Emergency medicine journal : EMJ
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Randomized Controlled Trial Comparative Study
Amethocaine versus EMLA for successful intravenous cannulation in a children's emergency department: a randomised controlled study.
Topical anaesthetics reduce the pain of venous cannulation. The emergency department at the Starship Children's Hospital in Auckland uses EMLA (an eutectic mixture of 25 mg/g lidocaine and 25 mg/g prilocaine) for topical anaesthesia. Amethocaine has recently been shown to be a more effective topical anaesthetic. It is suggested that, because amethocaine does not vasoconstrict veins, it may increase the success of cannulation. ⋯ Amethocaine is not more successful than EMLA for first attempt intravenous cannulation in a children's emergency department.
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Randomized Controlled Trial Comparative Study
Comparison of powered and conventional air-purifying respirators during simulated resuscitation of casualties contaminated with hazardous substances.
Advanced life support of patients contaminated with chemical, biological, radiological or nuclear (CBRN) substances requires adequate respiratory protection for medical first responders. Conventional and powered air-purifying respirators may exert a different impact during resuscitation and therefore require evaluation. This will help to improve major incident planning and measures for protecting medical staff. ⋯ Powered air-purifying respirators improve the ease of breathing and do not appear to reduce mobility or delay treatment during a simulated resuscitation scenario inside an ambulance vehicle with a single CBRN casualty.