Annals of emergency medicine
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Initial observation of a patient who sustained a rattlesnake bite on the hand showed resolution of mild swelling over 3 hours. The patient left the emergency department against medical advice, only to return 12 hours later with severe pain and swelling, as well as a marked coagulopathy. This case illustrates the need for an observation period after crotalid bite, even when the envenomation seems to be minor or when symptoms resolve.
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To analyze the emergency medicine system in a developing country and identify areas of need and potential collaboration. ⋯ The ED and prehospital systems provide high-volume and often high-acuteness care. Barriers to improved care include limited specialized training and lack of medical records.
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To compare CPR with chest compressions plus ventilatory support (CC+V) and chest compressions alone (CC). ⋯ In this experimental model of bystander CPR, we could not detect a difference in hemodynamics, 48-hour survival, or neurologic outcome when CPR was applied with and without ventilatory support.
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We outline recent developments in the delivery of emergency medicine and prehospital care in the Republic of Turkey. Residency training in emergency medicine is in its infancy in Turkey, and the presence of specialists will help define the future of emergency medical care in this country.
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To determine the frequency with which patients with suspected tuberculosis (TB) or TB risk factors present to US emergency departments and to describe current ED TB infection-control facilities and practices. ⋯ Patients with TB or at risk for TB are often treated in US EDs, and the risk for transmission of TB in this setting appears to be increasing. Prolonged waiting times and lack of infection-control facilities in EDs may contribute to this problem. Consideration should be given to implementation of policies and facilities recommended by the CDC.