The American journal of emergency medicine
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Comment Letter
Reply to: ECPR in acute aortic dissection - Really a no-go?
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Review Meta Analysis
Diagnostic value of neutrophil CD64 combined with CRP for neonatal sepsis: A meta-analysis.
Sepsis is the leading cause of morbidity and mortality in newborns. CD64 combined with c-reactive protein (CRP) could improve the sensitivity and specificity of neonatal sepsis diagnosis, but the results were still controversial. Therefore, this meta-analysis was conducted to clarify the importance of CD64 combined with CRP in the diagnosis of neonatal sepsis. ⋯ The combined application of CD64 and CRP improved the accuracy of neonatal sepsis diagnosis.
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Randomized Controlled Trial
Comparison of the analgesic effects of haloperidol with or without morphine in patients with acute renal colic: A randomized double-blind clinical trial study.
Given the increasing number of patients with acute renal colic, the present study examined the analgesic effects of haloperidol with or without morphine in order to find an effective method with fewer side effects for pain reduction in these patients. ⋯ In our patients with acute renal colic, haloperidol failed to reduce pain and the incidence of nausea or vomiting, while it caused extrapyramidal side effects. Therefore, the prescription of this medication for acute pains, especially in renal colic, is not recommended.
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A great deal of literature has recently evaluated the prevention and management of ovarian hyperstimulation syndrome (OHSS) in the outpatient setting, but there remains a dearth of research evaluating OHSS in the emergency department (ED) and its management. ⋯ OHSS occurs in up to 30% of IVF cycles and carries a high morbidity. Effective care of the OHSS patient begins with early diagnosis while evaluating for other diseases and complications. Understanding these complications and an approach to the management of OHSS is essential to optimizing patient care.
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Multicenter Study
Clinical prediction rule to predict pneumonia in adult presented with acute febrile respiratory illness.
To derive a clinical prediction rule to predict pneumonia in patients with acute febrile respiratory illness to emergency departments. ⋯ AFRI score could assist emergency physicians in identifying pneumonia patients among all adult patients presented to ED for acute febrile respiratory illness.