Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la médecine rurale : le journal officiel de la Société de médecine rurale du Canada
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The Canadian Emergency Department Triage and Acuity Scale (CTAS) was implemented in 1999. The CTAS aims to more accurately define patients' needs for timely care and provide operating objectives to standardize this care. These objectives are not being met across Ontario. The purpose of this study was to determine if the CTAS benchmarks were being met at a rural emergency department (ED). ⋯ The CTAS guidelines for PIA were met at this rural ED.
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Review Meta Analysis
Use of intra-articular lidocaine as analgesia in anterior shoulder dislocation: a review and meta-analysis of the literature.
The shoulder joint is the most commonly injured major joint in patients who present to the hospital emergency department today. In the community the incidence of shoulder joint injuries is 11.2 cases per 100,000 person-years. Traditionally, procedural sedation and analgesia (PSA) has been used to facilitate the reduction of anterior shoulder dislocations. However, there are risks of complication, such as respiratory depression, particularly in certain populations. As such, the use of intra-articular lidocaine (IAL) has been suggested as an alternative method of analgesia. ⋯ Although more research is this area is merited, physicians may consider IAL as an alternative to PSA in the management of anterior shoulder dislocations.