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Paper Chase #2 - Faster Clean Catch Urine Collection

Nate Finnerty, MD and Brett Ebeling, MD
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03:42
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No me gusta!

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Bottom line: Suprapubic cutaneous stimulation with cold fluid resulted in faster voiding

for clean catch urine collection from infants in the acute care setting.

 

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William M. -

I referred to this article today when I was in need of obtaining urine from a 1 yo male presenting to my ED with non-specific abdominal discomfort. However, we tried a variant on the approach described in this paper. Because we anticipated a need to perform a bedside ultrasound to examine for various pathology, we cleaned off our male patient's genitals real well and placed a bag on to collect the urine, and used cold ultrasound jelly and ultrasound probe as the stimulus for urination. About 1-2 minutes into sweeping the abdomen looking for intussuception the child produced a nice stream of urine into the bag. It worked really well!

Mike W., MD -

Sounds like an idea for a new study... we are always apologizing for cold US gel, maybe now our patients will appreciate it!

Sylvia Z. -

Definitely trying this next UA I need on an infant! I feel cath specimens are so cruel, why not try this first!!!

Mike W., MD -

Excellent!!
M

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Lacs Gone Wild!!! Full episode audio for MD edition 178:28 min - 84 MB - M4AHippo Urgent Care RAP - October 2017 Written Summary 353 KB - PDF