The American journal of emergency medicine
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Meta Analysis
Can corticosteroids reduce the mortality of patients with severe sepsis? A systematic review and meta-analysis.
Corticosteroids may reduce 28 day mortality in patients with severe sepsis or septic shock.
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Randomized Controlled Trial
Intranasal ketamine reduces pain of digital nerve block; a double blind randomized clinical trial.
Low dose ketamine can be used as analgesic in acute pain management in the emergency department (ED). ⋯ The findings of this study suggest that IN ketamine can be effective in reducing pain in patients with acute pain, without adding significant side effects.
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Observational Study
Effect of hypoxia on mortality and disability in traumatic brain injury according to shock status: A cross-sectional analysis.
This study aimed to test the association between hypoxia level and outcomes according to shock status in traumatic brain injury (TBI) patients. ⋯ There was a trend toward worsened outcomes with mild and severe hypoxia in patient with and without shock, however, the only met statistical significance for patients with both severe hypoxia and non-shock status.
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National Highway Traffic Safety Administration (NHTSA) reports that seat belt use results in a significant decrease in MVC mortality. The rate of obesity is currently extensive. There is limited data on the impact of seat belt use and body mass index (BMI) on mortality and trauma outcomes following MVCs. This study aimed to evaluate the impact of seat belt use and BMI on outcomes in adult trauma patients. ⋯ Use of a seat belt reduced Trauma Center mortality regardless of BMI. Seat belts should be used by all patients as a mechanism to significantly reduce mortality.