The American journal of emergency medicine
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Review Meta Analysis
Esmolol in the management of pre-hospital refractory ventricular fibrillation: A systematic review and meta-analysis.
Esmolol has been proposed as a viable adjunctive therapy for pre-hospital refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT). ⋯ The effectiveness of esmolol for refractory VF/pVT remains unclear. Trial sequential analysis (TSA) indicates that the evidence is inconclusive and that further trials are required in order to reach a conclusion. Therefore, it is imperative to continue to accumulate evidence in order to obtain a higher level of scientific evidence.
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The novel coronavirus disease of 2019 (COVID-19) is associated with significant morbidity and mortality. While much of the focus has been on the cardiac and pulmonary complications, there are several important dermatologic components that clinicians must be aware of. ⋯ It is important to be aware of the dermatologic manifestations and complications of COVID-19. Knowledge of the components is important to help identify potential COVID-19 patients and properly treat complications.
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Multicenter Study
The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States.
COVID-19 pandemic effects are still being elucidated. Stay-at-home orders and social distancing compounded with COVID-19 concerns have caused significant disruptions in daily life. One notable effect of these variables may be a change in the number of emergency department (ED) visits. This study aims to investigate the effects of COVID-19 on ED visits, and possible reasons for changes. ⋯ A number of factors have likely contributed to the substantial decrease in ED visits observed in this study. In light of these findings, it is important to raise patient awareness regarding acute conditions that are deadlier than COVID-19 and require immediate medical intervention to ensure recovery.
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Multicenter Study Observational Study
Effect of previous emergency psychiatric consultation on suicide re-attempts - A multi-center observational study.
The emergency department (ED) is one of the first gateways when suicide attempt patients seek health care services. The purpose of this study was to analyze the hypothesis that people who received emergency psychiatric services in previous suicide attempts will have a lower mortality rate in current ED visits owing to subsequent suicide attempts. ⋯ Patients who received psychiatric consultation in previous suicide attempts had a lower suicide-related mortality in current ED visits as compared to patients who did not, and this may have been related to choosing non-fatal suicide methods.
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Following the emergence of the COVID-19 pandemic, normal daily life in the United States (US) has changed dramatically. As the US population shifts to practice social distancing, there are undoubtedly changes in the pattern of traumatic injuries presenting to Emergency Departments across the US. This analysis aims to analyze previously undocumented trends on how the COVID-19 pandemic has changed the pattern of vehicle related injuries in selected US states. ⋯ Incidence of vehicle collisions and vehicle related injuries have significantly decreased during the COVID-19 pandemic. The creation of improved public transport modalities and use of virtual/remote replacements for social activities could serve as long-term solutions to reduce vehicle collisions and vehicle related injuries.