The American journal of emergency medicine
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Randomized Controlled Trial
Pain management of acute limb trauma patients with intravenous lidocaine in emergency department.
This study was designed to assess the possible superiority of intravenous lidocaine to morphine for pain management. ⋯ The reduction in pain score using IV lidocaine is not superior to IV morphine in adult ED patients with traumatic limb pain.
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Review Meta Analysis
Association between body mass index and clinical outcomes of patients after cardiac arrest and resuscitation: A meta-analysis.
Obesity as one of the risk factors for cardiovascular diseases increases mortality in general population. Several clinical studies investigated clinical outcomes in patients with different body mass index (BMI) after cardiac arrest (CA). Controversial data regarding BMI on clinical outcomes in those patients exist in those studies. Therefore, we conducted a meta-analysis to evaluate the effect of BMI on survival condition and neurological prognosis in those patients. ⋯ Low BMI was associated with lower survival rate in CA patients. Overweight was associated with a higher survival rate and better neurological recovery. Clinical outcomes did not differ between obese and normal weight patients. Further studies are needed to explore the underlying mechanisms.
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Review Meta Analysis
Ketamine versus ketamine pluses atropine for pediatric sedation: A meta-analysis.
The application of atropine for pediatric sedation in the emergency department remains controversial. Our objective was to perform a comprehensive review of the literature and assess the clinical indexes in groups with and without atropine use. ⋯ Based on the current evidence, the group receiving atropine had reduced hypersalivation and increased rash and tachycardia; no differences were observed in nausea, vomiting, desaturation, agitation and laryngospasm between the two groups. Given that some of the studies were of low quality, additional high-quality randomized controlled trials should be conducted to further verify these findings.
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Observational Study
Assessment of five different probes for lung ultrasound in critically ill patients: A pilot study.
The present study was aimed at comparing the diagnosis concordance of five echo probes of lung ultrasound (LUS) with CT scans in intensive care and emergency patients with acute respiratory failure. ⋯ Among the probes tested for LUS in acute patients, the cardiac probe of conventional machines and the linear probes of PUDs provide good diagnosis concordance with CT scans when performed by an expert and trained physician, but not by residents.