The American journal of emergency medicine
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This study was performed to investigate the association of red cell distribution width (RDW) with 28-day mortality in patients with severe sepsis and septic shock. ⋯ Red cell distribution width is associated with 28-day mortality in patients with severe sepsis and septic shock.
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Clinical Trial
Systematic combined noncontrast CT-CT angiography in the management of unexplained nontraumatic coma.
Nontraumatic impaired consciousness is a common issue in emergency departments with a serious but widely variable prognosis. ⋯ Systematic combined NCCT/CTA imaging is an efficient tool for predicting poor neurologic prognosis in cases of unexplained nontraumatic impaired consciousness and is also essential for detecting BAO.
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Clinical Trial
Use and efficacy of nebulized naloxone in patients with suspected opioid intoxication.
To describe the use and efficacy of nebulized naloxone in patients with suspected opioid intoxication. ⋯ Nebulized naloxone was well-tolerated and led to a reduction in the need for supplemental oxygen as well as improved median GCS and RASS scores in patients with suspected opioid intoxication.
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Clinical Trial
Derivation of a clinical prediction rule to predict hospitalization for influenza in EDs.
Early, rapid, and accurate identification of those patients who have severe influenza is important for emergency physicians. Influenza viral load, which has been proposed as a predictor of severe influenza, could be useful in facilitating decision making of resource use. We aimed to derive a clinical prediction rule to indicate probability for inpatient hospitalization for patients with influenza, which includes influenza viral load in addition to other clinical information commonly collected in the emergency department (ED). ⋯ The clinical prediction rule incorporating influenza viral load into the clinical information was indicative of hospitalization and merits further evaluation for determination of ED resource use for patients with influenza.