Publications by authors named "Derek Grady"

Background: Intraosseous (IO) infusion is a life-preserving technique when intravenous access is unobtainable. Successful IO infusion requires sufficiently high flow rates to preserve life but at low enough pressures to avoid complications. However, IO catheter tips are often misplaced, and the relative flow rates and pressures between IO catheter tips placed in medullary, trabecular, and cortical bone are not well described, which has important implications for clinical practice.

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Article Synopsis
  • Intraosseous (IO) infusion is a critical method for administering fluids to trauma patients quickly, but there has been limited research on the effectiveness and user satisfaction of different IO access devices.
  • This study tested six FDA-approved IO devices in cadaveric swine to evaluate application times, accuracy, and user ratings, using experienced Navy Emergency Medicine residents for the experiments.
  • Results showed that the battery-powered EZ-IO was the fastest and most user-friendly device, while the TALON performed well as a manual option; other devices like the SAM Manual IO and Jamshidi were less effective.
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Syringocystadenocarcinoma papilliferum (SCACP) is a rare malignant counterpart of syringocystadenoma papilliferum (SCAP). To date, less than 30 cases have been reported, and of those, only three had locoregional metastases [1,2]. Herein, we report a case of a 42-year-old man with a rapidly growing nodule on his right parietal scalp ultimately diagnosed as SCACP arising in association with a preexisting SCAP and nevus sebaceus.

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