Annals of emergency medicine
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Comparative Study
Chemical dependency in emergency medicine residency programs: perspective of the program directors.
To evaluate the educational background, knowledge, and experiences regarding chemical dependency among emergency medicine program directors. The program directors' awareness of substance use and alcohol abuse among emergency medicine residents was examined by comparing their estimates with the actual rates reported by the residents. ⋯ Emergency medicine program directors must be more attentive to potential alcohol abuse among emergency medicine residents and should receive additional education regarding chemical dependency.
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To determine the outcome, location, preexisting conditions, and resuscitation wishes of prehospital cardiac arrest patients. ⋯ Severe chronic disease and unwanted resuscitation patients comprised one-third of all resuscitation attempts by KCEMS during a 12-month period. Both groups had lower survival rates compared to cardiac arrest patients who did not have severe chronic disease or indications of unwanted resuscitation.
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Case Reports
Application of continuous ST-segment monitoring in the detection of silent myocardial ischemia.
The detection of silent myocardial ischemia in patients presenting to emergency departments with atypical chest pain remains problematic. We describe the case of a patient with silent ischemia detected by continuous ST-segment monitoring, resulting in the prompt institution of therapeutic modalities.
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Randomized Controlled Trial Clinical Trial
Use of supplemental oxygen during bystander-initiated CPR.
To evaluate the efficacy of three methods by which rescuers can breathe supplemental oxygen to increase their delivered oxygen concentration (FDO2) during single-rescuer, bystander-initiated CPR. ⋯ The use of supplemental oxygen increases the rescuer's FDO2 during ventilation-only and full CPR without interfering with CPR performance.
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Review Case Reports
Bilateral spontaneous pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema: a rare presentation of paraquat intoxication.
Pneumothorax, subcutaneous emphysema, and pneumomediastinum occur frequently in critically ill patients in association with blunt or penetrating injuries or other conditions while performing Valsalva-like maneuvers. We present the case of a patient with bilateral pneumothoraces, pneumomediastinum, pneumopericardium, and subcutaneous emphysema after acute paraquat intoxication.