Late-onset presentation of ornithine transcarbamylase deficiency in a young woman with hyperammonemic coma.

abstract：STUDY OBJECTIVE:Patient-centered medical homes are primary care practices that focus on coordinating acute and preventive care. Such practices can obtain patient-centered medical home recognition from the National Committee for Quality Assurance. We compare growth rates for emergency department (ED) use and costs of ED...

journal_title：Annals of emergency medicine

authors： Pines JM,Keyes V,van Hasselt M,McCall N

更新日期：2015-06-01 00:00:00

abstract：STUDY OBJECTIVES:We determine whether the addition of heat to topical eutectic mixture of local anesthetic (EMLA) cream shortens the onset time to effective analgesia. We hypothesized that applying EMLA cream for 20 minutes with an external heat pack would be as effective as the standard 60-minute application time. ME...

journal_title：Annals of emergency medicine

authors： Liu DR,Kirchner HL,Petrack EM

更新日期：2003-07-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the relationship between spinal injuries and helmet use in motorcycle trauma. DESIGN:Retrospective case series. SETTING:Twenty-eight hospitals in four midwestern states--Illinois, Iowa, Nebraska and Wisconsin--representing urban, suburban, and rural settings. PATIENTS AND OTHER PARTICIPA...

journal_title：Annals of emergency medicine

authors： Orsay EM,Muelleman RL,Peterson TD,Jurisic DH,Kosasih JB,Levy P

更新日期：1994-04-01 00:00:00

abstract：STUDY OBJECTIVE:The study was designed to determine if open peritoneal lavage is superior to closed peritoneal lavage. DESIGN AND PARTICIPANTS:Patients who were admitted to a trauma center and needed peritoneal lavage were assigned to alternate trauma teams. Team 1 performed only open lavages one month and then switch...

journal_title：Annals of emergency medicine

authors： Troop B,Fabian T,Alsup B,Kudsk K

更新日期：1991-12-01 00:00:00

abstract：:A prospective study was conducted to test the reliability of at-home observation of head trauma victims in the rural South among a population of low educational level. During a four-month period, 99 patients entered and 90 patients finished the study. In all cases, an individual was identified as willing to accept the...

journal_title：Annals of emergency medicine

authors： Cline DM,Whitley TW

更新日期：1988-02-01 00:00:00

abstract：STUDY OBJECTIVE:Aeromedical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control for the effect of other potentially influential variables. Here we ex...

journal_title：Annals of emergency medicine

authors： Davis DP,Peay J,Serrano JA,Buono C,Vilke GM,Sise MJ,Kennedy F,Eastman AB,Velky T,Hoyt DB

更新日期：2005-08-01 00:00:00

abstract：:Antiarrhythmic agents have been used to treat malignant ventricular arrhythmias in the setting of acute myocardial ischemia with proven efficacy for many years. Thus, it has been presumed that these agents would be efficacious for the treatment of cardiac arrest. Unfortunately, hard data supporting this contention are...

journal_title：Annals of emergency medicine

authors： Jaffe AS

更新日期：1993-02-01 00:00:00

abstract：:Ketamine produces rapid and consistent pediatric sedation with a predictable onset and recovery time. A wide margin of safety is afforded without the respiratory and cardiovascular depression commonly seen with alternative agents. The efficacy of ketamine is well established in anesthesia and dentistry and has extensi...

journal_title：Annals of emergency medicine

authors： Green SM,Johnson NE

更新日期：1990-09-01 00:00:00

abstract：:Breath alcohol analyzers are used to detect ethanol in motorists and others suspected of public intoxication. One concern is their ability to detect interfering substances that may falsely increase the ethanol reading. A 47-year-old-man was found in a public park, acting intoxicated. A breath analyzer test (Intoxilyze...

journal_title：Annals of emergency medicine

authors： Caravati EM,Anderson KT

更新日期：2010-02-01 00:00:00

abstract：:Garter snake bites are generally innocuous to human beings. We report a case of human envenomation from the Wandering Garter snake (Thamnophis elegans vagrans). The patient, who was bitten on his right third fingertip, rapidly developed local edema, ecchymosis, and hemorrhagic vesicles. Systemic signs and symptoms did...

