The American journal of emergency medicine
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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.
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Multicenter Study
Association of recent major psychological stress with cardiac arrest: A case-control study.
We hypothesized that major psychological stress can be a risk factor for cardiac arrest and that effects are modified by elapsed time from specific stressful events. ⋯ MLEs were associated with cardiac arrest occurrence, and the effect was modified by the elapsed time from the MLEs.
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Comparative Study
Effect of the Macintosh curved blade size on direct laryngoscopic view in edentulous patients.
In the present study, we compared the laryngoscopic view depending on the size of the Macintosh curved blade in edentulous patients. ⋯ Compared to a standard-sized Macintosh blade, a smaller-sized Macintosh curved blade improved the laryngeal exposure in edentulous patients.
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This study aimed to determine which children with suspected appendicitis should be considered for a computerized tomography (CT) scan after a non-diagnostic ultrasound (US) in the Emergency Department (ED). ⋯ Ordering CT should be considered after non-diagnostic US for appendicitis only when children meet at least 2 predictors of RLQ tenderness, peritoneal signs and WBC>10,000 in mm3.
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Comparative Study
Achieving ventricular rate control in patients taking chronic beta-blocker therapy.
The objective of this study is to evaluate the difference in response to ventricular rate control with intravenous (IV) metoprolol compared to IV diltiazem in patients taking chronic beta-blocker therapy who present to the emergency department (ED) in atrial fibrillation (AF) with rapid ventricular rate (RVR). ⋯ The use of IV diltiazem was associated with a higher rate of successful response to rate control compared to IV metoprolol in patients in AF with RVR on chronic beta-blocker therapy, however the difference between groups was not statistically significant.