hyperkalemia common encount electrolyt abnorm can signific alter normal cardiac conduct potenti lethal dysrhythmia associ hyperkalemia includ complet heart block mobitz type seconddegre block report uniqu case mobitz type 1 seconddegre atrioventricular block known common wenckebach due hyperkalemia the patient symptom electrocardiogram ecg evid wenckebach block resolv lower serum potassium level subsequ ecg show firstdegre block this paper highlight infrequ report dysrhythmia associ hyperkalemia emerg physician should familiar

Aparajita Sohoni

Berenice Perez

Amandeep Singh

Wenckebach Block due to Hyperkalemia: A Case Report

ambulanc crash signific risk prehospit care provid patient carri person other vehicl pedestrian uniform nation transport medic databas captur all ambul crash unite state websit captur mani signific ambul crash collect report popular media websit mention introduct this report summari find from ambul crash time period may 1 2007 april 30 2009 466 crash examin 358 result injuri prehospit personnel other vehicl occup patient be transport ambul pedestrian total 982 person were injur result ambul crash dure time period prehospit personnel were most like injur provid safeti can should improv ambul vehicl redesign develop improv occup safeti restraint seventynin 79 crash result fatal some member same group list abov total 99 person were kill ambul crash dure time period person other vehicl involv collis ambul were most like die result crash urban environ intersect particular danger place ambul

Teri L. Sanddal

Nels D. Sanddal

Nicolas Ward

Laura Stanley

Ambulance Crash Characteristics in the US Defined by the Popular Press: A Retrospective Analysis

background strategi combin pretest clinic assess ddimer measur effici safe rule out venous thromboembol event vte low intermediaterisk patient objectiv process age associ alter concentr coagul marker includ increas ddimer level investig whether ddimer could reliabl rule out vte across age categori method prospect assess test perform 1004 patient visit emerg depart dure 6month period low intermedi risk vte who also receiv addit diagnost procedur result 67 patient had vte ddimer level abov threshold 3 patient display ddimer level below threshold observ specif ddimer test decreas agedepend manner howev sensit negat predict valu remain veri high level each age categori includ older patient conclus conclud even though ddimer level could provid numer fals posit result elder patient it high sensit could reliabl help physician exclud diagnosi vte everi low intermediaterisk patient

G. Der Sahakian

Y. E. Claessens

J. C. Allo

J. Kansao

G. Kierzek

J. L. Pourriat

Accuracy of D-Dimers to Rule Out Venous Thromboembolism Events across Age Categories

report case prehospit cannot intub cannot ventil scenario success manag strict follow difficult airway manag algorithm five airway devic were use macintosh laryngoscop gum elast eschmann bougi lma fastrach melker cricothyrotomi cannula flexibl fiberscop although sever airway devic were use overal airway manag durat relat short 20 min becaus each scenario fail primari secondari backup devic were quick abandon after 2 fail attempt each attempt more than 2 min durat favor tertiari rescu devic equalli all three rescu devic fail uncuf cricothyroidotomi cannula insert restor optim arteri oxygen until definit airway secur icu use flexibl fiberscop our case reinforc need strict follow difficult airway manag algorithm employ limit number effect devic techniqu highlight imper earli activ success preplan step algorithm

Jérôme Sudrial

Caroline Birlouez

Anne-Laurette Guillerm

Jean-Luc Sebbah

Roland Amathieu

Gilles Dhonneur

Difficult Airway Management Algorithm in Emergency Medicine: Do Not Struggle against the Patient, Just Skip to Next Step

report case splenic arteri aneurysm ruptur present shock which requir time embol therapi this case demonstr how rapid use bedsid ultrasound emerg depart physician can help identifi caus shock therefor initi appropri treatment quick even caus rare case

Masayuki Iyanaga

Susan Watts

Takeshi Kasai

A Patient with Splenic Artery Aneurysm Rupture and  the Importance of Rapid Sonography in the ED

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Emergency Medicine International publishes original research articles, review articles, and clinical studies related to prehospital care, disaster preparedness and response, acute medical and paediatric emergencies, critical care and wound care

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Emergency Medicine International