{"id":"https://openalex.org/W7214331127","doi":"https://doi.org/10.5811/westjem.53932","title":"Point-of-Care Ultrasound After Medical Screening Exam Reduces Time to Ruptured Ectopic Pregnancy Diagnosis and Surgery","display_name":"Point-of-Care Ultrasound After Medical Screening Exam Reduces Time to Ruptured Ectopic Pregnancy Diagnosis and Surgery","publication_year":2026,"publication_date":"2026-09-25","ids":{"openalex":"https://openalex.org/W7214331127","doi":"https://doi.org/10.5811/westjem.53932","pmid":"https://pubmed.ncbi.nlm.nih.gov/42900937","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13660607"},"language":"en","primary_location":{"id":"doi:10.5811/westjem.53932","doi":"https://doi.org/10.5811/westjem.53932","is_oa":true,"landing_page_url":"https://doi.org/10.5811/westjem.53932","pdf_url":null,"source":{"id":"https://openalex.org/S2738799989","display_name":"Western Journal of Emergency Medicine","issn_l":"1936-900X","issn":["1936-900X","1936-9018"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Western Journal of Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.5811/westjem.53932","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5152952902","display_name":"Victoria L. Morris","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Victoria L. Morris","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5132592571","display_name":"Michael Vu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Vu","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152904611","display_name":"Yongsu Lee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yongsu Lee","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103406002","display_name":"Evelyn Park","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Evelyn Park","raw_affiliation_strings":["UCLA-Ronald Reagan/Olive View, Olive View, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA-Ronald Reagan/Olive View, Olive View, California","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152816529","display_name":"Ravi Soni","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ravi Soni","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152793147","display_name":"Ryan Walsh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan Walsh","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152906635","display_name":"Rachel Bower","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Bower","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028742889","display_name":"John C. Waller-Delarosa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John C. Waller-Delarosa","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152907045","display_name":"Kunal Sharma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kunal Sharma","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007835084","display_name":"Benjamin L. Karfunkle","orcid":"https://orcid.org/0000-0003-0170-4539","observed_orcids":["https://orcid.org/0000-0003-0170-4539"]},"institutions":[{"id":"https://openalex.org/I49886154","display_name":"Rush University","ror":"https://ror.org/01k9xac83","country_code":"US","type":"education","lineage":["https://openalex.org/I49886154"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin L. Karfunkle","raw_affiliation_strings":["Rush University, Department of Emergency Medicine, Chicago, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rush University, Department of Emergency Medicine, Chicago, Illinois","institution_ids":["https://openalex.org/I49886154"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017305746","display_name":"Richard Duncan Gordon","orcid":"https://orcid.org/0000-0002-4861-148X","observed_orcids":["https://orcid.org/0000-0002-4861-148X"]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard Gordon","raw_affiliation_strings":["McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas"],"raw_orcid":"https://orcid.org/0000-0002-4861-148X","affiliations":[{"raw_affiliation_string":"McGovern Medical School at University of Texas Health Science Center Houston, Department of Emergency Medicine, Houston, Texas","institution_ids":["https://openalex.org/I919571938"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5152952902"],"corresponding_institution_ids":["https://openalex.org/I919571938"],"apc_list":{"value":500,"currency":"USD","value_usd":500},"apc_paid":{"value":500,"currency":"USD","value_usd":500},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.69313503,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":"5","first_page":"1478","last_page":"1484"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12096","display_name":"Ectopic Pregnancy Diagnosis and Management","score":0.8003000020980835,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12096","display_name":"Ectopic Pregnancy Diagnosis and Management","score":0.8003000020980835,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.1793999969959259,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ruptured-ectopic-pregnancy","display_name":"ruptured ectopic pregnancy","score":0.9700000286102295},{"id":"https://openalex.org/keywords/point-of-care-ultrasound","display_name":"point-of-care