Annals of emergency medicine
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Plasma catecholamine levels after intraosseous epinephrine administration in a cardiac arrest model.
To measure plasma catecholamine levels and the cardiovascular response after administering epinephrine by the intraosseous (IO) route in an animal cardiac arrest model. ⋯ IO epinephrine is rapidly transported to the central circulation but requires larger than currently recommended doses to produce a significant change in blood pressure.
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Infection with the roundworm Ascaris lumbricoides is common in children and may mimic an acute abdomen. The cases of two pediatric patients who presented to the emergency department with signs and symptoms of a surgical abdomen are presented to highlight the presentation of this infection. Both cases were diagnosed by physical examination and radiographs and were treated successfully without surgical intervention. These cases illustrate the need for heightened awareness by the emergency physician of ascariasis in the differential diagnosis of acute abdomen.
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Review Case Reports
Retrograde intubation of the pharynx: an unusual complication of emergency cricothyrotomy.
Retrograde, translaryngeal intubation of the pharynx, a previously unreported and potentially fatal complication of emergency cricothyrotomy, is described. Methods of avoiding this complication are discussed. Reports in the literature of related technical errors following successful surgical incision of the cricothyroid membrane are discussed.
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To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. ⋯ Dehydration does not compromise the efficacy of HSD as a resuscitation treatment for hemorrhagic shock.