The American journal of emergency medicine
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Retracted Publication
Vascular permeability and hemodynamic effects of ulinastatin on organs affected by shock during early burn injury.
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article has been retracted at the request of the authors due to errors in the data. The authors indicated that they expanded the original sample size from 12 to 50, to study blood circulation upon other types of burns. ⋯ The decrease in blood volume of the experimental group was not significantly slowed compared to the control group as reported. Since that was the basis of this work, this flaw may shatter all resulting hemodynamic data measured by the PICCO method. The authors have been unable to determine the source of the error.
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Multicenter Study
Association of the time to first epinephrine administration and outcomes in out-of-hospital cardiac arrest: SOS-KANTO 2012 study.
This study assessed the association between the timing of first epinephrine administration (EA) and the neurological outcomes following out-of-hospital cardiac arrests (OHCAs) with both initial shockable and non-shockable rhythms. ⋯ While assessing the effectiveness of epinephrine for OHCA, we should consider the time-limited effects of epinephrine. Additionally, consideration of early EA based on the pathophysiology is needed.
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We evaluated factors associated with mortality in patients with moderate/severe generalized tetanus. ⋯ Tetanus severity and APACHE II score were associated with mortality in patients with generalized tetanus, whereas high-calorie nutrition and dexmedetomidine use reduced the odds of death. High-calorie nutrition and dexmedetomidine administration may improve prognosis in adult patients with moderate/severe generalized tetanus.
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To examine the safety and effectiveness of intranasal midazolam and fentanyl used in combination for laceration repair in the pediatric emergency department. ⋯ Our results suggest that the combination of INM and INF may be a safe and effective strategy for procedural sedation in young children undergoing simple laceration repair.