J Emerg Med
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Seizure is estimated to be the presenting symptom of pulmonary embolism (PE) < 1% of the time. A review of the available literature on the subject indicates that many of the reported cases are postmortem findings, and invariably, are examples of delayed diagnosis and treatment. ⋯ Despite an atypical presentation, the authors were able to diagnose the patient due to a high level of suspicion for the disease. Our goal is to make physicians more attuned to the possibility of a PE as a final diagnosis in patients who present with new-onset seizures.
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Review Case Reports
Emergency Cesarean Section Due to Acute Aortic Dissection Type A (Debakey I) without Marfan Syndrome: A Case Report and Review of the Literature.
Acute aortic dissection during pregnancy is an uncommon but important emergency due to its lethal risk to both mother and child. The dissection usually involves the ascending aorta or the aortic arch. Although additional affection of the descending aorta up to bifurcation is possible, further increasing the risk of organ malperfusion, full-length aortic dissection (DeBakey I) is known to be very rare. Dissection during pregnancy has been reported predominantly in combination with Marfan syndrome. Acute aortic dissection Stanford type A (AADA) DeBakey I during pregnancy without signs of Marfan syndrome as a warning signal is very uncommon in the current literature. ⋯ This alarming result of AADA (DeBakey I) in late pregnancy without obvious warnings such as Marfan syndrome illustrates the importance of performing early imaging in similar cases.
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Randomized Controlled Trial Comparative Study
Randomized Trial of Bilevel versus Continuous Positive Airway Pressure for Acute Pulmonary Edema.
Studies have shown different clinical outcomes of noninvasive positive pressure ventilation (NPPV) from those of continuous positive airway pressure (CPAP). ⋯ Compared to CPAP to treat APE, BPAP more rapidly improves oxygenation and dyspnea scores, and reduces the need for ICU admission. Further, BPAP does not increase MI rate compared to CPAP.
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Randomized Controlled Trial
Reciprocal Learning with Task Cards for Teaching Basic Life Support (BLS): Investigating Effectiveness and the Effect of Instructor Expertise on Learning Outcomes. A Randomized Controlled Trial.
Basic Life Support (BLS) education in secondary schools and universities is often neglected or outsourced because teachers indicate not feeling competent to teach this content. ⋯ Reciprocal learning with task cards is a valuable model for teaching BLS when instructors are not experienced or skilled in BLS.