Emergency medicine in the Bahamas.

abstract：:Presented is the case of a 10-year-old child who presented in cardiopulmonary arrest from hypovolemic shock due to pathologic splenic rupture of undetermined etiology. Despite aggressive resuscitation efforts, the patient died. Although rare, pathologic rupture of an abnormal spleen must be considered in the patient w...

journal_title：Annals of emergency medicine

authors： Keaton BF

更新日期：1982-08-01 00:00:00

abstract：:Because of discontinuation of base hospital participation, paramedics in a large urban zone of a California emergency medical services (EMS) system serving 1.1 million persons went on emergency standing orders for nearly all calls requiring advanced life support. Subsequently, the base hospital resumed medical control...

journal_title：Annals of emergency medicine

authors： Pointer JE,Osur MA

更新日期：1989-10-01 00:00:00

abstract：STUDY OBJECTIVE:Buffered lidocaine was compared with plain lidocaine as a local anesthetic for simple lacerations. DESIGN:Randomized, double-blind, prospective clinical trial. SETTING:Urban emergency department. TYPE OF PARTICIPANTS:Ninety-one adult patients with simple linear lacerations were enrolled. Patients wit...

journal_title：Annals of emergency medicine

authors： Bartfield JM,Gennis P,Barbera J,Breuer B,Gallagher EJ

更新日期：1990-12-01 00:00:00

abstract：STUDY OBJECTIVES:To develop a practical procedure for producing a nomogram describing the relationship between the osmolality gap and serum ethanol concentrations that is appropriate for the formulas and analytical methodologies in use at any laboratory. DESIGN:Retrospective review of serum sodium, glucose, urea nitro...

journal_title：Annals of emergency medicine

authors： Galvan LA,Watts MT

更新日期：1992-11-01 00:00:00

abstract：:Presented is a rationale for use of a new class of drugs, the iron chelating agents, in advanced cardiac life support (ACLS) to prevent late deaths and brain damage following successful cardiopulmonary resuscitation. The relevant biochemical hypothesis states that free iron ions, liberated from bound intracellular sto...

journal_title：Annals of emergency medicine

authors： Babbs CF

更新日期：1985-08-01 00:00:00

abstract：:To evaluate the heat burden in parked cars, a study was done to measure inside car temperatures in different situations. A large car and a small car were parked in direct sunlight and in shade. In direct sun, the highest temperatures recorded in the small and large cars were 78 C and 65 C, respectively. The highest te...

journal_title：Annals of emergency medicine

authors： Surpure JS

更新日期：1982-05-01 00:00:00

abstract：STUDY OBJECTIVE:We assessed the independent relationship between age and the quality of medical care provided to patients presenting to the emergency department (ED) with acute myocardial infarction. METHODS:We conducted a 2-year retrospective cohort study of 2,216 acute myocardial infarction patients presenting urgen...

journal_title：Annals of emergency medicine

authors： Magid DJ,Masoudi FA,Vinson DR,van der Vlugt TM,Padgett TG,Tricomi AJ,Lyons EE,Crounse L,Brand DW,Go AS,Ho PM,Rumsfeld JS

更新日期：2005-07-01 00:00:00

abstract：:Recent interest in civilian trauma as a public health problem dates from the National Academy of Sciences white paper in 1966. Civilian trauma patterns vary depending on locale--blunt trauma predominates in rural and smaller urban areas (65% to 80% of hospital admissions); penetrating trauma in larger urban areas outw...

journal_title：Annals of emergency medicine

authors： Baker CC

更新日期：1986-12-01 00:00:00

abstract：STUDY OBJECTIVE:We seek to describe the medical history and clinical findings of patients attending the emergency department (ED) with suspected coronavirus disease 2019 (COVID-19) and estimate the diagnostic accuracy of patients' characteristics for predicting COVID-19. METHODS:We prospectively enrolled all patients ...

journal_title：Annals of emergency medicine

authors： Peyrony O,Marbeuf-Gueye C,Truong V,Giroud M,Rivière C,Khenissi K,Legay L,Simonetta M,Elezi A,Principe A,Taboulet P,Ogereau C,Tourdjman M,Ellouze S,Fontaine JP

更新日期：2020-10-01 00:00:00

abstract：:From 1995 to 2000, the National Highway Traffic Safety Administration (NHTSA) sponsored an initiative to create and operate an Automatic Collision Notification (ACN) system on a demonstration basis in a rural area to provide faster and smarter emergency medical responses and in an attempt to save lives and reduce disa...

journal_title：Annals of emergency medicine

authors： National Highway Safety Administration.

