Annals of emergency medicine
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We report the case of a 3-month-old girl with tetralogy of Fallot who was resuscitated from a near-fatal hypercyanotic episode (Tet spell). While tetralogy of Fallot is rare (1 in 10,000 live births), failures of diagnosis or management may result in catastrophic outcomes for an eminently survivable condition. An understanding of the pathophysiology of hypercyanotic spells will allow the emergency specialist to understand and apply a treatment option--compression of the abdominal aorta--not previously reported in the emergency medicine literature.
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Randomized Controlled Trial Comparative Study Clinical Trial
Tetracaine, epinephrine (adrenalin), and cocaine (TAC) versus lidocaine, epinephrine, and tetracaine (LET) for anesthesia of lacerations in children.
To compare the duration of anesthesia experienced with lidocaine, epinephrine, and tetracaine (LET) solution and that with tetracaine, epinephrine (Adrenalin), and cocaine (TAC) solution during suturing of uncomplicated lacerations on the face or scalp. ⋯ LET is an effective alternative to TAC for topical anesthesia during suturing of uncomplicated lacerations on the face and scalp in children.
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Randomized Controlled Trial Clinical Trial
CPR instruction by videotape: results of a community project.
To increase the rate of bystander CPR in a community by use of a free, mailed, 10-minute videotape of CPR instruction. ⋯ Mass mailings of CPR instructional videos are likely to be ineffective in increasing the rate of bystander CPR in a community.