Thompson Kehrl

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BACKGROUND Myoclonus is a well-recognized side effect of etomidate when given in induction doses for rapid sequence intubation. Most of the data reported on myoclonus with emergency department (ED) sedation doses are reported as a secondary finding. STUDY OBJECTIVES Our objective was to prospectively quantify the incidence and duration of myoclonus(More)
BACKGROUND Acetaminophen (APAP) toxicity is commonly encountered in the Emergency Department. Until 2004, treatment consisted of either oral N-acetylcysteine (NAC) or filtered oral NAC administered intravenously (i.v.). Intravenous acetylcysteine (Acetadote) is a new Food and Drug Administration-approved i.v. formulation of acetylcysteine manufactured by(More)
For years, conventional cardiopulmonary resuscitation (CPR) has been the cornerstone of treatment for cardiac arrest. However, the survival of patients that suffer a cardiac arrest is unsatisfactory despite the use of CPR. The use of extracorporeal life support (ECLS) to aid in the resuscitation of patients in cardiac arrest has the potential benefit of(More)
A 59-year-old woman with history of adenocarcinoma of the rectum, receiving preoperative radiation and chemotherapy, presented to the emergency department with a complaint of 3 days of generalized weakness and chills. Her vital signs on presentation included temperature 35.8°C (96.4°F), blood pressure 101/44 mm Hg, pulse rate 126 beats/min, respiratory rate(More)
BACKGROUND Intraosseous (IO) access can be complicated by obesity. Successful placement of a 25 mm IO needle is unlikely when soft tissue depth exceeds 20 mm. OBJECTIVES The authors examined the relationship between body mass index (BMI), the ability to palpate the tibial tuberosity (TT), and soft tissue depth at recommended IO insertion sites. METHODS(More)
BACKGROUND Necrotizing fasciitis (NF) is a rare but deadly disease. Diagnosis of necrotizing soft tissue infections can be challenging for a variety of reasons. Point-of-care (POC) ultrasound (US) has been described as a diagnostic tool to help the acute care clinician make the early diagnosis that is imperative to optimize outcomes. OBJECTIVE To report a(More)
STUDY OBJECTIVE Transtracheal ultrasound has been described as a method to evaluate endotracheal tube placement. Correlation between sonologist experience and the successful use of transtracheal ultrasound to identify endotracheal tube location has not been examined. Our objectives were to evaluate emergency physicians' ability to correctly identify(More)
Cardiac arrest in the adolescent population secondary to congenital heart disease (CHD) is rare. Focused cardiac ultrasound (FoCUS) in the emergency department (ED) can yield important clinical information, aid in resuscitative efforts during cardiac arrest and is commonly integrated into the evaluation of patients with pulseless electrical activity (PEA).(More)
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