Annals of emergency medicine
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Randomized Controlled Trial Comparative Study Clinical Trial
Ultrasound versus radiography in the detection of soft-tissue foreign bodies.
To determine the usefulness of ultrasound and radiography in detecting foreign bodies in soft-tissue models closely duplicating puncture-wound trauma and hand anatomy. ⋯ Ultrasound detection of foreign bodies by skilled operators in this animal model revealed poor sensitivity and specificity. Radiographic detection was highly sensitive for foreign bodies considered radiopaque. Our data suggest that ultrasound should not be relied on to rule out the possibility of a retained foreign body in the distal extremities.
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To describe the experience of an emergency medical services system with the use of liberal indications for prehospital pediatric endotracheal intubation. ⋯ In a setting where paramedics practice with close medical direction, applying liberal indications for pediatric intubation and permitting the use of succinylcholine allowed paramedics to intubate children of different ages and diagnoses.
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Editorial Comment
Federal anti-patient-dumping provisions: the first decade.