Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Case Reports
Initial experience of emergency physicians using the intubating laryngeal mask airway: a case series.
Although the intubating laryngeal mask airway (ILMA) is widely available, its use by emergency physicians (EPs) has not been reported. The authors report the initial experience of EPs using the ILMA. A review of their experience and the relevant anesthesia literature provides a basis for EPs to use the ILMA more confidently and effectively. ⋯ In this case series, the ILMA was easy to use in acute resuscitations, and proved to be invaluable in cases of failed RSI.
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Review Randomized Controlled Trial Clinical Trial
Preventive care in the emergency department: should emergency departments institute a falls prevention program for elder patients? A systematic review.
To perform a systematic review of the emergency medicine literature to assess the appropriateness of an intervention to identify, counsel, and refer emergency department (ED) patients >64 years old who are at high risk for falls. ⋯ Based on one randomized controlled trial demonstrating a significant reduction in the risk of further falls, the burden of suffering caused by falls, and other studies demonstrating the value of interventions to reduce the risk of falling, the authors recommend that EDs conduct research to evaluate the effectiveness of clinical interventions to identify, counsel, and refer ED patients >64 years old who are at high risk for an unintentional fall.
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Multicenter Study Clinical Trial
Children with first-time simple febrile seizures are at low risk of serious bacterial illness.
To describe the rates of serious bacterial illness (SBI) in children presenting to emergency departments (EDs) with first-time uncomplicated febrile seizures. ⋯ Rates of SBI in this multi-institution population of children with first-time simple febrile seizures were low and are consistent with those published in the literature for febrile children without seizures.