Articles: emergency-department.
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Randomized Controlled Trial Comparative Study
Comparing the success rates of standard and modified Valsalva maneuvers to terminate PSVT: A randomized controlled trial.
The study aimed to detect whether modified Valsalva maneuver (VM) is more effective than the standard VM in terminating paroxysmal supraventricular tachycardia (PSVT). ⋯ This study suggests that modified VM therapy was more effective than standard VM for terminating PSVT. The modified VM therapy also indirectly reduced the need for anti-arrhythmic medication and indirectly caused fewer side effects.
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BMJ quality & safety · Nov 2017
Randomized Controlled TrialRandomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
A subset of high-risk procedures present significant safety threats due to their (1) infrequent occurrence, (2) execution under time constraints and (3) immediate necessity for patient survival. A Just-in-Time (JIT) intervention could provide real-time bedside guidance to improve high-risk procedural performance and address procedural deficits associated with skill decay. ⋯ A JIT intervention improved procedure perfromance, suggesting a role for JIT interventions in rarely performed procedures.
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Randomized Controlled Trial
Cost-effectiveness of emergency department-initiated treatment for opioid dependence.
In a recent randomized trial, patients with opioid dependence receiving brief intervention, emergency department (ED)-initiated buprenorphine and ongoing follow-up in primary care with buprenorphine (buprenorphine) were twice as likely to be engaged in addiction treatment compared with referral to community-based treatment (referral) or brief intervention and referral (brief intervention). Our aim was to evaluate the relative cost-effectiveness of these three methods of intervening on opioid dependence in the ED. ⋯ In the United States, emergency department-initiated buprenorphine intervention for patients with opioid dependence provides high value compared with referral to community-based treatment or combined brief intervention and referral.
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Randomized Controlled Trial
High-Flow Nasal Cannula Versus Conventional Oxygen Therapy in Emergency Department Patients With Cardiogenic Pulmonary Edema: A Randomized Controlled Trial.
High-flow nasal cannula is a new method for delivering high-flow supplemental oxygen for victims of respiratory failure. This randomized controlled trial compares high-flow nasal cannula with conventional oxygen therapy in emergency department (ED) patients with cardiogenic pulmonary edema. ⋯ In patients with cardiogenic pulmonary edema in the ED, high-flow nasal cannula therapy may decrease the severity of dyspnea during the first hour of treatment.
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Emerg Med Australas · Oct 2017
Randomized Controlled TrialControlled clinical trial exploring the impact of a brief intervention for prevention of falls in an emergency department.
To establish the effectiveness of a brief intervention to prevent falls in older patients presenting to the ED post-discharge. ⋯ A brief intervention was associated with maintenance of function in fallers and reduced hospital admissions, without preventing falls post-discharge.