Tapentadol versus tramadol in the management of low back pain in the emergency department: Impact of use on the need for reassessments.

Nontraumatic musculoskeletal disorders are the main reason for presentation to the emergency department (ED), with rachialgia (back pain) being the most common reason to request medical assessment among them. This also generates the highest demand for reassessments due to poor pain control or onset of adverse reactions to the treatment prescribed in the initial assessment.A retrospective observational study based on usual clinical practice was conducted in patients attending the ED due to low back pain during a period of 24 months.

[Application of a cooperative learning approach for training residents in the emergency department and comparison with a traditional approach].

Objectives: To analyze the benefits of using a cooperative learning (CL) model to teach hospital residents doing rotations in the emergency department and to compare the CL approach to traditional training.

Material And Methods: Two training sessions on the same content were given by 2 expert instructors. A traditional method of instruction was used in one of the sessions and the CL model was used in the other.

Sternoclavicular septic arthritis: a series of 5 cases and review of the literature.

Infectious arthritis is a medical emergency whose prognosis, in terms of general morbidity and the final functionality of the joint, depends on rapid diagnosis and treatment. The sternoclavicular joint is an area of low prevalence of this type of arthritis, although its frequency is often concentrated in immunosuppressed patients, users of parenteral drugs or after traumatic events. We present a series of 5 microbiologically documented cases of sternoclavicular septic arthritis, 3 of which occurred in immunocompetent patients, and a short review of this pathology.