Emergency medicine journal : EMJ
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Randomized Controlled Trial Comparative Study
Comparison of the therapeutic efficacy of intravenous dimenhydrinate and intravenous piracetam in patients with vertigo: a randomised clinical trial.
The present study aimed to compare the therapeutic efficacy of dimenhydrinate and piracetam in patients with vertigo. ⋯ We found no evidence of a difference between dimenhydrinate and piracetam in relieving the symptoms of vertigo.
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A short-cut review was carried out to establish whether probiotics reduced crying time in babies with infantile colic. Using the reported searches 88 papers were found, of which five 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 the best papers are tabulated. It is concluded that there is evidence that the administration of probiotics decreases the severity and duration of infantile colic when compared with placebo and some proprietary remedies.
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Randomized Controlled Trial
One-handed chest compression technique for paediatric cardiopulmonary resuscitation: dominant versus non-dominant hand.
Pediatric resuscitation guidelines do not specify which hand to use for one-handed cardiopulmonary resuscitation (CPR). ⋯ No significant difference was found in the quality of OHCCs using the dominant and non-dominant hand in simulated paediatric CPR. The study suggests there is no need for paediatric resuscitation guidelines to state a preferred hand for performing OHCC.
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Randomized Controlled Trial
Rescuer-limited cardiopulmonary resuscitation as an alternative to 2-min switched CPR in the setting of inhospital cardiac arrest: a randomised cross-over study.
The 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) recommend that chest compression be rotated every 2 min to prevent rescuer fatigue. However, the quality of chest compression using 2-min switched CPR tends to decrease rapidly due to rescuer fatigue. We aimed to compare the effectiveness of use of 2-min switched CPR and rescuer-limited CPR (the person performing compressions is allowed to switch with another rescuer prior to 2 min if feeling fatigued) in the setting of inhospital cardiac arrest. ⋯ Rescuer-limited CPR yields a greater number of effective compressions and more consistent quality of CPR than 2-min switched CPR. Rescuer-limited CPR might be a suitable alternative for treating inhospital cardiac arrest.