J Emerg Med
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Randomized Controlled Trial
Prednisone for Emergency Department Low Back Pain: A Randomized Controlled Trial.
Although oral corticosteroids are commonly given to emergency department (ED) patients with musculoskeletal low back pain (LBP), there is little evidence of benefit. ⋯ We detected no benefit from oral corticosteroids in our ED patients with musculoskeletal LBP.
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Comparative Study Observational Study
Oblique-axis vs. Short-axis View in Ultrasound-guided Central Venous Catheterization.
Ultrasound (US) guidance during central venous catheterization (CVC) reduces complications and improves success rates compared to landmark-guided techniques. A novel "oblique view" (US transducer held at approximately 45° with respect to the target vessel) has been suggested to be superior to the standard short-axis approach usually used during US-guided CVC. ⋯ We found decreased PVWP using the oblique axis approach, though the difference was not statistically significant, and participants felt more confident in their needle tip location using the oblique axis view. Further research into the potential benefits of the oblique axis approach is warranted.
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Randomized Controlled Trial
Intravenous Lidocaine for the Emergency Department Treatment of Acute Radicular Low Back Pain, a Randomized Controlled Trial.
Acute radicular back pain is a frequent complaint of patients presenting to the Emergency Department. ⋯ Intravenous lidocaine failed to clinically alleviate the pain associated with acute radicular low back pain.
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Nontraumatic low back pain (LBP) is a common emergency department (ED) complaint and can be caused by serious pathologies that require immediate intervention or that lead to death. ⋯ We successfully identified risk factors associated with serious pathology among ED LBP patients. Future prospective studies are required to derive a robust clinical decision rule.