Annals of emergency medicine
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[American College of Emergency Physicians: Clinical policy for the initial approach to patients presenting with acute blunt trauma. Ann Emerg Med March 1998;31:422-454.].
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[Salomon B: Emergency department fugue. Ann Emerg Med March 1998;31:412-413].
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To determine the accuracy of the esophageal detector device (EDD) in predicting correct endotracheal tube (ETT) placement in a newborn-piglet model. ⋯ No syringe had 100% sensitivity and specificity in correctly predicting ETT placement. The 20-mL syringe had the highest combination of sensitivity and specificity. Further studies are warranted to determine whether the EDD using a 20-mL syringe would aid in the prediction of correct ETT placement in the pediatric population.
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Information needs for emergency medicine research and for practice are closely related. A well-developed information system can serve both, allowing data gathered in one setting to be used for the other. To produce the best environment for emergency medicine research, providers should support data standards, promote education in data analysis, and understand the informational structure of emergency medicine practice.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomized, double-blind study on sedatives and hemodynamics during rapid-sequence intubation in the emergency department: The SHRED Study.
To compare thiopental, fentanyl, and midazolam for rapid-sequence induction and intubation (RSI). ⋯ Fentanyl provided the most neutral hemodynamic profile during RSI, although factors other than choice of sedative can play a more significant role in determining hemodynamic response. Depth of sedation may influence the speed of RSI.