The American journal of emergency medicine
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Letter Case Reports
External contention for pelvic trauma: is 1 sheet enough?
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Randomized Controlled Trial Comparative Study
Comparison of 2 cuff inflation methods before insertion of laryngeal mask airway for safe use without cuff manometer in children.
This prospective, randomized trial was conducted to establish whether the pediatric laryngeal mask airway (LMA) could be used without any concerns for abnormally high intra-cuff pressure when a cuff of the LMA was inflated with half the maximum recommended inflation volume or the resting volume before insertion. ⋯ Both methods of the LMA cuff inflation before insertion provided an acceptable range of intra-cuff pressure with adequate pharyngeal sealing without any intervention after insertion.
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Comparative Study
Characteristics and outcomes of injured patients presenting by private vehicle in a state trauma system.
Previous studies have demonstrated lower mortality among patients transported to single urban trauma centers by private vehicle (PV) compared with Emergency Medical Services (EMS). We sought to describe the characteristics and outcomes of injured patients transported by PV in a state trauma system compared to patients transported by EMS. ⋯ Nearly 10% of injured patients arrive at trauma centers by private vehicle. Transport of injured patients by EMS was associated with higher mortality than PV transport. This may reflect the effects of prehospital time, prehospital interventions, or other confounders.