Abstract
The incidence of appendicitis is highest in young patients, but the number of elderly patients with appendicitis appears to be increasing. The authors evaluated a statewide experience to assess the effect of age on resource utilization and outcomes for this common disease....
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PMID: 21871982
PDF is available here.
Abstract
The purpose of this study was to investigate the demographic and clinical characteristics of electrical injuries, laboratory findings, complications, and mortality and morbidity rates of these injuries.
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PMID: 21935835
PDF is available here.
Abstract
Foreign body aspiration in childhood is a common and life-threatening emergency. A 14-year-old male with history of mental retardation was transferred from another center to our hospital with diagnosis of foreign body aspiration. According to the anamnesis, he had been diagnosed with epilepsy a few y...
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PMID: 21935837
PDF is available here.
Abstract
We present a patient struck by a motor vehicle with traumatic pneumobilia following blunt trauma to the abdomen, which was managed conservatively....
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PMID: 21935838
PDF is available here.
Abstract
Spontaneous pneumomediastinum (SPM) is an uncommon, benign, self-limited disorder that usually occurs in young adult males without any apparent precipitating factor or disease. SPM responds extremely well to conservative treatment, without recurrence in the great majority of cases. In this report, tw...
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PMID: 21935840
PDF is available here.
Abstract
We report herein a 31-year-old male who suffered a large middle cerebral artery infarction due to traumatic internal carotid artery dissection after a ball struck his head and neck. He recovered with mild neurologic deficit after decompressive surgery....
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PMID: 21935841
PDF is available here.
Abstract
We report the case of a young adult male who presented in the emergency department with an incarcerated, large, neglected rectal foreign body, a bull horn, causing intestinal obstruction. Emergent laparotomy was required for its removal....
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PMID: 21935842
PDF is available here.
Abstract
To examine the effect of β blockers in the management of chronic obstructive pulmonary disease (COPD), assessing their effect on mortality, hospital admissions, and exacerbations of COPD when added to established treatment for COPD.
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PMID: 21558357
PDF is available here.
Abstract
Mark van Ommeren and colleagues describe how they chose five psychotropic medicines to add to the Interagency Emergency Health Kit, which is a box with medicines and medical supplies designed to help people in major humanitarian emergencies.
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PMID: 21559326
PDF is available here.
Abstract
In this study, the pediatric age group exposed to road traffic accidents was investigated, and patients with risk factors were studied to obtain relevant data.
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PMID: 21935803
PDF is available here.
Abstract
This clinical study was conducted to present the clinical features, treatment and outcomes of rectus sheath hematoma (RSH), which is a complication of anticoagulation therapy that can present as acute abdomen.
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PMID: 21935797
PDF is available here.
Abstract
We present a case of traumatic right temporal epidural hematoma. This is one of the rare cases of rapid spontaneous resolution of epidural hematomas within hours. Various possible mechanisms to explain the rapid resolution are discussed together with a review of the literature regarding the conserva...
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PMID: 21935812
PDF is available here.
Abstract
The recent earthquake in New Zealand tested emergency services. But thanks to good disaster planning, survivors got the care needed.
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PMID: 21488446
PDF is available here.
Abstract
We focus on a method of simulation-based procedural skills training that uses virtual worlds. This method, implemented in our MeRiTS software system, models procedures using executable workflows, which are enacted by the trainee in a virtual world. The workflows may be defined by educators, or demon...
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PMID: 21335774
PDF is available here.
Abstract
To report daily practice of scene emergency tracheal intubation performed by physicians and changes induced by implementation of national guidelines, with special attention to rapid sequence induction (RSI) and control of assisted ventilation.
Observational study....
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PMID: 20473241
PDF is available here.
Abstract
Emergency pancreatico-duodenectomy is an infrequent surgical procedure. Herein, it is reported the case of a 58-year old man with ampullary carcinoma revealed by acute necrotizing pancreatitis. Due to clinical features, an emergency two-step pancreatico-duodenectomy was performed, ac...
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PMID: 21853755
PDF is available here.
Abstract
A hemodialysis patient suffered from circulation failure due to a low output syndrome caused by a hyperkalemia (9.9 micromol/l) with typical ecg signs. An emergency hemodialysis was started. After 2 h ecg signs of hypokalemia (2.1 micromol/l) were detectable. Hemodialysis was stopped. 2 h later, ser...
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PMID: 21084051
PDF is available here.
Abstract
We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients who were victims of the Wenchuan earthquake on May 12, 2008 to improve the maxillofacial injuries database and provide reference on patients' treatment after earthquake.
