Emergency medicine journal : EMJ
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Elderly victims of motor vehicle collisions are increasing with the aging population. This study aimed to investigate the injury pattern of elderly victims involved in motor vehicle collisions. ⋯ Elderly victims of motor vehicle collisions have a higher risk of chest injuries, especially of chest wall injuries. Age specific injury patterns are important in determining primary and secondary prevention strategies.
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To compare injury patterns in children with many and few emergency department (ED) visits in order to reveal the causes for the frequent visits. ⋯ Children with many ED visits had less severe injuries and more dislocations, sprains, and strains.
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Case Reports
Vertebral artery dissection and cerebellar infarction following chiropractic manipulation.
Vertebral artery dissection (VAD) associated with chiropractic cervical manipulation is a rare but potentially disabling condition. In this report, we present a young patient manifesting with repeated vertigo. ⋯ A number of cases of VAD associated with chiropractic cervical manipulation have been reported, but rarely in the emergency medicine literature. We present a case of this rare occurrence, and discuss the diagnostic pitfalls.
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To quantify the health gains and costs associated with improving ambulance and thrombolysis response times for acute myocardial infarction. ⋯ Improving ambulance response times appears to be cost effective. Reducing door-to-needle time will have a smaller effect at an uncertain cost. Further benefits may be gained from reducing the time from onset of symptoms to starting thrombolysis.