Nathalie Lund, Anders Rohlén, Per Simonsson, Sofia Enhörning, Torgny Wessman, Klas Gränsbo, Olle Melander
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.079
Published online: July 29 2015
Open AccessxPatients with acute dyspnea are a large heterogeneous patient group where initial management is important for outcome.
Megan A. Rech, Stephanie Bennett, Whitney Chaney, Ethan Sterk
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.062
Published online: July 29 2015
xTo characterize risk factors for mortality in septic patients who received etomidate for rapid sequence intubation.
Jin Hee Jeong, Dong Hoon Kim, Seong Chun Kim, Changwoo Kang, Soo Hoon Lee, Tae-Sin Kang, Sang Bong Lee, Sang Min Jung, Dong Seob Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.060
Published online: July 29 2015
xA high-flow nasal cannula (HFNC) has been used to treat patients with dyspnea. We identified changes in arterial blood gas (ABG) of patients visiting the emergency department (ED) with hypercapnic and nonhypercapnic respiratory failure after use of an HFNC.
Nathalie Fournier, Yves Godio-Raboutet, Maxime Llari, Harold N. Ibouanga-Kipoutou, Pierre-Jean Arnoux, Michel Behr, Salah Boussen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.051
Published online: July 28 2015
xSome cardiopulmonary resuscitation (CPR) monitoring devices were released in recent years. Some of them are motion sensors. There are no guidelines were to position future or present sensors during CPR. We evaluate the possible influence of the location of motion sensors by a high-speed camera during a CPR on a manikin.
Changsun Kim, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh, Youngjoon Chee
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.048
Published online: July 28 2015
xWe investigated the effectiveness of tele-mentored ultrasonography between emergency medicine (EM) residents and remote experts in diagnosing acute appendicitis.
Yuichi Ono, Mineji Hayakawa, Kunihiko Maekawa, Asumi Mizugaki, Kenichi Katabami, Takeshi Wada, Atsushi Sawamura, Satoshi Gando
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.043
Published online: July 28 2015
xFew studies have compared airway management via laryngeal masks (LM) or laryngeal tubes (LT) in patients with out-of-hospital cardiac arrest (OHCA). This study evaluated whether LT insertion by emergency medical service (EMS) personnel affected ventilation and outcomes in OHCA patients (vs. the standard LM treatment).
Hector Chavez, Robert E. Peterson, KaMing Lo, Marc Arel
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.040
Published online: July 29 2015
xWeight estimation for pediatric resuscitation occurs frequently in emergency departments. Historically, different approaches to estimation have been studied with varied results. With increasing obesity rates among inner-city children, this study aims to determine the best method for pediatric weight estimation in our population.
Camille Broadwater-Hollifield, Troy E. Madsen, Christina A. Porucznik, David N. Sundwall, Scott T. Youngquist, Kajsa Vlasic, Lisa H. Gren
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.032
Published online: July 22 2015
xIt is unclear whether factors identified during the emergency department (ED) visit predict noncompliance with ED recommendations.
Min-Shan Tsai, Chien-Hua Huang, Ping-Hsun Yu, Chia-Ying Tsai, Huei-Wen Chen, Hsiao-Ju Cheng, Wei-Tien Chang, Tzung-Dau Wang, Wen-Jone Chen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.030
Published online: July 21 2015
xThe purpose of this study was to investigate the effect of prolonged cooling on cardiac and cerebral injury in animals under cardiac arrest.
Mehmet Ali Astarcioglu, Taner Sen, Celal Kilit, Halil Ibrahim Durmus, Gokhan Gozubuyuk, Macit Kalcik, Suleyman Karakoyun, Mahmut Yesin, Hicaz Zencirkiran Agus, Basri Amasyali
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.029
Published online: July 30 2015
xThe objective of this study is to assess the efficacy of WhatsApp application as a communication method among the emergency physician (EP) in a rural hospital without percutaneous coronary intervention (PCI) capability and the interventional cardiologist at a tertiary PCI center.
