Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Randomized Controlled Trial Clinical Trial
Telephone vs mail response to an emergency department patient satisfaction survey.
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The specialty of emergency medicine (EM) is becoming more and more involved in medical school education. The previous article discusses the integration of EM in medical school curricula. This outline was developed by the SAEM Undergraduate Education Committee to offer specific goals and objectives as well as suggestions for implementation of EM concepts into medical school curricula.
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To survey academic departments of emergency medicine (ADEMs) concerning the effects of managed care on their operation and practice. ⋯ ADEMs have experienced significant changes in nearly every aspect of their practice over the two academic years under study, much of which is due to managed care. ADEMs must take a leadership role in dealing with MCOs.
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Randomized Controlled Trial Clinical Trial
Subcutaneous buffered lidocaine for intravenous cannulation: is there a role in emergency medicine?
To prospectively evaluate whether subcutaneous buffered lidocaine (SQBL) significantly reduces the pain or adversely affects the success rate of i.v. cannulation (IVC) in adult ED patients. ⋯ SQBL significantly reduced the pain, while not adversely affecting the success rate, of IVC in adult patients in the ED.
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Randomized Controlled Trial Clinical Trial
Cutaneous tape stripping to accelerate the anesthetic effects of EMLA cream: a randomized, controlled trial.
Most medications are not absorbed topically due to the stratum corneum barrier. While effective as a topical anesthetic, EMLA cream is absorbed slowly, delaying its effects for up to one hour, thereby limiting its usefulness. ⋯ Removal of the cornified layer of the skin resulted in a more rapid anesthetic effect of EMLA cream as evidenced by lower IVC pain scores after TS. The effectiveness of TS for enhanced absorption of other medications should be investigated.