Emergencias
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Letter Historical Article
[Cardiopulmonary resuscitation and "The Unknown Woman of the Seine"].
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Randomized Controlled Trial Multicenter Study
[Multicenter, triple-blind randomized placebo controlled trial of adjuvant nitrous oxide 50% in oxygen 50%: efficacy for reducing pain and increasing satisfaction in patients treated for renal colic in the emergency department].
To assess the efficacy of a nitrous oxide and oxygen mixture (N2O/O2 50/50) for reducing pain and increasing satisfaction in patients with an initial clinical diagnosis of renal colic in the emergency department. ⋯ The addition of N2O/O2 50/50 to standard analgesic therapy does not enhance the efficacy of pain control or the satisfaction of patients treated for renal colic in the emergency department.
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Comparative Study Observational Study
[Comparison of dressings and devices to secure peripheral venous catheters in the emergency department: suitability according to patient profile].
To identify the most suitably designed dressings and devices to secure peripheral venous catheters (PVCs) in different types of patients. To evaluate the traction force the dressings could withstand and times they are able to keep the PVC in place in the emergency department. ⋯ Design C was able to withstand greater forces in the traction tests. Extra surgical tape significantly improved resistance to traction when a stopcock was used. Using a Steri-strip with the Tegaderm device increased resistance to traction, although the improvement was less than that obtained with the Omnifix. The Tegaderm plus Omnifix design was significantly more resistant to traction than the Tegaderm by itself at only a slightly higher cost; the combination design, therefore, may be more recommendable. However, our results for resistance, cost, and application time showed that the Omnifix (desing B) is the best choice for securing a PVC.
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To evaluate the correlation between variations in ultrasound-measured diaphragm movement and changes in the arterial partial pressure of carbon dioxide (PCO2) after the start of noninvasive ventilation (NIV). ⋯ In patients with hypercapnic respiratory failure, the increase in range of diaphragm movement 15 minutes after starting NIV is associated with a decrease in PCO2 after 1 hour.
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Observational Study
[Factors related to lack of autonomous mobility during out-of-hospital emergency care].
To explore the frequency of lack of autonomous mobility and factors related to it in patients requiring prehospital emergency services. ⋯ The profile we identified for patients and situations in which patients cannot move autonomously during prehospital emergency care can be used to plan preventive strategies to ensure patient safety.