Journal of accident & emergency medicine
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Randomized Controlled Trial Clinical Trial
Triage nurse requested x rays--are they worthwhile?
To study an established triage nurse x ray requesting system to determine whether sending defined groups of patients for radiography before assessment by doctors or emergency nurse practitioners (ENPs) resulted in shorter waiting times for patients without compromising quality of care. ⋯ A triage nurse x ray requesting system speeds up the progress of walking wounded patients through the department without compromising service quality. Further benefits are staff and patient satisfaction and a greater sense of team working for all staff.
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Randomized Controlled Trial Comparative Study Clinical Trial
Oral midazolam for conscious sedation of children during minor procedures.
To compare the safety and efficacy of two doses of oral midazolam, and to assess the drug induced amnesia obtained, when used for conscious sedation of children undergoing minor procedures in the accident and emergency (A&E) setting. ⋯ At 0.5 mg/kg oral midazolam appears safe and is effective in sedating most children for minor procedures. Its use should be considered by all A&E departments dealing with children.
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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 Comparative Study Clinical Trial
Intravenous chlorpromazine versus intramuscular sumatriptan for acute migraine.
To establish whether there is any difference in the efficacy of a chlorpromazine regimen and a sumatriptan regimen for the management of the pain of acute severe migraine. ⋯ The chlorpromazine and sumatriptan regimens studied are both very effective for the relief of the headache of severe migraine.
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Randomized Controlled Trial Clinical Trial
Alkalinisation of lignocaine to reduce the pain of digital nerve blockade.
To see if the alkalinisation of lignocaine caused a reduction in the pain of injection for digital nerve blockade. ⋯ Alkalinisation of lignocaine reduces the pain of injection for digital nerve blockade.