Annals of emergency medicine
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Comparative Study Clinical Trial
Evaluation of gastric emptying using radionuclides: gastric lavage versus ipecac-induced emesis.
To compare the efficacy of gastric lavage and ipecac-induced emesis by using a radionuclide marker in a simulated overdose and to determine the amount of material recoverable after lavage fluid appears clear. ⋯ In this study, ipecac-induced emesis was significantly more effective than gastric lavage in emptying the stomach after simulated overdose. Significant amounts of ingested material are recoverable in gastric lavage return after it appears clear.
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Case Reports
Cyanide and methemoglobin kinetics in smoke inhalation victims treated with the cyanide antidote kit.
To evaluate serial cyanide, methemoglobin, and carbon monoxide levels in smoke inhalation patients. ⋯ The administration of sodium nitrite to smoke inhalation patients in the presence of concomitant carbon monoxide poisoning may be relatively safe.
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We report a case of accidental activated charcoal instillation into the lung of a 30-year-old man being managed for a cyclic antidepressant overdose. The patient was treated with multidose activated charcoal, and between his first and second doses, he pulled his nasogastric tube out of position. ⋯ He subsequently developed an adult respiratory distress syndrome but gradually improved after bronchoscopic removal of charcoal and supportive care. He was discharged 14 days later.
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To determine the incidence and nature of errors in the citation and quotation of references contained in the emergency medicine literature. ⋯ This study demonstrates a substantial error rate in the citation and quotation of reference sources in the emergency medicine literature. In addition, verification of primary source material was not done by a large percentage of the authors reviewed. Recommendations for improving the accuracy of the emergency medicine literature are offered.