ultrasound","score":0.9959999918937683},{"id":"https://openalex.org/keywords/emergency-department-crowding","display_name":"emergency department overcrowding","score":0.7289999723434448},{"id":"https://openalex.org/keywords/time-to-operating-room","display_name":"time to operating room","score":0.7850000262260437},{"id":"https://openalex.org/keywords/surgical-management","display_name":"surgical management","score":0.37299999594688416},{"id":"https://openalex.org/keywords/obstetric-consultation","display_name":"obstetric consultation","score":0.7310000061988831},{"id":"https://openalex.org/keywords/emergency-department-length-of-stay","display_name":"emergency department length of stay","score":0.8360000252723694},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.3919999897480011},{"id":"https://openalex.org/keywords/safety-net-hospitals","display_name":"safety-net hospitals","score":0.699999988079071},{"id":"https://openalex.org/keywords/pelvic-ultrasound","display_name":"pelvic ultrasound","score":0.41200000047683716},{"id":"https://openalex.org/keywords/right-upper-quadrant-ultrasound","display_name":"right upper quadrant ultrasound","score":0.8709999918937683},{"id":"https://openalex.org/keywords/first-trimester-pregnancy-complications","display_name":"first-trimester pregnancy complications","score":0.6620000004768372},{"id":"https://openalex.org/keywords/timeliness-of-care","display_name":"timeliness of care","score":0.5799999833106995},{"id":"https://openalex.org/keywords/timing-of-hospital-admission","display_name":"hospital admission timing","score":0.39500001072883606}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9815999865531921},{"id":"https://openalex.org/C2776018949","wikidata":"https://www.wikidata.org/wiki/Q207087","display_name":"Ectopic pregnancy","level":3,"score":0.7915999889373779},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5958999991416931},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5806000232696533},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.4925000071525574},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4821999967098236},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.48019999265670776},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.4796999990940094},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.45879998803138733},{"id":"https://openalex.org/C2780639617","wikidata":"https://www.wikidata.org/wiki/Q6516972","display_name":"Quadrant (abdomen)","level":2,"score":0.4056999981403351},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3776000142097473},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3292999863624573},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.32670000195503235},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.3098999857902527},{"id":"https://openalex.org/C10885799","wikidata":"https://www.wikidata.org/wiki/Q80015","display_name":"Obstetrics and gynaecology","level":3,"score":0.3077000081539154},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3050000071525574},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.28690001368522644}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011271","descriptor_name":"Pregnancy, Ectopic","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011271","descriptor_name":"Pregnancy, Ectopic","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011271","descriptor_name":"Pregnancy, Ectopic","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014463","descriptor_name":"Ultrasonography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D019095","descriptor_name":"Point-of-Care Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.5811/westjem.53932","doi":"https://doi.org/10.5811/westjem.53932","is_oa":true,"landing_page_url":"https://doi.org/10.5811/westjem.53932","pdf_url":null,"source":{"id":"https://openalex.org/S2738799989","display_name":"Western Journal of Emergency Medicine","issn_l":"1936-900X","issn":["1936-900X","1936-9018"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Western Journal of Emergency Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13660607","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13660607/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13660607/pdf/wjem-27-1478.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"West J Emerg Med","raw_type":"Text"},{"id":"pmid:42900937","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42900937","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The western journal of emergency medicine","raw_type":"Journal Article"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt5nt170fs","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/5nt170fs","pdf_url":"https://escholarship.org/content/qt5nt170fs/qt5nt170fs.pdf","source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, vol 27, iss 5","raw_type":"article"},{"id":"pmh:oai:doaj.org/article:d06071d47077477c9a9ab1dfcd906ffb","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/d06071d47077477c9a9ab1dfcd906ffb","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Western Journal of Emergency Medicine, Vol 27, Iss 5, Pp 1478-1484 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.5811/westjem.53932","doi":"https://doi.org/10.5811/westjem.53932","is_oa":true,"landing_page_url":"https://doi.org/10.5811/westjem.53932","pdf_url":null,"source":{"id":"https://openalex.org/S2738799989","display_name":"Western Journal of Emergency Medicine","issn_l":"1936-900X","issn":["1936-900X","1936-9018"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Western Journal of Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214331127.pdf","grobid_xml":"https://content.openalex.org/works/W7214331127.