Emergency medicine journal : EMJ
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Randomized Controlled Trial Comparative Study
Intra-articular lidocaine versus intravenous meperidine/diazepam in anterior shoulder dislocation: a randomised clinical trial.
Anterior shoulder dislocation is one of the most common complaints of patients referred to emergency departments. Intravenous opiates and benzodiazepines are traditionally prescribed in order to relieve the pain in this group of patients; however, complications always pose a problem. ⋯ Intra-articular injection of lidocaine before closed reduction of anterior shoulder dislocation produces the same pain relief as intravenous meperidine and diazepam.
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Randomized Controlled Trial Comparative Study
Comparison of the GlideScope video laryngoscope and Macintosh laryngoscope in simulated tracheal intubation scenarios.
To compare the GlideScope video laryngoscope (GVL) with the classic Macintosh laryngoscope in simulated airway scenarios of varying difficulty. ⋯ This study suggests that the GVL could be an option for airway management even by emergency physicians with little experience and no training in its use.
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Randomized Controlled Trial Multicenter Study
Mitigation of pain during intravenous catheter placement using a topical skin coolant in the emergency department.
Although intravenous (i.v.) line placement is a common procedure in the emergency department (ED), it is an uncomfortable experience for many patients. Topical analgesic agents are rarely used because they have long onsets of action and thereby cause unacceptable treatment delays. Cryoanaesthesia, the use of cooling agents to reduce pain, has been recognised for many years as a potential pain management strategy. The purpose of this study was to determine whether an instantaneous topical skin coolant spray reduces patient's pain during i.v. cannulation and represents a feasible alternative for cutaneous analgesia in the ED setting. ⋯ Our study failed to detect a difference in pain perception resulting from the pre-procedural application of a skin coolant associated with i.v. placement in the ED setting.