Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback

Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback

Methodology: 2.5/5 Usefulness: 2/5 Mathura P, et al. CJEM. 2022 Sep;24(6):636-640. Editorial: When evidence-based medicine and quality improvement collide. Question and Methods: Can we decrease physician ordering of the BUN (blood urea nitrogen) test, using an...
Risk of Traumatic Brain Injuries in Infants Younger than 3 Months With Minor Blunt Head Trauma

Risk of Traumatic Brain Injuries in Infants Younger than 3 Months With Minor Blunt Head Trauma

Methodology: 3/5 Usefulness: 3.5/5 Abid Z, et al. Ann Emerg Med. 2021 Sep;78(3):321-330.e1.  Question and Methods: The study assessed the risk of brain injuries and fractures among infants <3 months with/without PECARN low-risk criteria by secondary analysis of...
Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial

Dexamethasone and ketorolac compare with ketorolac alone in acute renal colic: A randomized clinical trial

Methodology: 2.5/5 Usefulness: 2.5/5 Razi A, et al. Am J Emerg Med. 2022 Aug;58:245-250.  Question and Methods: This single-center, RCT of 120  patients with acute renal colic compared pain control and antiemetic use with dexamethasone + ketorolac compared to...
High-Sensitivity Cardiac Troponin on Presentation to Rule Out Myocardial Infarction: A Stepped-Wedge Cluster Randomized Controlled Trial

High-Sensitivity Cardiac Troponin on Presentation to Rule Out Myocardial Infarction: A Stepped-Wedge Cluster Randomized Controlled Trial

Methodology: 3.5/5 Usefulness: 3.5/5 Anand A, et al. Circulation. 2021 Jun 8;143(23):2214-2224.  Raising the Bar for Clinical Cardiac Troponin Research Studies and Implementation Science.  Question and Methods: Does implementation of an early rule-out (ERO) strategy...