The American journal of emergency medicine
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Observational Study
The utility of noninvasive nasal positive pressure ventilators for optimizing oxygenation during rapid sequence intubation.
The objective of the study is to investigate the feasibility of noninvasive nasal positive pressure ventilation (NINPPV) for optimizing oxygenation during the rapid sequence intubation in critically ill patients. ⋯ Noninvasive nasal positive pressure ventilation would be useful for optimizing oxygenation during rapid sequence intubation.
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There is growing interest and application of extracorporeal membrane oxygenation (ECMO) as a life-saving procedure for out-of-hospital cardiac arrest (OHCA), also called extracorporeal life support (ECLS). Extracorporeal membrane oxygenation cannulation with ongoing chest compressions is challenging, and transesophageal echocardiography (TEE) is an invaluable tool with which to guide ECMO wire guidance and cannula positioning. ⋯ Of our first 12 cases of ECLS, 10 have had TEE guidance by an emergency physician with successful placement and without complication or need for repositioning. Emergency physician-performed TEE for ECLS vascular cannula placement has been both feasible and useful in our experience and warrants further study.
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The purpose of the present study was to investigate the diagnostic value of lactate for predicting bacteremia in female patients with acute pyelonephritis (APN). ⋯ The initial serum lactate level showed poor discriminative performance for predicting bacteremia in female patients with APN.
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Surfing is a popular recreational and competitive sport in the United States and worldwide. Previous studies indicate surfers are frequently injured, but most studies are survey based, and little is known about surfing injuries that present to emergency departments (EDs). ⋯ Surfing injuries are common but rarely serious. The injuries most commonly affect the lower extremity, head, neck, and face and are most frequently lacerations. Age older than 60 years, injuries to the trunk, and internal organ injuries were associated with a statistically significant increased frequency of hospital admission.