Articles: emergency-department.
-
Emerg Med Australas · Dec 2023
Bed tilt and ramp positions are associated with increased first-pass success of adult endotracheal intubation in the emergency department: A registry study.
Successful endotracheal intubation in the ED requires optimum body positioning. In patients with obesity, the ramp position was suggested to achieve better intubating conditions. However, limited data are available on the airway management practices for patients with obesity in Australasian EDs. The aim of this study was to identify current patient positioning practices during endotracheal intubation and its association with first-pass success (FPS) at intubation and adverse event (AE) rates in obese and non-obese populations. ⋯ Obesity was associated with lower FPS, which could be improved through performing a bed tilt or ramp positioning.
-
Acta clinica Croatica · Dec 2023
EVALUATION OF THE RELATIONSHIP BETWEEN PARAOXONASE-1 ENZYME ACTIVITY, AFFECTED VOLUME, AND STROKE ONSET IN ACUTE ISCHEMIC STROKE PATIENTS.
Acute ischemic stroke has an important place among emergency department admissions. After a rapid diagnosis of the patient admitted with a preliminary diagnosis of stroke, the necessary examination and first intervention should be performed, then diagnostic evaluation should be made. The aim of this study was to investigate whether paraoxonase-1 (PON-1) enzyme activity, measured in patients whose stroke onset is known, is a diagnostic biomarker for stroke by evaluating the relationship between stroke diagnosis, ischemic area volume, and stroke onset. ⋯ The possible relationship between PON-1 values and stroke onset was compared and no statistically significant difference was found (p=0.311). The relationship between PON-1 enzyme activity and diagnosis of acute ischemic stroke was found to be significant. PON-1 was found to be lower in stroke patients but no correlation was found with ischemic area volume.