Featured Research

from universities, journals, and other organizations

Nurses effective at treating common arm injury in kids, but docs do it better

Date:
March 24, 2014
Source:
Canadian Medical Association Journal
Summary:
A clinical trial to determine if nurses in the emergency department could reduce 'pulled elbows' in children at a rate similar to that of physicians found that although nurses were able to treat this common injury 85 percent of the time, physicians were more effective, with a 97 percent success rate.

A clinical trial to determine if nurses in the emergency department could reduce "pulled elbows" in children at a rate similar to that of physicians found that althiough nurses were able to treat this common injury 85% of the time, physicians were more effective, with a 97% success rate. The trial is published Mar. 24 in CMAJ (Canadian Medical Association Journal).

Pulled elbow, or radial-head subluxation, is a common arm injury in young children, often resulting in a visit to the emergency department. The injury is easy to diagnose and quick to fix, but children usually wait hours in the emergency department.

Researchers performed an open, cluster-randomized controlled trial to determine whether triage nurses in the emergency department could fix the condition, thereby freeing up valuable resources. The trial involved 268 children at the Children's Hospital of Eastern Ontario in Ottawa, Canada. Children were assigned to be treated by either a physician or a nurse who was trained in treating this injury. On the basis of feedback from a survey of emergency physicians, researchers set a target of 10%, meaning if nurses reduced the injury by rates within 10% of physician rates, the doctors would consider using the protocol at their hospitals.

Nurses had a success rate of 85% in reducing the injury compared with a rate of 97% by physicians, which was 12% below the physician rate.

"Nurses accurately identified and reduced radial-head subluxation in most cases," writes Dr. Andrew Dixon, Department of Pediatrics, University of Alberta, and Stollery Children's Hospital, Edmonton, Alberta, with coauthors. "Children in the nurse-treatment group had a shortened length of stay compared with children in the physician-treatment group, spending an average of 55 minutes less in the emergency department."

Although the nurses did not meet the target for reducing the injury, their success rate was still high, and there could be benefits for using trained nurses to help reduce the injury.

The authors conclude "task-shifting in health care involves trade-offs. Our study provides an informed choice between an immediate treatment that works 7 times out of 10 and a delayed treatment that works 19 times out of 20."


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. A. Dixon, C. Clarkin, N. Barrowman, R. Correll, M. H. Osmond, A. C. Plint. Reduction of radial-head subluxation in children by triage nurses in the emergency department: a cluster-randomized controlled trial. Canadian Medical Association Journal, 2014; DOI: 10.1503/cmaj.131101

Cite This Page:

Canadian Medical Association Journal. "Nurses effective at treating common arm injury in kids, but docs do it better." ScienceDaily. ScienceDaily, 24 March 2014. <www.sciencedaily.com/releases/2014/03/140324133236.htm>.
Canadian Medical Association Journal. (2014, March 24). Nurses effective at treating common arm injury in kids, but docs do it better. ScienceDaily. Retrieved August 30, 2014 from www.sciencedaily.com/releases/2014/03/140324133236.htm
Canadian Medical Association Journal. "Nurses effective at treating common arm injury in kids, but docs do it better." ScienceDaily. www.sciencedaily.com/releases/2014/03/140324133236.htm (accessed August 30, 2014).

Share This




More Health & Medicine News

Saturday, August 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

3 Things To Know About The Ebola Outbreak's Progression

3 Things To Know About The Ebola Outbreak's Progression

Newsy (Aug. 29, 2014) Here are three things you need to know about the deadly Ebola outbreak's progression this week. Video provided by Newsy
Powered by NewsLook.com
Killer Amoeba Found in Louisiana Water System

Killer Amoeba Found in Louisiana Water System

AP (Aug. 28, 2014) State health officials say testing has confirmed the presence of a killer amoeba in a water system serving three St. John the Baptist Parish towns. (Aug. 28) Video provided by AP
Powered by NewsLook.com
Who Could Be Burnt by WHO's E-Cigs Move?

Who Could Be Burnt by WHO's E-Cigs Move?

Reuters - Business Video Online (Aug. 28, 2014) The World Health Organisation has called for the regulation of electronic cigarettes as both tobacco and medical products. Ciara Lee looks at the impact of the move on the tobacco industry. Video provided by Reuters
Powered by NewsLook.com
CDC Director On Ebola Outbreak: 'It's Worse Than I Feared'

CDC Director On Ebola Outbreak: 'It's Worse Than I Feared'

Newsy (Aug. 28, 2014) CDC director Tom Frieden says the Ebola outbreak is even worse than he feared. But he also said there's still hope to contain it. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins