St. Paul's Hospital Emergency Department The Continuous Pursuit of Excellence in Patient Care and Academic Emergency Medicine

Describing an RCT of the effectiveness of a 3-in-1 Femoral Nerve Block performed in the ED in the setting of Femoral Neck Fractures.  The authors conclude that it is effective and a readily acquirable skill.

Ann Emerg Med. 2003;41:227-233.  (Link)

These 2 articles showed that CPR is not often performed per protocol.  They stop short of showing that the quality of CPR affects pt outcomes, but this is strongly implied.

In Hospital CPR

JAMA. 2005;293:305-310. (Link)

 

Out of Hosptial CPR

JAMA. 2005;293:299-304. (Link)

 

This article concludes that:

"Hydration with sodium bicarbonate before contrast exposure is more effective than hydration with sodium chloride for prophylaxis of contrast-induced renal failure. "

JAMA. 2004;291:2328-2334.  (Link)

 

This paper concludes:

" No association was found between preprocedural fasting and the incidence of adverse events occurring with procedural sedation and analgesia."

Ann Emerg Med. 2004;44:454-459. (Link)

 

An Placebo controlled RCT that concludes nebulized lidocaine reduces the pain of NG insertion.  The accompanying Editorial reviews the evidence for this practice. Ann Emerg Med. 2004;44:131-137. (Link)