Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Review Meta Analysis
Topical nonsteroidal anti-inflammatory drugs for corneal abrasions: meta-analysis of randomized trials.
To determine the effectiveness of topical nonsteroidal anti-inflammatory drugs (NSAIDs) in traumatic corneal abrasions. ⋯ Topical NSAIDs are effective analgesics for traumatic corneal abrasions.
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To determine the success and complication rates associated with endotracheal intubation in an urban emergency medical services (EMS) system. ⋯ Reasonable success and complication rates of endotracheal intubation in the out-of-hospital setting can be achieved in a busy, urban EMS system without the assistance of medications.
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Each year, approximately 40,000 patients with acute asthma are transported by the Fire Department of New York City (NYC) Emergency Medical Services (EMS). Out-of-hospital administration of bronchodilator therapy has, however, been restricted by scope of practice to advanced life support (ALS) providers. Since the rapid availability of ALS units cannot always be assured, some individuals with acute asthma may receive only basic life support (BLS) measures in the field. ⋯ This study demonstrates that EMT-Bs can effectively administer albuterol to acute asthma patients in the out-of-hospital environment.
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Comparative Study
Performance of a population-based cardiac risk stratification tool in Asian patients with chest pain.
Most contemporary cardiac risk stratification tools have been derived and validated in mixed-race populations. Their validity in single-race populations has not been tested. The authors sought to compare the performance of a risk stratification tool between a mixed-race U.S. patient population and an Asian patient population. ⋯ Differences exist in presentation and factors associated with ACS among patients from the United States and Singapore that may affect the performance of risk stratification tools. These findings suggest that cardiac clinical decision rules need international validation.