European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Randomized Controlled Trial
Lidocaine spray as a local analgesic for intravenous cannulation: a randomized clinical trial.
Lidocaine spray is an effective analgesic of mucous membranes. Lidocaine spray is also used during intravenous (i.v.) cannulation, especially in children. However, the analgesic effect of lidocaine spray during i.v. cannulation has not been studied. We aimed to assess the analgesic effectiveness of lidocaine spray during i.v. cannulation. ⋯ Local administration of lidocaine is not effective in reducing pain during i.v. cannulation.
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Observational Study
Rapid detection of bacterial meningitis using a point-of-care glucometer.
In case of acute bacterial meningitis, a decision on the need for intensive care admission should be made within the first hour. The aim of this study was to assess the ability of a point-of-care glucometer to determine abnormal cerebrospinal fluid (CSF) glucose concentration at the bedside that contributes toward bacterial meningitis diagnosis. ⋯ A glucometer accurately detects an abnormal CSF/blood glucose ratio immediately after the lumbar puncture. This cheap point-of-care method has the potential to speed up the diagnostic process of patients with bacterial meningitis.
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Historical Article
Analysis of the citation of articles published in the European Journal of Emergency Medicine since its foundation.
The aim of this study was to evaluate the evolution of the citation of articles from the European Journal of Emergency Medicine (EJEM) from 1994 (EJEM foundation) to 2015 and identify highly cited articles and their principal characteristics and determine a possible correlation between the citations counted in different databases. ⋯ Citation of EJEM articles has progressively increased and EJEM bibliometric indicators have improved; most highly cited articles are mainly by European authors.
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Randomized Controlled Trial
Inter-rater reliability of two paediatric early warning score tools.
Paediatric early warning score (PEWS) assessment tools can assist healthcare providers in the timely detection and recognition of subtle patient condition changes signalling clinical deterioration. However, PEWS tools instrument data are only as reliable and accurate as the caregivers who obtain and document the parameters. ⋯ The study showed good to very good inter-rater reliability in the two PEWS models used in the Central Denmark Region.