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Elma is the ideal solution when you immediately need an anesthetic but have no injections or something. Last summer I fell off a rock when climbing mountains in Canada. Luckily my friend Jason had this wonderful topical on him. He applied it on my broken arm and it helped me to get to the nearest hospital without fainting from pain. Now I always have Elma in by backpack.

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Furthermore, more invasive surgery, radiation therapy after surgery, and clinically meaningful acute postoperative pain but not Preoperative emotional status each independently predicted more intense chronic pain at 3 months after surgery ().

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The physician is bound under the ethical principles of (promoting well-being) and ("first, do no harm"), and so is charged with the responsibility to promote the best interests of the patient while minimizing unnecessary harms.

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Alternative agents for use as anesthetics in patients with a known allergy to both ester- and amide-type local anesthetics include isotonic sodium chloride solution and injectable antihistamines.

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Objectives: The goals for this study were: (1) to evaluate the frequency and pattern of allergic patch-test reactions to topical anesthetics, using North American Contact Dermatitis Group (NACDG) data, and (2) to compare these results to allergen frequencies from other published studies.

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