The American journal of emergency medicine
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Air embolism is a serious and frequently underrecognized complication of vascular access device placement. Improper precautions during vascular catheter insertion result in inadvertent introduction of air into the vasculature. Systemic embolization into the cerebral, pulmonary, and coronary circulations can be catastrophic. We present a case of intracardiac air embolism after placement of a central venous catheter managed conservatively.
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Case Reports
ST elevation in inferior derivation, coronary ectasia, and slow coronary flow following ceftriaxone use.
A 24-year-old male patient presented with acute coronary syndrome with ST elevation following an allergic reaction to ceftriaxone. A coronary angiogram revealed ectasia and slow coronary flow in the right coronary artery, whereas the left coronary system was found to be normal. The patient was transferred to the coronary intensive care unit and given steroids, antihistamines, acetylsalicylic acid, clopidogrel, low–molecular weight heparin, and diltiazem. In this case study, we presented acute coronary events following an allergic reaction to ceftriaxone.
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The objective of this study is to examine the nature and circumstances surrounding pediatric fall-related injuries for specific age groups and their implications for age-appropriate injury prevention efforts. ⋯ The high incidence of pediatric fall injuries warrants dedicated injury prevention education. Injury prevention efforts need to be age appropriate in terms of focus, target audience, and setting. Recommendations for injury prevention are discussed.
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To investigate the clinical impact of inappropriate empirical antibiotics on patient outcome and determine the risk factors for mortality in bacteremic adults who visited the emergency department (ED). ⋯ For bacteremic adults visiting the ED, their outcomes were favorable following appropriate antibiotics, compared to treatment with inappropriate antibiotics or no antibiotics.
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Editorial Comment
Assessing prognosis of sepsis in the ED: do we have a magic ball?