Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To compare placement of IO lines using a traditional method with placement using a new device called the bone injection gun (BIG). ⋯ In the education setting, times to establishment of an IO line were similar using both the traditional method of insertion and the BIG device. Ratings of both the students and paramedics were similar with respect to each-of-use for both the methods.
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To study the effect of both shaking of the microwaved bag and heat loss during delivery. ⋯ Absence of shaking of the microwaved fluids does not produce "hot spots." Higher initial temperatures out of the bag should be considered as well as warming of the IV tubing.
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Randomized Controlled Trial Comparative Study Clinical Trial
Two-thumb vs. two-finger chest compression in an infant model of prolonged cardiopulmonary resuscitation.
Previous experiments in the authors' swine lab have shown that cardiopulmonary resuscitation (CPR) using two-thumb chest compression with a thoracic squeeze (TT) produces higher blood and perfusion pressures when compared with the American Heart Association (AHA)-recommended two-finger (TF) technique. Previous studies were of short duration (1-2 minutes). The hypothesis was that TT would be superior to TF during prolonged CPR in an infant model. ⋯ In this infant CPR model, TT chest compression produced higher MAP, SBP, DBP, and PP when compared with TF chest compression during a clinically relevant duration of prolonged CPR.
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Comparative Study Clinical Trial
Can clinical parameters predict fractures in acute pediatric wrist injuries?
Fractures around the wrist are common in pediatric patients presenting to the emergency department (ED). This pilot study was aimed at identifying clinical variables that are most likely to be associated with a fracture. ⋯ Distal radius point tenderness and a 20% or more decrease in grip strength were predictive of fractures.
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Comparative Study
Maximizing the sensitivity and specificity of pediatric trauma team activation criteria.
Care of the severely injured child requires the rapid assembly of personnel trained in pediatric trauma care. Trauma team activation criteria, which are highly sensitive and maximally specific for identifying the child who requires resuscitation, are necessary to provide rapid care to all who need it, while using resources efficiently. ⋯ Criteria for TTA that include patients who meet mechanism criteria only are not specific for identifying patients who receive a resuscitative intervention. Use of anatomic and physiologic criteria only results in an increase in specificity, thereby reducing overtriage while retaining a high sensitivity.