The American journal of emergency medicine
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Assessing the right ventricular function in patients with submassive pulmonary embolism (PE) is pivotal when determining the appropriate treatment pathway. We describe two cases of submassive PE requiring systemic thrombolysis, in which intravenous saline contrast demonstrated a noticeable lack of forward flow in the right ventricle. This technique potentially may indicate impending right ventricular functional collapse and the need for more aggressive intervention.
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Study objective: To estimate the frequency of clinically relevant adverse cardiac events (CRACE) in patients admitted to the hospital for chest pain with an intermediate HEART score (4, 5, 6), non-diagnostic EKG, and a negative initial troponin. ⋯ In this cohort of admitted patients with a documented intermediate-risk HEART score, nonischemic EKG, and negative initial troponin, the occurrence of CRACE during the index hospitalization was 0.5%.
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Multicenter Study Observational Study
Association of skull fracture with in-hospital mortality in severe traumatic brain injury patients.
To identify the association between skull fracture (SF) and in-hospital mortality in patients with severe traumatic brain injury (TBI). ⋯ This observational study showed that SF is associated with in-hospital mortality among patients with severe TBI. Furthermore, patients with both skull base and skull vault fractures were associated with higher in-hospital mortality than those with only one of these injuries.