J Emerg Med
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Review Case Reports
Treatment of portal venous gas embolism with hyperbaric oxygen after accidental ingestion of hydrogen peroxide: a case report and review of the literature.
It is well known that hydrogen peroxide ingestion can cause gas embolism. ⋯ This is a case report of the successful use of hyperbaric oxygen therapy to treat portal venous gas embolism caused by hydrogen peroxide ingestion. Hyperbaric oxygen therapy can be considered for the treatment of symptomatic hydrogen peroxide ingestion.
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Comparative Study Controlled Clinical Trial
The effectiveness and adverse events of morphine versus fentanyl on a physician-staffed helicopter.
Morphine and fentanyl are both frequently used in prehospital trauma patients, but due to limited formulary size, we sought to study whether both drugs should be included. ⋯ In our study, there was not a significant difference in analgesic effectiveness between morphine and fentanyl. There was no significant difference in the incidence of adverse effects between the two drugs. Our study suggests that either drug can be used safely with equivalent effectiveness.
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Rupture of a normal thyroid gland after blunt cervical trauma is a rare case of airway compression. This case report describes the case of a 79-year-old woman who developed severe respiratory distress after a bicycle crash. ⋯ This case report highlights the fact that thyroid gland rupture can be a threatening complication of blunt cervical trauma.
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Review Case Reports
Emergency department initiation of cardiopulmonary bypass: a case report and review of the literature.
Out-of-hospital cardiac arrest carries a dismal prognosis. Percutaneous extracorporeal membrane oxygenation (ECMO) has been used with success for in-hospital arrests, and some literature suggests improvement in long-term survival for out-of-hospital arrests as well. ⋯ ECMO is a novel adjunct for patients in cardiac arrest in whom the usual advanced life support techniques have failed.
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The removal of metal rings from fingers is a well-described process that often employs a toothed cutting wheel or bolt cutters to sever the ring and allow it to be pried open. However, tungsten carbide (TC) rings are impervious to these traditional ring-cutting devices. ⋯ Removal of a TC ring can be performed through controlled crushing using locking pliers. Superficial lacerations and retained debris are potential complications.