1. Resuscitation efforts may be withheld in any blunt trauma patient who, based on out-ofhospital personnel’s thorough primary patient assessment, is found apneic, pulseless, and without organized electrocardiographic (ECG) activity upon the arrival of emergency medical services (EMS) at the scene. 2. Victims of penetrating trauma found apneic and pulseless by EMS, based on their patient assess...

We describe a patient with a focal abdominal aortic stenosis without renovascular stenosis manifested as severe hypertension. Although hypertension and unilateral or bilateral renal artery stenosis are common in abdominal aortic stenosis, patients presenting with hypertension as the sole clinical feature without renal artery stenosis are rare. A 12-year-old boy was admitted to our department fo...

A 72-year-old man presented to the emergency department in cardiogenic shock; 4-days before he was diagnosed with right femoro-popliteal deep vein thrombosis after trauma. During routine monitoring and diagnostic workup, cardiac arrest with pulseless electric activity rapidly ensued and cardiopulmonary resuscitation was initiated. A transtho-racic echocardiogram showed severe right ventricular ...

Four patients with aortitis and stenotic lesions of the aorta were successfully treated by percutaneous transluminal balloon angioplasty. The peak systolic gradient across the constrictions decreased from 82.5 ± 35.7 to 37.5 ± 18.5 mm Hg immediately after dilatation. Repeat angiography in the first three patients performed 2 months later showed a further decrease in the gradient to 13.8 + 9.5 m...

A compartment is an area of muscle groups and neurovascular structures enclosed by fascia. The leg consists of 4 compartments: anterior, lateral, superfi cial posterior, and deep posterior. The foot, although occupying less surface area than the leg, contains 9 compartments. The compartments are medial, lateral, 4 interossei, calcaneal, and superfi cial and deep central compartments (1). Compar...

UNLABELLED The purpose of this study is to examine the commonly held assumption that time is measured and documented accurately during resuscitation from cardiac arrest in the hospital. METHODS A two-pronged approach was used to evaluate the accuracy of time documentation and measurement. First, two existing databases-the National Registry of Cardiopulmonary Resuscitation (NRCPR) and a 240-be...

In this study the efficacy of oral rehydration solution (ORS) was compared with that of intravenous fluid (IVF) in the treatment of moderate and some severe cases of dehydration due to diarrhea in a treatment center in Bangladesh during 1980-81. 10,379 patients with moderate and severe dehydration in 1980 and 9897 in 1981 were studied, most were under age 5. Almost all uncomplicated diarrhea ...

The Confused Terminology and Changing Concept of Takayasu's Arteritis In 1908 the Japanese opihthalmologist, Takayasu, reported an unusual wreath-like vascular anastomosis surrounding the optic discs of a young female patient who was nearly iblind, biut who showed 'no general physical changes'. He was unalble to explain this abnormality. Laiter a colleague, Onishi, referred to a similar case wh...

Case presentation: A 65-year-old man presented to the emergency department after a fall and was diagnosed with a fracture of the right femoral neck. He was scheduled for surgical repair the following day. During positioning for arthroplasty, he developed hypotension, tachycardia, and hypoxia, followed by pulseless electric activity. He was resuscitated and maintained on epinephrine and norepine...

Public access defibrillation The time delay to defibrillation can be reduced by five minutes if performed by a first responder to the cardiac arrest rather than by the usual paramedic service. In a review of five controlled trials in which emergency medical technicians were taught to defibrillate, odds ratios for improved survival ranged from 3.3 to 6.9. Emergency medical technicians were taugh...