Pyrimidifen intoxication.

Abstract:

:We present a case of lethal ingestion of pyrimidifen, a new insecticide with an unclear mode of action. The primary manifestations were coma and circulatory shock, leading to irreversible multiorgan failure. Pyrimidifen was detected in the patient's blood, urine, brain tissue, and gastric content samples. Minimal structural homology exists between pyrimidifen and organochlorines. Currently, no antidote is available, and therapy is primarily supportive.

journal_name

Ann Emerg Med

authors

Eisinger M,Almog Y

doi

10.1067/mem.2003.260

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

289-91

issue

2

eissn

0196-0644

issn

1097-6760

pii

S0196064403003871

journal_volume

42

pub_type

杂志文章
  • Intravenous magnesium in the treatment of hydrofluoric acid burns in rats.

    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

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(94)70064-8

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

    更新日期:1994-03-01 00:00:00

  • Safety and efficacy of diclofenac ophthalmic solution in the treatment of corneal abrasions.

    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

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0196-0644(00)70132-6

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

    更新日期:2000-02-01 00:00:00

  • Irukandji-like syndrome in South Florida divers.

    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

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(03)00513-4

    authors: Grady JD,Burnett JW

    更新日期:2003-12-01 00:00:00

  • Survey of health maintenance organization instructions to members concerning emergency department and 911 use.

    abstract:STUDY OBJECTIVE:Anecdotal concerns suggest that health management organization (HMO) membership instructions may deter members from calling 911 or going to an emergency department for a perceived emergency. This study examines such instructions, specifically in regard to their definition of an emergency condition and a...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(99)70267-2

    authors: Neely KW,Norton RL

    更新日期:1999-07-01 00:00:00

  • "It's Gonna be a Lifeline": Findings From Focus Group Research to Investigate What People Who Use Opioids Want From Peer-Based Postoverdose Interventions in the Emergency Department.

    abstract:STUDY OBJECTIVE:Postoverdose interventions that deploy peer recovery support specialists to emergency departments (EDs) are a promising response to opioid overdoses among patients presenting in EDs. The objective of this study was to elicit patients' perspectives regarding the feasibility and acceptability of such an i...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2020.06.003

    authors: Wagner KD,Mittal ML,Harding RW,Smith KP,Dawkins AD,Wei X,Woodard S,Roget NA,Oman RF

    更新日期:2020-12-01 00:00:00

  • Optimizing emergency department front-end operations.

    abstract::As administrators evaluate potential approaches to improve cost, quality, and throughput efficiencies in the emergency department (ED), "front-end" operations become an important area of focus. Interventions such as immediate bedding, bedside registration, advanced triage (triage-based care) protocols, physician/pract...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.annemergmed.2009.05.021

    authors: Wiler JL,Gentle C,Halfpenny JM,Heins A,Mehrotra A,Mikhail MG,Fite D

    更新日期:2010-02-01 00:00:00

  • Effect of dehydration on cardiovascular responses and electrolytes after hypertonic saline/dextran treatment for moderate hemorrhage.

    abstract:STUDY OBJECTIVE:To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. DESIGN:After surgical preparation, swine were euhydrated or dehydrated for 24 or 48 hours. Animals were bled 25 mL/kg over 60 minutes and treated with HSD. SETTING:Laboratory. PARTICIPA...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)80143-x

    authors: Wade CE,Tillman FJ,Loveday JA,Blackmon A,Potanko E,Hunt MM,Hannon JP

    更新日期:1992-02-01 00:00:00

  • Occupational fatalities in emergency medical services: a hidden crisis.

    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

    pub_type: 杂志文章

    doi:10.1067/mem.2002.128681

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

    更新日期:2002-12-01 00:00:00

  • Worst headache and subarachnoid hemorrhage: prospective, modern computed tomography and spinal fluid analysis.

    abstract:STUDY OBJECTIVE:This study investigated the hypothesis that modern computed tomographic (CT) imaging is sufficient to exclude subarachnoid hemorrhage (SAH) in patients with severe headache. METHODS:All 38,730 adult patients who presented to Hermann Hospital in Houston, Texas, during a 16-month period were prospectivel...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:

    authors: Morgenstern LB,Luna-Gonzales H,Huber JC Jr,Wong SS,Uthman MO,Gurian JH,Castillo PR,Shaw SG,Frankowski RF,Grotta JC

    更新日期:1998-09-01 00:00:00

  • What do health savings accounts mean for the emergency department?

