Document Detail


Emergency room use of transvaginal ultrasonography by obstetrics and gynecology residents.
MedLine Citation:
PMID:  1550155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to evaluate the feasibility and diagnostic value of the emergency room use of transvaginal ultrasonography operated by the obstetrics and gynecology residents. STUDY DESIGN: One hundred sixty-eight patients scanned in the emergency room constituted the study group and were compared with 61 patients for whom emergency room scanning was not available. Scanning and no-scanning days alternated for a 6-month period. The Student t test was used in the analysis. RESULTS: By comparing the two patient groups a statistically significant (p less than 0.0001) difference was seen in the time spent by the group of patients scanned in the emergency room (40 minutes) when compared with that of the patients for whom no emergency room scanning was available (215 minutes). The residents expressed high confidence in the scanning procedure. There were six misdiagnosed cases, three of them nonruptured ectopic gestations. However, none of these patients was discharged without adequate treatment. CONCLUSION: The study confirmed our hypothesis that obstetrics and gynecology residents can operate and should have available ultrasonography machines in the emergency departments to render quicker and better patient care.
Authors:
I Timor-Tritsch; S Greenidge; D Admon; M L Reuss
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  166     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-04-20     Completed Date:  1992-04-20     Revised Date:  2003-04-28    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  866-72     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, New York, NY 10032.
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MeSH Terms
Descriptor/Qualifier:
Education, Medical, Continuing
Emergency Service, Hospital*
Internship and Residency*
Obstetrics and Gynecology Department, Hospital*
Ultrasonography / utilization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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