The American journal of emergency medicine
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We sought to identify barriers and delays in care associated with the increased prevalence of perforated appendicitis among Colorado's pediatric Medicaid population. ⋯ The high prevalence of perforated appendicitis in Colorado children with Medicaid coverage is not associated with race or physical proximity to care but may be associated with the duration of Medicaid coverage, which highlights the importance of establishing medical homes to direct patients on where and how to seek care.
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Letter Comparative Study Clinical Trial
Adult intraosseous use in academic EDs and simulated comparison of emergent vascular access techniques.
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Although electrolyte abnormalities have been generally considered the major cause of out-of-hospital cardiac arrest (OHCA) in patients with kidney disease (KD), this association has never been prospectively validated. ⋯ Severe hyperkalemia is common in patients with OHCA who have severe KD and should be considered during resuscitation for these patients.