The American journal of emergency medicine
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Mechanical bull-riding has become a popular form of entertainment in the United States (US) over the last few decades. While mechanical bull-riding may result in injuries, the literature on such injuries is limited. This study characterized mechanical bull-riding injuries treated at US emergency departments (EDs). ⋯ The highest proportion of mechanical bull-riding injuries involved patients age 20-29 years. The majority of injuries involved the patient falling or being thrown from the mechanical bull. The most frequently reported diagnosis among mechanical bull-riding injuries was sprain or strain followed by fracture and contusion or abrasion.
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Randomized Controlled Trial
Sub dissociative dose of ketamine with haloperidol versus fentanyl on pain reduction in patients with acute pain in the emergency department; a randomized clinical trial.
Ketamine is known to be an effective factor in reducing pain without significant side effects. ⋯ Ketamine works better than fentanyl in controlling acute pain, and limited side effect of agitation can be controlled if injected with haloperidol. Due to its better function and fewer side effects, it seems that in controlling acute pain, Ketamine along with Haloperidol can be a good alternative to opioids.
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Studies show that although the presence of women in the medical field has risen, there is a lesser representation of women within editorial boards of journals. Studies on this subject have mostly been carried out related to the medical field of the researcher. It is not known what position the emergency medicine department is in this regard compared to other departments. We aimed to investigate whether gender disparity exists within the editors and editorial board members of medical journals, especially in those related to emergency medicine. ⋯ There is a significant gender disparity within editors and editorial board members in emergency medicine journals. The proportion of women within the editorial board was found to be lower in emergency medicine journals among all the journals included in the study.
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Bupropion is an antidepressant with unique mechanisms of action leading to a narrow therapeutic window. Parallel to increasing indications, there is an increasing number of overdoses and fatalities attributable to bupropion overdose. Due to the serious effects of a bupropion overdose including arrhythmias and early or delayed seizures, these patients necessitate prolonged monitoring with high levels of medical care. In the setting of a tertiary care center with a medical toxicology consult service, our institution is heavily relied upon to manage these patients. This study was performed to provide clarity on the resources used, lengths-of-stay, and treatments provided for these patients. ⋯ Bupropion overdose necessitates high resource utilization which we believe will increase with the expanding indications for its use.