Archives of emergency medicine
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The aim of this study was to demonstrate that the under-used technique of femoral nerve block (F. N. B.) (Berry, 1977) has excellent analgesic action for femoral shaft fractures when performed by junior staff. ⋯ N. B. using a different agent (10 ml 0.5% bupivacaine) was performed and the same parameters were assessed. Both agents gave effective analgesia of varying duration at all levels of fracture site.
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Midazolam meleate, a water soluble 1,4 benzodiazepine, was used intravenously in 20 patients suffering seizures, of whom 12 were in status epilepticus. In all cases, midazolam in a dose of 2.5-15 mg rapidly terminated the seizure. ⋯ Thirteen patients were taking some form of anticonvulsant medication but only three were in the therapeutic range. Midazolam is seen to be an effective agent in the emergency treatment of seizures.