Annals of emergency medicine
-
Randomized Controlled Trial Clinical Trial
Ketorolac for sickle cell vaso-occlusive crisis pain in the emergency department: lack of a narcotic-sparing effect.
To determine if a single dose of intramuscular ketorolac given on presentation to the emergency department has a narcotic-sparing effect in adult patients with sickle cell vaso-occlusive crisis pain. ⋯ The use of intramuscular ketorolac did not lead to a clinically significant reduction in the requirement for narcotics during the four-hour ED treatment period.
-
Randomized Controlled Trial Comparative Study Clinical Trial
A randomized, double-blind, comparative study of the efficacy of ketorolac tromethamine versus meperidine in the treatment of severe migraine.
To evaluate the relative efficacy of ketorolac tromethamine and meperidine hydrochloride in the emergency department treatment of severe migraine. ⋯ IM ketorolac tromethamine is less effective than meperidine in the ED treatment of severe migraine.
-
To evaluate the impact of an emergency medicine residency training program on the cost of care in the emergency department. ⋯ As measured by selected test use for six common discharge diagnoses, the introduction of an emergency medicine residency program did not increase the cost of care in this urban community hospital ED.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Use of comparison radiographs in the diagnosis of traumatic injuries of the elbow.
To determine whether comparison radiographic views of the uninjured elbow result in increased diagnostic accuracy in elbow trauma. ⋯ Comparison radiographs of the uninjured elbow did not improve diagnostic accuracy in elbow trauma in the pediatric emergency department.
-
To evaluate the effectiveness of transcutaneous cardiac pacing in out-of-hospital treatment of cardiac arrests in pediatric patients. ⋯ Transcutaneous cardiac pacing was not effective and was not associated with improved survival.