{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:25:53Z","timestamp":1787019953196,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"NECHC Emergency Medicine Special Purposes Fund"},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"crossref","award":["SOP 168483"],"award-info":[{"award-number":["SOP 168483"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"DOI":"10.1186\/s12245-024-00686-2","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T05:03:38Z","timestamp":1725339818000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Utility of pelvic examination in assessing women with bleeding in early pregnancy: a multicenter Canadian emergency department study"],"prefix":"10.1186","volume":"17","author":[{"given":"Steven","family":"Fisher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Couperthwaite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther H.","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Owusu Mensah","family":"Essel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian H.","family":"Rowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"issue":"2","key":"686_CR1","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1016\/j.annemergmed.2020.08.035","volume":"77","author":"CS Evans","year":"2021","unstructured":"Evans CS. Early pregnancy loss in the Emergency Department: lessons learned as a spouse, New Father, and Emergency Medicine Resident. Ann Emerg Med. 2021;77(2):233\u20136.","journal-title":"Ann Emerg Med"},{"issue":"2","key":"686_CR2","doi-asserted-by":"publisher","first-page":"99","DOI":"10.2146\/ajhp120069","volume":"70","author":"UI Murtaza","year":"2013","unstructured":"Murtaza UI, Ortmann MJ, Mando-Vandrick J, Lee AS. Management of first-trimester complications in the emergency department. Am J Health Syst Pharm. 2013;70(2):99\u2013111.","journal-title":"Am J Health Syst Pharm"},{"issue":"6","key":"686_CR3","doi-asserted-by":"publisher","first-page":"1285","DOI":"10.1097\/AOG.0000000000003571","volume":"134","author":"CA Miller","year":"2019","unstructured":"Miller CA, Roe AH, McAllister A, Meisel ZF, Koelper N, Schreiber CA. Patient experiences with Miscarriage Management in the emergency and ambulatory settings. Obstet Gynecol. 2019;134(6):1285\u201392.","journal-title":"Obstet Gynecol"},{"key":"686_CR4","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1097\/AOG.0000000000004080","volume":"136","author":"SH VanArendonk","year":"2020","unstructured":"VanArendonk SH, Rockhill K, Stickrath EH, Alston MJ. Evaluation of early pregnancy concerns in an early pregnancy unit compared with an Emergency Department. Obstet Gynecol. 2020;136:995\u20131000.","journal-title":"Obstet Gynecol"},{"issue":"6","key":"686_CR5","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1016\/j.jen.2016.05.011","volume":"42","author":"K MacWilliams","year":"2016","unstructured":"MacWilliams K, Hughes J, Aston M, Field S, Moffatt FW. Understanding the experience of miscarriage in the Emergency Department. J Emerg Nurs. 2016;42(6):504\u201312.","journal-title":"J Emerg Nurs"},{"issue":"3","key":"686_CR6","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1016\/j.annemergmed.2012.04.021","volume":"60","author":"SA Hahn","year":"2012","unstructured":"Hahn SA, Lavonas EJ, Mace SE, Napoli AM, Fesmire FM, American College of Emergency Physicians Clinical Policies Subcommittee on Early Pregnancy. Clinical policy: critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy. Ann Emerg Med. 2012;60(3):381\u2013e9028.","journal-title":"Ann Emerg Med"},{"issue":"6","key":"686_CR7","doi-asserted-by":"publisher","first-page":"730","DOI":"10.1111\/j.1552-6909.2009.01075.x","volume":"38","author":"V Bacidore","year":"2009","unstructured":"Bacidore V, Warren N, Chaput C, Keough VA. A collaborative framework for managing pregnancy loss in the emergency department. J Obstet Gynecol Neonatal Nurs. 2009;38(6):730\u20138.","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"issue":"4","key":"686_CR8","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1016\/j.ajem.2010.03.027","volume":"28","author":"WP Hsu","year":"2010","unstructured":"Hsu WP, Hsiao PC. Correspondence to pelvic examination is unnecessary in pregnant patients with a normal bedside ultrasound. Am J Emerg Med. 2010;28(4):532. author reply 532\u2009\u2013\u20093.","journal-title":"Am J Emerg Med"},{"issue":"6","key":"686_CR9","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1136\/emermed-2019-208474","volume":"36","author":"ME McLean","year":"2019","unstructured":"McLean ME, Santiago-Rosado L. Plight of the pelvic exam. Emerg Med J. 2019;36(6):383\u20134.","journal-title":"Emerg Med J"},{"key":"686_CR10","unstructured":"Radecki R. The End of the Emergency Pelvic Exam \u2013 Emergency Medicine Literature of Note. Available online: https:\/\/www.emlitofnote.com\/?p=4022 (Accessed 26 Apr 2023)."},{"issue":"2","key":"686_CR11","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.annemergmed.2018.03.001","volume":"72","author":"K Peyton","year":"2018","unstructured":"Peyton K, Solnick R. What do we learn from an Equivalence Study without Statistical Power? Ann Emerg Med. 2018;72(2):223\u20134.","journal-title":"Ann Emerg Med"},{"issue":"1","key":"686_CR12","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1017\/S1481803500008836","volume":"6","author":"P Rosenberg","year":"2004","unstructured":"Rosenberg P. Medical myth: the usefulness of pelvic exam. CJEM. 2004;6(1):9\u201310.","journal-title":"CJEM"},{"issue":"2","key":"686_CR13","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","volume":"42","author":"PA Harris","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inf. 2009;42(2):377\u201381.","journal-title":"J Biomed Inf"},{"key":"686_CR14","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1287\/msom.2018.0719","volume":"21","author":"Y Ding","year":"2019","unstructured":"Ding Y, Park E, Nagarajan M, Grafstein E. Patient prioritization in Emergency Department Triage Systems: an empirical study of the Canadian triage and acuity scale (CTAS). Manuf Serv Oper Manag. 