The American journal of emergency medicine
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Comparative Study
Canadian Headache Society criteria for the diagnosis of acute migraine headache in the ED--do our patients meet these criteria?
We previously reported that many patients who present to the ED with "migraine" headache do not meet the International Headache Society criteria (IHSC) for the diagnosis of acute migraine. Objective The aim of the study was to compare the frequency for which ED patients with migraine headache meet the Canadian Headache Society criteria (CHSC) vs the IHSC. ⋯ In our study population, only a minority of patients with headache who have prior diagnosis and/or ED diagnosis of migraine headache met CHSC. The utility of CHSC and/or IHSC to standardize ED patients for headache research may be limited.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
A randomized, double-blind study comparing morphine with fentanyl in prehospital analgesia.
The aim of this study was to compare, by a randomized double-blind method, morphine (M) and fentanyl (F) in a prehospital setting. ⋯ This study demonstrates that M and F were comparable in treating severe, acute pain in a prehospital setting during the first 30 minutes in spontaneous breathing patients.
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Dental fracture is a complication of laryngoscopy and endotracheal intubation. ⋯ Based on the dental fracture models studied, plastic laryngoscope blades have a lower potential for dental fracture compared with metal blades. Plastic laryngoscope blades would be best suited for trainees performing routine intubations under direct supervision. Metal blades would be more advantageous in difficult intubations preferably done by experienced intubators.
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Comparative Study
Severe upper extremity injuries in frontal automobile crashes: the effects of depowered airbags.
The purpose of this study was to determine the effects of depowered frontal airbags on the incidence of severe upper extremity injuries. ⋯ Although depowered airbags were designed to reduce the risk of injuries, they appear to have increased the overall incidence of severe upper extremity injuries through a shift from long bone fractures to joint dislocations.
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Letter Case Reports
Vibrio vulnificus--a rare but fulminant pathogen causing airway obstruction.