The American journal of emergency medicine
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Hyperglycemia and hyperosmolality are associated with poor outcomes among acute ischemic stroke (AIS) patients. ⋯ Hyperglycemia was associated with poor outcome, even after excluding the effect of hyperosmolality. However, hyperosmolality without hyperglycemia was not associated with poor outcome. An additive effect, likely reflecting severe hyperglycemia, was observed.
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Observational Study
Evaluation of proadrenomedullin as a diagnostic or prognostic biomarker of acute appendicitis in children.
A delay in the diagnosis of acute appendicitis (AA), with the added complication of symptoms that mimic other self-limited causes of abdominal pain, can lead to an increase in ruptured appendices and morbimortality. None of the serum biomarkers evaluated to date have shown a predictive value for early diagnosis. ⋯ Although MR-proADM values are higher in children with AA than in children with nonspecific abdominal pain, these values do not help in the early diagnosis of AA. The combination of low C-reactive protein and low MR-proADM levels is useful for the identification of children with a low risk of AA.
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Letter Randomized Controlled Trial
Are firefighters able to perform blind endotracheal intubation via LMA Fastrach? An experimental study.
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Studies suggest that collaborative nursing protocols initiated in triage improve emergency department (ED) throughput and decrease time to treatment. ⋯ Emergency department triage pain protocol decreased time to provision of pain medications and did so without respect to payer category, sex, or race.