Abstracts

Developing Procedural Mastery With Slit Lamp Use Take Home Point: Simulation-based mastery learning (SBML) intervention improved emergency physicians’ confidence in performing and teaching slit lamp exams (SLE) to other clinicians, but this confidence waned after completing the training. Citation: Hamou S, Ghiaee S, Chung C, et. al. Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice.  West J Emerg Med. 2024;25(5):725-734. doi: 10.5811/westjem.18514 Relevance: Procedural comfort and competence for a wide variety of minor procedures is a core aspect of urgent care (UC) and emergency medicine (EM) …
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Concussion Recovery in Young Children   Take Home Point: This study suggests that children aged 5-12 years old with concussion have similar trajectories of recovery regardless of mechanism of injury. Citation: Ledoux A, Sicard V, Bijelic V, et. all. Symptom Recovery in Children Aged 5 to 12 Years With Sport-Related and Non–Sport-Related Concussion. JAMA Netw Open. 2024 Dec 2;7(12): e2448797. doi: 10.1001/jamanetworkopen.2024.48797. Relevance: More knowledge about the natural history of concussion in children can help clinicians to more accurately guide parental expectations about recovery and return to sport and school …
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Hematoma Blocks Effective for Closed Forearm Reduction Take Home Point: Hematoma blocks are an effective method of achieving analgesia to facilitate closed reduction of forearm fractures. Citation: Pitman G, Soeyland T, Popovic G, et al. Hematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study. Emerg Med J. 2024; 41:595–601 Relevance: Adequate closed reduction of wrist and forearm fractures acutely after injury is important to reduce risk of complications and need for surgery. Closed wrist and forearm fractures are common urgent care (UC) presentations …
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ECG Interpretation: Humans Vs Machines Take Home Point: In this study, cardiologists and emergency physicians (EP) had greater accuracy for electrocardiogram (ECG) interpretation than current versions of ChatGPT and Gemini. Citation: Günay S, Öztürk A, Yiğit Y. The accuracy of Gemini, GPT-4, and GPT-4o in ECG analysis: A comparison with cardiologists and emergency medicine specialists. Am J Emerg Med. 2024 Oct:84:68-73. doi: 10.1016/j.ajem.2024.07.043. Relevance: Artificial Intelligence (AI) is rapidly evolving and becoming an integral part of clinical medicine and research with large-language models (LLM) being evaluated for many novel applications …
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Sophistication of ECG for Detection of Acute Coronary Syndromes Take Home Point: Cardiac electrical biomarker (CEB), a finding detectable on ECG, may hold potential for identifying patients with acute myocardial ischemia; this may have significant implications for urgent care (UC) based chest pain risk stratification. Citation: Chattopadhyay S, Adjei F, Kardos A. Changes in Cardiac Electrical Biomarker in Response to Coronary Arterial Occlusion: An Experimental Observation. J Cardiovasc Transl Res. 2024 Aug;17(4):870-878. doi: 10.1007/s12265-024-10487-w. Relevance: Evaluation of chest pain is particularly challenging in UC where immediately available troponin blood testing …
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