Annals of emergency medicine
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This study examined the success rate, time required, technical ease, and reported patient discomfort for the use of scapular manipulation in the reduction of anterior shoulder dislocation. This study included a new variation of this technique using the seated position. ⋯ Scapular manipulation generally is a simple, rapid, and reliable technique for the reduction of anterior shoulder dislocation.
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To evaluate the ability of emergency medical technician-paramedic (EMT-P) units to become and remain proficient in the performance of the intraosseous infusion procedure. ⋯ EMT-P units can successfully perform the intraosseous infusion line procedure in patients of all ages. Proficiency is maintained over time despite its infrequent use by individual EMT-Ps.
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Physician service time varies with patient service category, length of stay, and intensity of service. ⋯ Case mix of patient services affects emergency physician workload and should be considered in planning departmental staffing needs.
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To establish the frequency of use of pediatric emergency departments by adult patients and the spectrum of disease with which they present. ⋯ Adults frequently present to pediatric EDs for both minor and serious illnesses. Training in adult emergency medicine should be a part of all pediatric emergency medicine fellowship programs.
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Comparative Study
Does nasotracheal intubation increase complications in patients with skull base fractures?
To determine if the complications associated with skull base fractures are increased when nasotracheal intubation is performed in the field. ⋯ Patients with skull base fracture have a significant complication rate (25%). The complications associated with skull base fractures are not markedly increased by attempts at nasotracheal intubation in the field.