Practical Summaries in Acute Care Archives – December 1, 2004
December 1, 2004
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Bedside Ultrasound to Confirm Pediatric Endotracheal Tube Placement
Investigators studied the utility of ultrasonography to verify correct placement of the endotracheal tube in patients cared for in a pediatric intensive care unit. -
Subcutaneous Lispro Insulin for Diabetic Ketoacidosis
The authors of this study proposed that patients with diabetic ketoacidosis could be treated safely in a non-ICU setting using repeated subcutaneous doses of insulin lispro, and performed a study comparing this treatment regimen with standard regular insulin therapy administered by continuous IV infusion within the ICU setting. -
ED Thoracotomy Indications in the Trauma Patient
This study questioned whether selected patients who fail to respond to prehospital cardiopulmonary resuscitation are potentially salvageable and should be transported to the nearest trauma center for evaluation and prompt emergency department thoracotomy. -
ACE-Inhibitor Angioedema: How Common? How Serious?
In this retrospective study from a community teaching hospital in Philadelphia, Sondhi and colleagues identified all patients whose admissions had been assigned the diagnosis code for angioedema during the five academic years starting in 1996. -
Special Feature: Heparin Use in Acute Coronary Syndromes
Heparin has been shown to have a profound synergistic effect with aspirin in preventing death, acute myocardial infarction (AMI), and refractory unstable angina. -
ECG Review: A Three-Beat Run in Lead V1
The electrocardiogram in the Figure was obtained from a 57-year-old woman with palpitations. Is there a short run of ventricular tachycardia in lead V1? What else may be wrong with the tracing?