Tessa Davis. 6 PEM papers that could change your practice – #6 – getting urine from neonates, Don't Forget the Bubbles, 2014. Available at:
Simon Binks, an Emergency Medicine doc in Wollongong Hospital recently gave an awesome talk on six papers that changed his paediatric emergency medicine practice in the last year. This week we are posting one each day. You can hear the talk on Joe Lex’s Free Emergency Medicine Talks site.
See all the papers and discussion:
Here I summarise the sixth paper he identified and his key points.
6. Getting urine from babies is like getting blood from a stone
We have all spent time pondering over how long to wait for a urine sample and when to just do an in-out catheter or suprapubic aspiration.
A paper in Archives of Disease in Childhood looked at a new way of collecting urine in neonates.
This study looked at 89 patients. They were all neonates – with a mean age of six days.
86% voided within five minutes. The mean time to void was 57 seconds.
Worth a try? I’ve never used this but I intend to now. It would be interesting to know if it can be applied to older infants.
Herreros Fernández ML, González Merino N, Tagarro García A, Pérez Seoane B, de la Serna Martínez M, Contreras Abad MT, García-Pose A. A new technique for fast and safe collection of urine in newborns. Arch Dis Child. 2013 Jan;98(1):27-9.