Should age be incorporated into the adult triage algorithm in the emergency department?

Objective: To compare resource utilization and mortality between older and younger adult patients with similar ED chief complaints and ESI triage levels.

Methods: This was an observational study of consecutive adult patients (age ≥ 40) who presented to an academic ED over a 1-year period with chest pain, abdominal pain, altered mental status, generalized weakness, or headache. Patients were categorized into 40-64, 65-79, and ≥ 80-year old groups.

A Case Series of Air Force Pararescue Long-Range Ocean Rescues.

Background: US Air Force (USAF) pararescuemen (PJs) perform long-range ocean rescue missions for ill or injured civilians when advanced care and transport are not available. The purpose of this case series is to examine the details of these missions, review patient treatments and outcomes, and describe common tactics, techniques, and procedures for these missions.

Methods: Cases in which the USAF PJs preformed long-range ocean rescue for critically ill or injured civilians between 2011 and 2018 were identified.

The Effect of Head Rotation on the Relative Vascular Anatomy of the Neck: Implications for Central Venous Access.

Context: Previous studies have shown that safe venous cannulation is difficult when the internal jugular vein (IJV) overlies the carotid artery (CA) as the probability of inadvertent arterial penetration is greatly increased.

Aims: The goal of this study was to examine the anatomical relationships of the IJV and CA as a function of the degree of head rotation in order to minimize the risk for CA puncture.

Settings And Design: Our study was a prospective study using a sample of 496 Emergency Department patients.