更新日期：2001-10-01 00:00:00

abstract：:While remaining prominent in paramedic care and beneficial to some patients, out-of-hospital endotracheal intubation has not clearly improved survival or reduced morbidity from critical illness or injury when studied more broadly. Recent studies identify equivocal or unfavorable clinical effects, adverse events and er...

journal_title：Annals of emergency medicine

authors： Wang HE,Yealy DM

更新日期：2006-06-01 00:00:00

abstract：:Many of the approximately 400,000 deaths that occur outside of hospitals or chronic care facilities each year in the United States are not only expected but also welcomed as relief from terminal disease. However, patients who lack decision-making capacity cannot communicate to emergency medical services system and eme...

journal_title：Annals of emergency medicine

authors： Iserson KV

更新日期：1993-11-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the availability and use of premixed activated charcoal in sorbitol preparations during multiple-dose activated charcoal therapy in the emergency department. DESIGN AND SETTING:A prospective telephone survey of all 911 receiving hospitals within the catchment area of one poison center. T...

journal_title：Annals of emergency medicine

authors： Wax PM,Wang RY,Hoffman RS,Mercurio M,Howland MA,Goldfrank LR

更新日期：1993-12-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the cost-effectiveness of out-of-hospital continuous positive airway pressure (CPAP) compared with standard care for adults presenting to emergency medical services with acute respiratory failure. METHODS:We developed an economic model using a United Kingdom health care system perspective ...

journal_title：Annals of emergency medicine

authors： Thokala P,Goodacre S,Ward M,Penn-Ashman J,Perkins GD

更新日期：2015-05-01 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:Antithrombins are among standard treatment agents for patients with non-ST-segment elevation acute coronary syndromes. We aimed to determine the association between time from emergency department (ED) presentation to treatment with an antithrombin and adverse cardiac events. METHODS:The study cohort wa...

journal_title：Annals of emergency medicine

authors： Diercks DB,Pollack CV Jr,Hollander JE,Blomkalns AL,Emerman CL,Rokos IC,Larson DM,Hoekstra JW,Mehran R,Stone GW

更新日期：2011-03-01 00:00:00

abstract：STUDY OBJECTIVES:To survey faculty attrition in emergency medicine and compare it with faculty attrition in the specialties of orthopedic surgery and cardiology. DESIGN:Chairmen of the three departments were surveyed regarding faculty attrition, work hours, and motivation for leaving. Those emergency physicians having...

journal_title：Annals of emergency medicine

authors： Thomas H Jr,Moorhead J,Magnusson AR,Schwartz E

更新日期：1991-01-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the public health impact of a hurricane on an inland area. DESIGN:Descriptive study. SETTING:Seven hospital emergency departments. PARTICIPANTS:Patients who were treated from September 22 to October 6, 1989, for an injury or illness related to Hurricane Hugo. INTERVENTION:None. MEASUREM...

journal_title：Annals of emergency medicine

authors： Brewer RD,Morris PD,Cole TB

更新日期：1994-04-01 00:00:00

abstract：:In an effort to assess the reliability of patient history in excluding pregnancy, we studied the correlation between specific historical factors and the presence of a positive qualitative serum beta-human chorionic gonadotropin assay. Two hundred eight patients were studied, and information was collected prospectively...

journal_title：Annals of emergency medicine

authors： Ramoska EA,Sacchetti AD,Nepp M

更新日期：1989-01-01 00:00:00

abstract：:To define the usefulness of the lumbar spine x-ray series in the emergency department and to generate clinical criteria for optimizing its application, we retrospectively studied 552 consecutive emergency department patients for whom lumbar spine x-rays were ordered. Patients were divided into traumatic (47.6%) and no...

