Avoid the Goose! Paramedic Identification of Esophageal Intubation by Ultrasound.

Objectives: Rapid identification of esophageal intubations is critical to avoid patient morbidity and mortality. Continuous waveform capnography remains the gold standard for endotracheal tube (ETT) confirmation, but it has limitations. Point-of-care ultrasound (POCUS) may be a useful alternative for confirming ETT placement.

Sufficient catheter length for pneumothorax needle decompression: a meta-analysis.

Introduction: Needle thoracostomy is the prehospital treatment for tension pneumothorax. Sufficient catheter length is necessary for procedural success. The authors of this study determined minimum catheter length needed for procedural success on a percentile basis.

An orthodontic retainer preventing remission in celiac disease.

Celiac disease is a gluten enteropathy that is treated with dietary elimination of gluten. Exposure to nondietary sources of gluten, which are used in the manufacture of products such as plastics, dental equipment, and cosmetics, can also trigger or exacerbate disease. We report the case of a 9-year-old child who presented with nonspecific abdominal discomfort with abnormal serology for celiac disease.

Shifting dependence: the influence of partner instrumentality and self-esteem on responses to interpersonal risk.

High and low self-esteem people typically have divergent responses to interpersonal risk. Highs draw closer to their partner, whereas lows self-protectively distance. However, these responses should be more likely when people are dependent on the rewards their partner offers.