Reduction of radial-head subluxation in children by triage nurses in the emergency department: a cluster-randomized controlled trial

Andrew Dixon; Chantalle Clarkin; Nick Barrowman; Rhonda Correll; Martin H. Osmond; Amy C. Plint

doi:10.1503/cmaj.131101

Research

Reduction of radial-head subluxation in children by triage nurses in the emergency department: a cluster-randomized controlled trial

Andrew Dixon, Chantalle Clarkin, Nick Barrowman, Rhonda Correll, Martin H. Osmond and Amy C. Plint

CMAJ June 10, 2014 186 (9) E317-E323; DOI: https://doi.org/10.1503/cmaj.131101

Andrew Dixon

Department of Pediatrics (Dixon), University of Alberta; Stollery Children’s Hospital (Dixon), Edmonton, Alta.; Clinical Research Unit (Barrowman), Children’s Hospital of Eastern Ontario Research Institute; Children’s Hospital of Eastern Ontario Research Institute (Clarkin, Correll, Osmond, Plint), Ottawa, Ont.; Department of Pediatrics and Emergency Medicine (Osmond, Plint), University of Ottawa, Ottawa, Ont.

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For correspondence: Andrew.Dixon@AlbertaHealthServices.ca

Chantalle Clarkin

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Nick Barrowman

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Rhonda Correll

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Martin H. Osmond

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Amy C. Plint

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Figure 1:
Flow of participants through the study. In this cluster-randomized design, eligible children were assigned to receive nurse- or physician-initiated care based on the day of presentation (cluster). Note: RHS = radial-head subluxation.

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Table 1:
Characteristics of children included in the analysis
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Table 2:
Clinical outcomes among children assigned to nurse- or physician-initiated radial-head subluxation

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Canadian Medical Association Journal: 186 (9)

CMAJ

Vol. 186, Issue 9

10 Jun 2014

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Reduction of radial-head subluxation in children by triage nurses in the emergency department: a cluster-randomized controlled trial