Emergency medicine journal : EMJ
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Multicenter Study
Derivation and validation of a sensitive IMA cutpoint to predict cardiac events in patients with chest pain.
In patients with acute chest pain, we derived a cutpoint for ischaemia-modified albumin (IMA) and prospectively validated this cutpoint to predict 30-day major adverse cardiac events (MACEs). ⋯ We prospectively validated the sensitive IMA cutpoint of 75 KU/litre with 80% sensitivity for MACEs in patients with acute chest pain. Our data suggest that IMA alone and in combination with initial hsTnT are more sensitive than the initial hsTnT for MACEs.
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Randomized Controlled Trial
Effects of bed height on the performance of chest compressions.
The correct chest compression technique was emphasised to enhance the result of cardiopulmonary resuscitation in the 2005 guidelines. The present study compared the effects of different bed heights, including a bed at knee height, on the performance of chest compressions. ⋯ The performance of chest compressions decreased when the bed height was 20 cm higher than the knee height of the rescuer.
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The aim of this study is to map and evaluate the available resources and the premises of traumatic head injury management in the Nordic countries, before the implementation of a Nordic adaption of the Brain Trauma Foundation guidelines for prehospital management. ⋯ Most Nordic hospitals are well prepared to manage patients with acute traumatic head injury. A substantial proportion of the operations are performed at local and central hospitals without neurosurgical expertise, despite an efficient pre and interhospital transport system. The Nordic adaption of the Brain Trauma Foundation guidelines recommends that this practice is terminated.
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A very rare case is presented of a woman with subclavian vein thrombosis that resulted from a fragment of her fractured clavicle impinging on the subclavian vein.