Douglas D Brunette

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Accidental hypothermia is defined as an unintentional decrease in core body temperature to below 35 degrees C. Hypothermia causes hundreds of deaths in the United States annually. Victims of accidental hypothermia present year-round and in all climates with a potentially confusing array of signs and symptoms, but increasing severity of hypothermia produces(More)
STUDY OBJECTIVES The purpose of this study was to examine the relationship among emergency health care use, 911 call volume, and jail admissions with the timing of the distribution of General Assistance, Aid to Families With Dependent Children, and Minnesota Supplemental Aid welfare checks. DESIGN This was a retrospective study analyzing previously(More)
The initial electrocardiogram is crucial in accurately selecting patients with chest pain for thrombolytic therapy. An electrocardiogram with a large amount of ST-segment elevation and depression is "visually alarming," and therefore, may influence the efficiency of patient treatment with thrombolytic therapy. It was hypothesized that the amount of(More)
All cases of patients aged less than 48 months who presented in cardiac arrest to the Hennepin County Medical Center's emergency department (ED) during the years 1984 to 1986 were reviewed retrospectively. The ED record, initial and subsequent chest radiographs, hospital charts, and autopsy reports were analyzed. A total of 33 cases were reviewed. The(More)
A previously healthy 32-year-old woman presented to the emergency department complaining of sudden onset of abdominal pain, nausea with vomiting, and syncope. The patient underwent in vitro fertilization 6 weeks prior. The initial differential diagnosis was intrauterine pregnancy with ovarian hyperstimulation syndrome vs heterotopic pregnancy. A(More)
STUDY OBJECTIVE To determine whether radiologists' review of radiographs is unwarranted when emergency physicians are confident in their interpretations. METHODS This was a prospective, descriptive study. Treating emergency physicians at a high-volume, urban teaching hospital and a moderate-volume nonteaching hospital indicated their confidence or lack of(More)
We applied pediatric pneumatic antishock trousers to five young patients who had severe pelvic fractures with evidence of significant retroperitoneal hemorrhage. The trousers were in place for 24 to 96 hours. Utilization of the trousers resulted in stabilization of vital signs and appeared to have decreased ongoing pelvic hemorrhage. No significant(More)
Two unconscious patients with unknown past medical histories were found to be severely hypothermic, with core temperatures of 80.2 degrees F and 86.7 degrees F, respectively. During the course of active internal rewarming, both patients sustained a cardiac arrest. Emergency thoracotomies were immediately done, and internal cardiac massage with warmed(More)
A study was undertaken to compare warm gastric (Group 1) and closed thoracic cavity (Group 2) lavage for rewarming severely hypothermic dogs. Adult mongrel dogs were monitored by intra-arterial catheter, central venous catheter, and ECG, and by central venous, esophageal, and rectal temperature probes. Animals were externally cooled to an average of 21.2 C(More)
We present two case reports of central embolization of needle fragments as a complication of intravenous drug abuse. In both cases the needle embolization occurred from a peripheral venous site to the right distal pulmonary vasculature. No attempts at removal were made. No complications developed as a result of these needle emboli.