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Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice?
- Source :
-
International Journal of Emergency Medicine . 3/27/2018, Vol. 11 Issue 1, p1-1. 1p. - Publication Year :
- 2018
-
Abstract
- Background: Emergency medicine practice in the UK and Ireland offers a junior and middle grade doctor great learning opportunities that force engagement with multiple specialties, life-saving procedures, exposure to a myriad of patient presentations, and opportunities for best practices in medicine.Main body: The emergency department (ED) can be a hectic and dynamic environment; communication from the ED to specialists is essential to ensure best clinical outcomes for patients. The “per rectal” (PR) or “digital rectal exam” (DRE) can be a very difficult diagnostic test for even the most skilled operator to discern pathological versus normal; we propose this is especially the case in the emergency department patient population. Some specialists require this exam performed by an unskilled junior doctor with varying results prior to reviewing a referred and sick patient. The PR/DRE benefits may be limited in the ED setting for some pathologies, and the result of the exam may have limited impact in the overall treatment plan in the ED.Conclusion: This short paper reviews the indications, benefits, shortfalls, and limitations of the PR/DRE in the emergency department setting and offers novel alternatives to maximize best practice, ensure best clinical outcomes for patients, and, to first, do no harm. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DEBATE
*HOSPITAL emergency services
*DIGITAL rectal examination
Subjects
Details
- Language :
- English
- ISSN :
- 18651372
- Volume :
- 11
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Emergency Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 128733441
- Full Text :
- https://doi.org/10.1186/s12245-018-0165-z