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Randomized clinical trial comparing SAM aluminium splint vs pain relief as usual in patients seeking emergency department care for suspected wrist fractures.
Randomized controlled trial of suspected wrist fractures in patients seeking emergency department care. Comparison of pain relief. Randomized to standard care or standard care + aluminium splint.
Primary outcome: Numeric rating scale (NRS) pain rating at 1 hour. Secondary outcomes: Pain medication usage between groups. Negative impact on radiology results.
Safety endpoint: Reported side effects
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SAM splint | Active Comparator | Recieves SAM splint for pain relief |
|
| Control | No Intervention | Treatment as usual |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SAM splint | Device | Splint vs no splint in paitents awaiting X-ray in the ER. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain assessment | Self assessed pain according to NRS (numeric rating scale) | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Pain relief medication | Between-group comparison of analgesia provided by nursing staff up to 24 hours after presentation at ER. | 24 hours from enrollment. |
| Negative impact on radiology | Splint artefacts on radiological exam. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emergency department, Malmö university hospital | Recruiting | Malmö | 20502 | Sweden |
All IDP collected will be shared upon request.
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| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D000092503 | Wrist Fractures |
| D059787 | Acute Pain |
| ID | Term |
|---|---|
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
| D010146 | Pain |
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SAM wrist splint
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| 24 hours from enrollment in study. |
| Adverse events | Side effects from splint | 24 from enrollment in ER. |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |