Annals of emergency medicine
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To compare the overall satisfaction with emergency department care of patients seen by a nurse practitioner (NP) with that of patients seen in the usual fashion. ⋯ This study supports data from earlier studies suggesting that patients are satisfied with ambulatory care delivered by NPs.
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Unprotected airway ventilation models have been based on a lower esophageal sphincter (LES) pressure found in human beings under general anesthesia. Whether this assumption is applicable during cardiac arrest in human beings is unknown. We attempted to determine the effects of prolonged ventricular fibrillation (VF) on the tension of the LES in a swine model of cardiac arrest. ⋯ This study demonstrated a rapid and severe decrease in LES tone during prolonged cardiac arrest. When ROSC occurred, LES tension increased quickly but did not return to baseline.
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Randomized Controlled Trial Clinical Trial
Intramuscular ketorolac versus oral ibuprofen in acute musculoskeletal pain.
To evaluate the efficacy of IM ketorolac versus that of oral ibuprofen in acute musculoskeletal pain. ⋯ IM ketorolac and oral ibuprofen provide comparable analgesia in ED patients with acute musculoskeletal pain.
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Randomized Controlled Trial Clinical Trial
Comparison of plain, warmed, and buffered lidocaine for anesthesia of traumatic wounds.
To compare pain on infiltration, need for additional anesthesia, and pain on suturing in patients given plain, warm, and buffered lidocaine preparations before the suturing of traumatic wounds in the emergency department. ⋯ Both buffered and warmed lidocaine were as efficacious as plain lidocaine, and they had significantly less pain associated with infiltration than did plain lidocaine. In EDs with fluid warmers, warmed lidocaine may be the most convenient, well-tolerated, efficacious lidocaine preparation for anesthesia of traumatic wounds.
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Comparative Study
Effects of prehospital care on outcome in patients with cardiac illness.
To compare outcomes of patients with acute cardiac illness transported by ambulance for whom prehospital care was provided by emergency medical technician-paramedics (EMT-Ps) or EMTs trained in defibrillation (EMT-Ds). ⋯ In an urban setting with short (less than 10 minutes) average transport times, the availability of prehospital paramedic care does not affect occurrence of MI, length of hospital stay, or mortality of patients presenting to the EMS system with cardiac illness.