Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2011
Randomized Controlled TrialTropisetron versus metoclopramide for the treatment of nausea and vomiting in the emergency department: A randomized, double-blinded, clinical trial.
We aimed to compare the relative efficacy of tropisetron and metoclopramide in treating nausea/vomiting in undifferentiated ED patients. ⋯ Tropisetron was associated with a significantly lower vomiting rate and shows promise as an alternative anti-emetic in the ED.
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Emerg Med Australas · Oct 2011
Involuntary psychiatric attendances at an Australasian emergency department: A comparison of police and health-care worker initiated presentations.
To identify any significant differences in the population of patients brought in to a hospital ED under involuntary mental health orders, based on whether the orders are initiated by police or health professionals. ⋯ Patients on police and medical orders differ considerably, but the impact of these differences on ED workload is small.
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Emerg Med Australas · Oct 2011
Comparing the performance of traditional direct laryngoscope with three indirect laryngoscopes: A prospective manikin study in normal and difficult airway scenarios.
The aim of the present study was to evaluate the performance of three indirect laryngoscopes, Truview EVO2 laryngoscope, Clarus Levitan fiberoptic stylet and AirwayScope AWS, in comparison with direct Macintosh laryngoscope (ML) when performed in normal and difficult airway scenarios. ⋯ AWS performed best in normal and difficult airways. ML performed better than TVL and FOS in normal airways. Performances of ML, TVL and FOS were similar in difficult airways. Skills with AWS could be mastered rapidly. TVL and FOS required more practice to gain expertise.
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Emerg Med Australas · Oct 2011
Case ReportsA case of phlegmesia cerulea dolens after dialysis catheter insertion.
Phlegmesia cerulea dolens (PCD) is a rare complication of deep vein thrombosis characterized by massive venous thrombosis leading to arterial compromise and tissue ischaemia. PCD carries high morbidity and mortality and is an often times overlooked cause of acute limb ischaemia that must be recognized and treated promptly. Early referral for percutaneous catheter directed thrombectomy offers an alternative to thrombolysis in patients who present with venous gangrene or fail anticoagulation therapy. A case of PCD is presented in a 71-year-old woman with end-stage renal disease 3 days after right femoral dialysis catheter placement.