Journal of accident & emergency medicine
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Multicenter Study Comparative Study Clinical Trial
Can accident and emergency nurse practitioners interpret radiographs? A multicentre study.
To assess the ability of nurse practitioners in accident and emergency (A&E) to interpret distal limb radiographs, by comparison with senior house officers. ⋯ Nurse practitioners in A&E are able to interpret radiographs to a standard equal to senior house officers with three to five months' experience. Those nurse practitioners actively interpreting radiographs as part of their role in minor injury units are able to interpret radiographs to the same standard as senior house officers with more than five months' experience.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Haematoma block or Bier's block for Colles' fracture reduction in the accident and emergency department--which is best?
To offer clear guidance on the anaesthetic management of Colles' fractures in the accident and emergency (A&E) department in the light of the conflict between existing reports and current trends, and to address the issue of alkalinisation of haematoma blocks. ⋯ Bier's block is superior to haematoma block in terms of efficacy, radiological result, and remanipulation rate; transit times are equal, both procedures are practical in the A&E environment, and there were no complications. Bier's block is the anaesthetic management of choice for Colles' fractures requiring manipulation within the A&E department.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Should accident and emergency nurses request radiographs? Results of a multicentre evaluation.
To evaluate whether waiting time in accident and emergency (A&E) departments is shortened when experienced nurses request peripheral limb radiographs before a patient is assessed by a doctor. ⋯ 14 min can be saved by getting the patient to see the nurse first; however, because nurses in three out of four hospitals requested more radiological examinations than doctors, overall only 4 min waiting time was saved when peripheral limb radiographs were requested by nurses. The findings are somewhat against expectations but do identify that specific training and constant monitoring is essential if nurses are to request peripheral limb radiographs, as reflected in hospital C results.
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Multicenter Study Comparative Study
Review of the composition and use of trauma teams within the Trent Region.
The aim of the study was to find the existence, composition and working policies of trauma teams within the Trent Region. Data were obtained by postal survey. Despite many reports indicating a need for a unified multidisciplinary approach to trauma management, this study found that this approach was absent in many hospitals.