Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2013
Randomized Controlled Trial Comparative StudyAdministration of metoclopramide by infusion or bolus does not affect the incidence of drug-induced akathisia.
The study aims to determine if slow intravenous infusion of metoclopramide reduces the incidence of acute drug-induced akathisia (DIA) compared with intravenous bolus. ⋯ The incidence of DIA and reduction in nausea is unaffected by the rate of administration of intravenous metoclopramide 20 mg.
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Emerg Med Australas · Jun 2013
Randomized Controlled TrialVaginal examination does not improve diagnostic accuracy in early pregnancy bleeding.
The study aims to determine if a vaginal examination improves diagnostic accuracy when assessing women who present to the ED with vaginal bleeding in the first trimester of pregnancy. ⋯ In a stable patient presenting to the ED with first trimester bleeding, clinical diagnosis is highly inaccurate and is not improved by vaginal examination. Routine vaginal examination is not necessary as part of the initial patient assessment.
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Emerg Med Australas · Jun 2013
Effects of obesity on patient experience in the emergency department.
The study aims to determine if obesity (body mass index ≥30.0 kg/m(2) ) adversely affects the patients' ED experience in terms of flow variables and rates of assistance, investigation and procedure. ⋯ In this single-centre study, obesity did not appear to adversely affect ED treatment. The observed differences in some investigation rates might relate to suspected morbidities and difficulties in physical examination.