Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Clinical Trial
Patient transfer from nursing home to emergency department: outcomes and policy implications.
To describe the process and outcomes of nursing home (NH) residents transferred to hospital EDs. ⋯ Although the majority of NH transfers in this population were appropriate, many patients were transferred without adequate documentation for the EP.
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To determine whether selective aortic arch perfusion (SAAP) using serial infusions of oxygenated perflubron emulsion combined with aortic epinephrine (AoE) administration is more effective than conventional therapy in treating cardiac arrest. ⋯ The combination of AoE with SAAP infusions of oxygenated perflubron emulsion was more effective than conventional resuscitation therapy. Pulsed diastolic SAAP is a promising method for performing SAAP.
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Comparative Study Clinical Trial
Use of the alveolar dead space fraction (Vd/Vt) and plasma D-dimers to exclude acute pulmonary embolism in ambulatory patients.
To evaluate the utility of a modified calculation of the alveolar dead space fraction (Vd/Vt), combined with plasma D-dimers, to aid in the exclusion of acute pulmonary embolism (PE). ⋯ In ambulatory patients, the finding of Vd/Vt < 0.2 and D-dimers < 0.5 microgram/L lowers the probability of acute PE.
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Comparative Study
Response to dopamine vs norepinephrine in tricyclic antidepressant-induced hypotension.
To compare the efficacy of dopamine (DA) with that of norepinephrine (NE) in the treatment of refractory hypotension caused by tricyclic antidepressants (TCAs). ⋯ While this was not a prospective randomized study, NE appears advantageous over DA as the first-line vasopressor agent for those patients who require vasopressor support in the setting of TCA-induced hypotension that is refractory to IV fluid and serum alkalinization.