Annals of emergency medicine
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Randomized Controlled Trial Comparative Study Clinical Trial
Prospective study of manikin-only versus manikin and human subject endotracheal intubation training of paramedics.
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Randomized Controlled Trial Comparative Study Clinical Trial
Treatment of acute mountain sickness: hyperbaric versus oxygen therapy.
To compare the benefits of simulated descent in a hyperbaric chamber with those of supplementary oxygen for the treatment of acute mountain sickness. ⋯ Simulated descent in a fabric hyperbaric chamber is as effective as oxygen therapy for the immediate relief of acute mountain sickness.
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Randomized Controlled Trial Comparative Study Clinical Trial
Hydrocodone versus codeine in acute musculoskeletal pain.
To evaluate the efficacy and prevalence of side effects of hydrocodone versus codeine in acute pain syndromes. TYPE OF PARTICIPANTS/SETTING: Sixty-two consecutive adult emergency department patients 18 to 70 years old with acute musculoskeletal pain. Patients using other analgesics or having any contraindication to opioid therapy were excluded. In addition, 12 patients were excluded because of insufficient data or study dropout. ⋯ Although pain scores were not significantly different, hydrocodone may be a more effective analgesic than codeine in acute musculoskeletal pain, as demonstrated by significantly fewer treatment failures. Central nervous system side effects are less common with hydrocodone than with codeine.
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Randomized Controlled Trial Comparative Study Clinical Trial
Rectal thiopental compared with intramuscular meperidine, promethazine, and chlorpromazine for pediatric sedation.
We studied the hypothesis that rectal thiopental is an effective agent for emergency department pediatric sedation and may have advantages over a more traditional regimen. ⋯ Rectal thiopental is superior to this drug combination for pediatric sedation because it can be administered painlessly, has a more rapid onset and offset of action, and is of equal safety and efficacy at the dosage studied.
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Randomized Controlled Trial Clinical Trial
Use of portable ultrasound to assist urine collection by suprapubic aspiration.
To determine whether portable ultrasound can improve the success rate of suprapubic aspiration (SPA). ⋯ Portable ultrasound can significantly improve the success rate of SPA and limit nonproductive attempts at SPA.