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360 articles
September 202624
Delayed innominate vein perforation and massive hemothorax following left-sided PICC placement: A case report.
An 82-year-old woman with acute ischemic stroke had a peripherally inserted central catheter (PICC) placed in her left arm.
Intravenous or intraosseous vascular access in cardiac arrest: an individual participant data meta-analysis.
This individual participant data meta-analysis combined two randomized trials comparing intraosseous-first with intravenous-first vascular access in 7561 patients with out-of-hospital cardiac arrest.
Subarachnoid contrast staining not attributable to endovascular therapy.
Contrast staining within the brain refers to the leakage of iodinated contrast material through a disrupted blood-brain barrier, often in the setting of ischemia and endovascular intervention, which can mimic…
Access Block and Ambulance Ramping: The Canaries of the Healthcare System.
This systematic review examined factors contributing to hospital access block in Queensland, Australia, utilizing a mixed methods approach.
Exploring the experiences, views, and needs of family members of emergency response workers: a systematic review and meta-synthesis.
This systematic review and meta-synthesis examined the experiences and needs of family members of emergency responders, identifying significant emotional and practical burdens they face.
Effect of a digitally augmented general health promotion intervention on abstinence from health-risk behaviors among emergency department discharge patients: A randomized controlled trial.
This randomized controlled trial evaluated a digitally augmented health promotion intervention for emergency department patients in Hong Kong.
Acute-onset dysphagia: an uncommon presentation of myasthenia crisis.
A patient with undiagnosed myasthenia gravis presented with acute-onset dysphagia, indicative of a myasthenia crisis. The case highlights the potential triggers, including an acute exacerbation of chronic rhinosinusitis…
Experiences and perceptions of lay bystanders responding to out-of-hospital cardiac arrest: A qualitative systematic review.
This systematic review synthesized the experiences and perceptions of lay bystanders responding to out-of-hospital cardiac arrests, analyzing data from eight studies with 209 participants.
Clinical challenges and individualized management of hypertensive emergency complicated by acute ischemic stroke: A case report and literature review.
Three patients with chronic hypertension presented with acute ischemic stroke during a hypertensive emergency. They were diagnosed based on clinical signs and imaging.
CytoSorb Application for Successful Control of Life-Threatening Gastrointestinal Bleeding Following Rivaroxaban Administration.
A 68-year-old man with a history of colonic diverticular disease experienced severe lower gastrointestinal bleeding while on rivaroxaban.
Effect of repeated exposure to an identical multi-user virtual reality anaphylaxis scenario on paramedic trainee performance: a randomized controlled trial.
This randomized controlled trial evaluated the impact of repeated exposure to a virtual reality (VR) anaphylaxis scenario on the performance of 125 paramedic trainees.
A Near-Fatal Leak: Acute Cardiac Tamponade From Contrast Extravasation via a Thrombosed Port-a-Cath.
A 61-year-old woman with a history of diabetes and an indwelling port-a-cath experienced sudden cardiovascular collapse and cardiac arrest following contrast administration during CT angiography.
When Grief Strains the Heart: A Case of Reverse Takotsubo Cardiomyopathy Triggered by Mourning and Respiratory Failure.
A 69-year-old woman with a history of coronary artery disease and COPD presented with severe respiratory distress and unresponsiveness, requiring intubation.
Ticagrelor-Aspirin With Thrombolysis by Infarct Patterns in Moderate Ischemic Stroke: TAPIS Subgroup Analysis.
This subgroup analysis of the TAPIS trial evaluated the impact of diffusion-weighted imaging infarction patterns on the efficacy and safety of ticagrelor-aspirin combined with thrombolysis in 1307 patients with moderate…
Rapid progression of a small penetrating aortic ulcer to rupture in the setting of Staphylococcus aureus bacteraemia.
An octogenarian woman with a history of heart failure and atrial fibrillation presented with cervical phlegmon and Staphylococcus aureus bacteraemia.
First Prospective, Single-Arm, Multicenter Study to Evaluate the Safety and Efficacy of the Overall Thrombectomy System for Stroke: iNedit, iNdeep, and iNtercept in Patients with Acute Ischemic Stroke (SEMTiC-01 Study).
The SEMTiC-01 study is a prospective, multicenter, single-arm trial evaluating the safety and efficacy of a novel neurothrombectomy system in 175 patients with acute ischemic stroke due to large vessel occlusion.
A rare intravenous paraquat exposure presenting with novel and atypical severe clinical manifestations.
A 26-year-old male presented after self-injecting 10 mL of 24% paraquat dichloride intravenously. He exhibited severe symptoms including hematemesis, diaphoresis, and bradycardia.
Combination of Multiple-Dose Activated Charcoal and Infusion Therapy That Led to Favorable Outcomes in Colchicine Poisoning: A Case Report.
A man in his 20s presented with gastrointestinal symptoms and dyspnea after ingesting dried Colchicum autumnale bulbs containing colchicine.
The Storm After the Calm: A Case of Medetomidine Withdrawal.
A 30-year-old woman with a history of intravenous drug use presented to the emergency department exhibiting nausea, vomiting, agitation, and delirium.
Phenobarbital Versus Benzodiazepine-Based Pathways for Alcohol Withdrawal Syndrome in Critically Ill Adults: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis evaluated the effectiveness of phenobarbital-based versus benzodiazepine-based pathways for treating alcohol withdrawal syndrome in critically ill adults.
Efficacy of a Nursing Checklist During Mechanical Ventilation in Patients With Severe Pneumonia.
This randomized controlled trial evaluated the effectiveness of a nursing checklist on airway management in 100 patients with severe pneumonia requiring mechanical ventilation.
Reducing Night-Time Sound Levels Through Bed-Level Quiet ICU Bundle: A Randomised Counterbalanced Crossover Study in Adult Intensive Care.
This randomized controlled trial evaluated the impact of a bed-level Quiet ICU bundle on night-time noise levels in an adult ICU in Singapore.
Mechanical Thrombectomy in Ischemic Stroke With a Medium or Distal Arterial Occlusion: The DISCOUNT Randomized Clinical Trial.
The DISCOUNT randomized clinical trial evaluated the efficacy of thrombectomy plus medical treatment versus medical treatment alone in patients with acute ischemic stroke due to medium or distal vessel occlusions.
Acute Spinal Cord Infarct Secondary to Fibrocartilaginous Embolism Treated With Tenecteplase.
A 56-year-old male with hypertension experienced sudden left arm and leg weakness following a Valsalva maneuver. Examination revealed dense flaccid paralysis.
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