Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
-
Randomized Controlled Trial Clinical Trial
Application of tissue adhesives: rapid attainment of proficiency. Stony Brook Octylcyanoacrylate Study Group.
To evaluate the 3-month cosmetic outcome following laceration repair with a new tissue adhesive, 2-octylcyanoacrylate, as a function of physician experience with this tissue adhesive. ⋯ The 3-month cosmetic appearance of wounds treated with 2-octylcyanoacrylate is equivalent to that with sutures and does not improve as physicians become more experienced with use of this tissue adhesive. These data suggest that physicians can develop competence in application of tissue adhesives with a brief training period.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Intravenous ketorolac vs intravenous prochlorperazine for the treatment of migraine headaches.
To compare i.v. ketorolac with i.v. prochlorperazine as the initial treatment of migraine headaches in the ED. ⋯ Although both drugs were associated with a significant reduction in pain scores, benefit over a placebo agent was not tested. Furthermore, the patients who received prochlorperazine i.v. for migraine headaches had a statistically significant greater decrease in their pain scores than did those receiving ketorolac i.v.
-
Randomized Controlled Trial Clinical Trial
The role of betamethasone in the treatment of acute exudative pharyngitis.
To compare betamethasone with placebo as an adjuvant to antibiotic therapy in the treatment of acute exudative pharyngitis. ⋯ Pain relief was greater and more rapid in patients treated with betamethasone as an adjuvant therapy in acute exudative pharyngitis.
-
Randomized Controlled Trial Clinical Trial
Randomized, controlled trial of inhaled budesonide as an adjunct to oral prednisone in acute asthma.
To compare the clinical effect of nebulized budesonide with placebo in acute pediatric asthma. ⋯ Although these preliminary results suggest that nebulized budesonide may be an effective adjunct to oral prednisone in the management of moderate to severe asthma exacerbations, a larger trial will be required before the widespread use of inhaled budesonide in acute asthma can be advocated.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Intramuscular ketorolac vs oral ibuprofen in emergency department patients with acute pain.
To determine whether i.m. ketorolac is superior to oral ibuprofen in patients presenting to an ED in moderate to severe pain. ⋯ I.m. ketorolac and oral ibuprofen provide comparable levels of analgesia in ED patients presenting with moderate to severe pain. Unfortunately, 40% of all the patients had inadequate pain relief (pain score > or = 5) from either ketorolac or ibuprofen.