journal_title：Annals of emergency medicine

authors： Patrick JD,Doris PE,Mills ML,Friedman J,Johnston C

更新日期：1983-02-01 00:00:00

abstract：STUDY OBJECTIVE:The potential of infectious disease spread in diseases such as tuberculosis, infectious disease epidemic such as avian flu and the threat of terrorism with agents capable of airborne transmission have focused attention on the need for increased surge capacity for patient isolation. Total negative pressu...

journal_title：Annals of emergency medicine

authors： Davis MA,Landesman R,Tadmor B,Hopmeier M,Shenhar G,Barker T,Pozner CN,Binstadt ES,Nelson S,Look R,Shubina M,Walls RM

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVE:Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the...

journal_title：Annals of emergency medicine

authors： Houry D,Kaslow NJ,Kemball RS,McNutt LA,Cerulli C,Straus H,Rosenberg E,Lu C,Rhodes KV

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVE:We explore what emergency physicians with access to health information exchange have to say about it and strive to better understand the factors affecting their use of it. METHODS:A qualitative study using grounded theory principles was conducted in 4 urban emergency departments that had health informa...

journal_title：Annals of emergency medicine

authors： Thorn SA,Carter MA,Bailey JE

更新日期：2014-03-01 00:00:00

abstract：:Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), is a propionic acid derivative that possesses analgesic and antipyretic properties through inhibition of prostaglandin synthesis. The propionic acids have been considered the least toxic of the NSAIDs, and one, ibuprofen, is currently available as an over-the-co...

journal_title：Annals of emergency medicine

authors： Martinez R,Smith DW,Frankel LR

更新日期：1989-10-01 00:00:00

abstract：:Nine dogs were hemorrhaged to approximately 40% of their blood volume and then were resuscitated with a crystalloid solution (Normosol) at various flow rates. Three study groups with three dogs in each group were resuscitated at 15 mL/min/kg (Group 1), 6 mL/min/kg (Group 2), and 4 mL/min/kg (Group 3). Central venous p...

journal_title：Annals of emergency medicine

authors： Dula DJ,Lutz P,Vogel MF,Weaver BN

更新日期：1985-04-01 00:00:00

abstract：:Post-dural-puncture headache is a common complication after both diagnostic and therapeutic procedures. Prompt recognition of the clinical syndrome, followed by supportive and corrective actions, can decrease the morbidity in those afflicted. The most useful preventive measure during dural puncture in adult patients i...

journal_title：Annals of emergency medicine

authors： Leibold RA,Yealy DM,Coppola M,Cantees KK

更新日期：1993-12-01 00:00:00

abstract：:Curricula in pediatric resuscitation must be based on adult learning principles. The Pediatric Basic and Advanced Life Support Courses (PBLS, PALS) should use educational strategies fostering positive interactions between the instructor and learners and should take into consideration the learner's motivation for takin...

journal_title：Annals of emergency medicine

authors： Seidel JS,Henderson DP,Spencer PE

更新日期：1993-02-01 00:00:00

abstract：:Irukandji syndrome is a constellation of delayed severe local and systemic symptoms occurring after a Carukia barnesi box jellyfish sting involving any exposed skin. These cases are limited to Australia, the habitat of that animal. Numerous other cases of an Irukandji-like syndrome after other small Carybdeid genus en...

journal_title：Annals of emergency medicine

authors： Grady JD,Burnett JW

更新日期：2003-12-01 00:00:00

abstract：:The Hyatt Regency skywalk collapse (July 17, 1981) provided the emergency medical services system of Kansas City, Missouri, with its greatest challenge ever. Utilizing an EMS-based, centralized, city-wide disaster plan, the rescue operation encountered 113 dead and 188 multiply traumatized patients. The rescue operati...

journal_title：Annals of emergency medicine

authors： Orr SM,Robinson WA

更新日期：1983-10-01 00:00:00

abstract：:The 1982 US Festival, a three-day outdoor rock music festival, attracted close to 410,000 people. Through a private contractor, a group of physicians participated in the design, administration, and implementation of medical care for this event. Basic ambulatory care was provided by a multitiered approach, using emerge...

journal_title：Annals of emergency medicine

authors： Ounanian LL,Salinas C,Shear CL,Rodney WM

更新日期：1986-05-01 00:00:00