Emergency medicine journal : EMJ
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A short-cut review was carried out to determine whether intranasal lidocaine was an effective treatment for patients with acute cluster headaches. Two hundred and seventy-two papers were found using the reported search, of which four were considered relevant to the three-part question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses are shown in table 2. Although the included studies all found some degree of symptomatic relief with this treatment, the methodological weaknesses of the studies compromised the validity of this finding, and the authors concluded that there was insufficient evidence to support this treatment in clinical practice.
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A short-cut review was carried out to determine whether cerebrospinal fluid (CSF) opening pressure is significantly affected by the patient's leg position during the procedure. A total of 1410 papers was found using the reported search, of which five were considered relevant to the three-part question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses are shown in table 3. It is concluded that alternative leg positions may affect the opening pressure by a small margin but this is unlikely to be of clinical significance.
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Use of specialist healthcare services is increasing. ⋯ The use of specialist care hospital admission can be reduced if appropriate alternatives are available.
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A short-cut review was carried out to determine whether hydrotherapy is an effective treatment to reduce pain and improve function in patients recovering from an ankle fracture. Although 12 papers were found using the reported search, no studies were relevant to this three-part question. No evidence was found to support this treatment.
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Abuse in Emergency Department (ED) as a widespread phenomenon, has negative effects on ED residents. This issue pertains to Western as well as Asian countries. ⋯ Being abused during residency is a universal problem, and there is a lack of awareness and the knowledge of how to deal with abuse, and reporting it among ED residents in Iranian hospitals.