The American journal of emergency medicine
-
Computed tomography (CT) has become essential for the management of trauma patients. However, appropriate timing of CT acquisition remains undetermined. The purpose of this study was to assess the relationship between time to CT acquisition and mortality among adult patients with severe trauma. ⋯ CT scan at or after 60 min was associated with increased death on discharge among patients with severe trunk trauma but not in those with severe head trauma.
-
In patients who experience a seizure, the seizure duration is a strong indicator of prognosis. Thus, reducing time to antiepileptic medications in patients who are actively seizing is critical. While findings from retrospective studies suggest that the rapid administration of undiluted intravenous (IV) levetiracetam may be safe, some gaps in the literature remain. ⋯ This study found that the rapid administration of undiluted IV levetiracetam in ED patients was associated with few adverse events.
-
Comment Letter Randomized Controlled Trial
Comment on whole-body cooling effectiveness of cold intravenous saline following exercise hyperthermia: A randomized trial.