The American journal of emergency medicine
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Pulmonary embolus (PE) is associated with significant utilization of health resources. As patients can be risk-stratified, there is an opportunity for a subset of patients to be safely treated without hospitalization, thus reducing the associated costs of treatment. Our aim was to describe the population, treatment strategies, complications, and outcomes associated with outpatient management of PE following treatment in the ED. ⋯ In this cohort of patients with PE, outpatient management was safe and effective for the large majority. Immediate and 30-day complications were few.
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Multicenter Study Observational Study
Weather and temporal models for emergency medical services: An assessment of generalizability.
Emergency medical services (EMS) response volume has been linked to weather and temporal factors in a regional EMS system. We aimed to identify if models of EMS utilization incorporating these data are generalizable through geographically disparate areas in the United States. ⋯ With minor differences, regional models demonstrated consistent associations between dispatches and time and weather variables. Findings demonstrate the generalizability of associations between these variables with respect to EMS use. Weather and temporal factors should be considered in predictive modeling to optimize EMS staffing and resource allocation.
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Letter Case Reports
Hepatic portal venous gas: A case report and analysis of 131 aatients using PUBMED and MEDLINE database.
Hepatic portal pneumatosis has a high mortality rate, and whether surgical intervention is necessary remains controversial. This experiment retrospectively analyzed the etiology, treatment methods and prognosis of adult patients with hepatoportal pneumocele to provide a theoretical basis for the treatment of this disease. ⋯ Etiology should be actively explored and surgical treatment is necessary.