The American journal of emergency medicine
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Randomized Controlled Trial Comparative Study
Efficacy and safety of nebulized morphine given at 2 different doses compared to intravenous titrated morphine in trauma pain.
Our aim was to compare the efficacy and safety of intravenous (IV) titrated morphine with nebulized morphine given at 2 different doses in severe traumatic pain. ⋯ Nebulized morphine using boluses of 10 mg has similar efficacy and better safety than IV titrated morphine in patients with severe posttraumatic pain. Increasing nebulized boluses to 20 mg increases the effectiveness without increasing side effects.
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Randomized Controlled Trial
Child endotracheal intubation with a Clarus Levitan fiberoptic stylet vs Macintosh laryngoscope during resuscitation performed by paramedics: a randomized crossover manikin trial.
The main cause of cardiac arrest in pediatric patients is respiratory failure. ⋯ This study suggested that the FPS could be used as an option for airway management even for paramedics with little experience. Future studies should explore the efficacy of FPS in pediatric clinical emergency settings.