Can J Emerg Med
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Randomized Controlled Trial Multicenter Study Comparative Study
Dopamine versus norepinephrine in the treatment of shock.
Which vasopressor agent, norepinephrine or dopamine, is superior in the treatment of shock? ⋯ The authors of this study set out to compare 28-day mortality in patients with shock who were treated with either dopamine or norepinephrine as initial vasopressor therapy. The authors' secondary outcome measures included mortality beyond 28 days and adverse events associated with each agent.
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Spray polyurethane foam insulation is commonly used in the construction industry to fill gaps, seal, and insulate. We present three cases of intentional spray foam insertion in body orifices and discuss the management of such situations in the emergency department. ⋯ To our knowledge, this is the first published report on the medical management and removal of foam insulation from body orifices. In all three cases, the foam insulation material was successfully removed after allowing the material to harden.
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Randomized Controlled Trial Multicenter Study Comparative Study
Intra-articular lidocaine versus intravenous sedation for the reduction of anterior shoulder dislocations in the emergency department.
The objective was to compare intra-articular lidocaine (IAL) versus intravenous sedation (IVS) for the reduction of acute, anterior shoulder dislocations in the emergency department (ED) in terms of ED length of stay, rate of successful reductions, patient satisfaction, and complications. ⋯ There was no difference in ED length of stay between groups. There was a lower rate of successful reductions and lower satisfaction scores in the IAL group.