Singap Med J
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Comparative Study
Emergency physician versus cardiologist-initiated thrombolysis for acute myocardial infarction: a Singapore experience.
To compare the door-to-needle time between thrombolysis administration for patients with ST elevation myocardial infarction (STEMI) in the emergency department (EMD) by emergency physicians and those administered in the coronary care unit (CCU) by cardiologists. ⋯ Emergency physicians can administer thrombolytic treatment appropriately, quickly and safely in patients with STEMI.
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Clinical Trial
Antenatal use of a novel vaginal birth training device by term primiparous women in Singapore.
To study the use, safety and effectiveness of a novel antenatal vaginal birth training device (EPI-NO) in primiparous women. ⋯ EPI-NO appeared to be safe and acceptable to the majority of users. Although birth training with EPI-NO significantly decreases the rate of episiotomies in term primiparous patients, and the degree of perineal tissue injury appeared to be less in the EPI-NO group especially among those with lacerations, the overall perineal trauma rate was slightly but not significantly lower, in view of the higher spontaneous laceration rate in the EPI-NO group.