Annals of emergency medicine
-
Randomized Controlled Trial
A prospective, randomized trial of an emergency department observation unit for acute onset atrial fibrillation.
An emergency department (ED) observation unit protocol for the management of acute onset atrial fibrillation is compared with routine hospital admission and management. ⋯ An ED observation unit protocol that includes electrical cardioversion is a feasible alternative to routine hospital admission for acute onset of atrial fibrillation and results in a shorter initial length of stay.
-
Randomized Controlled Trial
Abdominal compression effectively increases the size of the common femoral vein, as measured by ultrasonography.
We determine the effect of abdominal compression on common femoral vein cross-sectional area. The effects of Valsalva maneuver and reverse Trendelenburg's position are also studied. ⋯ Abdominal compression increases the cross-sectional area of the common femoral vein, and the reverse Trendelenburg's position has a further additive effect. Abdominal compression may be useful when femoral venous cannulation is attempted. In patients who can comply, the Valsalva maneuver may be even more effective.
-
Randomized Controlled Trial Multicenter Study
A randomized controlled trial of prochlorperazine versus metoclopramide for treatment of acute migraine.
We compare prochlorperazine 10 mg intravenously versus metoclopramide 20 mg intravenously for the emergency department (ED) treatment of acute migraine. ⋯ Either prochlorperazine 10 mg intravenously or metoclopramide 20 mg intravenously, combined with diphenhydramine 25 mg intravenously, is an efficacious treatment for ED patients with acute migraine. Three quarters of subjects in both arms would want the same medication for their next migraine.