Tucker Paula, Evans Dian Dowling
Nell Hodgson Woodruff School of Nursing, Emory University Atlanta, Georgia.
Adv Emerg Nurs J. 2019 Oct/Dec;41(4):282-289. doi: 10.1097/TME.0000000000000269.
This article, "Is the pelvic examination still crucial in patients presenting to the emergency department (ED) with vaginal bleeding or abdominal pain when an intrauterine pregnancy is identified on ultrasonography? A randomized controlled trial," by J. A. ) seeks to determine whether excluding a pelvic examination among patients presenting to the ED with first-trimester vaginal bleeding or lower abdominal pain, and indication of intrauterine pregnancy recorded on ultrasound increases morbidity. The findings are discussed in the context of changing practice and patient preference. Emergency nurse practitioners should remain informed about changing practices to ensure that patients receive safe care. Although pelvic examination does provide additional information for specific clinical conditions, the current practice to always include it in the evaluation of a pregnant patient with vaginal bleeding or pelvic pain may no longer be relevant given the improved diagnostic capabilities available within the ED setting.
本文《超声检查发现宫内妊娠时，对急诊科出现阴道出血或腹痛的患者进行盆腔检查是否仍至关重要？一项随机对照试验》，作者J.A. 旨在确定，对于在急诊科出现孕早期阴道出血或下腹痛且超声检查记录有宫内妊娠迹象的患者，不进行盆腔检查是否会增加发病率。研究结果在实践变化和患者偏好的背景下进行了讨论。急诊护士从业者应随时了解实践的变化，以确保患者得到安全护理。虽然盆腔检查确实能为特定临床情况提供额外信息，但鉴于急诊科现有诊断能力的提高，目前在评估有阴道出血或盆腔疼痛的孕妇时总是进行盆腔检查的做法可能不再适用。