Li Jiang, Chun-lin Hu, Zhen-Ping Wang, Yin-Ping Li, Jian Qin
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.017
Published online: July 17 2015
xHypothermia when cardiopulmonary resuscitation begins may help achieve defibrillation and return of spontaneous circulation (ROSC), but few data are available.
Nezihat Rana Dişel, Ayça Açıkalın Akpınar, Ahmet Sebe, Emre Karakoç, Selen Sürer, Ferda Tekin Turhan, Selçuk Matyar
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.016
Published online: July 16 2015
xThis study examined the extracorporeal methods for the elimination of toxic substances in poisoned patients that are used by clinicians taking care of such patients. Here we present our experience in the use of therapeutic plasma exchange (TPE). To the best of our knowledge, this is the largest number of poisoning cases ever reported in a study.
Jeffrey Glassberg, Jena Simon, Nilesh Patel, Jordan M. Jeong, Justin J. McNamee, Gary Yu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.015
Published online: July 16 2015
xEmergency department (ED) revisits and 30-day readmissions have been proposed as markers for quality of ED care for sickle cell disease (SCD).
J. Matthew Fields, Jonathan I. Fischer, Kenton L. Anderson, Alessandro Mangili, Nova L. Panebianco, Anthony J. Dean
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.014
Published online: July 16 2015
xWe sought to identify findings on bedside renal ultrasound that predicted need for hospitalization in patients with suspected nephrolithiasis.
Alberto Conti, Elena Angeli, Margherita Scorpiniti, Andrea Alesi, Federica Trausi, Delia Lazzeretti, Luigi Padeletti, Gian Franco Gensini
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.013
Published online: July 16 2015
xThe relationship between troponin and atrial fibrillation (AF) without acute coronary syndrome is still unclear. We sought to investigate the presence of coronary atherosclerosis and adverse outcomes in patients with AF.
Gregory Loppnow, Lance D. Wilson
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.012
Published online: July 16 2015
xAccidental hypothermia is frequently associated with ethanol intoxication. Each has independent effects on systemic hemodynamics, but their combined effects are poorly understood. We aimed to describe the hemodynamic effects of ethanol intoxication in a model of severe hypothermia and rewarming.
Kristin Ratnayake, Andrew J. Davis, Lance Brown, Timothy P. Young
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.011
Published online: July 16 2015
xWe sought to describe the causative organisms, bones involved, and complications in cases of pediatric osteomyelitis in the postvaccine age and in the era of increasing infection with community-associated methicillin-resistant Staphylococcus aureus (MRSA).
Sanghyun Lee, Jaehoon Oh, Hyunggoo Kang, Taeho Lim, Wonhee Kim, Youngjoon Chee, Yeongtak Song, Chiwon Ahn, Jun Hwi Cho
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.010
Published online: July 16 2015
xFeedback devices are used to improve chest compression (CC) quality related to survival rates in cardiac arrest. However, several studies have shown that feedback devices are not sufficiently reliable to ensure adequate CC depth on soft surfaces. Here, we determined the proper target depth of feedback (TDF) using an accelerometer during cardiopulmonary resuscitation in hospital beds.
Xiaoshuang Li, Li Liu, Feifei Luo, Li Gui, Dazhi Fan, Qilian Xie
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.008
Published online: July 16 2015
xThis study aimed to investigate the influence of mild hypothermia on the number of CD11b+ Gr-1+ myeloid-derived suppressor cells (MDSCs) induced by lipopolysaccharide (LPS) injection in mice with sepsis.
Murat Duman, Pinar Gencpinar, Meral Biçmen, Nur Arslan, Ömer Özden, Özlem Üzüm, Durgül Çelik, A. Arzu Sayıner, Zeynep Gülay
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.007
Published online: July 6 2015
xFecal calprotectin is used as a good indicator of intestinal mucosal inflammation. The aim of this study is to evaluate the diagnostic value of fecal calprotectin (f-CP) for the etiology of acute gastroenteritis in children.
