Annals of emergency medicine
-
Cervical epidural hematoma is an uncommon cause of neck pain. It may occur spontaneously or after trauma and has also become associated with many underlying conditions. ⋯ She presented with transient hemiparesis and recovered without surgery. This case is unusual with respect to the patient's neurologic presentation and her spontaneous recovery without neurologic sequelae.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Forced air speeds rewarming in accidental hypothermia.
To compare the rates of rewarming of forced-air and passive insulation as a treatment for accidental hypothermia. ⋯ Forced air accelerated the rate of rewarming without producing apparent complications in hypothermic patients.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of bupivacaine and lidocaine/bupivacaine for local anesthesia/digital nerve block.
We compared the efficacy, degree of discomfort, and time elapsed before anesthesia of digital block with a combination of 1% lidocaine/.25% bupivacaine and with .25% bupivacaine alone. ⋯ Bupivacaine .25% digital block induces anesthesia in the same period of time and with equivalent pain of injection as a 1:1 lidocaine 1%/bupivacaine .25% combination. It is not necessary to use lidocaine/bupivacaine in an attempt to achieve faster onset of local anesthesia.