• Am J Emerg Med · Oct 2007

    Randomized Controlled Trial

    Prehospital analgesia with acupressure at the Baihui and Hegu points in patients with radial fractures: a prospective, randomized, double-blind trial.

    • Thomas Lang, Helmut Hager, Verena Funovits, Renate Barker, Barbara Steinlechner, Klaus Hoerauf, and Alexander Kober.
    • Department of Anesthesiology and General Intensive Care, Medical University of Vienna, A-1090 Vienna, Austria. thomas.lang@meduniwien.ac.at
    • Am J Emerg Med. 2007 Oct 1;25(8):887-93.

    BackgroundPain during transportation is a common phenomenon in emergency medicine. As acupressure has been deemed effective for pain management by the National Institutes of Health, we conducted a study to evaluate its effectiveness in prehospital patients with isolated distal radial fracture.MethodsThis was a prospective, randomized, double-blind study. Thirty-two patients were enrolled. Acupressure was performed either at "true" points or at "sham" points. Vital signs and pain and anxiety scores were recorded before and after the acupressure treatment. Normally distributed values were compared using the Student t test.ResultsPretreatment scores for pain and anxiety were similar in the 2 groups (47.6 +/- 8.9 vs 51.2 +/- 8.7 visual analog scale [VAS] score for pain, 52.4 +/- 6.0 vs 47.5 +/- 9.3 VAS score for anxiety). At the hospital, patients in the true-points group had significantly lower pain (36.6 +/- 11.0 vs 56.0 +/- 13.3 VAS score, P < .001) and anxiety scores (34.9 +/- 22.2 vs 53.4 +/- 19.7 VAS score, P = .022).ConclusionAcupressure in the prehospital setting effectively reduces pain and anxiety in patients with distal radial trauma.

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