The American journal of emergency medicine
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Observational Study
Sex-based differences in prevalence and clinical presentation among pericarditis and myopericarditis patients.
Sex differences in heart diseases, including acute coronary syndrome, congestive heart failure, and atrial fibrillation, have been studied extensively. However, data are lacking regarding sex differences in pericarditis and myopericarditis patients. ⋯ Most patients admitted with acute idiopathic pericarditis are male. In addition, men have a higher prevalence of myocardial involvement. Significant sex differences exist in laboratory variables and in hospital management; however, the outcome is similar and favorable in both sexes.
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Comparative Study
Intravenous vs. intraosseous access and return of spontaneous circulation during out of hospital cardiac arrest.
Guidelines endorse intravenous (IV) and intraosseous (IO) medication administration for cardiac arrest treatment. Limited clinical evidence supports this recommendation. A multiagency, retrospective study was performed to determine the association between parenteral access type and return of spontaneous circulation (ROSC) in out of hospital cardiac arrest. ⋯ An IO first approach was non-inferior to an IV first approach based on the end point ROSC at time of emergency department arrival.