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Myocarditis can at times be asymptomatic and has a varied presentation; consequentially, it often goes undiagnosed and its true incidence is unknown
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The value of hyperbaric oxygen therapy for the treatment of CO-poisoned patients, and its ability to prevent long-term cognitive sequelae, has been debated for years among toxicology and hyperbaric experts. This study from the University of Utah addressed this difficult issue.
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Crowther and associates tested the hypothesis that oral vitamin K would reduce high international normalized ratio values faster than subcutaneous vitamin K.
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A systematic approach with an understanding of the pathophysiology can help the clinician correctly diagnose and treat metabolic alkalosis, a condition that carries a high morbidity and mortality rate.
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In this retrospective study of the GUSTO-1 database, investigators compared clinical outcomes of more than 25,000 patients with acute myocardial infarction who were treated with fibrinolytic therapy in U.S. hospitals with and without coronary revascularization capability for percutaneous transluminal coronary angioplasty and coronary artery bypass grafting.
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The authors of this study in the New England Journal of Medicine evaluated participants enrolled in the Framingham Heart Study between 1971 and 1998 who reported syncopal events.
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The 12-lead ECG shown in the figure was obtained from a 55-year-old woman with new-onset chest pain. Many more P waves than QRS complexes are seen on the tracing. How would you interpret this ECG?
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Maintaining a high index of clinical suspicion, completing a focused historical and physical assessment, rapidly completing diagnostic modalities, and timely institution of definitive therapy can reduce the mortality rate and rate of significant disability from pediatric meningitis.
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An index of articles from Volume 7, Numbers 1-12, Pages 1-140, organized by topic.
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Pediatric Emergency Medicine Reports thanks the following physicians
for their contributions to the newsletter as authors and peer reviewers in 2002.