Jody A. Vogel, Nicole Seleno, Emily Hopkins, Christopher B. Colwell, Craig Gravitz, Jason S. Haukoos
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.006
Published online: July 6 2015
xEarly identification of trauma patients at risk for inhospital mortality may facilitate goal-directed resuscitation and secondary triage to improve outcomes. The objective of this study was to compare prognostic accuracies of the Denver Emergency Department (ED) Trauma Organ Failure (TOF) Score, ED Sequential Organ Failure Assessment (SOFA) score, and ED base deficit and ED lactate for inhospital mortality in adult trauma patients.
Christian Wallmüller, Birger Herold, Fritz Sterz, Athanasios Makristathis, Michael Ramharter
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.005
Published online: July 4 2015
xInfections are a common problem in cardiac arrest survivors. Antimicrobial drugs are often administered in routine care during treatment of patients with mild therapeutic hypothermia (MTH). Because there is to date no evidence for the pharmacodynamics of antimicrobial drugs under MTH conditions, we investigated the in vitro activity of common antimicrobials against clinically relevant bacterial pathogens.
Robert H. Trenkamp, Fernando J. Perez
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.070
Published online: July 6 2015
xThe objective of the study is to evaluate whether chest compressions using the heel provide a more effective method than manual compressions for bystanders.
Michael Doctor, Sebastian D. Siadecki, Gabriel Rose, Rachel Berkowitz, Danielle Matilsky, Turandot Saul
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.002
Published online: July 4 2015
xThe placement of a central venous catheter (CVC) remains an important intervention in the care of critically ill patients in the emergency department, and bedside ultrasound can be used for procedural guidance as well as conformation of placement. Microbubble contrast-enhanced ultrasound may facilitate CVC tip position localization, and the addition of autologous blood can significantly increase its echogenicity. The purpose of this study was to describe the preferences of a group of resident physicians regarding the performance of various concentrations of air-blood-saline sonographic microbubble contrast agents.
Todd Glass, Richard M. Ruddy, Elizabeth R. Alpern, Marc Gorelick, James Callahan, Lois Lee, Mike Gerardi, Kraig Melville, Michelle Miskin, James F. Holmes, Nathan Kuppermann, Pediatric Emergency Care Applied Research Network (PECARN)
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.069
Published online: July 6 2015
xChildhood sports-related head trauma is common, frequently leading to emergency department (ED) visits. We describe the spectrum of these injuries and trends in computed tomography (CT) use in the Pediatric Emergency Care Applied Research Network.
Erdinç Çetinkaya, Ahmet Erdoğan, Özgür Akgül, Canbert Çelik, Mesut Tez
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.001
Published online: July 6 2015
xThe diagnosis of acute appendicitis is sometimes challenging, and prompt evaluation is required because of the risk of complications if not treated appropriately.
Nalan Kozaci, Mehmet Oguzhan Ay, Mehmet Akcimen, Ikbal Sasmaz, Gokcen Turhan, Ali Boz
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.052
Published online: June 22 2015
xWe aimed to compare the effectiveness of point-of-care ultrasonography (POCUS) with direct radiography (DR) in the diagnosis and management of the patients with metacarpal fractures (MFs).
Lara Kratochwill, Margaret Powers, Molly A. McGraw, Lauren King, John M. O'Neill, Arvind Venkat
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.047
Published online: July 28 2015
xWe sought to identify factors associated with Escherichia coli resistance to ciprofloxacin among discharged emergency department (ED) patient visits treated for a urinary tract infection (UTI). We hypothesized that specific historical factors available upon ED presentation would be associated with increased odds of ciprofloxacin resistance in this population.
Grace Park, Steven J. Weiss, Patricia Repar
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.045
Published online: July 28 2015
xThe objective of this clinical trial was to determine if an intervention of listening to nursery songs with integrated heartbeat sounds resulted in changes in anxiety levels in infants and children younger than 4 years in an emergent setting.
