Emergency department management of blood and body fluid exposures.

abstract：STUDY OBJECTIVE:To assess the need for cranial computed tomography (CT) in the emergency department evaluation of children with Glasgow Coma Scale (GCS) score of 15 after mild head injury with loss of consciousness. DESIGN:Retrospective case series of children aged 2 to 17 years with documented loss of consciousness a...

journal_title：Annals of emergency medicine

authors： Davis RL,Mullen N,Makela M,Taylor JA,Cohen W,Rivara FP

更新日期：1994-10-01 00:00:00

abstract：:A retrospective review of all patients admitted to an urban teaching hospital emergency department with the complaint of overdose, poisoning, or ingestion during a 10-month period was conducted. Analysis of these 82 episodes involving 69 individuals revealed: 1) a preponderance of women in the 20- to 40-year old range...

journal_title：Annals of emergency medicine

authors： Soslow AR

更新日期：1981-01-01 00:00:00

abstract：:Although health care rapidly adopts technologic advances from other fields, it has been slow to incorporate well-established principles from human factors engineering into the health care workplace. This article demonstrates some of those principles by analyzing an all too routine clinical event from a human factors p...

journal_title：Annals of emergency medicine

authors： Wears RL,Perry SJ

更新日期：2002-08-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of different doses of the vasopressor angiotensin II on aortic diastolic and coronary perfusion pressures in a swine model of cardiac arrest. DESIGN:Immature swine were anesthetized and hemodynamically monitored. Ventricular fibrillation was induced; CPR was begun after ten minut...

journal_title：Annals of emergency medicine

authors： Little CM,Hobson JL,Brown CG

更新日期：1993-02-01 00:00:00

abstract：:The insurance market is evolving, with increased emphasis on plans with high deductibles and a large degree of coinsurance. This article serves as an introduction to the defining characteristics of consumer-driven health care plans and their associated health savings accounts. We discuss the most recent evidence on th...

journal_title：Annals of emergency medicine

authors： McConnell KJ

更新日期：2005-12-01 00:00:00

abstract：STUDY OBJECTIVE:Atrial flutter is a common arrhythmia seen in the emergency department (ED), yet there is little research describing its management and outcomes. We analyze the success and safety of treatment of ED patients with atrial flutter. METHODS:This was a retrospective cohort study obtained by searching the ED...

journal_title：Annals of emergency medicine

authors： Scheuermeyer FX,Grafstein E,Heilbron B,Innes G

更新日期：2011-06-01 00:00:00

abstract：STUDY OBJECTIVE:We compare test characteristics of abdominal computed tomography (CT) with and without oral contrast for identifying intra-abdominal injuries. METHODS:This was a planned subanalysis of a prospective, multicenter study of children (<18 years) with blunt torso trauma. Children imaged in the emergency dep...

journal_title：Annals of emergency medicine

authors： Ellison AM,Quayle KS,Bonsu B,Garcia M,Blumberg S,Rogers A,Wootton-Gorges SL,Kerrey BT,Cook LJ,Cooper A,Kuppermann N,Holmes JF,Pediatric Emergency Care Applied Research Network (PECARN).,Pediatric Emergency Care Applied Research

更新日期：2015-08-01 00:00:00

abstract：OBJECTIVE:Controversy surrounds the linkage of prevention counseling with emergency department (ED)-based HIV testing. Further, the effectiveness and feasibility of prevention counseling in the ED setting is unknown. We investigate these issues by conducting a preliminarily exploration of several related aspects of our...

journal_title：Annals of emergency medicine

authors： Sitlinger AP,Lindsell CJ,Ruffner AH,Wayne DB,Hart KW,Trott AT,Fichtenbaum CJ,Lyons MS

更新日期：2011-07-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the association between barriers to timely primary care and emergency department (ED) utilization among adults with Medicaid versus private insurance. METHODS:We analyzed 230,258 adult participants of the 1999 to 2009 National Health Interview Survey. We evaluated the association between 5 s...

journal_title：Annals of emergency medicine

authors： Cheung PT,Wiler JL,Lowe RA,Ginde AA

更新日期：2012-07-01 00:00:00

abstract：STUDY OBJECTIVE:We identify the incidence and predictors of missed fracture and characterize patterns of radiography performance in children with a diagnosis of radial head subluxation in the emergency department (ED) setting. METHODS:We queried the Pediatric Health Information System database for visits by children y...

