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A Systematic Review and Meta-analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department

A Systematic Review and Meta-analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department

by Hans Rosenberg | Feb 4, 2019 | Anesthesiology, Full Article, Journal Club

Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Karlow N, et al. Acad Emerg Med. 2018 Oct;25(10):1086-1097. Question and Methods: This was a systematic review and meta-analysis of low dose ketamine (LDK 0.3 – 0.5mg/kg) vs opioids for acute pain...
Frailty, Falls, and Pain Management in the Older Emergency Department Patient

Frailty, Falls, and Pain Management in the Older Emergency Department Patient

by Ariel Hendin, Richard Hoang | Nov 16, 2017 | Featured, Grand Round Summaries, Patient Advocacy

The Canadian population is rapidly aging, and within the next 15 years, 1 in every 4 people will be 65 years or older 1. Elderly patients already make up 25% of Canadian Emergency Department (ED) visits, and this number is expected to increase 2. What should concern...
Ah, that feels better! The Use of Nerve Blocks in the ED.

Ah, that feels better! The Use of Nerve Blocks in the ED.

by emottawa | Oct 25, 2016 | Grand Round Summaries, Procedural care

The ability to administer peripheral nerve blocks in the ED has the potential to provide fast and direct analgesia with less systemic side effects compared to parenteral medications. When administered by an experienced provider, studies have shown that peripheral...

Safety and Efficacy of Hydromorphone as an Analgesic Alternative to Morphine in Acute Pain: A Randomized Clinical Trial

by emottawa | Aug 7, 2012 | Journal Club

Journal Club Summary  Landmark Series Andrew K Chang, Polly E Bijur, Robert H Meyer, Mark K Kenny, Clemencia Solorzano, and E John Gallagher PubMed Link   This U.S. randomized trial in ED adults with severe pain found similar effectiveness for intravenous...

Sublingual buprenorphine in acute pain management: a double-blind randomized clinical trial

by emottawa | Jul 3, 2012 | Journal Club

Journal Club Summary Methodology: 3.5/5     Usefulness: 2/5 Jalili M, Fathi M, Moradi-Lakeh M, Zehtabchi S. Ann Emerg Med. 2012 Apr;59(4):276-80. PubMed Link   This double blind, double dummy RCT compared sublingual Buprenorphine (0.4 mg) to IV Morphine (5 mg) for...
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