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Evid Based Nurs 7:9 doi:10.1136/ebn.7.1.9
  • Treatment

Topical anaesthetic applied at triage reduced treatment time in children presenting to the emergency department with minor lacerations


 
 Q In children with simple lacerations, does application of topical local anaesthesia at triage reduce total treatment time in the emergency department (ED)?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (patients and physicians deciding on the method of wound repair and need for sedation or anaesthesia).

GraphicFollow up period:

to discharge.

GraphicSetting:

an urban paediatric ED in Melbourne, Victoria, Australia.

GraphicPatients:

183 children who were 1–10 years of age (mean age 4 y, 61% boys)* and had simple lacerations that might require wound repair under local anaesthesia. Exclusion criteria: wounds involving the digits, ears, penis, nose, or mucous membranes; wounds close to the eye; deep wounds involving bone, cartilage, tendon, or muscles; wounds >6 hours old; anaesthetic application or infiltration of wound before ED …

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