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Procedures in ED

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6 papers 0 to 25 followers
Ian G Stiell, Catherine M Clement, Jeffrey J Perry, Christian Vaillancourt, Cheryl Symington, Garth Dickinson, David Birnie, Martin S Green
OBJECTIVE: There is no consensus on the optimal management of recent-onset episodes of atrial fibrillation or flutter. The approach to these conditions is particularly relevant in the current era of emergency department (ED) overcrowding. We sought to examine the effectiveness and safety of the Ottawa Aggressive Protocol to perform rapid cardioversion and discharge patients with these arrhythmias. METHODS: This cohort study enrolled consecutive patient visits to an adult university hospital ED for recent-onset atrial fibrillation or flutter managed with the Ottawa Aggressive Protocol...
May 2010: CJEM
Shiro Gonai, Yoshito Kamio, Tomoyuki Matsuoka, Manabu Harunari, Yutaka Saito, Kiyotsugu Takuma
Although techniques for autoreduction of anterior shoulder dislocation have been developed, no reports have detailed an autoreduction method using the zero position and traction on the affected arm. Therefore, we developed a new autoreduction technique using the zero position and gentle autotraction. The objective of this study is to present our experience with a new method for autoreduction of anterior shoulder dislocation called the GONAIS (a backronym for “Grasp a waist-high object, Opposite arm assists, Nonsedated, Autoreduction/autotraction, Immobilize the grasped object, and Squatting and stooping”) method...
January 2016: American Journal of Emergency Medicine
Stéphanie Vaudan, Damian Ratano, Philippe Beuret, John Hauptmann, Olivier Contal, Nicolas Garin
BACKGROUND: Compared with usual care, noninvasive ventilation (NIV) lowers the risk of intubation and death for subjects with respiratory failure secondary to COPD exacerbations, but whether administration of NIV by a specialized, dedicated team improves its efficiency remains uncertain. Our aim was to test whether a dedicated team of respiratory therapists applying all acute NIV treatments would reduce the risk of intubation or death for subjects with COPD admitted for respiratory failure...
October 2015: Respiratory Care
Aaran B Drake, William K Milne, Christopher R Carpenter
No abstract text is available yet for this article.
July 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Avinash Kanji, Paul Atkinson, Jacqueline Fraser, David Lewis, Susan Benjamin
INTRODUCTION: Little is understood about the relationship between delay to treatment and initial reduction success for anterior shoulder dislocation. Our study examines whether delays to initial treatment, from injury and hospital presentation, are associated with higher reduction failure rates for anterior shoulder dislocation. METHODS: A retrospective database and chart review was performed for patients undergoing intravenous sedation for attempted reduction of anterior shoulder dislocation in the emergency department (ED)...
February 2016: Emergency Medicine Journal: EMJ
Paul Puchwein, Florian Sommerauer, Hans G Clement, Veronika Matzi, Norbert P Tesch, Barbara Hallmann, Tim Harris, Marcel Rigaud
AIMS: Selected patients in traumatic cardiac arrest may benefit from pre-hospital thoracotomy. Pre-hospital care physicians rarely have surgical training and the procedure is rarely performed in most European systems. Limited data exists to inform teaching and training for this procedure. We set out to run a pilot study to determine the time required to perform a thoracotomy and the a priori defined complication rate. METHODS: We adapted an existing system operating procedure requiring four instruments (Plaster-of-Paris shears, dressing scissors, non-toothed forceps, scalpel) for this study...
September 2015: Injury
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