Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2013
Clinical Trial Observational StudySub-dissociative dose intranasal ketamine for limb injury pain in children in the emergency department: a pilot study.
The present study aims to conduct a pilot study examining the effectiveness of intranasal (IN) ketamine as an analgesic for children in the ED. ⋯ In this population, an average dose of 1.0 mg/kg IN ketamine provided adequate analgesia by 30 min for most patients.
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Emerg Med Australas · Apr 2013
National project seeking to improve pain management in the emergency department setting: findings from the NHMRC-NICS National Pain Management Initiative.
The National Pain Management Initiative was established by the National Institute of Clinical Studies to improve analgesic practice across Australian EDs. ⋯ Significant improvements in documentation of pain score and time to analgesia were demonstrated through a national project of targeted improvement. Parenteral narcotic use has a high level of adherence to recommended practice. An improvement in the effectiveness of analgesia in severe pain has not been clearly demonstrated in this study.
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The present study aims to describe early ED representation rates and identify the causes for this commonly seen problem. ⋯ Early ED representations are a common problem. The majority of preventable representations are patient related, and interventions to target these areas might be of benefit in reducing this problem.