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Emerg Med J 20:61-62 doi:10.1136/emj.20.1.61-a
  • Best evidence topic reports

Reduction of pulled elbows

  1. David Lewis, East Anglian Trainees,
  2. Jon Argall, Senior Clinical Fellow,
  3. K Mackway-Jones
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin.mackway-jones@man.ac.uk

      Report by David Lewis, East Anglian Trainees
 Checked by Jon Argall, Senior Clinical Fellow

      Abstract

      A short cut review was carried out to establish whether a pronation manoeuvre is better than a supination manoeuvre for first time reduction of pulled elbow. Altogether 57 papers were found using the reported search, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers …

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      Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?

      Results

      0.5% - 43% response rate
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      Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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