Emergency medicine journal : EMJ
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A short cut review was carried out to establish the published evidence for gastric lavage in lithium overdose. Altogether 20 papers were found using the reported search, of which none presented the best evidence to answer the clinical question. A clinical bottom line is stated.
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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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Effective resuscitation includes the rapid identification and correction of an inadequate circulation. Shock is said to be present when systemic hypoperfusion results in severe dysfunction of the vital organs. The finding of normal haemodynamic parameters, for example blood pressure, does not exclude shock in itself. This paper reviews the pathophysiology, resuscitation, and continuing management of the patient presenting with shock to the emergency department.