The American journal of emergency medicine
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Multicenter Study
Impact of hypotension after return of spontaneous circulation on survival in patients of out-of-hospital cardiac arrest.
To investigate the relationship between hypotension in the first 3h after return of spontaneous circulation (ROSC) in patients with out-of-hospital cardiac arrest. ⋯ Among the patients who experienced ROSC after OHCA, post-ROSC hypotension was an independent predictor of survival.
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Emergency department (ED) crowding is associated with patient safety concerns, increased patients left without being seen (LWBS), low patient satisfaction, and lost ED revenue. The objective was to measure the impact of a revised triage process on ED throughput. ⋯ The revised triage intervention was associated with improvements in several ED throughput metrics and a reduction in LWBS.
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Review Meta Analysis Comparative Study
Comparison of the loop technique with incision and drainage for soft tissue abscesses: A systematic review and meta-analysis.
Skin and soft tissue infections are a common presentation to the emergency department. Traditional management of abscesses involves a linear incision through the center of the abscess with packing placed. The loop drainage technique (LDT) is an alternate approach that may reduce pain and scarring, as well as decrease the number of follow up visits needed. This systematic review and meta-analysis aimed to compare the efficacy of the LDT with conventional incision and drainage (CID) in the treatment of soft tissue abscesses. ⋯ The existing literature suggests that LDT is associated with a lower failure rate than CID. However, the data is limited by small sample sizes and predominantly retrospective study designs. Given the potential for less pain, decreased scarring, and lower associated healthcare costs, this technique should be considered for the treatment of skin and soft tissue abscesses in the ED setting, but further studies are needed.