Status:
COMPLETED
Nurse Reduction of Pulled Elbow
Lead Sponsor:
Children's Hospital of Eastern Ontario
Collaborating Sponsors:
Ontario Ministry of Health and Long Term Care
Conditions:
Radial Head Subluxation
Eligibility:
All Genders
Up to 6 years
Phase:
NA
Brief Summary
Radial head subluxation, also known as pulled elbow or nursemaid's elbow, is one of the most common upper extremity injuries in young children and a common reason for an emergency department visit.1 T...
Detailed Description
Study design: We performed an open (i.e. unblinded) non-inferiority, cluster-randomized control trial, to assess whether emergency department triage nurses could, using a medical directive and given ...
Eligibility Criteria
Inclusion
- Age up to 6 years
- Physical exam consistent with RHS which includes not using the affected limb, holding the elbow in extension or slight flexion, forearm in pronation, and patient is distressed only on elbow movement
- Injury within preceding 12 hours
Exclusion
- Deformity of clavicle or arm
- Swelling of elbow or wrist
- Significant tenderness on palpation of arm
- Metabolic bone disease (i.e. osteogenesis imperfecta)
- Neuromuscular disorder that excludes adequate assessment (i.e. severe cerebral palsy)
Key Trial Info
Start Date :
October 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2010
Estimated Enrollment :
245 Patients enrolled
Trial Details
Trial ID
NCT00993954
Start Date
October 1 2009
End Date
October 1 2010
Last Update
December 30 2014
Active Locations (1)
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1
Childrens Hospital of Eastern Ontario
Ottawa, Ontario, Canada, K1H 8L1