review conducted and reported in accordance with the …
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Chest X-rays for Abdominal Pain: Physicians’ Perspectives Take Home Point: In this study, emergency medicine physicians expressed favorable attitudes toward evidence-based medicine (EBM), although their clinical practices did not always fully align with the available evidence. Citation: Evans B, Giannotti N, Ekpo E. Examining emergency doctors’ perspectives and attitudes regarding evidence-based medicine and chest radiograph request for abdominal pain. Emerg Med Australas. 2025;37(6):e70178. doi:10.1111/1742-6723.70178 Relevance: Prior literature shows that chest radiographs (CXRs) contribute little to the diagnosis of abdominal pain. Despite this evidence, guideline adoption to avoid CXRs in this …
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Review of Evidence for Links of Autism with Maternal Acetaminophen Use Take Home Point: Existing evidence does not clearly link maternal acetaminophen (paracetamol) use during pregnancy with autism or attention deficit hyperactivity disorder (ADHD) in children. Citation: Sheikh J, Allotey J, Sobhy S, et al. Maternal paracetamol (acetaminophen) use during pregnancy and risk of autism spectrum disorder and attention deficit/hyperactivity disorder in offspring: umbrella review of systematic reviews. BMJ. 2025;391:e088141. doi:10.1136/bmj-2025-088141 Relevance: Recent public discussion has suggested that acetaminophen/paracetamol use during pregnancy is associated with an increased risk of autism …
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Do We Need to Manage Presyncope Similar to Syncope? Take Home Point: Patients with unexplained presyncope and syncope in this study had similar rates of serious cardiac outcomes at 30 days following their initial emergency department (ED) visit. Citation: Suh EH, Sacco DL, Winskill C, et al. Serious Cardiac Outcomes and Physician Estimation of Risk in Emergency Department Patients With Presyncope Versus Syncope. Ann Emerg Med. 2025 23:S0196-0644(25)01155-2. doi:10.1016/j.annemergmed.2025.08.014 Relevance: Patients with presyncope and syncope can present to urgent care (UC) and commonly have a benign etiology. However, occasionally these …
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