The authors conducted a study comparing the efficacy of a single dose of ketorolac tromethamine injected intramuscularly (IM) to osteopathic manipulative treatment (OMT) for patients presenting to the emergency department with acute neck pain. Results showed that OMT is as efficacious as IM ketorolac in providing pain relief for these patients. The authors find that OMT is a reasonable treatment alternative to parenteral nonsteroidal anti-inflammatory medication for patients with acute neck pain in this setting.
At some point in active practice, virtually all family physicians will be required to conduct at least an initial evaluation of a patient with peripheral nervous system (PNS) complaints. The authors outline and describe common themes found in the symptoms and diagnoses of PNS dysfunctions. These themes may be useful to physicians when performing initial evaluations of patients with PNS dysfunctions. The authors also discuss diagnostic methods and effective therapeutic interventions for this patient population.
In the waiting room of a hospital-affiliated, outpatient pediatric practice, investigators distributed a 34-question, self-administered survey in pencil-and-paper format to pediatric patients and the adults who accompanied them. The survey was designed by the authors to determine the level of use of several electronic communication methods among their patients. The authors found a high level of cellular telephone use among pediatric patients. The reason most commonly given by parents for providing their children with cellular telephones was concerns about children's safety.
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