Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2010
Patterns of analgesia for fractured neck of femur in Australian emergency departments.
Fractured neck of femur is a common ED problem and poor pain management in this patient group can contribute significantly to their morbidity. The present study aims to describe current practices for managing pain in patients with fractured neck of femur in Australian ED and to identify real or potential barriers to providing analgesia. ⋯ Oligoanalgesia for fracture neck of femur in Australian ED is common and time to analgesia tends to be relatively slow. Regional techniques are infrequently used despite their recognized efficacy. Strategies for improving pain management in this cohort of ED patients need to be explored.
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The Dutch health-care system provides high-quality inpatient care, but emergency care apart from trauma is poorly developed. A model for emergency medicine based on Anglo-American and Australasian principles was introduced in 2000, and a national integrated training curriculum was introduced in 2007. ⋯ Despite this emergency medicine became a recognized specialty this year (2009). The present paper gives an overview of the Dutch health-care system and the history, current status, training and future development of emergency medicine in the Netherlands.
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Emerg Med Australas · Feb 2010
Comparative StudyMorphometric analysis and clinical application of the working dimensions of cricothyroid membrane in south Indian adults: with special relevance to surgical cricothyroidotomy.
To measure the working dimensions of the cricothyroid membrane in the adult south Indian population and to establish the association between the working dimensions and the appropriate endotracheal tube size for the purpose of cricothyroidotomy. ⋯ Working dimensions are smaller in the Indian group compared with western publications. Endotracheal tubes ranging from size 3.0 to 6.0 might be used for cricothyroidotomy in the adult south Indian population.
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Emerg Med Australas · Feb 2010
Does the standard intravenous solution of fentanyl (50 microg/mL) administered intranasally have analgesic efficacy?
Intranasal (IN) fentanyl provides rapid and powerful non-parenteral analgesia in the ED. A concentrated solution of fentanyl (300 microg/mL) has been used in prior trials, yet many ED use the standard solution at a concentration of 50 microg/mL, which is widely available and of low cost. We set out to determine if this lower concentration of fentanyl is also efficacious. ⋯ Standard i.v. concentration IN fentanyl (50 microg/mL) appears to have analgesic efficacy in children with upper limb injuries.
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Emerg Med Australas · Feb 2010
Editorial CommentChest pain research; no more comparing apples with oranges.