Missing elbow fractures, and consulting the elders: November 2024 Primary Survey

Upper limb injuries make up about three-quarters of the limb injuries to children seen in the emergency department. But when it comes to the elbow, just how good are clinicians at diagnosing based on radiography? The first paper this month is a study putting over 300 global participants to the test. There's also a practice review highlighting the concept of shared decision making with frail elderly patients, a discussion of biomarkers for aortic dissection detection, more on telephone triage, and an interesting questionnaire on patient experience.

Read the issue highlights: November 2024 Primary Survey

Articles discussed in this episode:

• Black and white: how good are clinicians at diagnosing elbow injuries from paediatric elbow radiographs alone?
• Person-centred decisions in emergency care for older people living with frailty: principles and practice
• Use of emergency departments by children and young people following telephone triage: a large database study
• The wisdom of elders: a new patient experience survey for older patients could tell us how to fix our emergency departments for everyone
• Psychometric validation of a patient-reported experience measure for older adults attending the emergency department: the PREM-ED 65 study
• Diagnostic accuracy of alternative biomarkers for acute aortic syndrome: a systematic review

Links:

• Understanding escalation area and corridor care in UK emergency departments (UNCORKED)

The EMJ podcast is hosted by:

Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)

Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)

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