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 determine whether cardiohaemodynamic parameters, using non-invasive thoracic electrical bioimpedance (TEB), can differentiate between cardiac and non-cardiac causes of acute breathlessness in adult emergency department (ED) patients. ⋯ This study demonstrated that non-invasive TEB cardiohaemodynamic parameters can differentiate between cardiac and non-cardiac-related causes of dyspnoea in ED patients presenting with acute breathlessness. A large-scale trial is required to determine if TEB-derived cardiohaemodynamic information can aid ED clinicians in their early clinical decision-making and improve the care and outcome of patients with dyspnoea.
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The Hoffa fracture is a rare unicondylar fracture of the lower femur that occurs in the coronal plane. The nature of the fracture pattern makes it both radiologically and clinically difficult to diagnose. ⋯ A high degree of suspicion is warranted to avoid missing these fractures which have a propensity to displace if not fixed. This report highlights the clinical presentation and management of a Hoffa fracture in a patient presenting with polytrauma and reviews the current literature.