Interstitial pregnancy: a potential for misdiagnosis of ectopic pregnancy with emergency department ultrasonography.

abstract：:Spontaneous rupture of utero-ovarian vessels during pregnancy is a rare cause of maternal and fetal loss. We report the case of a 30-year-old woman who presented to the emergency department in her third trimester with frank maternal shock. The prompt recognition of shock, correction of hypovolemia, and rapid surgical ...

journal_title：Annals of emergency medicine

authors： Bellucci MJ,Burke MC,Querusio L

更新日期：1994-02-01 00:00:00

abstract：:We describe a patient with a long history of rheumatoid arthritis who presented in full cardiopulmonary arrest. He was given intracardiac epinephrine. Fibroptic laryngoscopy determined the cause of the arrest to be upper airway obstruction from cricoarytenoid joint ankylosis, a complication of long-standing rheumatoid...

journal_title：Annals of emergency medicine

authors： Kandora TF,Gilmore IM,Sorber JA,Rose FB,Matta II

更新日期：1985-07-01 00:00:00

abstract：STUDY OBJECTIVE:We estimate the occupational fatality rate among emergency medical services (EMS) personnel in the United States. METHODS:We undertook descriptive epidemiology of occupational fatalities among EMS providers. Analysis was conducted by using data from 3 independent fatality databases: the Census of Fatal...

journal_title：Annals of emergency medicine

authors： Maguire BJ,Hunting KL,Smith GS,Levick NR

更新日期：2002-12-01 00:00:00

abstract：:First-responding emergency medical technicians (EMTs) trained to defibrillate have been shown to increase survival from prehospital ventricular fibrillation (VF) almost fourfold in Washington's King County. Using Nebraska ambulance rescue run data from 1982 and published information relating ambulance response time to...

journal_title：Annals of emergency medicine

authors： Ornato JP,McNeill SE,Craren EJ,Nelson NM

更新日期：1984-12-01 00:00:00

abstract：STUDY OBJECTIVE:Emergency departments (EDs) frequently refer patients for needed outpatient specialty care, but little is known about the dynamics of these referrals when patients are publicly insured. Hence, we explored factors, including the role of ED referrals, associated with specialists' willingness to accept pat...

journal_title：Annals of emergency medicine

authors： Rhodes KV,Bisgaier J,Lawson CC,Soglin D,Krug S,Van Haitsma M

更新日期：2013-04-01 00:00:00

abstract：STUDY OBJECTIVE:We estimate the test characteristics of nasogastric aspiration to diagnose upper gastrointestinal tract hemorrhage in patients without hematemesis. METHODS:In this retrospective cohort study, medical records from patients admitted to 2 urban hospitals between 1997 and 2002 for gastrointestinal tract bl...

journal_title：Annals of emergency medicine

authors： Witting MD,Magder L,Heins AE,Mattu A,Granja CA,Baumgarten M

更新日期：2004-04-01 00:00:00

abstract：:Intravenous bolus adenosine was given to four pediatric patients aged 1 month to 8 years who had paroxysmal supraventricular tachycardia that had not responded to conventional medical therapy. Adenosine (one to three doses) was successful in converting the arrhythmia to normal sinus rhythm in all four cases, and no si...

journal_title：Annals of emergency medicine

authors： Reyes G,Stanton R,Galvis AG

更新日期：1992-12-01 00:00:00

abstract：:Older patients account for up to a quarter of all emergency department (ED) visits. Atypical clinical presentation of illness, a high prevalence of cognitive disorders, and the presence of multiple comorbidities complicate their evaluation and management. Increased frailty, delayed diagnosis, and greater illness sever...

journal_title：Annals of emergency medicine

authors： Samaras N,Chevalley T,Samaras D,Gold G

更新日期：2010-09-01 00:00:00

abstract：STUDY OBJECTIVE:To study the efficacy of intravenous ketorolac, morphine, and both drugs in combination in reducing pain in acute renal colic. METHODS:We conducted a prospective, double-blinded, randomized controlled trial in an urban, teaching emergency department. Patients aged 18 to 55 years and with a clinical dia...