2019;21:723\u201341.","journal-title":"Manuf Serv Oper Manag"},{"issue":"1","key":"686_CR15","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1046\/j.1442-2026.2003.00400.x","volume":"15","author":"JM Murray","year":"2003","unstructured":"Murray JM. The Canadian triage and acuity scale: a Canadian perspective on emergency department triage. Emerg Med (Fremantle). 2003;15(1):6\u201310.","journal-title":"Emerg Med (Fremantle)"},{"issue":"16","key":"686_CR16","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1001\/jama.2013.3914","volume":"309","author":"JR Crochet","year":"2013","unstructured":"Crochet JR, Bastian LA, Chireau MV. Does this woman have an ectopic pregnancy? The rational clinical examination systematic review. JAMA. 2013;309(16):1722\u20139.","journal-title":"JAMA"},{"issue":"6","key":"686_CR17","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1016\/j.annemergmed.2017.07.487","volume":"70","author":"JA Linden","year":"2017","unstructured":"Linden JA, Grimmnitz B, Hagopian L, Breaud AH, Langlois BK, Nelson KP, et al. Is the pelvic examination still crucial in patients presenting to the Emergency Department with vaginal bleeding or Abdominal Pain when an intrauterine pregnancy is identified on Ultrasonography? A Randomized Controlled Trial. Ann Emerg Med. 2017;70(6):825\u201334.","journal-title":"Ann Emerg Med"},{"issue":"6","key":"686_CR18","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1016\/j.annemergmed.2010.06.563","volume":"56","author":"JC Stein","year":"2010","unstructured":"Stein JC, Wang R, Adler N, Boscardin J, Jacoby VL, Won G, et al. Emergency physician ultrasonography for evaluating patients at risk for ectopic pregnancy: a meta-analysis. Ann Emerg Med. 2010;56(6):674\u201383.","journal-title":"Ann Emerg Med"},{"issue":"2","key":"686_CR19","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.ajem.2008.10.018","volume":"28","author":"A Seymour","year":"2010","unstructured":"Seymour A, Abebe H, Pavlik D, Sacchetti A. Pelvic examination is unnecessary in pregnant patients with a normal bedside ultrasound. Am J Emerg Med. 2010;28(2):213\u20136.","journal-title":"Am J Emerg Med"},{"issue":"2","key":"686_CR20","first-page":"208","volume":"12","author":"J Brown","year":"2011","unstructured":"Brown J, Fleming R, Aristzabel J, Gishta R. Does pelvic exam in the emergency department add useful information? West J Emerg Med. 2011;12(2):208\u201312.","journal-title":"West J Emerg Med"},{"key":"686_CR21","first-page":"120","volume":"8","author":"ME Aronu","year":"2018","unstructured":"Aronu ME, Okafor CO, Mbachu II, Iloraah US, Ikeako L, Okafor CI. A review of the correlation between clinical diagnosis and ultrasound diagnosis in first trimester vaginal bleeding. Ann Med Health Sci Res. 2018;8:120\u20134.","journal-title":"Ann Med Health Sci Res"},{"key":"686_CR22","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1097\/TME.0000000000000269","volume":"41","author":"P Tucker","year":"2019","unstructured":"Tucker P, Evans DD. Are pelvic exams necessary anymore? Adv Emerg Nurs J. 2019;41:282\u20139.","journal-title":"Adv Emerg Nurs J"},{"issue":"5","key":"686_CR23","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.1016\/j.annemergmed.2016.08.457","volume":"69","author":"Ultrasound Guidelines","year":"2017","unstructured":"Ultrasound Guidelines. Emergency, point-of-care and clinical Ultrasound guidelines in Medicine. Ann Emerg Med. 2017;69(5):e27\u201354.","journal-title":"Ann Emerg Med"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-024-00686-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-024-00686-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-024-00686-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T17:02:35Z","timestamp":1725382955000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-024-00686-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,3]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["686"],"URL":"https:\/\/doi.org\/10.1186\/s12245-024-00686-2","relation":{},"ISSN":["1865-1380"],"issn-type":[{"value":"1865-1380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,3]]},"assertion":[{"value":"16 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 August 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study complied with the Declaration of Helsinki (1964) and its later amendments. Written informed consent was obtained from all study participants before enrollment. The study protocol and materials were approved by the Health Research Ethics Board (HREB; reference ID: Pro00047076) at the University of Alberta in Edmonton, Alberta, Canada. Operational and administrative approval was obtained from Alberta Health Services and a data sharing agreement was signed.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Partial results from this study were presented at the 2023 Annual Meeting of the Canadian Association of Emergency Physicians (CAEP), Toronto, ON, <i>Canada<\/i>, May 2023.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Notation of prior abstract publication\/presentation"}}],"article-number":"110"}}