Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To determine whether heart rate variability (HRV) measures can be used to predict which septic patients in the emergency department (ED) will progress to septic shock. ⋯ HRV measures may be used to identify septic ED patients with impending septic shock. Among those HRV measures, root mean square successive difference seems to be the best indicator to predict the occurrence of septic shock.
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Editorial Comment
Commentary: Physician well-being: the seventh competency?
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To characterize older adult emergency department (ED) visits arriving by emergency medical services (EMS) and to identify factors associated with those patient visits. ⋯ Older adults account for a large proportion of EMS responses and use EMS at a disproportionately high rate. As the older adult population grows, EMS systems must prepare for the increased volume of older adults by making changes in training, operations, and equipment.
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To determine whether peripheral veins can be detected by ultrasound (US) and to determine vein characteristics, as measured by US, that are associated with successful peripheral venous (PV) catheterization in young children. ⋯ Ultrasound appears to be capable of detecting peripheral veins in children younger than 7 years of age, with lack of US vein visualization likely leading to unsuccessful PV placement. Greater vein length visualization may be a useful predictor of successful PV catheterization.