Andrew Muck

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Patients: 1600 adults ≥ 18 years of age (mean age 63 y, 60% men) who had suspected or confirmed infections; evidence of refractory hypotension or hypoperfusion; and ≥ 2 of core temperature > 38° C or < 36° C, heart rate > 90 beats/min, respiratory rate > 20 breaths/min or PaC02 < 32 mm Hg or need for invasive mechanical ventilation for an acute process, or(More)
BACKGROUND Prehospital Emergency Medical Services have demonstrated variable success with regards to prehospital airway management in U.S. civilian settings. We attempted to identify the incidence of successful prehospital endotracheal intubations in the modern combat environment. METHODS This was a prospective, observational study. Data collection(More)
STUDY OBJECTIVE Epinephrine autoinjectors are known to result in accidental digital injections. Treatment recommendations and adverse outcomes are based on case reports. The objective of our study is to determine the frequency of digit ischemia after epinephrine autoinjector digital injections. In addition, we describe the frequency of epinephrine digital(More)
A major barrier to successful integration of acute care into health systems is the lack of consensus on the essential components of emergency care within resource-limited environments. The 2013 African Federation of Emergency Medicine Consensus Conference was convened to address the growing need for practical solutions to further implementation of emergency(More)
A 77-year-old woman presented to the emergency department complaining of a headache following a syncopal episode (while standing) earlier that day. She said that she'd lost consciousness for several minutes, and then experienced several minutes of mild confusion that resolved spontaneously. On physical exam, she was oriented to person and place, but not(More)
BACKGROUND Our objective was to gain insight into whether bedside rounding at shift turnover in the emergency department improved education quality, as compared with board rounds. Board rounds are commonly used in the emergency department, where the teams review the patient and transfer care near a computer screen or written board, rather than at the(More)