Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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1) To describe elements of adult nontraumatic cardiac arrest protocols in those U.S. cities in which resuscitative efforts are being terminated in the out-of-hospital setting. 2) To determine the prevalence and methods of on-scene family grief counseling delivered in this setting. ⋯ Many U.S. urban EMS systems are terminating efforts for selected adult nontraumatic cardiac arrest patients, although few have written policies to address grief intervention for family members at the scene.
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Clinical Trial
Patient transfer from nursing home to emergency department: outcomes and policy implications.
To describe the process and outcomes of nursing home (NH) residents transferred to hospital EDs. ⋯ Although the majority of NH transfers in this population were appropriate, many patients were transferred without adequate documentation for the EP.
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To determine whether selective aortic arch perfusion (SAAP) using serial infusions of oxygenated perflubron emulsion combined with aortic epinephrine (AoE) administration is more effective than conventional therapy in treating cardiac arrest. ⋯ The combination of AoE with SAAP infusions of oxygenated perflubron emulsion was more effective than conventional resuscitation therapy. Pulsed diastolic SAAP is a promising method for performing SAAP.