Emergency medicine journal : EMJ
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Previous research has shown the safety of procedural sedation in the emergency department in university settings involving multiple emergency physicians. ⋯ Procedural sedation in the emergency department performed by a single emergency physician is safe and effective.
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Multicenter Study
Predictors of ambulance use in patients with acute myocardial infarction in Australia.
To determine ambulance transport rates and investigate predictors for ambulance use by patients with acute myocardial infarction (AMI) in Australia. ⋯ A substantial number of patients do not call for an ambulance as their first medical contact after the onset of AMI symptoms. Public education on the benefits of ambulance transport and early treatment, as well as recognition of AMI symptoms, is required.
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Multicenter Study
A study of depression and anxiety among doctors working in emergency units in Denizli, Turkey.
Major work has been carried out on the psychological well-being of emergency room doctors in the US, Canada and in other developed countries, but little has been published regarding the same in the countries in economic transition. ⋯ The considerable amount of depression and anxiety found among doctors in this study should trigger further work. Studies using more powerful designs would help to illuminate the factors leading to depression and anxiety, which result in attrition among doctors from emergency units.
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Multicenter Study
The evolution of the emergency care practitioner role in England: experiences and impact.
The emergency care practitioner (ECP) is a generic practitioner who combines extended nursing and paramedic skills. The "new" role emerged out of changing workforce initiatives intended to improve staff career opportunities in the National Health Service and ensure that patients' health needs are assessed appropriately. ⋯ Indications are that the ECP schemes are moving forward in line with original objectives and could be having a significant impact on the emergency services workload.
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Randomized Controlled Trial Multicenter Study Comparative Study
Is atropine needed with ketamine sedation? A prospective, randomised, double blind study.
To compare atropine with placebo as an adjunct to ketamine sedation in children undergoing minor painful procedures. Outcome measures included hypersalivation, side effect profile, parental/patient satisfaction, and procedural success rate. ⋯ Ketamine sedation was successful and well tolerated in all cases. The use of atropine as an adjunct for intramuscular ketamine sedation in children significantly reduces hypersalivation and may lower the incidence of post-procedural vomiting. Atropine is associated with a higher incidence of a transient rash. No serious adverse events were noted.