Emergency medicine journal : EMJ
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Randomized Controlled Trial Clinical Trial
Limited benefits of ambulance telemetry in delivering early thrombolysis: a randomised controlled trial.
To evaluate the potential of a continuous telemetry system linking rural ambulances to a coronary care unit to reduce call to thrombolysis times. ⋯ Continuous telemetry systems may significantly reduce call to treatment times for patients recommended for pre-hospital thrombolysis in a rural setting. However, this benefit must be balanced against the very small proportion of eligible patients identified as suitable for pre-hospital thrombolysis. This limitation may be due to communications problems, the criteria used to identify eligible patients, or the seniority of physicians tasked with making treatment decisions.
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Randomized Controlled Trial Clinical Trial
Effect of automatic external defibrillator audio prompts on cardiopulmonary resuscitation performance.
To determine the effectiveness of the cardiopulmonary resuscitation (CPR) audio prompts in an automatic external defibrillator in 24 lay subjects, before and after CPR training. ⋯ For untrained subjects, the quality of CPR may be improved by using this device, while for trained subjects the willingness to perform CPR may be increased.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomised controlled trial of patient controlled analgesia compared with nurse delivered analgesia in an emergency department.
To compare effectiveness, safety, and patient satisfaction of patient controlled analgesia (PCA) with titrated, intravenous opioid injections for the management of acute traumatic pain in the emergency department (ED). ⋯ PCA is at least as effective as titrated intravenous injections for relief of traumatic pain. It has considerable potential for use in the ED.
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Randomized Controlled Trial Comparative Study Clinical Trial
Percutaneous regional compared with local anaesthesia for facial lacerations: a randomised controlled trial.
Facial lacerations are usually repaired after local infiltration of an anaesthetic agent. Regional nerve blocks of the face offer several theoretical advantages over local infiltration. This study compared the pain of injection and anaesthetic efficacy of percutaneous regional and local anaesthesia for facial lacerations. ⋯ Local infiltration of anaesthetics for facial lacerations is less painful and results in more effective anaesthesia than percutaneous regional infiltration.
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Randomized Controlled Trial Clinical Trial
The safety and effectiveness of minor injuries telemedicine.
To determine the safety of minor injuries telemedicine compared with on-site specialist care, current practice, and a robust gold standard, and to assess the clinical effectiveness of this new technique. ⋯ Minor injuries telemedicine is safe and clinically effective, providing care that is equivalent to specialist on-site assessment and the current practice of treatment by a general practitioner. There is no evidence that telemedicine provides superior care, and there are a number of process issues that may impede successful implementation of this new technique.