We investigated 2944 cases...
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PMID: 20495487
PDF is available here.
Abstract
In emergencies involving the descending colon one-stage surgery may be performed without colonic preparation as safely as elective surgery in selected patients considered suitable for segmental resection of the descending colon and primary anastomosis....
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PMID: 20940601
PDF is available here.
Abstract
Laparoscopic washout is an emerging technique that is particularly applicable to the management of Hinchey III perforated peritonitis. Short- and long-term problems exist with the technique that may be overcome with further improvement in technique and case selection. Resection and radiological drai...
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PMID: 20940603
PDF is available here.
Abstract
We report a case in which a suicidal patient ingested cyanide and was found unresponsive by 2 laboratory coworkers. The coworkers employed cardiopulmonary resuscitation with mouth-to-mouth resuscitation. The suicidal patient died shortly after arrival to the hospital, while the 2 coworkers who perfo...
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PMID: 21068529
PDF is available here.
Abstract
Previous parts to this series on thoracic and neck trauma discussed the anatomy and physiology of the thorax, assessment and initial nursing interventions, imaging and adjuncts to diagnosis. Part 2 described specific chest wall and lung injuries, types of pneumothoraces and their diagnosis and manag...
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PMID: 20869657
PDF is available here.
Abstract
Management of battlefield casualties in Iraq and Afghanistan has seen considerable development in damage control resuscitation, which aims to address the risk of haemorrhage, initially due to mechanical damage; and thereafter due to the development of life-threatening coagulopathy. Damage control re...
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PMID: 20869663
PDF is available here.
Abstract
Anaphylaxis is a severe, life-threatening, generalized or systemic hypersensitivity reaction characterized by rapidly developing airway and/or breathing and/or circulation compromise usually associated with skin and mucosal changes. Calling 999 for an ambulance, positioning the patient appropriately...
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PMID: 20852527
PDF is available here.
Abstract
I fractures, 19 type II and 6 type III according to upgraded Evans-Jensen classification system. All patients were complicated with osteoporosis, and 19 patients had preexisting internal medical diseases. According to the rating scale of disease severity by the American Society of Anesthesiologists...
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PMID: 20670577
PDF is available here.
Abstract
The 47 patients in the CS group were similar to the 47 in the no-CS group for all matched variables. Patients in the CS group received an average of 819 mL of autologous CS blood. The CS group received fewer intraoperative (2 vs 4 U; P = .002) and total (4 vs 8 U; P < .001) units of allogeneic packe...
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PMID: 20644133
PDF is available here.
Abstract
Maternal complications are frequent in CS, and although performing CS electively reduces the occurrence of complications, the frequency is still high. The complication rate depends on the degree of emergency, and increases with maternal obesity, older age and pre-eclampsia....
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PMID: 20583935
PDF is available here.
Abstract
Patients were 36, 41 and 67 years old. The elapsed time between cardiogenic failure and surgery was 0, 7 and 19 days. The first diagnosis was a viral myocarditis in those three cases. The diagnosis of adrenal pheochromocytoma was done in a second step by the association of adrenal tumour on abdomina...
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PMID: 20656271
PDF is available here.
Abstract
In a retrospective analysis, among a cohort of patients who were referred for outpatient treatment, we found that such treatment was effective for the vast majority (94%) of patients. Women and those with free fluid on CT scan appear to be at higher risk for treatment failure....
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PMID: 20484998
PDF is available here.
Abstract
Proper patient selection and pre-treatment counseling are important considerations when planning emergency pulpectomies to avoid inappropriate use of resources and manpower....
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PMID: 20648889
PDF is available here.
Abstract
The main objective of this study was to evaluate the prevalence of emergencies in dental practices and the prepared-ness and the training experience in cardiopulmonary resuscitation (CPR) of Brazilian dentists in dealing with emergencies. The volunteer participants in the study were 498 Brazilian de...
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PMID: 20516306
PDF is available here.
Jose J Diaz,
Daniel C Cullinane,
William D Dutton,
Rebecca Jerome,
Richard Bagdonas,
Jarolslaw O Bilaniuk,
Bryan R Collier,
John J Como,
John Cumming,
Maggie Griffen,
Oliver L Gunter,
John Kirby,
Larry Lottenburg,
Nathan Mowery,
William P Riordan,
Niels Martin,
Jon Platz,
Nicole Stassen and
Eleanor S Winston
Abstract
There was only one level I recommendation. A patient with documented abdominal compartment syndrome should undergo decompressive laparotomy. CONCLUSION: The open abdomen technique remains a heroic maneuver in the care of the critically ill trauma or surgical patient. For the best outcomes, a protoco...
