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427 articles
November 202620
Thrombin-antithrombin complex and fibrinogen predict microangiopathic acute kidney injury in patients with traumatic injuries.
This secondary analysis of a single-center randomized controlled trial examined whether early coagulation and fibrinolysis biomarkers were associated with acute kidney injury (AKI) in adults with severe traumatic…
Acute Ethylene Glycol Poisoning Following Accidental Mineral Oil Ingestion With Severe Metabolic Acidosis, Acute Kidney Injury, Respiratory Failure, and Delayed Neurological Sequelae: A Case Report.
A 57-year-old man became dizzy, vomited, and developed altered consciousness progressing to coma after accidentally ingesting mineral oil containing ethylene glycol.
Severity-Based Triage for Direct Transportation to Nearest Comprehensive Stroke Center: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis assessed prehospital bypass of the nearest stroke center for direct transport to a more distant comprehensive stroke center in patients with suspected stroke.
Intractable Nausea and Vomiting: A Key Feature of Neuromyelitis Optica Spectrum Disorder.
A 22-year-old woman had five weeks of intractable nausea, vomiting, and hiccups. Delayed gastric emptying led to an initial diagnosis of gastroparesis, but symptoms persisted despite antiemetic and prokinetic therapy.
Delayed pancytopenia following ingestion of wild mushrooms consistent with Hypholoma fasciculare: A case report.
A 57-year-old man presented with fever and generalized weakness about 10 days after eating self-collected wild mushrooms consistent with Hypholoma fasciculare. Testing showed delayed-onset pancytopenia.
Severe toxicity following supratherapeutic co‑ingestion of duloxetine and dexzopiclone in a young patient with major depressive disorder: a case report.
A 23-year-old woman with major depressive disorder, non-suicidal self-injury and generalized somatic pain had persistent suicidal ideation despite treatment.
Efficiency of Rescue Paramedic Hoist versus Underslung Antenna in Helicopter-Based Avalanche Searches: A Randomized Trial.
This randomized experimental field trial compared helicopter-based avalanche transceiver searches using an underslung antenna or a hoisted rescue paramedic with a handheld transceiver.
Salovum® reduces mortality in isolated severe traumatic brain injury: a randomized phase II trial.
This prospective, double-blind, placebo-controlled phase II randomized trial tested Salovum® in adults with isolated severe traumatic brain injury receiving intracranial pressure monitoring and neurointensive care at a…
Chronic Left Lower Quadrant Pain-A Case Report of Synchronous Bilateral Ovarian Torsion.
A 40-year-old woman presented with chronic left lower-quadrant pain and was found to have synchronous torsion of both ovaries.
Heterotopic pregnancy at Komfo Anokye Teaching Hospital: a case report.
A 34-year-old woman presented after two months of amenorrhoea with acute abdominal pain and haemorrhagic shock. Bedside ultrasound showed a live 8-week intrauterine pregnancy as well as a left adnexal mass and pelvic…
Tenecteplase Before Thrombectomy at 4.5 to 24 Hours for Basilar Artery Occlusion: The ATTENTION LATE Randomized Clinical Trial.
This multicenter, open-label, blinded-endpoint randomized clinical trial compared intravenous tenecteplase before endovascular thrombectomy (EVT) with EVT alone in patients with moderate to severe basilar artery…
Short-Term Pain Outcomes of Trigger Point Injection Versus Dry Needling for Acute Myofascial Low Back Pain in the Emergency Department: A Prospective Randomized Comparative Study.
This prospective randomized comparative study evaluated trigger point injection versus dry needling for acute myofascial low back pain in emergency department patients.
Prehospital Pediatric Ventilation Quality Following Use of a Feedback Device: A Randomized Study.
This multicenter, single-anonymized randomized crossover simulation study assessed pediatric manual ventilation by EMS clinicians at 5 agencies across 3 US metropolitan sites.
Telehealth Treatment of Anxiety in Patients With Low-Risk Chest Pain in the Emergency Department: The PACER Randomized Clinical Trial.
The PACER multicentre, three-group randomised comparative effectiveness trial tested peer-supported internet-based cognitive behavioural therapy (iCBT) and therapist-delivered telehealth CBT against primary care…
Efficacy of Technology-Augmented Behavioral Counseling for Risky Firearm Behaviors: A Randomized Clinical Trial.
This two-arm randomized clinical trial tested IntERact, a 30-day program combining telehealth behavioral counseling and tailored smartphone content, against enhanced usual care among 373 emergency department patients…
Performance of the i-Gel Versus King LT-D by Combat Medics Under Simulated Tactical Conditions: A Prospective Randomized Crossover Study.
This prospective randomized crossover study compared i-gel and King LT-D placement by active-duty combat medics after exertion while wearing full combat gear, using a high-fidelity manikin.
Klebsiella pneumoniae Endogenous Endophthalmitis in an Active Duty Service Member.
A healthy, immunocompetent 47-year-old active-duty man developed fever, chills, and fatigue, tested positive for COVID, and then experienced painful right-eye vision loss with a temporal field deficit.
Pain-Related Outcome Domains and Measures in Randomized Controlled Trials of Treatment for Acute Abdominal Pain: A Systematic Review.
This PRISMA-guided systematic review mapped pain-related outcome domains and measures in randomized controlled trials of acute abdominal pain treatment.
Emergency management of obturator hernıa in elderly patients: A case series and surgical strategy.
Three elderly, cachectic women presented with symptoms and signs of mechanical intestinal obstruction. CT imaging identified obturator hernias, and all underwent emergency surgery.
Severe acute gastric volvulus: A case report with perforation and extra-gastric ischemic findings.
A 36-year-old man presented with sudden abdominal distension and respiratory distress, with severe hemodynamic instability and an acute abdomen. Imaging showed intraperitoneal free air, leading to emergency laparotomy.
October 20264
Prehospital Analgesia in Trauma: A Systematic Review of Current Evidence.
This systematic review assessed the safety and effectiveness of pharmacologic analgesia given before hospital arrival to acutely injured adults aged over 15 years.
A rare cause of postpartum hemoperitoneum: Uterine laceration secondary to sustained transabdominal uterine massage following vaginal delivery: A case report.
After vaginal delivery, a patient with an unscarred uterus developed postpartum hemorrhage from uterine atony and was treated with uterotonics and transabdominal uterine massage.
Performance of 0/1 h versus 0/3 h pathways in patients with suspected myocardial infarction: a systematic review and individual participant data meta-analysis of randomised controlled trials.
This systematic review and individual participant data meta-analysis combined five randomised trials comparing 0/1 h with 0/3 h cardiac troponin pathways in patients presenting with suspected myocardial infarction.
Bilateral Iatrogenic Pneumothorax After Acupuncture in a 26-Year-Old Woman Presenting With Cough, Pleuritic Chest Pain, and Tachycardia: A Case Report.
A 26-year-old woman presented two days after trapezius-region acupuncture with persistent cough, pleuritic chest pain, and difficulty taking a full breath; she had coughed during the needling.
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