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Master Thesis

Évaluation d’une filière rapide de prise en charge infirmière des traumatismes de la cheville et/ou du pied aux urgences : étude pilote : ATENA study : Ankle Trauma an Emergency Nurse Assessment

Abstract : Objective: Our aim was to evaluate the ability of nurses to take care of an ankle and/or foot trauma as per the guidelines in effect, in a fast track area. Methods : A pilot study, prospective, monocentric, longitudinal, without randomisation, has been conducted in the Adult Emergency Department of the CHU Nord Grenoble-Alpes (CHUGA) between March and August 2020. A two months training course for nurses who volunteered for the study preceded the enrollment of patients. A telephone follow-up has been conducted at D+30. The assessment of each treatment as per the guidelines has been evaluated by a panel of experts. Results: Fourteen nurses volunteered for the study. Fifteen patients have been included on the expected sixty-six (ongoing study). It was a young population (median age : 32 years old), femal sex on 60 % of cases, with a varus equinus trauma in 86.7 % of cases, primarily in the context of a sport accident. Every radiography done was justified by the Ottawa Ankle and Foot Rules. The sensibility of the nurses for the detection of the fracture by the radiography was of 100 %. No modification of the treatment has been done following the radiologic staff meeting at D+1. No adverse event has been reported at the D+30 follow-up. Satisfaction of the patients was high. Conclusion: The setting up of a fast track area in the treatment of ankle and/or foot trauma at the Emergency Department, by trained nurses seems feasible in an efficient and secured manner.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03018882
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, December 2, 2020 - 2:24:18 PM
Last modification on : Friday, December 4, 2020 - 3:18:39 AM
Long-term archiving on: : Wednesday, March 3, 2021 - 6:26:37 PM

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  • HAL Id : dumas-03018882, version 1

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Adèle Philippe. Évaluation d’une filière rapide de prise en charge infirmière des traumatismes de la cheville et/ou du pied aux urgences : étude pilote : ATENA study : Ankle Trauma an Emergency Nurse Assessment. Médecine humaine et pathologie. 2020. ⟨dumas-03018882⟩

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