Annals of emergency medicine
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To determine the level of universal precautions compliance in a hospital emergency department by two methods (direct observation of subjects versus self-reporting by questionnaire). ⋯ Universal precautions are not consistently used by ED personnel, and ED personnel significantly overestimate their compliance with universal precautions.
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Randomized Controlled Trial Clinical Trial
Ketorolac for sickle cell vaso-occlusive crisis pain in the emergency department: lack of a narcotic-sparing effect.
To determine if a single dose of intramuscular ketorolac given on presentation to the emergency department has a narcotic-sparing effect in adult patients with sickle cell vaso-occlusive crisis pain. ⋯ The use of intramuscular ketorolac did not lead to a clinically significant reduction in the requirement for narcotics during the four-hour ED treatment period.
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Randomized Controlled Trial Comparative Study Clinical Trial
Rapid-sequence intubation of head trauma patients: prevention of fasciculations with pancuronium versus minidose succinylcholine.
Fasciculations during rapid-sequence intubation may lead to increased intracranial pressure and emesis with aspiration. Standard rapid-sequence intubation requires a nondepolarizing blocking agent before succinylcholine administration. ⋯ Pretreatment with minidose succinylcholine causes no greater incidence of fasciculations than pancuronium in rapid-sequence intubation of head trauma patients in an ED setting. Thus succinylcholine may be used as the sole paralytic agent in rapid-sequence intubation of head trauma patients.
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Randomized Controlled Trial Comparative Study Clinical Trial
Use of comparison radiographs in the diagnosis of traumatic injuries of the elbow.
To determine whether comparison radiographic views of the uninjured elbow result in increased diagnostic accuracy in elbow trauma. ⋯ Comparison radiographs of the uninjured elbow did not improve diagnostic accuracy in elbow trauma in the pediatric emergency department.