Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To review the types of injuries due to law enforcement (K-9) dog bites and address related management issues. ⋯ Attention to potential deep injuries of nerves, vessels, and the musculoskeletal system is essential with law enforcement dog bites. Injuries associated both with pursuit and arrest and with the bites themselves must be identified and assessed. Guidelines for the ED treatment of patients with law enforcement dog bite injuries are proposed.
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To determine trends in the numbers of drive-by shootings, individuals shot at, innocent bystanders shot at, and homicides by drive-by shootings in the city of Los Angeles from 1989 to 1993. ⋯ Drive-by shootings are a major public health problem in Los Angeles. While the rate of drive-by shootings decreased in 1992 and 1993, the proportion of fatal cases increased. To prevent drive-by shootings, the root causes of violent street gang formation must be addressed.
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Randomized Controlled Trial Clinical Trial
The efficacy of a standard training program for transillumination-guided endotracheal intubation.
To evaluate the success rate, intubation time, and complication rate of transillumination-guided intubation following two hours of instruction in the use of the Trachlight (TL) device. ⋯ A two-hour training session, including five successful light-guided intubations using the TL, was inadequate for producing acceptable success rates during manikin intubations by paramedic students. While TL intubation intervals were shorter when successful, the 2.2-second difference was not clinically meaningful. The incidence of trauma in our manikin model during TL intubations was significantly lower than that with DL.
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Multicenter Study
Level I trauma certification and emergency medicine resident major trauma experience.
American College of Surgeons (ACS) and Residency Review Committee for Emergency Medicine (RRC-EM) guidelines conflict regarding the role of emergency physicians in directing major trauma resuscitations. This article describes the impact of ACS level I trauma certification on emergency medicine (EM) resident trauma experience. ⋯ EM residents direct a smaller percentage of major trauma resuscitations at ACS level I hospitals than they do at non-level I facilities. This finding is not offset by an increased trauma census at level I facilities and may be more pronounced in the Northeast and the Midwest.