Archives: BETs

A 16 year old girl presents to her general practitioner, monthly she suffers from dysmenorrhea. Her dysmenorrhea is often associated with vomiting and therefore her mother does want to know if a non-pharmaceutical therapy can reduce the pain as well. You wonder if applied heat is as effective in providing menstrual pain relief and reduction of abdominal cramping as pain killers.

An adult patient attends the ED with a simple traumatic laceration to the pinna after fighting. You have heard that we should give prophylactic antibiotics to these patients after suturing the wound as they have a high risk of developing perichondritis. You wonder whether there is any evidence for this.

A 22/40 pregnant lady presents to physiotherapy with pelvic girdle pain. The physiotherapist wants to know whether acupuncture will improve her pain and function.

A 13-year-old boy presents to the emergency department after sustaining 30% burns. Fluid resuscitation is commenced and he is intubated and ventilated for transfer to the burns unit. The burns team ask you to commence a vitamin C infusion. You wonder whether vitamin C will make any difference to the patient\'s outcome.

A 6 month old child is referred to Occupational Therapy (OT) from the consultant led clinic with camptodactyly. You want to try to correct the flexion deformity at the PIP joints and wonder if splinting may be a useful technique effective in improving PIP joint range of movement (ROM) and hand function.

A 55 yr old male presents with a 10 year history of hypertension. The patient has been taking a combination of Lisinopril and Hydrochlorithiazide for the past 5 years. The patient has heard that chiropractic manipulation may have a lowering effect on blood pressure and would like to know if there is any evidence to support this.

A 37 year-old man, who is known to suffer from cluster headaches, presents to the Emergency Department with a severe unilateral headache associated with lacrimation, rhinorrhoea and restlessness. He has already taken his own triptan and has been put on oxygen therapy on arrival. You remember being told that intranasal lidocaine can help in cluster headaches and you wonder what the evidence is for this therapy.

A 55 year old female patient presents to the physiotherapy department for assessment of lateral hip pain that came on insidiously 2 years ago. She has been diagnosed with (Greater Trochanteric Pain Syndrome (GTPS) by an orthopaedic consultant, but the patient would like to know what the accuracy/validity of the clinical diagnosis is without also having an MRI scan.

A 34 years old man presents to your emergency department with a dislocated shoulder. You want to use procedural sedation for the reduction of his shoulder. You have used ketamine successfully for sedation in children before and you wonder if it would be as effective as propofol in an adult population requiring procedural sedation.