The American journal of emergency medicine
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To evaluate the prognostic value of routine coagulation tests for patients with heat stroke. ⋯ A prolonged APTT and elevated PT-INR within 24 h are independent prognostic factors of 60-day mortality in HS.
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Multicenter Study
Serum total carbon dioxide as a prognostic factor for 28-day mortality in patients with sepsis.
Metabolic acidosis is commonly associated with the disease severity in patients with sepsis or septic shock. This study was performed to investigate the association between serum total carbon dioxide (TCO2) concentration and 28-day mortality in patients with sepsis. ⋯ Serum TCO2 concentrations of 20 mmol/l or less were associated with 28-day mortality in patients with sepsis.
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Multicenter Study
Treatment of suspected sepsis and septic shock in children with chronic disease seen in the pediatric emergency department.
Research demonstrates that timely recognition and treatment of sepsis can significantly improve pediatric patient outcomes, especially regarding time to intravenous fluid (IVF) and antibiotic administration. Further research suggests that underlying chronic disease in a septic pediatric patient puts them at higher risk for poor outcomes. ⋯ Study findings suggest pediatric patients with chronic disease with suspected sepsis or septic shock in the PED have a slower time to IVF administration but equivocal use of sepsis recognition tools compared to patients without chronic disease.
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Multicenter Study
Descriptive analysis of prostatitis in the emergency department.
Prostatitis is one of the most common urologic diseases in ambulatory patients. However, prostatitis data are limited from the emergency department (ED) setting. ⋯ Prostatitis was uncommonly diagnosed in men undergoing urinalysis and urine culture or testing for sexually transmitted infections in the ED.
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Management of patients with syncope lacks standardization. We sought to assess regional variation in hospitalization rates and resource utilization of patients with syncope. ⋯ Significant regional variability in hospitalization rates and ED service charges exist among patients with syncope. Standardizing practices may be needed to reduce variability.