European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Randomized Controlled Trial
Developing a decision support system for geriatric patients in prehospital care.
To develop a feasible and safe prehospital decision support system (DSS) for the emergency medical services (EMS), facilitating safe steering of geriatric patients to an optimal level of healthcare. ⋯ Using this prehospital DSS - developed for 11 medical conditions - the Swedish prehospital nurse can safely decide on the level of healthcare to which an elderly patient can be steered.
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Randomized Controlled Trial
Tracheal intubation during chest compressions performed by qualified emergency physicians unfamiliar with the Pentax-Airwayscope.
Experienced emergency physicians were recruited and a randomized crossover trial was conducted to compare the performance of the Pentax-Airwayscope (AWS) video-laryngoscope with the Macintosh laryngoscope (McL) for tracheal intubation during continuous chest compressions under three different scenarios: (1) normal airway, (2) limited neck mobility, and (3) tongue edema. ⋯ Although participants were experienced emergency physicians familiar with the McL and unfamiliar with the AWS, the AWS proved to be a better tool than the McL to perform tracheal intubation during continuous chest compressions on a manikin. The AWS should be considered as an initial intubating tool to perform tracheal intubation during continuous chest compressions rather than the McL.
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Randomized Controlled Trial
The effectiveness of patient control analgesia in the treatment of acute traumatic pain in the emergency department: a randomized controlled trial.
Pain seems to be one of the most frequent complaints in the emergency department, however pain control is often suboptimal as seen by many audits. We conducted a study to find out whether the use of patient control analgesia (PCA) is effective in controlling acute pain in the emergency department ⋯ PCA provides more effective pain relief and patient satisfaction when compared with the conventional method of bolus intravenous injection for the relief of traumatic pain in the emergency department setting.
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Randomized Controlled Trial
Efficacy of a self-learning station for basic life support refresher training in a hospital: a randomized controlled trial.
Adult basic life support refresher training using voice feedback manikins has been shown to be feasible, but the superiority of this strategy over instructor-led (IL) refresher training for nurses in a hospital has not been studied in randomized trials. ⋯ This randomized trial in a real-life setting showed that more nurses achieved adequate compression depth, 7 months after IL refresher training compared with training in a SL station. Further research is needed to improve the efficacy of this SL training strategy.
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Randomized Controlled Trial Comparative Study
Use of the TrachView videoscope as an adjunct to direct laryngoscopy for teaching orotracheal intubation.
The main objectives of this study were to assess the ease of the use of the TrachView videoscope and to compare it with direct laryngoscopy (DL) for teaching orotracheal intubation to emergency medicine (EM) medical students. Thirty-seven EM students with no earlier intubation experience were asked to intubate a manikin's trachea using DL alone and DL in combination with the TrachView. This investigation involved a randomized, cross-over study design and each trainee received a 10-min demonstration with each technique before the beginning of the study. ⋯ However, the POGO score improved to 90% (range, 15-100%) with the addition of the TrachView device (P<0.001). The TrachView was considered easy to use by a majority of the EM students and improved visualization of the vocal cords compared with DL alone. The time to achieve successful intubation of the manikin's trachea was shorter when the TrachView was used as an adjunct to DL.