Observations regarding battlefield acupuncture to treat low back pain in the emergency department?

Wee, Tze Chao; Tan, Yeow Leng

doi:10.1016/j.ajem.2018.04.065

Cited by 4 publications

(2 citation statements)

References 3 publications

(6 reference statements)

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“…41 SP9 and SP6 are paired-acupoints for pain relief in urinary obstruction, including ARC, through dredging the meridians. 42,43 Anatomically, ureter receives branches from T 11 -L 2 and S 2-4 nerve fibers, 44 and branches from L 4 -S 1 nerves are located in SP6 acupoint. 45 Branches around SP9 are innervated by the tibial nerve.…”

Section: Potential Mechanisms Of Treatment Effectivenessmentioning

confidence: 99%

Acupuncture versus Lornoxicam in the Treatment of Acute Renal Colic: A Randomized Controlled Trial

Zhang¹,

Liu²,

Ye³

et al. 2021

JPR

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To compare the analgesic efficacy and safety of acupuncture and lornoxicam in acute renal colic (ARC). Design, Setting, Participant: A randomized, double-blind, parallel-controlled, singlecentered trial was conducted at Susong County People's Hospital from October 2019 to November 2020. Eighty-four patients with ARC were randomly divided into lornoxicam group (Group L) and acupuncture group (Group A). Group A was treated with acupuncture at Sanyinjiao (SP6), Yinlingquan (SP9) and normal saline, and Group L was treated with sham acupuncture at SP6, SP9 and lornoxicam. Main Outcome Measures: Visual analogue scale (VAS) scores and adverse reactions such as nausea and dizziness were recorded within 5, 10, 15, 20 and 40 minutes after treatment. The main outcome of this study was the short-term effective (STE) rate, the secondary outcome was the onset time, and the safety index was incidence of adverse reactions. Results: A total of 80 patients completed this study, including 41 patients (21 males and 20 females) in Group L and 39 patients (21 males and 18 females) in Group A. Group A exhibited lower scores versus group L after treatment (P < 0.05). The overall STE of group L was 61.00% (25/41), significantly lower than group A [84.62% (33/39)] (P < 0.001). There was no difference in the incidence of adverse reactions between group A [2.6% (1/39)] and group L [7.3% (3/41)] (P = 0.616). The ordered logistic regression analysis showed patients receiving acupuncture therapy are more likely to be cured [OR = 2.887, 95% CI: (1.190,7.000), P = 0.019]. Conclusion: Acupuncture at SP6, SP9 and intramuscular injection of lornoxicam can effectively and safely relieve ARC, but the former has faster and better analgesic effect. Moreover, the incidence of adverse reactions was similar between the two treatments. This acupuncture therapy is recommended as a complementary therapy for ARC.

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Section: Potential Mechanisms Of Treatment Effectivenessmentioning

confidence: 99%

Acupuncture versus Lornoxicam in the Treatment of Acute Renal Colic: A Randomized Controlled Trial

Zhang¹,

Liu²,

Ye³

et al. 2021

JPR

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“…[2][3][4] Different approaches for acupuncture are required compared with outpatient or perioperative acupuncture, as ED patients have varied acutely painful conditions, and the environment is chaotic and busy. 5 To date, formal training requirements and governance to perform any form of acupuncture in ED are ill-defined. 6,7 Teaching in emergency medicine has advanced considerably over the years with the introduction of such new methods as problem-based learning, infotainment, simulation, ''four-stage skills teaching,'' and ''teaching on the run.''…”

mentioning

confidence: 99%

Lessons Learned in Teaching Battlefield (Ear) Acupuncture to Emergency Medicine Clinicians

Jan

2020

Medical Acupuncture

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Background: Acupuncture, in general, is being proclaimed as an alternative analgesic amid the opioid crisis, and along with this, within emergency departments (EDs) there is a specific interest in a form of ear acupuncture called Battlefield Acupuncture (BFA). It is expected that BFA will be used more widely in emergency medicine as it is easy to learn and can be applied both promptly and easily. Teaching programs will be required to sustain this increased demand and upskill emergency clinicians in this skill. Objectives: This article provides experiences and recommendations, based on faculty experiences from teaching BFA in Australia to ED clinicians combined with formal participant feedback. Main Points: BFA courses were adjusted to suit ED doctors and nurses, along with their unique case mix and associated challenging environment. The content of the BFA courses included evidence, pain indications, contraindications, application, safety, mechanism of action, and how to negotiate barriers of credentialing. Workshops used the latest and most effective teaching methods that encompassed problem-based learning, infotainment, simulation, ''four stage skills teaching,'' and ''teaching on the run.'' Conclusion: It is hoped that the experiences gained, and lessons learned in educating this new frontier of BFA to emergency clinicians will assist others in teaching BFA and its related techniques as a viable analgesic alternative in emergency medicine.

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A scoping review of mechanisms of auricular acupuncture for treatment of pain

Elliott,

Merlano Gomez,

Morris

et al. 2024

Postgraduate Medicine

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Observations regarding battlefield acupuncture to treat low back pain in the emergency department?

Cited by 4 publications

References 3 publications

Acupuncture versus Lornoxicam in the Treatment of Acute Renal Colic: A Randomized Controlled Trial

Acupuncture versus Lornoxicam in the Treatment of Acute Renal Colic: A Randomized Controlled Trial

Lessons Learned in Teaching Battlefield (Ear) Acupuncture to Emergency Medicine Clinicians

A scoping review of mechanisms of auricular acupuncture for treatment of pain

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