Thomas Lardaro, Wesley H. Self, Tyler W. Barrett
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.033
Published online: July 21 2015
xStudies suggest that inflammatory, autonomic, and coagulation alterations associated with cancer may increase incident atrial fibrillation (AF). New-onset AF is associated with increased mortality in other nonneoplastic disease processes. We investigated the association of active cancer with 30-day mortality in emergency department (ED) patients with new-onset AF.
La Vonne A. Downey, Leslie S. Zun
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.056
Published online: June 23 2015
xFrequent users of the emergency department (ED) contribute to the problem of overcrowding and are more likely to have psychiatric problems and a higher than average 90-day readmission rate. In addition, ED visits due to mental health problems have increased in recent years, thus driving up 90-day readmission rates.
Yusuke Hagiwara, Hiroko Watase, Hiroshi Okamoto, Tadahiro Goto, Kohei Hasegawa, Japanese Emergency Medicine Network Investigators
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.038
Published online: June 19 2015
xEvidence to predict difficult intubation remains scarce in the emergency department (ED) setting. A previously defined clinical decision rule, the modified LEMON criteria, may provide a reliable and reproducible means of identifying difficult intubations. We aimed to prospectively evaluate the external validity of the modified LEMON criteria in the EDs.
Liang Sun, Meng-jiang Ding, Tian-cai Cai, Hao-jun Fan, Jian-peng Zhang
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.005
Published online: June 8 2015
xThe objective of this study is to validate the performance, define its limits, and provide details on a new plateau hyperbaric chamber at 355-, 2880-, and 4532-m high altitude.
Anthony M.-H. Ho, John B. Holcomb, Calvin S.H. Ng, Jorge E. Zamora, Manoj K. Karmakar, Peter W. Dion
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.065
Published online: June 26 2015
xTraditional transfusion guidelines suggest that fresh frozen plasma (FFP) should be given based on laboratory or clinical evidence of coagulopathy or acute loss of 1 blood volume. This approach tends to result in a significant lag time between the first units of erythrocytes and FFP in trauma requiring massive transfusion. In severe trauma, observational studies have found an association between increased survival and aggressive use of FFP and platelets such that FFP:platelet:erythrocyte ratio approaches 1:1:1 to 2 from the first units of erythrocytes given.
R. Le Grand Rogers, Yizza Narvaez, Arjun K. Venkatesh, William Fleischman, M. Kennedy Hall, R. Andrew Taylor, Denise Hersey, Lynn Sette, Edward R. Melnick
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.039
Published online: July 23 2015
xAudit and feedback can decrease variation and improve the quality of care in a variety of health care settings. There is a growing literature on audit and feedback in the emergency department (ED) setting. Because most studies have been small and not focused on a single clinical process, systematic assessment could determine the effectiveness of audit and feedback interventions in the ED and which specific characteristics improve the quality of emergency care.
Wei Li, Xuezhong Yu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.080
Published online: July 30 2015
xIn the August 2015 issue of the American Journal of Emergency Department, Soo Hoon Lee and his colleagues [1] have drawn the interesting and reasonable conclusion that current recommended chest compression (CC) depth (≥50 mm), expressed only as absolute measurement, is not appropriate in all adults. Besides CC depth, emergency physicians should also raise concerns about 2010 cardiopulmonary resuscitation (CPR) guideline recommendations for CC location and compression-decompression time ratio, which also actually are not appropriately applied to all adults.
Harun Gunes, Elif Nisa Unlu, Ayhan Saritas
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.061
Published online: July 29 2015
xIn an article published in the April issue of your journal, Park et al [1] assessed the utility of inverted grayscale rib series (RS) in detecting rib fractures, and they found out that “inverted grayscale RS are not superior to conventional x-rays in detecting rib fractures but using both sets of images improved diagnostic sensitivity and accuracy among less experienced readers like medical students and junior EM residents”.
