Annals of emergency medicine
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Review Case Reports
Retrograde intubation of the pharynx: an unusual complication of emergency cricothyrotomy.
Retrograde, translaryngeal intubation of the pharynx, a previously unreported and potentially fatal complication of emergency cricothyrotomy, is described. Methods of avoiding this complication are discussed. Reports in the literature of related technical errors following successful surgical incision of the cricothyroid membrane are discussed.
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Clinical Trial
Plasma cocaine and tetracaine levels following application of topical anesthesia in children.
To measure plasma cocaine and tetracaine levels in children after standardized application of a solution of tetracaine 0.5%, epinephrine 0.05%, and cocaine 11.8% (TAC) to lacerations requiring suture repair. ⋯ Application of 3 mL of standard TAC solution for 15 minutes results in low but measurable plasma cocaine levels in 75% of children.
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To determine the potential usefulness of external cardiac pacing for the termination of sustained ventricular tachycardia in the emergency department setting. ⋯ We conclude that external noninvasive pacing may be an effective means of terminating ventricular tachycardia in the ED setting.
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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.