Annals of emergency medicine
-
Plasma catecholamine levels after intraosseous epinephrine administration in a cardiac arrest model.
To measure plasma catecholamine levels and the cardiovascular response after administering epinephrine by the intraosseous (IO) route in an animal cardiac arrest model. ⋯ IO epinephrine is rapidly transported to the central circulation but requires larger than currently recommended doses to produce a significant change in blood pressure.
-
Infection with the roundworm Ascaris lumbricoides is common in children and may mimic an acute abdomen. The cases of two pediatric patients who presented to the emergency department with signs and symptoms of a surgical abdomen are presented to highlight the presentation of this infection. Both cases were diagnosed by physical examination and radiographs and were treated successfully without surgical intervention. These cases illustrate the need for heightened awareness by the emergency physician of ascariasis in the differential diagnosis of acute abdomen.
-
To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. ⋯ Dehydration does not compromise the efficacy of HSD as a resuscitation treatment for hemorrhagic shock.
-
To determine the practice of emergency physicians with regard to the issue of Rh isoimmunization. ⋯ This study demonstrates a need for increased attention to the potential for Rh isoimmunization in patients presenting to the ED.