European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Randomized Controlled Trial
Antibiotic prophylaxis at triage for simple traumatic wounds: a pilot study.
Antibiotic administration at the time of wound manipulation has not been shown to decrease infection rates for simple traumatic wounds. Antibiotic administration at the time of initial emergency department (ED) presentation, however, has not been explored. Patients presenting to the ED with simple traumatic wounds received 1 g of oral flucloxacillin, or identical placebo, at triage. ⋯ Time from drug administration to wound manipulation was 64.3 min [95% confidence interval (CI) 36.6-91.9] placebo versus 75.0 min (95% CI: 51.7-98.3) flucloxacillin, P=0.657. Six of 36 patients (17%) reported wound infection in the placebo group, and four of 34 (12%) in the flucloxacillin group, P=0.736. Administration of oral flucloxacillin at triage failed to reduce the rate of wound infection for simple traumatic wounds closed in the ED.
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Randomized Controlled Trial
Evaluating the impact of emergency medicine education on medical interns' knowledge scores.
Emergency medicine is a young specialty in Iran. Since 2005, a 4-week rotation has been allocated to emergency medicine instruction for all medical interns during their medical internship in Tehran University of Medical Sciences. ⋯ It seems that emergency medicine rotation improves the medical interns' knowledge in the field of emergency medicine; and their sex, passed medical blocks and the duration of internship do not affect this knowledge.