The American journal of emergency medicine
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The aim of this study was to find a new external landmark for internal jugular vein (IJV) catheterization. ⋯ This new method of IJV catheterization was found to have a high success rate and few complications.
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We hypothesized that diabetic patients in the emergency department (ED) have poorer glycemic control than patients seeking care at primary care clinics. A convenience sample of hemoglobin A1c (HbA1c) values was gathered retrospectively from the ED, Endocrinology, and Family Medicine Clinics. Results were divided into controlled, poorly controlled, and extremely poorly controlled. ⋯ The first peak represents well-controlled diabetic patients. The second, higher peak comprises a larger number of patients (approximate n = 134, 73% of all 207 ED patients) who have poorer glycemic control. We conclude that a large number of ED diabetic patients have poorer glycemic control than the other clinics.
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Comment Letter Case Reports
Comment on "Is prehospital blood glucose measurement necessary in suspected cerebrovascular accident patients?".
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Assess duration, efficacy, and safety of emergent transarterial embolization of acute external carotid blowout syndrome (ECBS) with N-butyl-cyanoacrylate. ⋯ Transarterial N-butyl-cyanoacrylate embolization can successfully manage acute ECBS with profuse hemorrhage. The technique is both efficient and safe, and the procedure can be rapidly completed.
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The purpose of this study is to prospectively evaluate the cortisol response and determine the relative adrenal insufficiency after return of spontaneous circulation (ROSC). ⋯ Relative adrenal insufficiency may be associated with the increased mortality rate in patients with return of circulation after cardiac arrest. Although basal cortisol values were normal to high, treatment of relative adrenal insufficiency with corticosteroids may decrease the mortality rate. Additional studies are needed to confirm this association and to determine the effectiveness of treating relative adrenal insufficiency.