    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

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2005.05.013

    authors: McConnell KJ

    更新日期:2005-12-01 00:00:00

  • Mixed venous and arterial pH: a comparison during hemorrhagic shock and hypothermia.

    abstract::Under normal conditions a linear relationship exists between venous and arterial pH values. However, with severe metabolic and hemodynamic stress this correlation has not been established. To evaluate this relationship, nine dogs were subjected to 60 minutes of hemorrhagic shock at a mean arterial pressure of 30 mm Hg...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(82)80127-3

    authors: Moore EE,Good JT

    更新日期:1982-06-01 00:00:00

  • Can broad-range 16S ribosomal ribonucleic acid gene polymerase chain reactions improve the diagnosis of bacterial meningitis? A systematic review and meta-analysis.

    abstract:STUDY OBJECTIVE:We aim to evaluate the accuracy of the broad-range 16S polymerase chain reaction test in the diagnosis of bacterial meningitis through a systematic review and meta-analysis. METHODS:We searched MEDLINE, EMBASE, and the Cochrane Controlled Trials Registry, using the Medical Subject Headings terms "polym...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.annemergmed.2012.05.040

    authors: Srinivasan L,Pisapia JM,Shah SS,Halpern CH,Harris MC

    更新日期:2012-11-01 00:00:00

  • Comparing Emergency Department First-Attempt Intubation Success With Standard-Geometry and Hyperangulated Video Laryngoscopes.

    abstract:STUDY OBJECTIVE:It is unclear whether laryngoscopy using a standard-geometry blade shape, able to obtain both direct and indirect views, is associated with different first-attempt success or adverse events during emergency intubation compared with using a hyperangulated blade capable of indirect laryngoscopy only. We s...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2020.03.011

    authors: Driver BE,Prekker ME,Reardon RF,Fantegrossi A,Walls RM,Brown CA 3rd

    更新日期:2020-09-01 00:00:00

  • Clinical policy: critical issues in the management of patients presenting to the emergency department with acetaminophen overdose.

    abstract::This clinical policy focuses on critical issues concerning the management of patients presenting to the emergency department (ED) with acetaminophen overdose. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: 1. What are the indications for N-acetylcysteine (...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.annemergmed.2007.06.014

    authors: Wolf SJ,Heard K,Sloan EP,Jagoda AS,American College of Emergency Physicians.

    更新日期:2007-09-01 00:00:00

  • Foodborne botulism in a six-month-old infant caused by home-canned baby food.

    abstract::Previously reported cases of botulism in infants have been diagnosed as infant botulism; that is, botulism caused by intestinal colonization by Clostridium botulinum with intraluminal production and absorption of toxin. Foodborne botulism is caused by ingestion of preformed toxin. We describe an unusual case of foodbo...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/mem.2003.259

    authors: Armada M,Love S,Barrett E,Monroe J,Peery D,Sobel J

    更新日期:2003-08-01 00:00:00

  • Shift Change.

    abstract::[Parkhurst DC: Shift change. Ann Emerg Med June 1998;31:785-788.]. ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:

    authors: Parkhurst DC

    更新日期:1998-06-01 00:00:00

  • Intravenous streptokinase in acute myocardial infarction.

    abstract::Intravenous (IV) fibrinolytic therapy, a recent area of research, has a great deal of applicability in emergency medicine. We report our experience with 30 patients treated with this method. Thirty consecutive patients in the early stages of acute evolving myocardial infarction (AMI) were assigned to receive high-dose...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(85)80283-3

    authors: Mayer G,Story WE,Seco JE,Nocero MA Jr,Shaskey DJ,Black MA

    更新日期:1985-05-01 00:00:00

  • Injury control in Honduras: a survey of injury mortality.

    abstract:STUDY OBJECTIVE:We sought to evaluate the methods and accuracy of mortality data collection and summarize the injury mortality rate in one sector of the State of Olancho, Honduras, with the intent to establish a baseline of injury mortality that will identify potential areas of intervention and serve as a comparison af...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/mem.2000.109444

    authors: Richman M,Shayne P,Heron S,Lowery D,Todd KH

    更新日期:2000-10-01 00:00:00

  • Life-threatening airway obstruction from rattlesnake bite to the tongue.

