Publications by authors named "P Koetter"

Article Synopsis
  • Epinephrine is crucial for treating anaphylaxis but its cardiovascular side effects may make clinicians hesitant to use it; this study aimed to evaluate the frequency of such cardiotoxic effects.
  • A retrospective study in a Tennessee ED looked at 338 adult patients treated with intramuscular epinephrine for anaphylaxis from 2017 to 2021, primarily assessing cardiotoxicity defined by specific heart-related outcomes.
  • The results showed that about 4.7% of patients experienced cardiotoxicity, with older patients and those with more health issues being at a higher risk, especially if they received multiple doses of epinephrine.
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Purpose: Creating inclusive LGBTQ+ environments is important in the provision of inclusive care. This cross sectional study assessed whether patient intake forms in pediatric surgery departments were LGBTQ+ inclusive (L-I).

Methods: North American pediatric surgery departments affiliated with pediatric surgery fellowships or general surgery residencies were contacted to retrieve patient intake forms.

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Introduction: Severe hypertriglyceridemia (HTG) is a rare complication of insulin resistance. Its presentation with diabetic ketoacidosis (DKA) has been reported in a few cases, where most patients have type-1 diabetes mellitus (DM). Our case represents a unique presentation of DKA associated with severe HTG above 10,000 mg/dL in an adult with type-2 DM.

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Background: Closed-loop communication (CLC) is associated with decreased medical errors and improved time-to-task completion during resuscitations. Depriving team leaders of sight during training may accelerate the acquisition of favorable communication skills; however, its effect on the frequency of CLC is unclear, especially with trainees.

Objective: We assessed the effect of depriving interns of sight during advanced cardiovascular life support (ACLS) on verbal communication patterns and resuscitation confidence.

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Objectives: A common strategy for evaluation of extremity fractures is the "joint above and below" (JAB) radiograph approach, which includes dedicated imaging of the joint proximal and distal to a fracture independent of clinical suspicion for an injury involving the joint. The incidence of concomitant ipsilateral lower-extremity fractures or dislocations associated with lower-extremity long bone fractures in children has not been commonly reported and represents an evidential gap for determining a radiograph approach. Our purpose was to determine the frequency of and risk factors for concomitant ipsilateral lower-extremity fractures or dislocations.

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