journal_title：Annals of emergency medicine

authors： Gomez HF,Davis M,Phillips S,McKinney P,Brent J

更新日期：1994-05-01 00:00:00

abstract：:Inconsistency in contacting the families of acutely ill patients can negatively affect relatives and induce stress in emergency department staff. Role clarification and performance guidelines are discussed in the context of a telephone notification of relatives checklist, with staff advised in six specific interventio...

journal_title：Annals of emergency medicine

authors： Robinson MA

更新日期：1982-11-01 00:00:00

abstract：:Clinical presentations and pathogeneses of endocarditis and aspects of its diagnosis and management relevant to emergency department practice are reviewed. Guidelines for admission, laboratory evaluation, and decisions regarding the initiation of therapy in the ED are offered. Also discussed are the role of the emerge...

journal_title：Annals of emergency medicine

authors： Delaney KA

更新日期：1991-04-01 00:00:00

abstract：:Paliperidone, or 9-hydroxy risperidone, is the newest atypical antipsychotic agent to be approved for use by the Food and Drug Administration. Despite being the primary active metabolite of risperidone, paliperidone differs in several ways from risperidone. The most notable difference is that paliperidone is formulate...

journal_title：Annals of emergency medicine

authors： Levine M,Lovecchio F,Tafoya P,Graham R

更新日期：2011-07-01 00:00:00

abstract：STUDY OBJECTIVE:The primary objective is to compare total sedation time when ketamine/propofol is used compared with ketamine alone for pediatric procedural sedation and analgesia. Secondary objectives include time to recovery, adverse events, efficacy, and satisfaction scores. METHODS:Children (aged 2 to 17 years) re...

journal_title：Annals of emergency medicine

authors： Shah A,Mosdossy G,McLeod S,Lehnhardt K,Peddle M,Rieder M

更新日期：2011-05-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether pediatric patients with acute, mild to moderate acetaminophen exposures, treated with home monitoring alone, develop systemic signs of hepatic injury. METHODS:A prospective, observational study of calls to a regional poison center over a 25-month period was performed. Patients were...

journal_title：Annals of emergency medicine

authors： Mohler CR,Nordt SP,Williams SR,Manoguerra AS,Clark RF

更新日期：2000-03-01 00:00:00

abstract：STUDY OBJECTIVES:To characterize the attendance at and presenters of conferences given to emergency medicine residents and to determine the ability of emergency medicine residents to attend conferences while working in the emergency department and on off-service rotations. DESIGN:Descriptive study of an anonymous mail...

journal_title：Annals of emergency medicine

authors： Austin PE,Brown CK,Dunn KA

更新日期：1995-03-01 00:00:00

abstract：:In December 2002, the federal government began a program to immunize approximately 500000 civilian public health and health care workers with smallpox (vaccinia) vaccine as a part of our pre-event defense against bioterrorism. First responders will likely follow, and the general US population might be offered vaccinat...

journal_title：Annals of emergency medicine

authors： Thorne CD,Hirshon JM,Himes CD,McDiarmid MA

更新日期：2003-11-01 00:00:00

abstract：STUDY OBJECTIVE:We compare metoclopramide 20 mg intravenously, combined with diphenhydramine 25 mg intravenously, with ketorolac 30 mg intravenously in adults with tension-type headache and all nonmigraine, noncluster recurrent headaches. METHODS:In this emergency department (ED)-based randomized, double-blind study, ...

journal_title：Annals of emergency medicine

authors： Friedman BW,Adewunmi V,Campbell C,Solorzano C,Esses D,Bijur PE,Gallagher EJ

更新日期：2013-10-01 00:00:00

abstract：:Lisfranc fracture-dislocations are rare, and their correct diagnosis is important. Misdiagnosis is common and can lead to grave, chronic disability. We present two cases of Lisfranc fracture-dislocation to highlight the mechanisms of injury, clinical presentation, diagnosis, and treatment. Accurate diagnosis by emerge...

