Annals of emergency medicine
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The development and validation of a pediatric emergency department severity of illness assessment method, using hospital admission as the primary outcome. ⋯ The probability of admission to the hospital can reliably be estimated from data available during the pediatric ED stay. Applications for this method include studies of quality and efficiency of care and measurements of severity of illness.
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To assess whether transthoracic impedance and peak current are determinants of defibrillation success in patients with out-of-hospital ventricular fibrillation (VF). ⋯ OHCA shock success and survival are associated with EMS system factors such as the interval from when the call was received until delivery of the first shock. The importance of impedance and peak current remain theoretic for out-of-hospital defibrillation success and did not influence defibrillation success in this study.
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The Italian health care system is largely socialized, with priorities and policies established both nationally and regionally. Currently emergency medicine in Italy is practiced mainly by traditional specialists, such as internists and surgeons, and the scope of emergency medicine practice is not as broad as that seen in the United States. However, dedicated training programs in emergency medicine have recently been developed, and it appears that in the future, specially trained emergency physicians will be increasingly available. Emergency medicine is currently viewed as a sub-specialty of internal medicine, and it is unclear whether emergency medicine will be recognized as an independent specialty.