Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To determine whether the initial Glasgow Coma Scale (GCS) score is predictive of intubation difficulty in out-of-hospital airway management of poisoned patients. ⋯ Maximum difficulty of intubation is encountered in poisoned patients with 7 < or = GCS < or = 9. Intubation of such patients appears to be facilitated by appropriate sedation and/or neuromuscular blockade.
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Randomized Controlled Trial Clinical Trial
Local anesthesia for lacerations: pain of infiltration inside vs outside the wound.
To compare the pains of infiltration of a local anesthetic for simple lacerations when used from within the wound vs through intact skin. ⋯ Local anesthesia is less painful when injected from within a laceration as compared with intact skin.
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The importance of adequate funding for sustaining research efforts cannot be overemphasized. This article addresses funding strategies for emergency physicians, including the necessity of establishing a research track record, developing a well-written grant proposal, and anticipating the grant review process. ⋯ Sources of current grant support information available from the Internet are provided. Recommendations for enhancing research funding in emergency medicine (EM) are made, including enhancement of formal research training, promotion of EM research and investigators, federal study section membership, and collaboration with established investigators.
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Randomized Controlled Trial Comparative Study Clinical Trial
Prospective, randomized, controlled trial of tissue adhesive (2-octylcyanoacrylate) vs standard wound closure techniques for laceration repair. Stony Brook Octylcyanoacrylate Study Group.
To compare a new tissue adhesive, 2-octylcyanoacrylate, with standard wound closure techniques for the repair of traumatic lacerations. ⋯ Wounds treated with octylcyanoacrylate and standard wound closure techniques have similar cosmetic appearances 3 months later.