J Emerg Med
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Letter Case Reports
Chancroid in an HIV-negative woman in the Midwestern United States.
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Randomized Controlled Trial Comparative Study
Using a laryngeal tube suction-device (LTS-D) reduces the "no flow time" in a single rescuer manikin study.
In 2005, the European Resuscitation Council and the American Heart Association published new guidelines for Advanced Life Support. One of the points was to reduce the time without chest compressions in the first phase of cardiac arrest. ⋯ In our manikin study, NFT was reduced significantly when the LTS-D was used when compared to ET and BMV. The results of our manikin study suggest that for personnel not experienced in tracheal intubation, the LTS-D offers a good alternative to ET and BMV to manage the airway during resuscitation, and to avoid the failure to achieve tracheal intubation with the ET, and the failure to achieve adequate ventilation with the BMV.
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Multicenter Study
Can we defer/omit a type and screen blood test for pregnant women who know their blood type?
Current clinical practice in many emergency departments (EDs) includes checking a type and screen blood test (T&S) for Rhesus (Rh) status on all pregnant patients presenting with vaginal bleeding or abdominal pain. The test is expensive, and awaiting results may delay disposition. ⋯ Pregnant women reporting that "yes, definitely" they know their blood type, are reliable. Deferring T&S testing test may be reasonable.
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Review Case Reports
Suspected brown recluse envenomation: a case report and review of different treatment modalities.
The Loxosceles reclusa, commonly known as the brown recluse spider, is responsible for virtually all cases of spider bites leading to a significant necrosis. ⋯ This is an endemic cause of a necrotizing wound bite in areas of the Midwestern and Southern United States, but it is rarely reported in the Northeast.