Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2008
Randomized Controlled Trial Comparative StudyComparison of high- and low-fidelity mannequins for clinical performance assessment.
A pilot study exploring the differences between high- and low-fidelity mannequins in the assessment of clinical performance. ⋯ There was no significant objective difference between the two mannequins.
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Emerg Med Australas · Aug 2008
Randomized Controlled TrialDelayed versus immediate urethral catheterization following instillation of local anaesthetic gel in men: a randomized, controlled clinical trial.
The product information for local anaesthetic (lignocaine) gel recommends a delay of 'several minutes' between gel instillation and urethral catheterization in men. However, pilot data indicate that approximately half of physicians omit this delay. We aimed to compare the discomfort of urethral catheterization performed immediately or after a 2 min delay following instillation of local anaesthetic gel. ⋯ A 2 min delay following instillation of local anaesthetic gel before urethral catheterization in men does not decrease the pain of the procedure.
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Emerg Med Australas · Oct 2007
Randomized Controlled Trial Comparative StudyLignocaine is a better analgesic than either ethyl chloride or nitrous oxide for peripheral intravenous cannulation.
Peripheral intravenous (i.v.) cannulation is a painful, frequently performed ED procedure. It is common practice in other medical settings to offer analgesia prior to cannulation. ⋯ The present trial confirms the findings of Harris and colleagues that lignocaine reduces the pain of cannulation in the ED. Lignocaine reduced the pain of i.v. cannulation more effectively than entonox or ethyl chloride.
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Emerg Med Australas · Aug 2007
Randomized Controlled Trial Comparative StudyComparison of lignocaine and water-based lubricating gels for female urethral catheterization: a randomized controlled trial.
It is standard practice to use lignocaine gel during male urethral catheterization. However, it is commonly believed that topical anaesthetic confers no benefit during female catheterization hence lubricating gel alone is more commonly used. The present study aimed to determine whether lignocaine gel decreased pain compared with water-based lubricating gel for female urethral catheterization in the ED. ⋯ Lignocaine gel substantially reduces the procedural pain of female urethral catheterization by comparison with use of a water-based lubricating gel.
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Emerg Med Australas · Jun 2007
Randomized Controlled TrialRandomized controlled trial of an instructional DVD for clinical skills teaching.
To determine the efficacy of clinical skills teaching using a DVD-based teaching medium (interventional group) compared with the traditional, four-step, face-to-face approach (control group). The clinical skill selected for the study was that of paediatric intraosseous (IO) needle insertion. ⋯ The study suggests that the use of instructional DVD for clinical skills teaching results in improved learning outcomes compared with the traditional face-to-face didactic teaching method.