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ACE Report #6648
Ace Report Cover Pediatric Orthopaedics

Care initiated by nurses inferior to physician for radial-head subluxation reduction in ED

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

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.

Contributing Authors: A Dixon C Clarkin N Barrowman R Correll MH Osmond AC Plint

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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 indi...

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