Received 20 September 2002; accepted 21 September 2002.
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*Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts, USA
†Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
‡Department of Emergency Medicine, Brigham & Women’s Hospital, Boston, Massachusetts, USA
Reprint Address: David F. M. Brown, MD, Department of Emergency Medicine, Massachusetts General Hospital, CLN-115, Boston, MA 02114, USA
☆Case Presentations of the Harvard Emergency Medicine Residency are coordinated by David F. M. Brown, MD, and Eric S. Nadel, MD, of Harvard University Medical School, Boston, Massachusetts