Emergency medicine journal : EMJ
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Randomized Controlled Trial
Intravenous paracetamol versus morphine for renal colic in the emergency department: a randomised double-blind controlled trial.
To determine the analgesic efficacy and safety of intravenous single-dose paracetamol versus morphine in patients presenting to the emergency department with renal colic. ⋯ Intravenous paracetamol is effective in treating patients presenting with renal colic to the emergency department. CLINICAL TRIALS REGISTRATION NO: ClinicalTrials.gov ID number NCT01318187.
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Randomized Controlled Trial
Accuracy of a feedback device for cardiopulmonary resuscitation on a dental chair.
Conflicting studies exist about the effectiveness of cardiopulmonary resuscitation (CPR) on a dental chair. In some situations, dental surgeons are obliged to perform CPR with the patient on the chair. Feedback devices are supposed to guide the compression depth in order to improve the quality of CPR, but some devices are based on an accelerometer that can theoretically report erroneous results because of the lack of rigidity of a dental chair. ⋯ This study indicates that feedback devices with accelerometer technology are not sufficiently reliable to ensure adequate chest compression on dental chairs.
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Randomized Controlled Trial
Randomised controlled crossover trial of the effect on PtCO2 of oxygen-driven versus air-driven nebulisers in severe chronic obstructive pulmonary disease.
The comparative safety of oxygen versus air-driven nebulised bronchodilators in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) is uncertain. A randomised controlled trial was performed to assess the effect on the arterial partial pressure of carbon dioxide of nebulised bronchodilator driven with oxygen versus air in stable severe COPD. ⋯ The study was registered on the Australian New Zealand Clinical Trials Registry (ACTRN12610000080022).
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Randomized Controlled Trial Comparative Study
Basic life support skill retention of medical interns and the effect of clinical experience of cardiopulmonary resuscitation.
To investigate the level of basic life support (BLS) skill retention of medical interns 6 and 12 months after BLS education and analyse the correlation between clinical experience of cardiopulmonary resuscitation (CPR) and BLS skill retention. ⋯ In medical doctors, the compression skills were well preserved, but the retention of non-compression skills was poor.
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Randomized Controlled Trial
A physiotherapy service to an emergency extended care unit does not decrease admission rates to hospital: a randomised trial.
One of the reasons physiotherapy services are provided to emergency departments (EDs) and emergency extended care units (EECUs) is to review patients' mobility to ensure they are safe to be discharged home. ⋯ A physiotherapy service for EECU patients, as provided in this study, did not reduce the rate of hospital admission, rate of re-presentation to the ED, use of community healthcare resources, or improve the rate of return to usual work/home/leisure activities or patient satisfaction. Trial registration number ANZCTRN12609000106235.