J Emerg Med
-
Colloids are widely used for fluid resuscitation in patients with sepsis. But the optimal type of fluid remains unclear. ⋯ There is no evidence that one colloid solution is more effective and safer than another for fluid resuscitation in sepsis. The severity score is improved in HES, but the confidence intervals are wide.
-
Randomized Controlled Trial
CPR PRO(®) Device Reduces Rescuer Fatigue during Continuous Chest Compression Cardiopulmonary Resuscitation: A Randomized Crossover Trial Using a Manikin Model.
The performance of high-quality chest compressions with minimal interruptions is one of the most important elements of the "Chain of Survival." ⋯ CPRO device reduces rescuer fatigue and pain during continuous chest compression CPR, which results in a higher quality of CPR in a simulation setting.
-
Apical ballooning syndrome (ABS) or stress cardiomyopathy is increasingly recognized as a cause of acute coronary syndrome with unobstructed coronaries, but remains underdiagnosed. ⋯ The incidence and clinical features of ABS in our tertiary center are similar to those reported in other settings. Unusual precipitants were observed, but left ventriculograms were performed less frequently and could be contributory to the under-diagnosis of ABS.
-
Unicycles are single-wheel machines ridden for transportation or recreation. To our knowledge, no studies have been performed that describe injury rates of unicycle use. ⋯ Based on NEISS data, unicycle injuries treated in EDs are relatively uncommon and rarely require admission. Of documented injuries, fractures and extremity injuries are most common. Additional research is needed to understand the underlying mechanisms of these injuries as well as the potential need for helmet use advocacy.
-
This is a case of a citalopram and olanzapine overdose causing seizures and severe cardiotoxicity. ⋯ This case describes cardiotoxicity directly correlated with supratherapeutic citalopram levels in overdose.