Annals of emergency medicine
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[American College of Emergency Physicians: Clinical policy for the initial approach to patients presenting with acute blunt trauma. Ann Emerg Med March 1998;31:422-454.].
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[Salomon B: Emergency department fugue. Ann Emerg Med March 1998;31:412-413].
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To correlate changes in core body temperature with changes in mean arterial pressure (MAP) and cardiac output (CO) and with the administration of room-temperature intravenous fluids in a clinically relevant large-animal model of uncontrolled hemorrhage. ⋯ Ambient-temperature crystalloid resuscitation in a clinically relevant large-animal model of hemorrhagic shock causes small decreases in core body temperature. Resuscitation rather than shock is the main cause of decreased body temperature in this model.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomized, double-blind study on sedatives and hemodynamics during rapid-sequence intubation in the emergency department: The SHRED Study.
To compare thiopental, fentanyl, and midazolam for rapid-sequence induction and intubation (RSI). ⋯ Fentanyl provided the most neutral hemodynamic profile during RSI, although factors other than choice of sedative can play a more significant role in determining hemodynamic response. Depth of sedation may influence the speed of RSI.
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The following commentaries give an outside perspective on the articles addressing emergency medicine research in Part I. Individuals from outside the specialty share insight from their own experiences, and are supportive of emergency medicine research efforts. [Ling LJ: Proceedings of the Future of Emergency Medicine Research Conference, Part II: Commentaries. Ann Emerg Med March 1998;31:295-296.].