Emergency medicine journal : EMJ
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Randomized Controlled Trial Comparative Study
Comparison of manikin versus porcine models in cricothyrotomy procedure training.
To compare the usefulness for training of a porcine model (larynx, trachea, and pig skin) and a manikin model using a Portex cricothyrotomy kit (PCK). ⋯ The porcine model is a more useful training tool than the manikin model for cricothyrotomy with PCK because of its reality and similarity to human anatomy.
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Randomized Controlled Trial Comparative Study
Observational pain assessment versus self-report in paediatric triage.
To examine if observational pain assessment can be used for purposes of triage in children aged >3 years. ⋯ Observational pain assessment underestimates children's perception of pain and should not be recommended in children aged >3 years. Triage has a calming effect on children.
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Randomized Controlled Trial
Morphine analgesia in patients with acute appendicitis: a randomised double-blind clinical trial.
The administration of analgesics to patients with acute abdominal pain due to acute appendicitis is controversial. A study was undertaken to assess the analgesic effect of morphine in patients with acute appendicitis. ⋯ Morphine can reduce pain in patients with acute appendicitis without affecting diagnostic accuracy.
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Randomized Controlled Trial
Impact of surgeon-performed ultrasound on diagnosis of abdominal pain.
A randomised study was performed to evaluate the diagnostic accuracy of surgeon-performed ultrasound in the emergency department for patients presenting with abdominal pain. ⋯ For patients with acute abdominal pain, higher diagnostic accuracy is achieved when surgeons use ultrasound as a diagnostic complement to standard examination. The use of bedside ultrasound should be considered in emergency departments.
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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.