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PMID: 20539186
PDF is available here.
Abstract
No differences were detected regarding either the aerosol delivery system used or the need for hospitalization in relation to the plasma concentrations of salbutamol. However, higher plasma levels were found in patients >2 years vs patients < or =2 years [median (IQR): 9.40 (6.32-18.22) vs. 4.65 (2....
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PMID: 20195589
PDF is available here.
Abstract
Wilderness trips have become increasingly popular, especially in the adolescent population. The wilderness can be a source of rejuvenation while being mentally and physically challenging; however, it is also fraught with the potential for injury, illness, and even death. Epidemiologic studies of inj...
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PMID: 20538151
PDF is available here.
Abstract
In patients with colorectal cancer and obstructive symptoms, SEMS provide a highly effective and safe therapy when compared to surgery. In most patients with metastatic colorectal cancer and obstruction, SEMS provide a minimally invasive alternative to surgical intervention....
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PMID: 19693667
PDF is available here.
Abstract
This study aims to assess the implementation degree of the Hospital Urgency Care Qualification Program (Qualisus) in three high complexity hospitals of Recife municipality, Pernambuco State. A normative assessment was conducted based on structural and work process attributes concerning to user right...
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PMID: 20640282
PDF is available here.
Abstract
BACKGROUND: Acute medical emergencies can and do occur in the dental office. Preparing for them begins with a team approach by the dentist and staff members who have up-to-date certification in basic life support for health care providers. The ability to react immediately to the emergency at hand, i...
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PMID: 20436085
PDF is available here.
Abstract
BACKGROUND AND OVERVIEW: Medical emergencies can happen in the dental office, possibly threatening a patient's life and hindering the delivery of dental care. Early recognition of medical emergencies begins at the first sign of symptoms. The basic algorithm for management of all medical emergencies...
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PMID: 20436086
PDF is available here.
Abstract
All staff members should understand the basic action plan so that they can put it into effect should any emergency arise in the dental office. CLINICAL IMPLICATIONS: Preparing staff members is integral to the successful management of a medical emergency in the dental office....
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PMID: 20436084
PDF is available here.
Abstract
All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a simulation setting. Four of them were randomized controlled trials and...
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PMID: 20410778
PDF is available here.
Abstract
Although there seems to be a strong association between S100B levels and TBI, further research is required to establish the clinical role of S100B in patients with suspected TBI, particularly in patients whose clinical presentation is complicated by alcohol intoxication....
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PMID: 20016383
PDF is available here.
Abstract
Although patients who died had more greatly altered perfusion than those who survived, DCLHb treatment of traumatic hemorrhagic shock patients was not associated with BD or lactate abnormalities that would indicate poor perfusion....
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PMID: 20145575
PDF is available here.
Abstract
We sought to develop a biomarker panel that predicts the absence of traumatic brain injury (TBI) on head CT.
We conducted a prospective cohort observational study followed by validation in a retrospective cohort at a regional pediatric trauma center. The prospective cohort included 57 consecutive ch...
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PMID: 20453761
PDF is available here.
Abstract
Significant injuries related to 6 years of law enforcement CEW use in one city were rare. A large percentage of those subjected to CEW use had diagnoses of substance abuse and/or psychiatric conditions. Most admissions after CEW use were unrelated to law enforcement restraint....
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PMID: 20032795
PDF is available here.
Abstract
We outline two pediatric centers' experience (period 2004-2008) regarding the effectiveness of various emergency treatment methods for occlusion or critical stenosis of systemic-to-pulmonary arterial shunts in 23 children. Local r-tpa infusion via catheter was performed in 12/23 patients, balloon an...
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PMID: 20139195
PDF is available here.
Abstract
We reviewed 451 consecutive patients who underwent urgent isolated coronary bypass surgery; 262 had not received clopidogrel, whereas 189 received clopidogrel < or = 5 days preoperative. The primary endpoint was in-hospital death, massive transfusion or massive blood loss. Patient characteristics we...
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PMID: 20061339
PDF is available here.
Abstract
The presence of periradicular pain increases the accuracy of pain localization. The VNRS is highly correlated with other pain scales and is an acceptable initial pain-assessment tool for endodontic emergency patients.
Copyright (c) 2010 American Association of Endodontists. Published by Elsevier In...
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PMID: 20416423
PDF is available here.