Emergency medicine journal : EMJ
-
A short cut review was carried out to establish which of the ice glove technique, the multiple puncture technique, or the application of sugar was the best approach for paraphimosis reduction. Thirty three papers were found using the reported search, of which three 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.
-
Randomized Controlled Trial Clinical Trial
Results of an evaluation of the effectiveness of triage and direct transportation to minor injuries units by ambulance crews.
To evaluate triage and transportation to a minor injury unit (MIU) by emergency ambulance crews. ⋯ MIUs were only used for a small proportion of eligible patients. When they were used, patients and the ambulance service benefited.
-
A short cut review was carried out to establish whether the addition of oral corticosteroids to antihistamines leads to a more rapid resolution of urticaria. Thirty nine papers were found using the reported search, of which two 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.
-
To evaluate thoracic ultrasound for the detection of haemothorax in patients with thoracic trauma against established investigations. ⋯ Emergency ultrasound of the chest performed as part of the primary survey of the traumatised patient can rapidly and accurately diagnose haemothorax and is a valuable tool to augment the immediate clinical assessment of these patients.