The American journal of emergency medicine
-
Comparative Study
Use of radiography and ultrasonography for nasal fracture identification in children under 18 years of age presenting to the emergency department.
To compare the diagnostic value of ultrasonography (USG), which is rapid, inexpensive, simple, and does not involve radiation, with that of direct radiography for identifying fractures in the nasal bones of pediatric patients presenting in the emergency department with nasal trauma. ⋯ We consider that USG should be preferred over direct radiography for use at the bedside of pediatric patients who present at emergency department with nasal trauma, because of its superior diagnostic ability and the lack of a requirement for radiation.
-
Letter Randomized Controlled Trial
Continuous insufflation of oxygen without endotracheal intubation improves cardiopulmonary resuscitation, a manikin-based model.
-
This was a pilot retrospective case-series study performed to investigate whether synthesized 18-lead electrocardiogram (ECG) could improve the accuracy of infarction site diagnosis in patients presenting with ST-elevation myocardial infarction (STEMI). ⋯ The diagnosis of STEMI by synthesized 18-lead ECG is useful to identify the site of infarction in patients with infarction of the right ventricular wall (supplied by the RCA) or posterior wall of the left ventricle (supplied by the LCX), which often fail to be diagnosed by the standard 12-lead ECG.
-
Observational Study
Does the number of emergency medical technicians affect the neurological outcome of patients with out-of-hospital cardiac arrest?
It is unclear whether the number of paramedics in an ambulance improves the outcome of patients with out-of-hospital cardiac arrest (OHCA) or not. ⋯ The number of paramedics in an ambulance did not affect the outcome in OHCA patients.
-
We aimed to determine the incidence of esophageal strictures in corrosive ingestions and potential predictors of severe injury. ⋯ All inpatient deaths and severe complications were apparent within hours of ingestion, and occurred with highly corrosive substances. One delayed stricture occurred, not predicted by inpatient endoscopy.