The American journal of emergency medicine
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To investigate the therapeutic value of enhanced external counterpulsation (EECP) on recovery of cerebral blood flow following cardiac arrest (CA) and successful resumption of spontaneous circulation (ROSC) by cardiopulmonary resuscitation. ⋯ EECP is beneficial for recovery of cerebral blood flow and attenuation of ischemic cerebral edema following CA and successful ROSC.
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Observational Study
Outcomes of patients admitted for hanging injuries with decreased consciousness but without cardiac arrest.
The objective of this study is to provide appropriate treatment of patients who showed decreased mentality but did not suffer cardiac arrest (CA) from hanging injury, from reviewing the characteristics and analyzing the outcomes in such patients. ⋯ Unconscious patients without CA from hanging could recover consciousness through conservative treatment.
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Review Case Reports
Short series of upper limb acute arterial occlusions in 4 different etiologies and review of literature.
Upper limb acute arterial occlusions are uncommon, and when compared with lower limb occlusions, only a few cases have been reported. Although atrial fibrillation is the most common cause, many conditions may lead to ischemia. In this article, 8 cases of upper limb arterial ischemia due to 4 different etiologies were reported (7 brachial, 1 axillary), and the literature was reviewed.
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Randomized Controlled Trial
Assisted head extension minimizes the frequency of dental contact with laryngoscopic blade during tracheal intubation.
We hypothesized that the assisted maintenance of head extension would reduce the frequency of direct contact between the laryngoscope blade and the maxillary incisors during tracheal intubation. ⋯ The assisted maintenance of head extension during the simulation of tracheal intubation reduced the frequency of dental contact with the laryngoscopic blade without compromising the laryngoscopic views. The results of this study suggest that assisted head extension during tracheal intubation may reduce the possibility of unexpected dental injury.
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Observational Study
A simplified ultrasound-based edema score to assess lung injury and clinical severity in septic patients.
Lung ultrasound (US) is an excellent tool to assess lung edema in a myriad of different clinical situations. We hypothesized that lung US might also be a good prognostic and management instrument in septic patients, regardless of disease severity. ⋯ The SLESS is an easy and practical scoring system. It might be a useful tool to predict severity of disease in sepsis patients. The SLESS might also be able to be correlated with the oxygen exchange.