journal_title：Annals of emergency medicine

authors： Safdar B,Degutis LC,Landry K,Vedere SR,Moscovitz HC,D'Onofrio G

更新日期：2006-08-01 00:00:00

abstract：STUDY OBJECTIVE:Although the addition of H(2) blockers to H(1) antagonists has been promoted for use in anaphylaxis, there have been no large studies establishing the advantage of this approach in treating acute allergic syndromes. In this study we tested the hypothesis that combined H(1) and H(2) blockage results in i...

journal_title：Annals of emergency medicine

authors： Lin RY,Curry A,Pesola GR,Knight RJ,Lee HS,Bakalchuk L,Tenenbaum C,Westfal RE

更新日期：2000-11-01 00:00:00

abstract：STUDY OBJECTIVE:The relationship between tiredness and medical errors is now commonly accepted. The main objective of this study is to evaluate the cognitive performance of emergency physicians after a night shift of 14 hours (H14) and after a work shift of 24 hours (H24) and to compare it with tests performed after a ...

journal_title：Annals of emergency medicine

authors： Persico N,Maltese F,Ferrigno C,Bablon A,Marmillot C,Papazian L,Roch A

更新日期：2018-08-01 00:00:00

abstract：STUDY OBJECTIVE:Patients who leave before being seen by a physician represent a significant problem for many emergency departments (EDs). We sought to determine the effect of a new ED rapid entry and accelerated care at triage (REACT) process on the frequency of patients who leave before being seen. METHODS:We conduct...

journal_title：Annals of emergency medicine

authors： Chan TC,Killeen JP,Kelly D,Guss DA

更新日期：2005-12-01 00:00:00

abstract：:Five cases of right-sided rupture of the diaphragm are reviewed. Orthopedic injury, head injury, and shock were the most common associated findings. Apparent elevation of the right hemidiaphragm was seen initially in all cases, but two were misdiagnosed. An algorithm that includes modified peritoneal lavage, CT scan w...

journal_title：Annals of emergency medicine

authors： Leaman PL

更新日期：1983-06-01 00:00:00

abstract：:Three children who presented with localized vesicular rash in the diaper area were found to have primary varicella-zoster infections. Primary varicella can closely mimic genital herpes simplex virus (HSV 1 or 2), which may be an indicator of sexual abuse. To avoid unfounded investigation for sexual abuse, primary vari...

journal_title：Annals of emergency medicine

authors： Simon HK,Steele DW

更新日期：1995-01-01 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：:Acute asthma exacerbations are common complaints in patients who present to the emergency department. A prospective, double-blinded study was designed to evaluate how frequency of dosing of an inhaled beta-agonist, metaproterenol (Alupent inhalation solution) would affect patient response, length of stay in the ED, an...

journal_title：Annals of emergency medicine

authors： Nelson MS,Hofstadter A,Parker J,Hargis C

更新日期：1990-01-01 00:00:00

abstract：:Descriptive statistics include measures of central tendency and variability. Measures of central tendency include mean, median, and mode. The mean is the arithmetic average of data from interval or ratio scales. The median reflects the 50th percentile score. The mode is the most frequently occurring value of a data di...

journal_title：Annals of emergency medicine

authors： Gaddis GM,Gaddis ML

更新日期：1990-03-01 00:00:00

abstract：STUDY OBJECTIVE:In 2008, a pay-for-performance program was implemented in sequential waves in Ontario emergency departments (EDs), with the aim of reducing length of stay. We seek to evaluate its effects on ED length of stay and quality of care. METHODS:This was a retrospective observational study of ED visits in Onta...

journal_title：Annals of emergency medicine

authors： Vermeulen MJ,Stukel TA,Boozary AS,Guttmann A,Schull MJ

更新日期：2016-04-01 00:00:00

abstract：STUDY OBJECTIVE:The prevalence of agitation among emergency department (ED) patients is increasing. Physical restraints are routinely used to prevent self-harm and to protect staff, but are associated with serious safety risks. To date, characterization of physical restraint use in the emergency setting has been limite...

