The American journal of emergency medicine
-
Randomized Controlled Trial Comparative Study
Comparison of 2 cuff inflation methods before insertion of laryngeal mask airway for safe use without cuff manometer in children.
This prospective, randomized trial was conducted to establish whether the pediatric laryngeal mask airway (LMA) could be used without any concerns for abnormally high intra-cuff pressure when a cuff of the LMA was inflated with half the maximum recommended inflation volume or the resting volume before insertion. ⋯ Both methods of the LMA cuff inflation before insertion provided an acceptable range of intra-cuff pressure with adequate pharyngeal sealing without any intervention after insertion.
-
Randomized Controlled Trial Comparative Study
Defibrillator charging before rhythm analysis significantly reduces hands-off time during resuscitation: a simulation study.
Our objective was to reduce hands-off time during cardiopulmonary resuscitation as increased hands-off time leads to higher mortality. ⋯ In a simulation setting, we demonstrated that charging of the defibrillator before rhythm analysis significantly reduced hands-off time compared with the ERC 2005 and ERC 2010 guidelines.
-
Comparative Study
Different impact of the appropriateness of empirical antibiotics for bacteremia among younger adults and the elderly in the ED.
To investigate the clinical impact of age on bacteremia among adults visiting the emergency department (ED). ⋯ For bacteremic adults, this study demonstrated the impact of inappropriate empirical antibiotic therapy on patients' outcome in the elderly was greater than that in the younger adults.
-
Triage systems are commonly used in emergency departments (ED) to prioritize patients. Laboratory testing is not typically used to help risk-stratify patients at triage. ⋯ POC testing at triage is a helpful adjunct in triage of patients with high-risk ED complaints.
-
Comparative Study Clinical Trial
Correlation between capillary and arterial blood gas parameters in an ED.
Sampling from arteries for the analysis of blood gases is a common procedure in emergency departments (ED). The procedure is painful for the patients and causes concern for the medical personnel due to possible complications, such as hematoma, infection, ischemia, and formation of fistula or aneurism. The present study compared the results of capillary and arterial blood gases analyses (CBG and ABG) to emphasizing a less aggressive technique with the fewest complications for this procedure. ⋯ There appear to be strong correlation between samples collected from the finger tip capillaries with the arterial blood samples in relation to the analysis of blood gas.