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Emergency crit care

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11 papers 0 to 25 followers
J P Pracy, L Brennan, T M Cook, A J Hartle, R J Marks, B A McGrath, A Narula, A Patel
No abstract text is available yet for this article.
October 2016: British Journal of Anaesthesia
Christopher W Baugh, Thomas J Wang, Jeffrey M Caterino, Olesya N Baker, Gabriel A Brooks, Audrey C Reust, Daniel J Pallin
OBJECTIVES: The Infectious Diseases Society of America and the American Society of Clinical Oncology recommend risk stratification of patients with febrile neutropenia (FN) and discharge with oral antibiotics for low-risk patients. We studied guideline concordance and clinical outcomes of FN management in our emergency department (ED). METHODS: Our urban, tertiary care teaching hospital provides all emergency and inpatient services to a large comprehensive cancer center...
January 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Theron S Williams, Rawle A Seupaul
No abstract text is available yet for this article.
September 2016: Annals of Emergency Medicine
Steven D Weisbord, Paul M Palevsky
No abstract text is available yet for this article.
October 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Geoffrey Kennedy Isbister, Leonie A Calver, Michael A Downes, Colin B Page
STUDY OBJECTIVE: We investigate the effectiveness and safety of ketamine to sedate patients with severe acute behavioral disturbance who have failed previous attempts at sedation. METHODS: This was a prospective study of patients given ketamine for sedation who had failed previous sedation attempts. Patients with severe acute behavioral disturbance requiring parenteral sedation were treated with a standardized sedation protocol including droperidol. Demographics, drug dose, observations, and adverse effects were recorded...
May 2016: Annals of Emergency Medicine
Erin R Weldon, Robert E Ariano, Robert A Grierson
In the treatment of acute coronary syndromes, reduction of sympathetic stress and catecholamine release is an important therapeutic goal. One method used to achieve this goal is pain reduction through the systemic administration of analgesia. Historically, morphine has been the analgesic of choice in ischemic cardiac pain. This randomized double-blind controlled trial seeks to prove the utility of fentanyl as an alternate first-line analgesic for ischemic-type chest pain in the prehospital setting. Successive patients who were treated for suspected ischemic chest pain in the emergency medical services system were considered eligible...
2016: Prehospital Emergency Care
Tricia M McKeever, Glenn Hearson, Gemma Housley, Catherine Reynolds, William Kinnear, Tim W Harrison, Anne-Maree Kelly, Dominick E Shaw
INTRODUCTION: Identifying acute hypercapnic respiratory failure is crucial in the initial management of acute exacerbations of COPD. Guidelines recommend obtaining arterial blood samples but these are more difficult to obtain than venous. We assessed whether blood gas values derived from venous blood could replace arterial at initial assessment. METHODS: Patients requiring hospital treatment for an exacerbation of COPD had paired arterial and venous samples taken...
March 2016: Thorax
Joonghee Kim, Kyuseok Kim, Jongdae Park, You Hwan Jo, Jae Hyuk Lee, Ji Eun Hwang, Chulmin Ha, Young-Sang Ko, Euigi Jung
PURPOSE: Sodium bicarbonate is frequently used for patients unresponsive to cardiopulmonary resuscitation (CPR). Its use may be associated with longer resuscitation duration as well as more severe metabolic acidosis. We applied a new analytical method based on a matched case-control study design to control for the potential confounders. BASIC PROCEDURES: Out-of-hospital cardiac arrest patients resuscitated in an emergency department for at least 20 minutes, unless there was any return of spontaneous circulation (ROSC) within the time frame, were analyzed...
February 2016: American Journal of Emergency Medicine
J Michael Brewer, Michael A Puskarich, Alan E Jones
No abstract text is available yet for this article.
December 2015: Annals of Emergency Medicine
Peter W Macfarlane, Charles Antzelevitch, Michel Haissaguerre, Heikki V Huikuri, Mark Potse, Raphael Rosso, Frederic Sacher, Jani T Tikkanen, Hein Wellens, Gan-Xin Yan
The term early repolarization has been in use for more than 50 years. This electrocardiographic pattern was considered benign until 2008, when it was linked to sudden cardiac arrest due to idiopathic ventricular fibrillation. Much confusion over the definition of early repolarization followed. Thus, the objective of this paper was to prepare an agreed definition to facilitate future research in this area. The different definitions of the early repolarization pattern were reviewed to delineate the electrocardiographic measures to be used when defining this pattern...
July 28, 2015: Journal of the American College of Cardiology
James Quinn, Daniel McDermott
OBJECTIVES: To determine the sensitivity and specificity of the San Francisco Syncope Rule (SFSR) electrocardiogram (ECG) criteria for determining cardiac outcomes and to define the specific ECG findings that are the most important in patients with syncope. METHODS: A consecutive cohort of emergency department (ED) patients with syncope or near syncope was considered. The treating emergency physicians assessed 50 predictor variables, including an ECG and rhythm assessment...
July 2011: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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