Lee W. Shockley

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Gunshot wounds (GSWs) pose significant medicolegal and forensic issues. Mistakes have been made regarding identification of gunshot wounds. We present a case of an atypical gunshot wound and review contact, near contact, intermediate, and distant wounds. There is an objective terminology to describe GSWs in the Emergency Department.
OBJECTIVE To describe the demographic characteristics and patterns of death of persons killed in snow avalanches over a 45-year study period. METHODS The national avalanche database was the source of data in this retrospective, descriptive study. RESULTS A total of 440 victims were killed in 324 fatal avalanches, of which 87.7% were fully buried, 4.7%(More)
More than 2 million Americans use cocaine each month (National Survey on Drug Use and Health, Department of Health and Human Services: Substance Abuse and Mental Health Services Administration (SAMHSA) & Office of Applied Studies (OAS), Rockville, MD 2007). Starting in early 2003, South American cocaine cartels began to add levamisole, a pharmaceutical(More)
PURPOSE To determine whether the quality of applicants to an emergency medicine (EM) residency would improve during a year that the program did not participate in the Electronic Residency Application Service (ERAS). METHODS Applications to the Denver Health Medical Center Residency in Emergency Medicine (DHMCREM) were retrospectively compared for three(More)
The use of a guidewire to facilitate the placement of an IV cannula through a cutdown is described. This technique was taught to 24 novice operators (medical students and first-year residents). In a randomized, prospective, crossover study, their performance of this technique in an animal model was compared with the use of the classic cutdown technique. The(More)
Malathion is an organophosphate insecticide that is toxic to humans. Deaths are related to respiratory failure. The traditional treatment has included oxygen, ventilatory support, and intravenous administration of atropine. A case is presented in which a patient with moderate to severe malathion poisoning was also treated with inhaled nebulized atropine(More)