Annals of emergency medicine
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Randomized Controlled Trial Clinical Trial
A randomized clinical trial of continuous-flow nitrous oxide and midazolam for sedation of young children during laceration repair.
To compare the efficacy and complication profile of oral midazolam therapy and continuous-flow 50% nitrous oxide in alleviating anxiety during laceration repair in children 2 to 6 years old. ⋯ For facial suturing in 2- to 6-year-old children, regimens including continuous-flow nitrous oxide were more effective in reducing distress, and had fewer adverse effects and shorter recovery times than midazolam.
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Video imaging of intubation as seen by the laryngoscopist has not been a part of traditional instruction methods, and its potential impact on novice intubation success rates has not been evaluated. ⋯ An instructional videotape made with the direct laryngoscopy video system significantly improved the initial success rates of novice intubators in an operating room setting.
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To describe the type, quantity, and quality of graphics used to present original research in Annals of Emergency Medicine. ⋯ The majority of graphics in Annals of Emergency Medicine, although internally valid, failed to take full advantage of the graphic's potential and often depicted summary data when portrayal of subject-specific data was possible. To help readers fully understand research findings, authors and editors should take care to ensure that graphics efficiently and effectively portray the optimal amount of information.
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To determine the incidence of unrecognized, misplaced endotracheal tubes inserted by paramedics in a large urban, decentralized emergency medical services (EMS) system. ⋯ The incidence of out-of-hospital, unrecognized, misplaced endotracheal tubes in our community is excessively high and may be reflective of the incidence occurring in other communities. Data from other communities are needed to clarify the scope of this alarming issue.