The American journal of emergency medicine
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Randomized Controlled Trial Comparative Study
Comparison of the Pentax AWS videolaryngoscope with the Macintosh laryngoscope in simulated difficult airway intubations by emergency physicians.
The aim of this study was to evaluate the Pentax AWS videolaryngoscope (PAV) in intubation of simulated difficult airways by emergency medical staff. ⋯ The PAV may be a useful adjunct in difficult intubations by emergency medical staff.
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Seeking to evaluate the feasibility of a prediction instrument for endocarditis in febrile injection drug users (IDUs), we determined (1) the frequency percentage of IDUs admitted with fever diagnosed with endocarditis and (2) whether individual or combinations of emergency department (ED) clinical criteria (patient history, physical examination findings, and laboratory tests) are associated with endocarditis in IDUs admitted to rule out endocarditis. ⋯ Using ED clinical criteria, a multicenter prospective study to develop an instrument for endocarditis prediction in febrile IDUs is feasible, with an estimated target enrollment of 588 patients.
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To investigate potential risk factors associated with the repetition of deliberate self-poisoning (DSP). ⋯ Early psychological intervention and close observation is required for patients who are female, living without a family, use antidepressants, and have a history of psychiatric treatment.
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Diltiazem is one of the most commonly used medications to control the rapid ventricular response in atrial fibrillation (AF). The recommended starting dose is an intravenous bolus of 0.25 mg/kg over 2 minutes. To avoid hypotension, we have empirically used a lower dose of diltiazem. We compared the efficacy and safety of different doses of diltiazem in rapid AF. ⋯ Low-dose diltiazem might be as effective as the standard dose in controlling rapid AF and reduce the risk of hypotension.
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We evaluated the impact of emergency physician (EP)-initiated primary percutaneous coronary intervention (PCI) via a single-group page on door to balloon (D2B) interval times in patients with ST-segment elevation myocardial infarction. ⋯ A systematic process of initiating D2B recommendations, including EP-initiated CCL activation via a single-group page, significantly reduces D2CCL and D2B times.