Thomas B. Purcell

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OBJECTIVE The objective of this study was to determine if the white blood cell count can predict severity of injury in blunt trauma victims. METHODS This was a retrospective study comparing two groups of blunt trauma victims by severity of injury, one with significant injury and one without significant injury, and comparing their initial WBC in the(More)
We present a case report of a 10-year-old male with nephrotic syndrome who presented with a complaint of shortness of breath. The patient had been recently hospitalized for an exacerbation of nephrotic syndrome and had received steroid and diuretic therapy. Initial vital signs showed tachycardia and mild tachypnea. After being observed for more than four(More)
Autotransfusion, a technique with more than 160 years of experience behind it, has become a subject of renewed interest in the emergency setting. The technique itself is not much more difficult than the tube thoracostomy or the peritoneal lavage that otherwise might be indicated in the multiple trauma victim and that would be required to start collection of(More)
Prediction models using multiple logistic regression are appearing with increasing frequency in the medical literature. Problems associated with these models include the complexity of computations when applied in their pure form, and lack of availability at the bedside. Personal digital assistant (PDA) hand-held devices equipped with spreadsheet software(More)
STUDY OBJECTIVE This study evaluates the safety and efficacy of rapid oral loading of carbamazepine in the emergency department (ED). METHODS Adult patients receiving maintenance carbamazepine who presented with negligible levels received an oral load of carbamazepine suspension, with a dose of 8 mg/kg. RESULTS Forty-two oral loads among 36 patients(More)
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