The American journal of emergency medicine
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Comment Letter
On first-pass, twitter response is inferior to expectations.
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N95 respirator masks may not provide adequate protection during chest compressions, even when resuscitators have passed quantitative fit testing.
pearl -
Cauda equina syndrome (CES) may be a devastating disease with the potential for significant patient morbidity. It is essential for emergency clinicians to be aware of how to effectively diagnose and manage this condition. ⋯ Cauda equina syndrome can be a difficult diagnosis. However, knowledge of the history and examination findings, imaging, and treatment can assist the emergency clinician in optimizing management of this condition.
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Case Reports
Intubation and intensive care after laminaria anaphylaxis in second-trimester abortion.
Laminaria are cervical dilators inserted for several days preceding second-trimester abortions and other uterine procedures. Our patient was intubated after a life-threatening anaphylactic reaction to laminaria prior to her surgical abortion. ⋯ Patients may present obtunded, in shock, without records or proxy, and with no external evidence of the allergen's location or continued presence. Emergency and critical care physicians may consider this etiology in obtunded women with anaphylaxis who are responding poorly to standard care.