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4402757498","https://openalex.org/W3168965662","https://openalex.org/W3094666201","https://openalex.org/W3201636931","https://openalex.org/W4402289761","https://openalex.org/W7204729371","https://openalex.org/W7143507577","https://openalex.org/W7139981924","https://openalex.org/W2922578198","https://openalex.org/W2034804907"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Ectopic":[1],"pregnancy":[2,78],"remains":[3],"the":[4,37,112,163,167,224,290,327],"leading":[5],"cause":[6],"of":[7,32,41,52,69,146,165,183,221],"first-trimester":[8],"maternal":[9],"mortality.":[10],"Delays":[11],"in":[12,331,338,355],"diagnosis":[13],"and":[14,19,83,101,106,149,190,265],"operative":[15,73,339],"management":[16,74],"increase":[17],"morbidity":[18],"may":[20,351],"be":[21],"exacerbated":[22],"by":[23],"emergency":[24],"department":[25],"(ED)":[26],"crowding.":[27],"We":[28,62],"evaluated":[29,162],"whether":[30],"integration":[31,347],"point-of-care":[33],"ultrasound":[34,110,279],"(POCUS)":[35],"into":[36,111,326],"medical":[38,45,328],"screening":[39,46,94,329],"exam":[40,95],"pregnant":[42],"patients-the":[43],"obstetric":[44,93,138,245,357],"exam-was":[47],"associated":[48,334],"with":[49,56,335],"improved":[50],"timeliness":[51,340],"care":[53],"for":[54,75,156,341],"patients":[55,71,185,222],"surgically":[57],"managed":[58],"ectopic":[59,77,343],"pregnancy.":[60,344],"METHODS:":[61],"conducted":[63],"a":[64,88,209,310],"single-center":[65],"retrospective":[66],"cohort":[67],"study":[68],"adult":[70],"undergoing":[72],"ruptured":[76,342],"between":[79],"January":[80],"1,":[81],"2019,":[82],"December":[84],"31,":[85],"2023,":[86],"at":[87],"county":[89],"safety-net":[90],"hospital.":[91],"The":[92,121,219],"was":[96,124,154,333],"implemented":[97],"July":[98],"12,":[99],"2021,":[100],"incorporated":[102],"focused":[103],"transabdominal":[104],"pelvic":[105],"right":[107],"upper":[108],"quadrant":[109],"initial":[113],"ED":[114,127,144,266,349],"evaluation,":[115],"often":[116],"prior":[117],"to":[118,129,137,141,204,232,244,255,284],"bed":[119],"assignment.":[120],"primary":[122],"outcome":[123],"time":[125,136,140,158,174,195,254,296,317],"from":[126,197,230,282],"arrival":[128],"operating":[130],"room":[131],"(OR).":[132],"Secondary":[133],"outcomes":[134],"included":[135,187],"consultation,":[139],"hospital":[142,256],"admission,":[143],"length":[145],"stay":[147],"(LOS),":[148],"POCUS":[150,325],"use.":[151],"Nonparametric":[152],"testing":[153],"used":[155],"skewed":[157],"data.":[159],"Logistic":[160],"regression":[161],"odds":[164],"reaching":[166,223],"OR":[168,225],"within":[169,226,348],"four":[170,227],"hours.":[171],"Patient-level":[172],"interrupted":[173],"series":[175,297],"analysis":[176,298],"assessed":[177],"temporal":[178],"trends.":[179],"RESULTS:":[180],"A":[181],"total":[182],"150":[184],"were":[186,275],"(87":[188],"pre-":[189],"63":[191],"post-implementation).":[192],"Median":[193],"arrival-to-OR":[194,316],"decreased":[196],"516":[198],"minutes":[199,206],"(interquartile":[200],"range":[201],"[IQR]":[202],"324-709.5)":[203],"391":[205],"(IQR":[207],"220-619),":[208],"125-minute":[210],"reduction":[211],"(P":[212,286,306],"=":[213,241,252,263,273,307,321],".020;":[214],"bootstrap":[215],"95%":[216,237],"CI,":[217,238],"8-233).":[218],"proportion":[220],"hours":[228],"increased":[229,281],"16.1%":[231],"31.8%":[233],"(odds":[234],"ratio":[235],"2.42;":[236],"1.11-5.29;":[239],"P":[240,251,262,272,320],".02).":[242],"Time":[243],"consultation":[246],"(210":[247],"vs":[248,259,269],"146":[249],"minutes;":[250,261,271],".003),":[253],"admission":[257],"(345":[258],"250":[260],".005),":[264],"LOS":[267],"(451":[268],"367":[270],".03)":[274],"all":[276],"reduced.":[277],"Point-of-care":[278],"use":[280],"41.4%":[283],"66.7%":[285],"<":[287],".001),":[288],"while":[289],"remainder":[291],"underwent":[292],"radiology":[293],"ultrasound.":[294],"Interrupted":[295],"demonstrated":[299],"no":[300],"significant":[301,311],"immediate":[302],"change":[303],"after":[304],"implementation":[305],".790),":[308],"but":[309],"postintervention":[312],"trend":[313],"toward":[314],"reduced":[315],"(-0.45":[318],"minutes/day,":[319],".01).":[322],"CONCLUSION:":[323],"Embedding":[324],"examination":[330],"triage":[332],"sustained":[336],"improvement":[337],"Early":[345],"diagnostic":[346],"workflow":[350],"mitigate":[352],"system-level":[353],"delays":[354],"time-sensitive":[356],"emergencies.":[358]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-26T00:00:00"}