journal_title：Annals of emergency medicine

authors： Englanoff G,Anglin D,Hutson HR

更新日期：1995-08-01 00:00:00

abstract：:We present the case of a patient who presented with persistent hiccups induced by a hair irritating the tympanic membrane and activating the vagally mediated hiccup neural reflex arc. Commonly identified etiologies and treatments of this condition are then reviewed. ...

journal_title：Annals of emergency medicine

authors： Wagner MS,Stapczynski JS

更新日期：1982-01-01 00:00:00

abstract：:Many studies of prehospital resuscitation report on selected populations. We examined a series of 445 unselected nontraumatic cardiac arrests. Emergency cardiac care (ECC) was not initiated in 126 (28%). ECC was begun in 319 (78%), but was terminated in 132 (33%). Ninety-four (21%) were admitted to the hospital with p...

journal_title：Annals of emergency medicine

authors： Aprahamian C,Thompson BM,Gruchow HW,Mateer JR,Tucker JF,Stueven HA,Darin JC

更新日期：1986-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the presence of cocaethylene, an active metabolite of the combination of cocaine and ethanol, among trauma patients who test positive for cocaine. METHODS:We assembled a case series of 416 consecutive urban trauma center patients with major trauma. Urine was tested for the presence of the ...

journal_title：Annals of emergency medicine

authors： Brookoff D,Rotondo MF,Shaw LM,Campbell EA,Fields L

更新日期：1996-03-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the incidence of needlestick injury among paramedics working in Florida during 1987, to describe the circumstances surrounding such injuries, and to assess the hepatitis B vaccination status of this group. DESIGN:Survey of a systematic random sample of paramedics using a self-administered...

journal_title：Annals of emergency medicine

authors： Klontz KC,Gunn RA,Caldwell JS

更新日期：1991-12-01 00:00:00

abstract：:Pneumothorax and pneumomediastinum are rare complications of athletic activity. Spontaneous pneumothorax has been reported in association with several sports, but reports of pneumothorax associated with blunt trauma sustained during sporting activity are rare. We present a case series of patients in whom pneumothorax ...

journal_title：Annals of emergency medicine

authors： Partridge RA,Coley A,Bowie R,Woolard RH

更新日期：1997-10-01 00:00:00

abstract：:This clinical policy focuses on critical issues in the evaluation and management of adult patients with seizures. The medical literature was reviewed for articles that pertained to the critical questions posed. Subcommittee members and expert peer reviewers also supplied articles with direct bearing on this policy. Th...

journal_title：Annals of emergency medicine

authors： ACEP Clinical Policies Committee.,Clinical Policies Subcommittee on Seizures.

更新日期：2004-05-01 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：:A 43-year-old woman presented to the emergency department with acute agitation, confusion, and tonic seizures. She had a history of drug abuse, most notably beer, which constituted her major dietary intake. The patient's seizures were at first thought to be factitious in association with an acute psychosis; however, h...

journal_title：Annals of emergency medicine

authors： Joyce SM,Potter R

更新日期：1986-06-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the height of back elevation required to place the cervical spine of children less than 8 years old in neutral position and whether agreement on the height required for neutral position could be reached by two independent observers. STUDY DESIGN:Prospective. SETTING:Pediatric emergency d...

journal_title：Annals of emergency medicine

authors： Nypaver M,Treloar D

更新日期：1994-02-01 00:00:00

abstract：:A 45-year-old man ate the liver of the toxic pufferfish (Diodron hystrix) and developed mild tetrodotoxication consisting of hyperemesis, bradycardia, hypotension, generalized numbness, and a generalized paresis. He was treated with atropine, normal saline IV infusions, nasogastric suction, and oxygen, and he recovere...

journal_title：Annals of emergency medicine

authors： Sims JK,Ostman DC

更新日期：1986-09-01 00:00:00

abstract：STUDY OBJECTIVE:The objective was to quantify the analgesic effect of a dose of intravenous morphine, 0.1 mg/kg, to emergency department (ED) patients presenting in acute, severe pain. METHODS:This was a prospective convenience cohort of patients aged 21 to 65 years and presenting to an academic urban ED with acute, s...

journal_title：Annals of emergency medicine

authors： Bijur PE,Kenny MK,Gallagher EJ

更新日期：2005-10-01 00:00:00