journal_title：Annals of emergency medicine

authors： Wong AH,Taylor RA,Ray JM,Bernstein SL

更新日期：2019-02-01 00:00:00

abstract：STUDY OBJECTIVE:We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS:This was a retrospective observational study using data from an institution-wide system to measure patient sati...

journal_title：Annals of emergency medicine

authors： Byczkowski TL,Fitzgerald M,Kennebeck S,Vaughn L,Myers K,Kachelmeyer A,Timm N

更新日期：2013-10-01 00:00:00

abstract：:Significant toxicity can result from ingestion of certain species of the Zigadenus plant, an herb occasionally confused with nontoxic wild onions. A 50-year-old man inadvertently ingested Z paniculatus and presented to the emergency department with profound gastrointestinal toxicity, hypotension, and bradycardia. The ...

journal_title：Annals of emergency medicine

authors： Heilpern KL

更新日期：1995-02-01 00:00:00

abstract：:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casua...

journal_title：Annals of emergency medicine

authors： Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD

更新日期：2009-02-01 00:00:00

abstract：:The ability of military anti-shock trousers (MAST) to increase central venous pressure and improve cardiac filling pressure suggests that they might be useful in the prehospital treatment of pericardial tamponade. This study utilizes a canine model to examine the hemodynamic effects of MAST inflation on experimentally...

journal_title：Annals of emergency medicine

authors： Davis JW,McKone TK,Cram AE

更新日期：1981-04-01 00:00:00

abstract：STUDY OBJECTIVE:Publication bias compromises the validity of systematic reviews. This problem can be addressed in part through searching clinical trials registries to identify unpublished studies. This study aims to determine how often systematic reviews published in emergency medicine journals include clinical trials ...

journal_title：Annals of emergency medicine

authors： Keil LG,Platts-Mills TF,Jones CW

更新日期：2015-10-01 00:00:00

abstract：:The ventilatory status of patients within the first few hours following head injury has not been well established. We prospectively studied 63 patients who presented to an urban trauma center with varying severity of head injury to determine whether any trend toward hypo- or hyperventilation existed within the first t...

journal_title：Annals of emergency medicine

authors： Vicario SJ,Coleman R,Cooper MA,Thomas DM

更新日期：1983-03-01 00:00:00

abstract：STUDY PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with spontaneous paroxysmal supraventricular tachycardia (PSVT). DESIGN:An eight-month prospective outcome study. POPULATION:Patients 16 or more years old with PSVT by surface ECG criteria. Patients were excluded if ...

journal_title：Annals of emergency medicine

authors： Cairns CB,Niemann JT

更新日期：1991-07-01 00:00:00

abstract：:Transthoracic cardiac pacing historically has been relegated to the role of the technique of last resort in treating cardiac arrest. Recent studies have shown that this technique has a high rate of successful electrical capture, but often without mechanical activity. Survival rates have been shown to be dismal when th...

journal_title：Annals of emergency medicine

authors： Hedges JR,Syverud SA,Dalsey WC

更新日期：1984-09-01 00:00:00

abstract：:A patient with a 70% hydrofluoric acid burn developed systemic dissemination of fluoride ion from a 9% to 10% body surface area exposure on the lower extremities. Severe hypocalcemia and intractable ventricular arrhythmias resulted. This case is the second documented occurrence of hypocalcemia from hydrofluoric acid b...

journal_title：Annals of emergency medicine

authors： Mayer TG,Gross PL

更新日期：1985-02-01 00:00:00

abstract：STUDY OBJECTIVE:Recent studies have demonstrated that a single episode of acute kidney injury from a number of causes can increase the risk of severe long-term outcomes, including major cardiovascular events and death. We tested the hypothesis that patients who develop acute kidney injury consistent with contrast-induc...

journal_title：Annals of emergency medicine

authors： Mitchell AM,Kline JA,Jones AE,Tumlin JA

更新日期：2015-09-01 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