Annals of emergency medicine
-
Clinical Trial Controlled Clinical Trial
Restraint position and positional asphyxia.
To determine whether the "hobble" or "hog-tie" restraint position results in clinically relevant respiratory dysfunction. ⋯ In our study population of healthy subjects, the restraint position resulted in a restrictive pulmonary function pattern but did not result in clinically relevant changes in oxygenation or ventilation.
-
Case Reports
Seizures, ventricular tachycardia, and rhabdomyolysis as a result of ingestion of venlafaxine and lamotrigine.
Few cases of overdoses have been described involving venlafaxine, lamotrigine, or a combination of the two agents. We describe a combined venlafaxine and lamotrigine ingestion in a patient presenting with a seizure, ventricular tachycardia, and rhabdomyolysis. We conclude that patients with overdoses that involve venlafaxine can exhibit severe cardiac effects in addition to seizures, especially if venlafaxine is combined with other agents.
-
To describe exposures that prehospital and ED personnel may encounter as a result of hazardous material incidents. ⋯ Multiple victim transport to EDs from a single hazardous material incident is most likely to result from an inhalation exposure to a respiratory irritant. Information from descriptive studies should allow improved preparation for potential hazardous material victims.
-
To study the roles emergency physicians have in a clinical telemedicine network. ⋯ The technology afforded by telemedicine allows emergency physicians to participate in telemedicine consultations. Emergency physicians should consider using clinical telemedicine in their practice.