journal_title：Annals of emergency medicine

authors： Genadry KC,Monuteaux MC,Neuman MI,Lipsett SC

更新日期：2021-02-01 00:00:00

abstract：:Two case reports of patients with anion gap metabolic lactic acidosis and hypoglycemia are presented. Both patients subsequently died of acute liver failure secondary to acetaminophen hepatotoxicity. The development of type B lactic acidosis with hypoglycemia might have been caused by a deficit in gluconeogenesis seco...

journal_title：Annals of emergency medicine

authors： Zabrodski RM,Schnurr LP

更新日期：1984-10-01 00:00:00

abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Procalcitonin is a biomarker that appears to correlate with bacterial infection. WHAT QUESTION THIS STUDY ADDRESSED: Does a procalcitonin level add prognostic information for pneumonia patients in conjunction with scoring systems such as the Pneumonia Severity Index or CURB-65? WHA...

journal_title：Annals of emergency medicine

authors： Menchine MD,Barrett TW,Schriger DL

更新日期：2008-07-01 00:00:00

abstract：STUDY OBJECTIVE:We determine whether there are differences in role-related communication patterns in the emergency department (ED). METHODS:This was an observational study of a metropolitan ED. Four medical officers and 4 nurses were observed for 19 hours and 52 minutes. Communication load was measured by proportion o...

journal_title：Annals of emergency medicine

authors： Spencer R,Coiera E,Logan P

更新日期：2004-09-01 00:00:00

abstract：STUDY OBJECTIVE:Nearly 3 million patients present to US emergency departments (EDs) annually with undifferentiated musculoskeletal low back pain. Little is known about short- and longer-term outcomes in this group. We seek to describe the pain and functional outcomes 1 week and 3 months after discharge in a sample of E...

journal_title：Annals of emergency medicine

authors： Friedman BW,O'Mahony S,Mulvey L,Davitt M,Choi H,Xia S,Esses D,Bijur PE,Gallagher EJ

更新日期：2012-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether the use of diclofenac ophthalmic solution is a safe and effective analgesic in the treatment of traumatic corneal abrasions in the emergency department. METHODS:We conducted a prospective, randomized, double-blinded, placebo-controlled clinical trial. Consenting consecutive patient...

journal_title：Annals of emergency medicine

authors： Szucs PA,Nashed AH,Allegra JR,Eskin B

更新日期：2000-02-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluated a strategy to increase use of the test (Dix-Hallpike's test [DHT]) and treatment (canalith repositioning maneuver [CRM]) for benign paroxysmal positional vertigo in emergency department (ED) dizziness visits. METHODS:We conducted a stepped-wedge randomized trial in 6 EDs. The population wa...

journal_title：Annals of emergency medicine

authors： Kerber KA,Damschroder L,McLaughlin T,Brown DL,Burke JF,Telian SA,Tsodikov A,Fagerlin A,An LC,Morgenstern LB,Forman J,Vijan S,Rowell B,Meurer WJ

更新日期：2020-04-01 00:00:00

abstract：:Since September 11, 2001, concern about potential terrorist attacks has increased in the United States. To reduce morbidity and mortality from outbreaks of illness from the intentional release of chemical agents, we examine data from the Toxic Exposure Surveillance System (TESS). TESS, a national system for timely col...

journal_title：Annals of emergency medicine

authors： Wolkin AF,Patel M,Watson W,Belson M,Rubin C,Schier J,Kilbourne EM,Crawford CG,Wattigney W,Litovitz T

更新日期：2006-02-01 00:00:00

abstract：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine-sponsored residency and fellowship programs, as well as the residents and fellows training in those programs. We present the 2018 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Nelson LS,Keim SM,Baren JM,Beeson MS,Carius ML,Chudnofsky CR,Gausche-Hill M,Goyal DG,Kowalenko T,Marco CA,Muelleman RL,Research Committee, American Board of Emergency Medicine.,Johnston MM,Joldersma KB,American Board of Emerg

更新日期：2018-05-01 00:00:00

abstract：:Hemodynamically unstable patients will benefit from therapy to control their blood pressure only if this pressure can be determined with accuracy. We compared the accuracy of arterial blood pressure measurements taken aboard helicopters by palpation with a Doppler device and with an oscillometric device. Twenty critic...

journal_title：Annals of emergency medicine

authors： Low RB,Martin D

更新日期：1988-06-01 00:00:00

abstract：:Numerous interventions have been used to protect organ systems and cellular viability from the lethal injury accompanying hypoperfusion and ischemia. Some measures have been directed toward improving perfusion, while others have attempted to enhance the metabolic processes. Our work has focused for the most part on au...

