Annals of emergency medicine
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Randomized Controlled Trial Clinical Trial
Reducing the pain of local anesthetic infiltration: warming and buffering have a synergistic effect.
To compare room-temperature unbuffered lidocaine, warm lidocaine, buffered lidocaine, and warm buffered lidocaine to determine which of the four solutions is least painful during infiltration. ⋯ Skin infiltration with warm buffered lidocaine is significantly less painful than infiltration with room-temperature unbuffered lidocaine, warm lidocaine, or buffered lidocaine.
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To compare cardiopulmonary bypass (CPB) with more conventional therapy in the treatment of severe amitriptyline poisoning. ⋯ CPB improved survival in our swine model of severe amitriptyline poisoning.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Intravenous access in the critically ill trauma patient: a multicentered, prospective, randomized trial of saphenous cutdown and percutaneous femoral access.
To compare the speed of IV access and the rate of infusion for saphenous venous cutdown and percutaneous femoral catheterization. ⋯ Percutaneous femoral catheterization can be performed more rapidly than saphenous cutdown in the critically ill trauma patient with a palpable femoral pulse and allows for more rapid fluid administration. We support the use of a percutaneous femoral line as an acceptable alternative to saphenous venous cutdown in the initial resuscitation of trauma patients.
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Meta Analysis
Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials.
To determine whether prophylactic antibiotics prevent infection in patients with dog bite wounds. ⋯ Prophylactic antibiotics reduce the incidence of infection in patients with dog bite wounds. The full costs and benefits of antibiotics in this situation are not known. It may be reasonable to limit prophylactic antibiotics to patients with wounds that are at high risk for infection.
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To determine the incidence of blunt trauma in northern New York City before and after the distribution of 25,000 baseball bats at Yankee Stadium. ⋯ The distribution of 25,000 wooden baseball bats to attendees at Yankee Stadium did not increase the incidence of bat-related trauma in the Bronx and northern Manhattan. There was a positive correlation between daily temperature and the incidence of bat injury. The informal but common impressions of emergency clinicians about the cause-and-effect relationship between Bat Day and bat trauma were unfounded.