The American journal of emergency medicine
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Intracerebral hemorrhage (ICH) is a potentially life-threatening condition. Interventions and treatments should be managed on time to reduce mortality. It has been put forth that perihematomal edema absolute volume (PHEAV) is related to mortality, however the effect of perihematomal edema absolute area (PHEAA) on mortality is unknown. The objective of this study was to evaluate the effect of PHEAA on 30-day mortality in patients with ICH. ⋯ In contrast to PHEAV, PHEAA is a simple value which can be measured without the requirement of any additional techniques or extra costs which can be quickly applied and which is an independent indicator of 30-day mortality. PHEAA can accelerate physician interventions for patients with ICH within several hours of ED admission.
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Randomized Controlled Trial Comparative Study
Comparison of local anesthetic effect of lidocaine by jet injection vs needle infiltration in lumbar puncture.
Usual routes of drug administration are often painful and invasive. Nowadays, using jet injection has been introduced successfully, as a noninvasive and painless method of anesthetic delivery in performing different procedures. ⋯ Injecting lidocaine by jet injector is less painful than infiltrating it by needle and syringe.
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Review Case Reports
The emergency management of ventricular assist devices.
Heart failure is a common condition in the United States. When medical therapy fails, ventricular device (LVAD) therapy may be required. With increasing use of LVADs, emergency physicians should understand how to manage problems that may arise with these devices. ⋯ With an increasing number of LVADs, emergency physicians should expect to see patients with complications directly or indirectly related to LVADs. This review provides physicians with an extensive review of LVAD physiology and the evaluation and management of potential complications related to the device.