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Improving emergency department patient flow

Jarvis PR

Emergency departments (ED) face significant challenges in delivering high quality and timely patient care on an ever-present background of increasing patient numbers and limited hospital resources. A mismatch between patient...
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Intravenous lidocaine for the treatment of acute pain in the emergency department

Fitzpatrick BM, Mullins ME

OBJECTIVE: To evaluate intravenous lidocaine’s safety and efficacy as an analgesic agent in the treatment of a variety of painful conditions presenting to the emergency department. METHODS: This case series identified...
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Unusual presentation and treatment of isolated spontaneous gastric artery dissection

Lim JY, Choi YH, Lee SH

Epigastric pain is a common symptom in the emergency department. Most epigastric pain is not fatal, except in acute myocardial infarction, aortic dissection, and abdominal aneurysm rupture. Epigastric pain can...
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Patients who leave the emergency department against medical advice

Lee CA, Cho JP, Choi SC, Kim HH, Park JO

OBJECTIVE: Discharge against medical advice (DAMA) from the emergency department (ED) accounts for 0.1% to 2.7% of all ED discharges. DAMA carries a risk of increased mortality and readmissions. Our...
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Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder

Kim GB, Hwang SY, Shin TG, Lee TR, Cha WC, Sim MS, Jo IJ, Song KJ, Rhee JE, Jeong YK

A 59-year-old man presented to the emergency department with a chief complaint of sore throat after swallowing sodium picosulfate/magnesium citrate powder for bowel preparation, without first dissolving it in water....
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Treatment of acute carbon monoxide poisoning with induced hypothermia

Oh BJ, Im YG, Park E, Min YG, Choi SC

OBJECTIVE: The effect of induced hypothermia on severe acute carbon monoxide (CO) poisoning remains to be addressed further. We investigated the effect of induced hypothermia on severe acute CO poisoning. METHODS:...
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The usefulness of serum delta neutrophil index for differentiating bacterial and viral meningitis in the emergency department

Lee JW, Park CI, Kim HI, Kim OH, Cha KC, Kim H, Lee KH, Hwang SO, Cha YS

OBJECTIVE: When managing patients with acute meningitis in an emergency department (ED), early diagnosis of the type of infection (bacterial or viral) considerably affects the clinical course and treatment because...
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Diagnostic accuracy and implementation of computed tomography angiography for gastrointestinal hemorrhage according to clinical severity

Choi YJ, Kim KS, Suh GJ, Kwon WY

OBJECTIVE: This study compared the diagnostic accuracy of computed tomography (CT) angiography in patients with various severities of gastrointestinal hemorrhage (GIH). METHODS: We retrospectively enrolled adult patients (n=262) with GIH who...
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Comparison of blind intubation through supraglottic devices and direct laryngoscopy by novices: a simulation manikin study

Kim YY, Kang GH, Kim WH, Choi HY, Jang YS, Lee YJ, Kim JG, Kim H, Kim GY

OBJECTIVE: This study aimed to compare intubation performance between blind intubation through supraglottic airway devices and direct laryngoscopy by novices under manikin simulation. We hypothesized that the intubation time by...
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Reduction of intra-hospital transport time using the easy tube arrange device

Joo KH, Yoo IS, Lee J, Kim SW, Ryu S, You YH, Cho YC, Jeong WJ, Ahn BJ, Cho SU

OBJECTIVE: Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical....
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