The American journal of emergency medicine
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Letter Case Reports
Peripheral nervous system involvement in lightning strike-the devil in disguise.
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Randomized Controlled Trial
Child endotracheal intubation with a Clarus Levitan fiberoptic stylet vs Macintosh laryngoscope during resuscitation performed by paramedics: a randomized crossover manikin trial.
The main cause of cardiac arrest in pediatric patients is respiratory failure. ⋯ This study suggested that the FPS could be used as an option for airway management even for paramedics with little experience. Future studies should explore the efficacy of FPS in pediatric clinical emergency settings.
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Multicenter Study Observational Study
Association between time to percutaneous coronary intervention and hospital mortality in non-ST-elevation myocardial infarction: a prospective multicenter observational study.
This study aimed to investigate the association between time to percutaneous coronary intervention (PCI) and hospital mortality in non-ST-elevation myocardial infarction (NSTEMI). ⋯ Percutaneous coronary intervention earlier than 6 hours after ED presentation was associated with higher hospital mortality than PCI 6 hours later in NSTEMI. However, the effect disappeared in the long S2D group.
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Rising health care costs demands justifying prolonged hospitalization for syncope, yet predictors of shorter length of stay (LOS) have not been identified. ⋯ Patients with less than 1 predictor of prolonged stay, who present to the ED with syncope, are unlikely to require hospitalization of more than 1 day. A set of predictors may help define which patients are appropriate for 24-hour observation rather than full hospitalization.