Emergency medicine journal : EMJ
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The aim of this manikin study was to compare the efficiency between overlapping (OP) and adjacent thumb positions (AP) for cardiac compressions using the encircling method in infants. ⋯ Higher intrathoracic pressures were achieved by OP in this study. However, further studies are needed to validate these effects of overlapping thumbs technique in infant cardiopulmonary resuscitation, not manikin.
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Review Meta Analysis
Safety profile and outcome of mild therapeutic hypothermia in patients following cardiac arrest: systematic review and meta-analysis.
Evidence has shown that mild therapeutic hypothermia (MTH) could improve survival and neurological outcome in patients following cardiac arrest. But this therapy may cause some adverse effects. The authors sought to take a systematic approach to describe the safety aspects and outcome of MTH following cardiac arrest to help clinical practice. ⋯ Evidence about the safety of MTH in children has been limited. These results suggest that while it may result in some adverse events, MTH is generally safe in patients following cardiac arrest and could improve the short-term and long-term survival of comatose patients after cardiac arrest. But awareness of these adverse events should be kept in mind in clinical practice.
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Randomized Controlled Trial
Usefulness of nefopam in treating pain of severe uncomplicated renal colics in adults admitted to emergency units: a randomised double-blind controlled trial. The 'INCoNU' study.
Renal colic pain is a frequent cause of emergency department admissions (1-2% of admissions). It is extremely painful, often requiring intravenous morphine titration. The aim of this study was to estimate the effect of adding nefopam to ketoprofen upon subsequent morphine consumption and the time needed to achieve adequate analgesia in renal colic. ⋯ http://ClinicalTrials.gov ID number NCT00639574.
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A short-cut review was carried out to establish whether the application of cricoid pressure during the induction of general anaesthesia reduced the incidence of regurgitation and aspiration of gastric contents. One good quality review article, two studies and two abstracts provided the best evidence to answer the clinical question. The authors, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated (table 1). It is concluded that although there is a theoretical advantage to providing cricoid pressure during induction, there is little evidence of any benefit at this time.