The American journal of emergency medicine
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Acute pain management is a critical component of prehospital and emergency medical care. Opioids are effective; however, the risks and side-effects of opioids have led providers to use low-dose ketamine (LDK) for safe and effective treatment of acute pain. ⋯ LDK is a safe and effective option for acute pain treatment. It can be used as an alternative therapy to opioids or used in conjunction with them to reduce opioid exposure through its opioid-sparing effect. Importantly, LDK is available in a variety of formulations including intramuscular, intravenous, and intranasal, making it an effective acute pain treatment option in both the prehospital and ED settings. LDK holds promise as an emergency treatment in the evolving landscape of acute pain management.
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Skateboarding and motorized boards are popular as a recreational activity and mode of transportation. Prior studies have investigated injury patterns from these activities in the pediatric population, but there is little data in the adult population. This study aims to investigate and compare the type and severity of injuries associated with skateboarding and motorized boards. ⋯ Our study shows a high prevalence of upper extremity injuries, regardless of board type. Motorized boards are associated with a higher risk of multiple fractures and hospital admission. Motorized boards likely have increased risk due to their ability to sustain elevated speeds.