Annals of emergency medicine
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Comparative Study
Efficacy of nurses suturing pediatric dermal lacerations in an emergency department.
To assess the efficacy of nurses suturing pediatric dermal lacerations in an emergency department. ⋯ Nurses who complete a standardized training program in wound management and repair are capable of providing high-quality, definitive care for children with dermal lacerations, thus allowing physicians to use their time more effectively in managing general patient care in the ED.
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Randomized Controlled Trial Comparative Study Clinical Trial
Nasal versus oral midazolam for sedation of anxious children undergoing laceration repair.
To compare the efficacy and safety of a single dose of midazolam, as an oral solution of 0.5 mg/kg, or nasal drops of 0.25 mg/kg, in children undergoing emergency department laceration repair. ⋯ A single dose of oral or nasal midazolam results in reduced anxiety and few complications in selected children undergoing laceration repair in the ED. The oral route was associated with fewer administration problems.
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Randomized Controlled Trial Clinical Trial
Efficacy of rectal midazolam for the sedation of preschool children undergoing laceration repair.
To determine the efficacy of rectal midazolam as sedation for laceration repair in preschool children in the pediatric emergency department. ⋯ Rectal midazolam is an effective method of sedation for facilitating uncomplicated laceration repair in preschool children. However, physicians must be aware of the possibility of paradoxical reactions when using midazolam in children.
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Emergency department patients who leave without seeing a physician: the Toronto Hospital experience.
To determine why emergency department patients leave without being seen by a physician and whether they receive alternate medical care. ⋯ The majority of survey respondents had a low acuity rating and left because of prolonged waiting times. Most of these patients sought alternate medical care through their personal physician or other EDs.
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To determine the rate and cause of death of patients who were evaluated in the emergency department and discharged and how the cause of death related to the ED visit. ⋯ Death after discharge from the ED is uncommon. The most common cause of unexpected, directly related death is ruptured aortic aneurysm.