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INTRODUCTION Cricothyrotomy is a difficult, infrequently performed lifesaving procedure. OBJECTIVES The objectives of the study were to develop a standardized ultrasound technique to sonographically identify the cricothyroid membrane (CM) and to evaluate the ability of emergencyphysicians (EPs) to apply the technique in a cohort of Emergency Department(More)
INTRODUCTION Although ultrasound has been used in administering epidural anesthesia, it is unknown if emergency physicians (EPs) can obtain ultrasound images useful for lumbar puncture. OBJECTIVE The objective of the study was to determine EPs' ability to apply a standardized ultrasound technique for visualizing landmarks surrounding the dural space. (More)
Shoulder dislocations are a common complaint in the emergency department. The management of these injuries is well described and often involves procedural sedation. Unfortunately, patients often recover from this sedation before radiographs can verify successful reduction. We describe 2 patients with glenohumeral dislocations and subsequent reduction(More)
AIM To assess the utility of bedside ultrasound performed by an emergency physician in adults undergoing diagnostic lumbar puncture. METHOD Ultrasound was used as the primary means of determining the site of skin puncture, angle of needle advancement and depth needed to access the subarachnoid space. RESULTS Cerebrospinal fluid was obtained from 36 of(More)
Fractures of the tibial plafond, or distal tibial articular surface, are usually associated with a high-force mechanism, which frequently can involve associated injuries and prolonged disability. Because of distracting injury and variations in clinical findings, tibial plafond fractures may be initially missed or misdiagnosed. This review examines the(More)
In this paper we describe the design behind the Bloom Diagram, a tool to visualize the evolution of individual participants' code and comment contributions to open source software projects. The design blends techniques such as concentric pie charts, animation, motion trails, and social proxies to produce a compact presentation of the large scale dynamics(More)
Posterior elbow dislocations are the most common type of elbow dislocation and are usually caused by a fall on an outstretched hand. Although the incidence of elbow dislocation complications is rare, the emergency physician is responsible for evaluation and identification of concomitant neurovascular injuries. Failure to identify neurovascular compromise(More)
Adequate monitoring of dengue activity can be achieved using a combination of mosquito vector surveillance, fever surveillance, sentinel clinicians and laboratory screening. An apparent increase in fever cases or clinically suspected DF should prompt a careful clinical and laboratory investigation. If an outbreak of dengue is confirmed, health authorities(More)
BACKGROUND Persistent moderate or severe unipolar depression is common and expensive to treat. Clinical guidelines recommend combined pharmacotherapy and psychotherapy. Such treatments can take up to 1 year to show an effect, but no trials of suitable duration have been done. We investigated the efficacy and cost-effectiveness of outpatient-based,(More)