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http://dx.doi.org/10.1007/s40123-024-01019-5 | DOI Listing |
Eur J Trauma Emerg Surg
September 2025
Emergency Medical Services of Karlovy Vary Region, Zavodni 390/98C, Karlovy Vary, 36006, Czech Republic.
Background And Importance: In the Czech Republic, paramedics are required to consult a physician before administering intravenous opioids, which may delay effective prehospital pain management. As paramedic competencies expand in Europe, it is important to evaluate the safety and efficacy of independent opioid administration in prehospital emergency care settings.
Objectives: To assess the safety and effectiveness of intravenous sufentanil administered independently by trained paramedics compared to administration following remote physician consultation in adult trauma patients.
JDS Commun
September 2025
Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Canada, J2S 2M2.
The objective of this ambidirectional observational cohort study was to explore how nonesterified fatty acids (NEFA) 22 to 35 d before calving were related to NEFA 1 to 14 d before calving and to determine a threshold that could be used to identify cows at risk of poor postpartum health. We enrolled 855 dairy cows from 46 herds, 362 prospectively and 493 retrospectively. The NEFA concentrations were measured during the far-off period (foNEFA; 3 to 5 wk before calving) and in the close-up period (cuNEFA; up to 2 wk before calving), and postpartum infectious and metabolic disorders, reproduction success, and culling were recorded.
View Article and Find Full Text PDFScand J Surg
September 2025
Department of Gastrointestinal surgery, Stavanger University Hospital, Stavanger, Norway.
Background And Aims: Acute appendicitis is the most common surgical emergency worldwide. Obtaining a correct diagnosis and timely management can be challenging even in modern medicine. Hence, appendicitis is still considered a "high-risk" diagnosis for litigation and claims of malpractice.
View Article and Find Full Text PDF