Articles: hospital-emergency-service.
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Pediatric emergency care · Oct 2012
Randomized Controlled Trial Comparative StudyBispectral analysis during procedural sedation in the pediatric emergency department.
Our primary objective was to determine the maximum depth of sedation achieved, as measured by the bispectral (BIS) index monitor, for pediatric patients undergoing procedural sedation in a pediatric emergency department. ⋯ This study suggests that most pediatric procedural sedation patients spend at least a period in a general anesthetic state. During most procedural sedation, the physicians involved are likely underestimating the maximal depth of sedation for their patients.
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Pediatric emergency care · Oct 2012
Randomized Controlled Trial Comparative StudyProcalcitonin as a marker of bacteremia in children with fever and a central venous catheter presenting to the emergency department.
To evaluate the clinical use of procalcitonin (PCT) as a rapid marker for the identification of bacteremia in the emergency department (ED) population of children with fever and a central venous catheter (CVC). ⋯ The PCT levels are useful in identifying children with fever and a CVC who are bacteremic in the ED.
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Journal of neurosurgery · Sep 2012
Randomized Controlled TrialA randomized study of urgent computed tomography-based hematoma puncture and aspiration in the emergency department and subsequent evacuation using craniectomy versus craniectomy only.
When treating patients with a spontaneous supratentorial massive (≥ 70 ml) intracerebral hemorrhage (ICH), the results of surgery are gloomy. A worsening pupil response has been observed in patients preoperatively, despite blood pressure control and diuretic administration. Because open surgery needs time for decompression to occur, the authors conducted a prospective randomized study to determine whether patients who have suffered a massive ICH can benefit from a more urgently performed decompressive procedure. ⋯ Patients with massive spontaneous supratentorial ICHs may benefit from more urgent surgical decompression. The results of logistic regression analysis implied that, to improve long-term functional outcome, decompression should be performed in patients before herniation occurs. Due to the fact that most of these patients have signs of herniation when presenting to the ED and because conventional surgical decompression requires time to take effect, this combination of surgical treatment provides a feasible and effective surgical option.
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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.
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Randomized Controlled Trial
The effectiveness of patient control analgesia in the treatment of acute traumatic pain in the emergency department: a randomized controlled trial.
Pain seems to be one of the most frequent complaints in the emergency department, however pain control is often suboptimal as seen by many audits. We conducted a study to find out whether the use of patient control analgesia (PCA) is effective in controlling acute pain in the emergency department ⋯ PCA provides more effective pain relief and patient satisfaction when compared with the conventional method of bolus intravenous injection for the relief of traumatic pain in the emergency department setting.