Annals of emergency medicine
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To determine the efficacy and feasibility of adenosine for the treatment of paroxysmal supraventricular tachycardia (PSVT) in the prehospital setting. ⋯ Paramedics are able to accurately identify PSVT using a single lead. Adenosine is safe and effective treatment for PSVT in the prehospital setting. This series is the largest prehospital study of adenosine use to date.
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Five percent of children in the United States have asthma. Status asthmaticus is one of the most common conditions for which children seek care in a pediatric emergency department. beta 2-Agonists such as albuterol are the mainstay of emergency therapy for such children. ⋯ This is believed to be the first report of adenosine being successfully used to treat a child with albuterol-induced SVT. We also briefly review the recognition and management of SVT in children and the pharmacokinetics of and indications for adenosine.
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To analyze open-wheel racing accidents at Indianapolis Raceway Park during six seasons (1988 through 1993) and describe factors that improve driver safety. ⋯ Although open-wheel racing is one of the most common forms of motorcar racing, there have been no previously published studies regarding injury patterns or medical care at these events. This study reviewed race driver injuries during six seasons of open-wheel racing at the Indianapolis Raceway Park. During 61 open-wheel racing events, no drivers were killed, but two required intensive care hospitalization.