Emergency medicine journal : EMJ
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The case history is presented of a patient who developed metformin-associated lactic acidosis. The patient made a complete recovery with supportive care. Recognition of metformin-associated lactic acidosis requires a high index of suspicion as presentation can be very subtle.
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Radiographs are vital diagnostic tools that complement physical examination in trauma patients. A study was undertaken to assess the performance of residents in emergency medicine in the interpretation of trauma radiographs. ⋯ Accurate interpretation of radiographs by emergency medicine residents who perform the initial radiological and therapeutic interventions on trauma patients is of vital importance. The performance of our residents was found to be satisfactory in this regard.
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To evaluate the use of intravenous ketamine for procedural sedation in adults attending the emergency department. ⋯ Ketamine is an effective agent for procedural sedation in the emergency department. There were no serious adverse events associated with its use, but there is a significant incidence of recovery agitation which may require treatment with a benzodiazepine.