Care initiated by nurses inferior to physician for radial-head subluxation reduction in ED .
This report has been verified
by one or more authors of the
original publication.
Reduction of radial-head subluxation in children by triage nurses in the emergency department: a cluster-randomized controlled trial
CMAJ. 2014 Jun 10;186(9):E317-23. doi: 10.1503/cmaj.131101. Epub 2014 Mar 24.Exclusive Author Interview
Dr. Andrew Dixon discusses the possibility of triage nurse reduction of radial-head subluxation in children in the emergency department
245 children with presumed diagnosis of radial-head subluxation were treated by either triage nurses or physicians in the emergency department in this cluster-randomized controlled trail, based on day of presentation. The purpose of this study was to determine whether nurse-initiated treatment was inferior to physician-initiated treatment with respect to the success rate of reduction. Results indicated that nurse-initiated treatment was associated with a lower rate of successful reduction, and was thus, inferior to physician-initiated treatment. However, stay in the emergency department was significantly shorter for patients treated by triage nurses.
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