Emergency medicine journal : EMJ
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Multicenter Study Comparative Study Clinical Trial
Endotracheal intubation using a GlideScope video laryngoscope by emergency physicians: a multicentre analysis of 345 attempts in adult patients.
To investigate the use and success rates of the GlideScope (GVL) by emergency physicians (EPs) during the initial two years after its introduction. ⋯ The GVL was not used frequently by EPs during the initial two years after its introduction. Although the GVL provides a better glottic view, the overall success rates were similar to a CL. The GVL may be useful in patients with difficult airway.
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To establish a training course for Prehospital Focused Abdominal Sonography for Trauma (P-FAST) and to evaluate the accuracy of the participants after the course and at the trauma scene. ⋯ Following completion of a 1-day P-FAST course, participants were able to perform ultrasound procedures at the scene of an accident with a high level of accuracy.
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Nefopam hydrochloride (Acupan) is a potent non-opioid analgesic widely used for the relief of moderate to severe postoperative pain. The drug is generally well tolerated, but it has a broad spectrum of side effects including tachycardia, sweating, nausea, seizures and hallucinations. ⋯ The case is presented of a previously healthy 19-year-old man who presented to the emergency department in cardiac arrest following intentional nefopam overdose. It is only the fourth reported case of fatal nefopam overdose in the literature.
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Case Reports
Non-infectious subcutaneous emphysema of the hand: a case report and review of the literature.
Subcutaneous emphysema in the hand can result from infectious and non-infectious aetiologies. Adequate history, physical examination, laboratory studies and imaging are needed to delineate the cause, to prevent debilitating consequences and to avoid unnecessary procedures and interventions. ⋯ A literature review of cases of non-infectious subcutaneous emphysema is presented here with an overview of the mechanism of injury, as well as the course and management. Certain criteria are also outlined to help differentiate between infectious and non-infectious emphysema, which include laboratory studies, imaging, timing and clinical symptoms.