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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To correlate changes in core body temperature with changes in mean arterial pressure (MAP) and cardiac output (CO) and with the administration of room-temperature intravenous fluids in a clinically relevant large-animal model of uncontrolled hemorrhage. ⋯ Ambient-temperature crystalloid resuscitation in a clinically relevant large-animal model of hemorrhagic shock causes small decreases in core body temperature. Resuscitation rather than shock is the main cause of decreased body temperature in this model.
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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.