Annals of Emergency Medicine

Are Topical Nonsteroidal Anti-Inflammatory Drugs Useful for Analgesia in Patients With Traumatic Corneal Abrasions?

Jason R. West, MD (EBEM Commentator)

Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY

There is no strong evidence to suggest that topical nonsteroidal anti-inflammatory drugs provide adequate analgesia for patients with traumatic corneal abrasions, yet there is low-quality evidence to suggest that the drugs decreased the need for oral analgesia 24 hours later.


Do Glucocorticoids Improve Symptoms and Reduce Return Visits or Admission Rates Among Children With Croup?

Michael D. April, MD, DPhil (EBEM Commentator), Brit Long, MD (EBEM Commentator)

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, San Antonio, TX

Compared with placebo, glucocorticoids improve symptoms of croup at 2 through 24 hours and reduce rates of return visits and admissions among children with croup.



Survival After Cardiac Arrest With Instantaneous Rigorlike Stiffness: A Case Report

Yohei Okada, MD

Correspondence information about the author MD Yohei Okada

Email the author MD Yohei Okada

, Hiromichi Narumiya, MD, PhD, Naho Kobayashi, MD, Hirotake Nishimura, MD, PhD, Hirokazu Kotani, MD, PhD, Kaoru Koike, MD, PhD, Taku Iwami, MD, PhD, Ryoji Iiduka, MD

Instantaneous rigor is the immediate appearance of rigor mortis after cardiac arrest. To our knowledge, no previous reports exist on resuscitation of such patients. A young athlete suddenly collapsed with cardiac arrest during a marathon; his legs stiffened with instantaneous rigorlike stiffness. This stiffening provoked hyperkalemia, rhabdomyolysis, and multiple organ failure. We decided to amputate both legs, with venoarterial extracorporeal membrane oxygenation support. The patient recovered and was discharged without neurologic impairment. This rare case highlights the potentially significant effect of instantaneous rigor.



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