journal_title：Annals of emergency medicine

authors： Markov AK

更新日期：1986-12-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the prevalences of bacterial meningitis and herpes simplex virus meningoencephalitis (HSV-ME) in children with a complex febrile seizure and determine these prevalences in the subgroup of children with a clinical examination result not suggestive of meningitis or encephalitis. METHODS:This mu...

journal_title：Annals of emergency medicine

authors： Guedj R,Chappuy H,Titomanlio L,De Pontual L,Biscardi S,Nissack-Obiketeki G,Pellegrino B,Charara O,Angoulvant F,Denis J,Levy C,Cohen R,Loschi S,Leger PL,Carbajal R

更新日期：2017-07-01 00:00:00

abstract：:To simulate the effect of sublingual injections on pediatric patients, open-chested kid goats were injected sublingually or peripherally with Cardio-Green while being supported by internal cardiac massage. Our study demonstrates that there is statistically a ten-fold lower central blood level after sublingual injectio...

journal_title：Annals of emergency medicine

authors： Ordog GJ,Wasserberger J,Jones J,Rouzier R,Elstin D,Balasubramaniam S

更新日期：1984-06-01 00:00:00

abstract：:Presented is the case of a motor vehicle accident (MVA) victim with hypotension and evisceration of small intestine. Vigorous resuscitation in the emergency department was required, after which a portion of small bowel was resected at laparotomy. Evisceration secondary to trauma in an MVA is a rare injury. Significant...

journal_title：Annals of emergency medicine

authors： Majernick TG,West JC,Snover W,Brotman S

更新日期：1984-08-01 00:00:00

abstract：:The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology. One patient ingested 20.5 mg alprazolam before crashing his truck into parked automobiles. The patient was awakened by flumazenil administration, and the severity of his injuries was evaluated reliably. A sec...

journal_title：Annals of emergency medicine

authors： Burkhart KK,Kulig KW

更新日期：1990-03-01 00:00:00

abstract：:The records of 50 patients with traumatic aortic rupture (Group I) and 50 patients with blunt chest trauma but negative aortograms (Group II) were reviewed retrospectively. Symptoms and signs referable to the chest and thoracic aorta were recorded and compared in Group I and Group II patients. Each patient's chart was...

journal_title：Annals of emergency medicine

authors： Sturm JT,Perry JF Jr,Olson FR,Cicero JJ

更新日期：1984-10-01 00:00:00

abstract：STUDY OBJECTIVE:Continuous positive airway pressure ventilation (CPAP) in appropriately selected patients with acute respiratory failure has been shown to reduce the need for tracheal intubation in hospital. Despite several case series, the effectiveness of out-of-hospital CPAP has not been rigorously studied. We perfo...

journal_title：Annals of emergency medicine

authors： Thompson J,Petrie DA,Ackroyd-Stolarz S,Bardua DJ

更新日期：2008-09-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effectiveness of magnetic resonance imaging in detecting early myocardial infarction in vivo after coronary artery occlusion. DESIGN:A prospective, controlled canine study using a left anterior descending coronary artery ligation model. INTERVENTIONS:After thiopental anesthesia, nine ...

journal_title：Annals of emergency medicine

authors： Angelos MG,Katz-Stein A,Leasure JE

更新日期：1993-09-01 00:00:00

abstract：STUDY OBJECTIVE:To gather preliminary data on the safety and efficacy of IV magnesium in a rat model of hydrofluoric acid burns. MODEL:Forty-seven anesthetized male rats (200 to 300 g) received a standardized burn with 52% hydrofluoric acid. INTERVENTIONS:Animals were anesthetized with 30 to 50 mg/kg ketamine IM and ...

journal_title：Annals of emergency medicine

authors： Williams JM,Hammad A,Cottington EC,Harchelroad FC

更新日期：1994-03-01 00:00:00

abstract：:Pulmonary embolism is diagnosed 120,000 times yearly in the United States and contributes to 30,000 deaths. This probably represents an underestimate of incidence because massive acute pulmonary embolism may often result in rapid and therefore unexplained death in the absence of autopsy confirmation. The innovative an...

journal_title：Annals of emergency medicine

authors： Kessler CM,Druy E,Goldhaber SZ

更新日期：1988-11-01 00:00:00

abstract：:The traditional use of the throat culture to guide treatment of potential streptococcal pharyngitis recently has been questioned because of the following facts: antibiotic therapy within the first 48 hours of illness reduces the severity and symptoms of streptococcal pharyngitis; more rapid treatment of streptococcal ...

journal_title：Annals of emergency medicine

authors： Hedges JR,Lowe RA

更新日期：1986-03-01 00:00:00