Extensive laboratory testing is often performed in the emergency department evaluation of the new-onset seizure patient. To determine the utility of such testing, a prospective study of patients with a new-onset seizure presenting to the ED of an inner-city, university-affiliated teaching hospital w
Efficacy of a “Standard” seizure workup in the Emergency Department
✍ Scribed by R Eisner; T Turnbull; D Howes; I Gold
- Publisher
- Elsevier Science
- Year
- 1985
- Tongue
- English
- Weight
- 146 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
✦ Synopsis
sential to use a valid scale that requires no extra tasks beyond stabilization and transport. A scoring system suited for prehospital care was sought, using a microcomputer to develop and verify progressive simplifications. Data elements were uniformly graded and limited to objectifiable observations routinely made at trauma scenes; impossible or redundant element value combinations were identified and excluded. This process produced a scale, the Jax System (JS), nearly identical to a grading of vital signs, with performance comparable to the CTS. Because JS contains only 4 routinely assessed data elements {respiratory rate, blood pressure, pulse, and neurological), it represents a significant improvement in applicability for prehospital scoring. High-degree correlation between the 2 systems was confirmed by computergenerated comparisons of each of the 18,000 possible CTS scoring combinations with its JS counterpart.
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