Mélanie Labrosse, Arielle Levy, Aaron Donoghue, Jocelyn Gravel
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.049
Published online: July 28 2015
xThe low prevalence of pediatric cardiopulmonary arrests presents clinical management challenges for inhospital first-line physicians, especially for pediatric residents who often act in this capacity without significant experience [1]. A recent study showed that using simulation to provide resident feedback on their performances during simulated mock codes significantly correlates with improved pediatric patient cardiopulmonary arrest survival rates [2]. Knowledge of the deviations from ideal management would identify opportunities to improve clinical performances in resuscitation.
Birdal Yıldirim, Emine Nese Yeniçeri, Ozgur Tanrıverdi, Mehmet Ünaldı, Özcan Başaran, Ömer Doğan Alataş, Ethem Acar
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.046
Published online: July 28 2015
xCancer treatment often involves multiple specialties, and a multidisciplinary approach is needed in management of cancer patients through the disease trajectory [1]. Primary care physicians (PCPs) and emergency physicians have the most probability to encounter cancer patients apart from oncologists. Emergency physicians in particular are encountering a growing number of cancer patients, often near the end of life, and their presentation to the ED often involves palliative care.
John E. Madias
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.041
Published online: July 23 2015
xThe article by Fabbian et al [1] published on line ahead of print on June 18, 2015 in the journal about the concurrence of infections/sepsis and Takotsubo syndrome (TTS) is of interest from the pathogenetic point of view, that a physical stress like sepsis can trigger TTS, and that male patients afflicted with this combinations have worse in-hospital mortality than do their female counterpart. It is conceivable that we are in error when we think that we can separate physical and emotional stresses, and it is possible to consider an emotional overlay over the physical stress of sepsis, as a trigger of TTS.
Fabio Fabbian, Alfredo De Giorgi, Ruana Tiseo, Benedetta Boari, Raffaella Salmi, Fulvia Signani, Beatrice Zucchi, Roberto Manfredini
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.042
Published online: July 23 2015
xWe appreciated the comments by Dr Madias [1], raising some interesting key points. On one hand, we quite agree that emotional and physical stressors are not strictly separated entities and, in most cases, may overlap as triggering factors of Takotsubo cardiomyopathy (TTC). However, this definition is widely used [2,3]. The association between diabetes mellitus (DM) and TTC has been matter of several investigations. Pelliccia et al [3], evaluating a series of 19 studies (1109 patients), after a contact with corresponding authors, asked to provide additional quantitative details, concluded that patients with TTC have a relevant prevalence of cardiovascular risk factors and associated comorbidities.
N. Mottard, B. Allaouchiche, A. Friggeri, J. Bohé, V. Piriou
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.034
Published online: July 20 2015
xTranspulmonary thermodilution associated to pulse contour analysis is a monitoring technique used in states of shock and is presently a subject of debate. We therefore read with interest the article “Improved sepsis bundles in the treatment of septic shock: a prospective clinical study” by Lu et al and would like to stress the importance of the objectives of their study. In a similar recent study [1], pulse-indicated continuous cardiac output monitoring did not improve the primary end point of 28-day mortality.
Sait Demirkol, Cengiz Ozturk, Sevket Balta, Murat Unlu, Zekeriya Arslan
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.022
Published online: July 21 2015
xWe read with great interest the article “Is there a potential role for echocardiography in adult patients with community-acquired pneumonia? A pilot study” written by Yildirim et al [1]. They aimed to investigate left and right ventricular (RV) functions and aortic elastic properties and observe relationships between echocardiographic findings and inflammatory and cardiac serum biomarkers in community-acquired pneumonia (CAP) patients. They showed that CAP is associated with reduced levels of tricuspid annular plane systolic excursion and impaired elasticity of the ascending aorta, and these markers are correlated with the severity of the disease.
