Annals of emergency medicine
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Review Case Reports
Tracheal rupture and the creation of a false passage after emergency intubation.
Endotracheal intubation is a common emergency department procedure with rare but potentially life-threatening complications. A systematic review of the literature demonstrated that all patients with traumatic tracheal rupture after endotracheal intubation could be adequately ventilated despite tracheal perforation. We report an unusual case of tracheal perforation in which the patient could not be effectively ventilated because of the creation of a false passage caused by the endotracheal tube adjacent to the posterior wall of the trachea.
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Randomized Controlled Trial Clinical Trial
Application of topical local anesthetic at triage reduces treatment time for children with lacerations: a randomized controlled trial.
We determine whether application of topical local anesthetic at triage reduces total treatment time for children with simple lacerations. ⋯ The application of ALA at triage significantly reduces total treatment time for children with simple lacerations.
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Multicenter Study
Validation of the Ottawa Knee Rule in children: a multicenter study.
The main objective of this study was to determine the sensitivity and specificity of the Ottawa Knee Rules when they were applied to children. The secondary objective was to determine post hoc whether use of the rules would reduce the number of knee radiographs ordered. ⋯ The Ottawa Knee Rules are valid in children and have the potential to decrease the use of radiography in children with knee injuries.
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Randomized Controlled Trial Clinical Trial
Does using heat with eutectic mixture of local anesthetic cream shorten analgesic onset time? A randomized, placebo-controlled trial.
We determine whether the addition of heat to topical eutectic mixture of local anesthetic (EMLA) cream shortens the onset time to effective analgesia. We hypothesized that applying EMLA cream for 20 minutes with an external heat pack would be as effective as the standard 60-minute application time. ⋯ Applying EMLA cream for 20 minutes with heat provides intermediate analgesia for intravenous catheter placement, although 60 minutes of application time remains superior.
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In Williamsburg, VA, April 17 to 20, 1994, the Josiah Macy, Jr. Foundation sponsored a conference entitled "The Role of Emergency Medicine in the Future of American Medical Care," a report on which was published in Annals in 1995. This report promulgated recommendations for the development and enhancement of academic departments of emergency medicine and a conference to develop an agenda for research in emergency medicine. The American College of Emergency Physicians' Research Committee, along with several ad hoc members, presents updates in several of the areas addressed by the Macy Report and subsequent conferences, as a status report for the development of emergency medicine research as a whole, as of late 2002.