Military medicine
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Intraosseous (IO) access, enabling the rapid administration of epinephrine during cardiac arrest (CA), is crucial in promoting optimal postresuscitation outcomes in patients with poor vascular access. There is a question whether IO-administered epinephrine is equivalent to intravenously administered epinephrine during CA. ⋯ The clinician should consider using proximal IO infusion sites such as the sternum or humerus when administering advanced cardiac life support drugs to rapidly achieve maximal therapeutic concentrations. Further studies are needed to determine the differences seen when epinephrine is administered by these routes during CA.
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Review Case Reports
Sigmoid colon penetration by an intrauterine device: a case report and literature review.
The intrauterine device (IUD) is one of the most effective contraceptive methods available today. However, IUDs can cause some serious complications, such as bleeding, uterine perforation, and bowel perforation. Migration into bowel is a rare but serious complication that requires surgical attention. ⋯ The symptoms of IUD migration can be nonspecific, requiring a high degree of suspicion. Also, cross-sectional imaging studies are recommended to rule out adjacent organ involvement if IUD migration is suspected.