Emergency medicine journal : EMJ
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Randomized Controlled Trial Comparative Study Clinical Trial
Percutaneous regional compared with local anaesthesia for facial lacerations: a randomised controlled trial.
Facial lacerations are usually repaired after local infiltration of an anaesthetic agent. Regional nerve blocks of the face offer several theoretical advantages over local infiltration. This study compared the pain of injection and anaesthetic efficacy of percutaneous regional and local anaesthesia for facial lacerations. ⋯ Local infiltration of anaesthetics for facial lacerations is less painful and results in more effective anaesthesia than percutaneous regional infiltration.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomised controlled trial of patient controlled analgesia compared with nurse delivered analgesia in an emergency department.
To compare effectiveness, safety, and patient satisfaction of patient controlled analgesia (PCA) with titrated, intravenous opioid injections for the management of acute traumatic pain in the emergency department (ED). ⋯ PCA is at least as effective as titrated intravenous injections for relief of traumatic pain. It has considerable potential for use in the ED.
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A short cut review was carried out to establish whether intubation is always required in patients presenting with a decreased conscious level after gamma-hydroxybutyrate ingestion. Altogether 95 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.
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Comparative Study
Changes in the emergency workload of the London Ambulance Service between 1989 and 1999.
To examine changes in the emergency workload of the London Ambulance Service (LAS) between 1989 and 1999. ⋯ Demand for emergency ambulance services in London has doubled in a decade. This increase is similar for all age groups, with no evidence of a greater rise in demand among older people. Call rates have increased more steeply in men than in women. Demographic changes do not explain the observed increases in demand.