Emergency medicine journal : EMJ
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Two cases are described of cardioversion from stable supraventricular tachycardia after venepuncture. In both cases usual vagal manoeuvres at home and in the casualty department were unsuccessful. However, attempts to site intravenous cannulas by the attending medical staff terminated his supraventricular tachycardia. Venepuncture is probably the commonest vagal manoeuvre performed in hospital but has not previously been reported as a method of cardioversion.
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Case Reports Comparative Study
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Plaster or functional splint in gamekeepers thumb.
A short cut review was carried out to establish whether a plaster of Paris or functional splint was better for treatment of ulnar collateral ligament rupture. Altogether 50 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are tabulated. A clinical bottom line is stated.
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Case Reports Comparative Study
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Staples or sutures in children with scalp lacerations.
A short cut review was carried out to establish whether staples are better than sutures for scalp wound repair in children. Eight papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are tabulated. A clinical bottom line is stated.
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A short cut review was carried out to establish whether it is necessary to carry out further imaging in order to identify clinically significant renal injury in patients with microscopic haematuria after blunt abdominal trauma. Altogether 57 papers were found using the reported search, of which 10 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
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Comparative Study
Tracheal intubation by novice staff: the direct vision laryngoscope or the lighted stylet (Trachlight)?
To compare the ease of use of the direct vision laryngoscope and the lighted stylet (Trachlight) by novice staff. ⋯ The results show that the use of the conventional direct vision laryngoscope in novices is associated with significantly shorter mean intubation times and higher success rates on the first attempt compared with the Trachlight.