BUCKLED: Bedside ultrasound conducted in kids with distal upper limb fractures in the emergency department (observational trial)
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Abstract
Forearm fractures in children are a common presentation to the Emergency Department. Paediatric distal forearm fractures account for almost a third of all fractures in children, with a significant proportion of these diagnosed as buckle (torus) type fractures. These fractures are unique to children, occurring due to deformation of the metaphysis within a thick and strong periosteum. Point-of-care ultrasound has increasing utility in the diagnosis of non-angulated distal forearm fractures given that it is rapid, highly accurate, well-tolerated, and does not involve ionising radiation. Emergency Nurse Practitioners are utilised in the ambulatory care area, where they provide high-quality, cost-effective care. Given that NPs are heavily relied upon for the diagnosis and management of paediatric fractures, it was hypothesised that teaching them to diagnose distal forearm buckle fractures with a rapid POCUS protocol (i.e. less than 10 minutes) could potentially lead to time and resource savings, given that these patients can be appropriately discharged in a wrist splint.
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Ultrasound in Medicine & Biology
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45
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Biomedical and clinical sciences
Clinical sciences
Emergency medicine
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Snelling, P, BUCKLED: Bedside ultrasound conducted in kids with distal upper limb fractures in the emergency department (observational trial), Ultrasound in Medicine & Biology, 2019, 45, pp. S64-S65