Annals of emergency medicine
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To determine whether prehospital outcome of patients who receive care from emergency medical technicians-paramedic (EMT-Ps) differs from that of patients who receive care from emergency medical technicians-defibrillation (EMT-Ds), as rated by the treating EMTs using standardized scales, and to determine whether the patient's seriousness of illness is relevant to any differential benefit of one level of care over the other. ⋯ According to the ratings of prehospital care providers, patients classified as "severe" or "life-threatened" had their conditions "improve" by the time they arrived at the hospital more often when care was provided by an EMT-P team than when it was provided by an EMT-D team.
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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.