The American journal of emergency medicine
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Randomized Controlled Trial
Does intramuscular ondansetron have an effect on intramuscular ketamine-associated vomiting in children? A prospective, randomized, double blind, controlled study.
This study was conducted to determine the effect of intramuscular ondansetron on ketamine-associated vomiting in children undergoing procedural sedation. ⋯ Intramuscular ondansetron is effective in controlling ketamine-associated vomiting.
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Randomized Controlled Trial
Comparison of effectiveness coolant spray and placebo in patients with acute ankle trauma prospective randomized controlled trial.
Coolant spray application in musculoskeletal injuries is an effective and harmless method to treat pain and reduce functional limitation. This study assessed the clinical value of coolant spray application on patient comfort before and during the radiographic imaging process along with its early analgesic and anti-edema effects. ⋯ The radiographic images taken after coolant spray intervention in patients with acute ankle trauma were more successful in showing the target structures.
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Randomized Controlled Trial
Comparison of intradermal mesotherapy with systemic therapy in the treatment of low back pain: A prospective randomized study.
Musculoskeletal pain such as low back pain (LBP) are routinely encountered in the ED and contribute to ED overcrowding. The aim of our study was to compare the efficiency of mesotherapy with systemic therapy in pain control in patients with lumbar disk herniation. ⋯ Changes in medical practices, from the systemic administration of NSAIDs to the minimally invasive techniques such as mesotherapy with potent efficacy and minimal side effects, may enhance the ability of EDs to meet the waiting time targets and improve patient's satisfaction.
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Randomized Controlled Trial
Impact of endotracheal tube twisting on the diagnostic accuracy of ultrasound for intubation confirmation.
Ultrasound is a readily-available technique used to identify accurate placement of an endotracheal tube (ETT) after an intubation attempt. There is limited research on using manipulation of the ETT to improve the diagnostic accuracy of ETT location confirmation. Our study sought to directly assess whether ETT twisting during the standard grayscale technique influenced the accuracy of intubation confirmation by ultrasound. ⋯ There was no statistically significant difference in the accuracy of ETT location identification between the two groups. However, utilizing the ETT twisting technique showed a statistically significant improvement in the time to identification and sonographer confidence.