J Emerg Med
-
Multicenter Study
Emergency airway management: a multi-center report of 8937 emergency department intubations.
Emergency department (ED) intubation personnel and practices have changed dramatically in recent decades, but have been described only in single-center studies. We sought to better describe ED intubations by using a multi-center registry. ⋯ Emergency physicians perform the vast majority of ED intubations. ED intubation is performed more commonly for medical than traumatic indications. Rapid sequence intubation is the most common method of ED intubation.
-
Pandemic influenza A (H1N1) has emerged rapidly in Argentina since May 2009. Preliminary comparisons with seasonal influenza suggest that H1N1 disproportionately affects younger patients, generally causing mild disease, but in a minority of cases can be lethal. ⋯ Within the context of an influenza epidemic with the new H1N1 virus, the use of two simple and accessible clinical signs permits a rapid differentiation between those patients requiring close monitoring vs. those with mild and self-resolving disease.
-
Case Reports
Massive subcutaneous emphysema and pneumomediastineum after finger subtotal amputation with barotrauma.
Advancement of pressurized air through subcutaneous tissue after barotraumas involving skin laceration has been documented in the literature. The type and anatomic location of injury, amount of pressure, and time elapsed all play a role in determining the destination of the air advancing through tissues. ⋯ Compressed air injuries constitute a well-known form of industrial accident. Although most result in localized subcutaneous emphysema, the risk of pneumomediastinum should not be overlooked due to the anatomic structure of the vascular system. The clinician should consider the pressure of compressed air, and must be alert for potential complications.