Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Comparative Study
Dose-dependent hemodynamic effect of digoxin therapy in severe verapamil toxicity.
Calcium chloride (CaCl(2)) alone is an ineffective antidote in severe calcium channel antagonist overdoses. Digoxin has been evaluated as a therapy to increase the effectiveness of calcium in severe calcium channel antagonist overdoses. ⋯ There is a dose-dependent effect of digoxin on systolic blood pressure and maximal ventricular pressure in the setting of severe verapamil toxicity treated with high-dose CaCl(2).
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Comparative Study
Repeat patients to the emergency department in a statewide database.
To describe the epidemiology of repeat users of the emergency department (ED) using a statewide database. ⋯ Due to the high turnover in serial patients, control groups in future studies are necessary to evaluate interventions aimed at decreasing serial ED use. The likelihood of serial ED users to use multiple EDs indicates that those studying serial ED use should collect data from multiple EDs.
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Clinical Trial Controlled Clinical Trial
Pain scores improve analgesic administration patterns for trauma patients in the emergency department.
To determine the efficacy of pain scores in improving pain management practices for trauma patients in the emergency department (ED). ⋯ Pain assessment using VPS increased the likelihood of analgesic administration to trauma patients with higher pain scores in the ED.
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To determine how ambulance transportation is associated with resource use in the emergency department (ED). ⋯ This preliminary study indicates that patients arriving at the ED by ambulance use significantly more resources than their walk-in counterparts.
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Clinical Trial
Resident-performed compression ultrasonography for the detection of proximal deep vein thrombosis: fast and accurate.
To assess whether emergency medicine residents (EMRs) could quickly perform accurate compression ultrasonography (CUS) for the detection of proximal lower extremity deep vein thromboses (PLEDVTs) with minimal training. ⋯ Emergency medicine residents with limited US experience were able to quickly perform CUS after minimal training for the detection of PLEDVT in a select group of patients.