J Emerg Med
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Exsanguinating extremity wounds remain the primary source of battlefield mortality. Operating forces employ three agents in Iraq: HemCon® (HemCon Medical Technologies, Inc., Portland, OR), QuikClot® (Z-Medica Corporation, Wallingford, CT), and CELOX™ (SAM Medical, Tualatin, OR). Anecdotal reports suggest that these agents are less useful on small entrance, linear-tract injuries. ChitoFlex® (HemCon Medical Technologies, Inc., Portland, OR) has been introduced but is untested. ⋯ In our study of limited-access extremity bleeding, ChitoFlex® performed equally well in mitigating blood loss and promoting survival. The ChitoFlex® dressing is an equally effective alternative to currently available hemostatic agents. However, no agents were superior to standard gauze in our model of limited access.
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Many techniques have been described for the reduction of anterior glenohumeral dislocation, but each of the techniques has its disadvantages. A new shoulder reduction technique is needed to overcome these disadvantages. ⋯ This modified technique increases the possibilities for the reduction of shoulder dislocation in different clinical situations.
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Letter Case Reports
Atrioventricular block due to acute ethanol intoxication.