    abstract::We describe the case of a 41-year-old man who suffered a bite to the tongue from the Western Diamondback rattlesnake (C atrox). Life-threatening obstruction of his upper airway secondary to massive edema of the tongue and other soft tissue structures quickly followed envenomation. Nasotracheal intubation, IV antivenin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(87)80584-x

    authors: Gerkin R,Sergent KC,Curry SC,Vance M,Nielsen DR,Kazan A

    更新日期:1987-07-01 00:00:00

  • Lower gastrointestinal hemorrhage from an arterioenteric fistula in a pancreatorenal transplant patient.

    abstract::We report a case of a severe lower gastrointestinal hemorrhage caused by arterioenteric fistula formation in a pancreas transplant patient. A rare but potentially deadly complication of pancreas transplant surgery, arterioenteric fistulas should be considered in every transplant patient presenting with voluminous gast...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/s0196-0644(03)00388-3

    authors: McBeth BD,Stern SA

    更新日期:2003-10-01 00:00:00

  • Fentanyl and a Novel Synthetic Opioid U-47700 Masquerading as Street "Norco" in Central California: A Case Report.

    abstract::In 2013 and 2014, more than 700 deaths were attributed to fentanyl and fentanyl analogues in the United States. Of recent concern is the cluster of unintentional fentanyl overdoses because of tablets thought to be "Norco" purchased on the street in Northern California. U-47700 (trans-3,4-dichloro-N-[2-(dimethyl-amino)...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2016.06.014

    authors: Armenian P,Olson A,Anaya A,Kurtz A,Ruegner R,Gerona RR

    更新日期:2017-01-01 00:00:00

  • Effect of alcohol on cellular membranes.

    abstract::Ethanol disrupts the physical structure of cell membranes. The most fluid membranes, including those that are low in cholesterol, are the most easily disordered by ethanol. Although the membrane-disordering effect is small, there is pharmacological, temporal, and genetic evidence that it is important. Animals that are...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(86)80120-2

    authors: Goldstein DB

    更新日期:1986-09-01 00:00:00

  • "Patients who can't get an appointment go to the ER": access to specialty care for publicly insured children.

    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

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2012.10.030

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

    更新日期:2013-04-01 00:00:00

  • Controversies in out-of-hospital emergency airway control: esophageal obstruction or endotracheal intubation?

    abstract::Maintaining an unobstructed airway and providing adequate oxygenation and CO2 elimination, by artificial means if necessary, are among the highest priorities in all life-threatening circumstances. How this goal can best be met in the prehospital setting has become a controversial issue. The esophageal obturator airway...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(84)80434-5

    authors: White RD

    更新日期:1984-09-01 00:00:00

  • Older patients in the emergency department: a review.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.annemergmed.2010.04.015

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

    更新日期:2010-09-01 00:00:00

  • Emergency department and inpatient hospital use by Medicare beneficiaries in patient-centered medical homes.

    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

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2015.01.002

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

    更新日期:2015-06-01 00:00:00

  • Acoustic otoscopy in the diagnosis of otitis media.

    abstract::Acoustic otoscopy detects middle ear pathology by measuring the ability of the tympanic membrane to reflect sound. Fluid or thickening of the tympanic membrane increases sound reflection. We conducted a study to compare acoustic otoscopy with pneumatic otoscopy in identifying middle ear pathology in 80 children (160 e...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0196-0644(89)80578-5

    authors: Jehle D,Cottington E

    更新日期:1989-04-01 00:00:00

  • Prophylaxis with zidovudine (AZT) after exposure to human immunodeficiency virus: a brief discussion of the issues for emergency physicians.

    abstract::Sound scientific information with which to determine the true efficacy of zidovudine for prophylaxis will probably not be available soon. Physicians should educate themselves thoroughly on the issues. It is highly recommended that thoughtful discussions of the issue of transmission of HIV from health personnel to pati...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81079-0

    authors: Callaham ML

    更新日期:1991-12-01 00:00:00

  • The use of mixed venous blood gas determinations in traumatic shock.

    abstract::A series of 10 seriously injured patients requiring resuscitation and definitive operative control of hemorrhage was studied. Simultaneous arterial and mixed venous blood gases were measured sequentially throughout the resuscitative and operative periods. Improvement of the mixed venous oxygen saturation was associate...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(80)80002-3

    authors: Kazarian KK,Del Guercio LR

    更新日期:1980-04-01 00:00:00

  • Pathologic splenic rupture in a child.

    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

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(82)80040-1

    authors: Keaton BF

    更新日期:1982-08-01 00:00:00