Shujun Xia, Edward Chew, Dong Choe, Lenin Hernandez, Adrienne Birnbaum
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.020
Published online: July 21 2015
xObesity is associated with pain, and pain is the most common presentation in the emergency department [1,2]. The mainstay treatment of moderate and severe pain in the emergency department is intravenous opioids, but the appropriate opioid dosing for obese patients is still in question. Due to their increased body sizes and altered fat-lean mass ratios, body size measures, such as lean body weight and ideal body weight, have been recommended and used to dose intravenous opioids in obese patients [3,4].
Eleni Konstantogianni, Vassiliki Tsalkidou, Panagiota Dimou, Konstantinos Stroumpoulis, Androniki Palgimezi, Athanasios Chalkias, Nicoletta Iacovidou, Theodoros Xanthos
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.040
Published online: June 19 2015
xSupraglottic airway devices are developed with increasing frequency following success of the laryngeal mask airway. We aimed at comparing the oropharyngeal leak pressure of Supreme, i-gel, and Cobra at 2 different times: before and after neuromuscular blocking (protocol number: 14411/March 21, 2012).
Fabio Fabbian, Alfredo De Giorgi, Ruana Tiseo, Benedetta Boari, Raffaella Salmi, Fulvia Signani, Beatrice Zucchi, Roberto Manfredini
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.030
Published online: June 17 2015
xInfections and sepsis are important causes of cardiomyopathy, since they can affect ventricular function, systolic blood pressure, circulating volume and vessel tone, and so increasing mortality rate [1]. Among cardiomyopathies, Takotsubo cardiomyopathy (TTC) represents an uncommon clinical condition characterized by a clinical picture similar to that of acute myocardial infarction [2] but with precise criteria for diagnosis [3]. It involves 1.7–2.2% of patients with suspected acute coronary syndrome and is considered a typical gender-oriented disease, affecting mostly post-menopausal women following intense emotional or physical stress [4], including infections [5].
Soheila Talebi, Ferdinand Visco, Gerald Pekler, Mushiyev Savi, George Fernaine, Sameer Chaudhari, Getaw Worku Hassen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.015
Published online: June 13 2015
xThe electrocardiogram (ECG) has a crucial role in the initial assessment and triage of patients with symptoms compatible with an acute coronary syndrome (ACS). Conventional ST-elevation myocardial infarction (MI) criteria for diagnosing acute coronary occlusions have a low sensitivity (61%) and high specificity (96%)
[1]. Currently, different methods are available such as placement of additional electrodes or even full-body surface maps
[2]. Supplemental data are potentially available from the standard 12-lead ECG if both the positive and negative poles of each of the 12 leads are considered.
Eric M. Rottenberg
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.007
Published online: June 18 2015
xKovacs and colleagues [1] evaluated the association between chest compression release velocity (CCRV) and outcome after out-of-hospital cardiac arrest. Chest compression release velocity was found to be independently associated with improved survival and favorable neurologic outcome at hospital discharge after adult out-of-hospital cardiac arrest; a fast CCRV (≥400 mm/s) was associated with the greatest survival and most favorable outcome. They cited evidence that suggested that even though CCRV is impacted by chest wall physiology, it can be improved with training and real-time audiovisual feedback [2].
Amitabh Chandra, Jessica Zerzan, Alexandar Arroyo, Marla Levine, Eitan Dickman, Mark Tessaro
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.048
Published online: June 22 2015
xUrolithiasis is relatively uncommon in the pediatric population, but its incidence is increasing [1,2]. Urinary tract calculi are associated with significant morbidity in the pediatric population: compared to adults, children have a higher need for urologic intervention, more recurrences, and a higher association with chronic kidney disease [3-5].
Emma K. Crill, Ian Marriott
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.044
Published online: June 6 2015
xThe incidence of traumatic skin injuries in the United States is estimated to range from 4 to 14 million emergency department (ED) visits per year [1]. Such cases often present late after transport delays or long ED wait times, and delays beyond 6 hours foster continual propagation of the residing bacterial population [2]. Effective treatment of these wounds therefore requires the successful removal of colonizing bacteria, and saline irrigation can substantially improve the clinical outcome of even the most contaminated wounds [3].
