当前位置： SCI文献检索 > ANNALS OF EMERGENCY MEDICINE期刊下所有文献 > An evaluation of portable high-efficiency particulate air filtration for expedient patient isolation in epidemic and emergency response.

An evaluation of portable high-efficiency particulate air filtration for expedient patient isolation in epidemic and emergency response.

Abstract：

:Extraordinary incidents resulting in airborne infectious disease outbreaks could produce patient isolation requirements that exceed most hospitals' capacity. This article investigates expedient methods to establish airborne infection isolation areas using a commercially available portable filtration unit and common hardware supplies. The study was conducted within a conventional, nonisolation hospital room, and researchers evaluated several airborne isolation configurations that did not require building ventilation or structural modifications. A portable high-efficiency particulate air filtration unit and full-length plastic curtains established a "zone-within-zone" protective environment using local capture and directional airflows. The cost of constructing the expedient configurations was less than US2,300 dollars and required fewer than 3 person-hours to construct. A medical nebulizer aerosolized polystyrene latex microspheres to generate respirable condensation nuclei. Aerosol spectrometers sized and counted respirable particles at the source patient and health care worker positions and in areas outside the inner zone. The best-performing designs showed no measurable source migration out of the inner isolation zone and mean respirable particle counts up to 87% lower at the health care worker position(s) than those observed directly near the source patient location. Investigators conclude that with careful implementation under emergency circumstances in which engineered isolation rooms are unavailable, expedient methods can provide affordable and effective patient isolation while reducing exposure risks and potential disease transmission to health care workers, other patients, and visitors.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

Mead K,Johnson DL

doi

10.1016/j.annemergmed.2004.07.451

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

635-45

issue

6

eissn

0196-0644

issn

1097-6760

pii

S0196064404012107

journal_volume

44

pub_type

杂志文章

相关文献

ANNALS OF EMERGENCY MEDICINE文献大全
  • Methemoglobinemia.

    abstract：:Methemoglobinemia must be considered in the differential diagnosis of the cyanotic patient. Methemoglobin cannot carry oxygen or carbon dioxide. Methemoglobinemia can result from exposure to a wide variety of chemicals, including many commonly prescribed drugs, usually in an overdose situation. Most cases require only...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(82)80502-7

    authors： Curry S

    更新日期：1982-04-01 00:00:00

  • Successful conversion of unstable supraventricular tachycardia to sinus rhythm with adenosine.

    abstract：STUDY PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with unstable paroxysmal supraventricular tachycardia (PSVT). DESIGN:A retrospective chart review conducted over two years. SETTING:A university-affiliated hospital ED. PARTICIPANTS:Patients with unstable PSVT (syst...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)81853-0

    authors： Melio FR,Mallon WK,Newton E

    更新日期：1993-04-01 00:00:00

  • What are you waiting for? A study of resident physician-parent communication in a pediatric emergency department.

    abstract：STUDY OBJECTIVE:This study measures the degree to which parents of patients, in the course of evaluation and treatment in a pediatric emergency department (ED), could report what they were waiting for. METHODS:Brief in-person interviews were conducted with parents of nonemergency patients during an ED visit. After the...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2007.09.032

    authors： Cramm KJ,Dowd MD

    更新日期：2008-04-01 00:00:00

  • Continuous intravenous midazolam infusion for Centruroides exilicauda scorpion envenomation.

    abstract：STUDY OBJECTIVE:We sought to describe the effects of continuous intravenous midazolam infusion as therapy for severe bark scorpion (Centruroides exilicauda) envenomation. METHODS:A retrospective chart review from July 1, 1993, through January 1, 1998, identified all patients treated at a university hospital with Inter...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(99)70164-2

    authors： Gibly R,Williams M,Walter FG,McNally J,Conroy C,Berg RA

    更新日期：1999-11-01 00:00:00

  • Development and implementation of emergency CPR instruction via telephone.

    abstract：:We developed a cardiopulmonary resuscitation (CPR) message that can be given via telephone by emergency dispatchers directly to an individual reporting a cardiac arrest. The message was developed and evaluated on the basis of empirical observation of CPR performance of 203 community volunteers during simulated cardiac...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80730-1

    authors： Carter WB,Eisenberg MS,Hallstrom AP,Schaeffer S

    更新日期：1984-09-01 00:00:00

  • Abdominal CT scanning in pediatric blunt trauma.

    abstract：:The use of the emergency IV contrast-enhanced abdominal computed tomography (CT) scanning was evaluated in 90 pediatric patients sustaining blunt abdominal trauma. Medical records, CT scans, and operative and postmortem reports, when applicable, were reviewed retrospectively. By identifying the organs of injury, CT sc...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(88)80611-5

    authors： Haftel AJ,Lev R,Mahour GH,Senac M,Akhtar Shah SI

    更新日期：1988-07-01 00:00:00

  • Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

    abstract：STUDY OBJECTIVE:Adverse drug events represent the most common cause of preventable nonsurgical adverse events in medicine but may remain undetected. Our objective is to determine the proportion of drug-related visits emergency physicians attribute to medication-related problems. METHODS:This prospective observational ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2009.10.008

    authors： Hohl CM,Zed PJ,Brubacher JR,Abu-Laban RB,Loewen PS,Purssell RA

    更新日期：2010-06-01 00:00:00

  • Conference attendance: do we meet the new residency review committee requirements?

    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

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70288-1

    authors： Austin PE,Brown CK,Dunn KA

    更新日期：1995-03-01 00:00:00

  • Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival.

    abstract：STUDY OBJECTIVE:Ultrasonographically guided intravenous peripheral catheters have dismal dwell time, with most intravenous lines failing before completion of therapy. Catheter length in the vein is directly related to catheter longevity. We investigate the survival of an ultralong ultrasonographically guided intravenou...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.annemergmed.2019.11.013

    authors： Bahl A,Hijazi M,Chen NW,Lachapelle-Clavette L,Price J

    更新日期：2020-08-01 00:00:00

  • Use of a bilingual medical history questionnaire in the emergency department.

    abstract：STUDY OBJECTIVE:To demonstrate that a complete and rapid clinical history can be obtained using a self-administered, bilingual questionnaire. DESIGN:A post-test experimental design was used to evaluate time spent obtaining the history and information completeness for the two groups. SETTING:Urban county emergency dep...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80799-1

    authors： Nasr I,Cordero M,Houmes B,Fagan J,Rydman R,Green C

    更新日期：1993-05-01 00:00:00

  • The efficacy of metoclopramide in the treatment of migraine headache.

    abstract：STUDY OBJECTIVES:By evaluating the efficacy of metoclopramide alone and in combination with ibuprofen versus placebos, this study was designed to both evaluate the efficacy of metoclopramide and elucidate its mechanism of action in the treatment of migraine headache. DESIGN:The study was conducted over a two-year peri...

    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(05)80201-x

    authors： Ellis GL,Delaney J,DeHart DA,Owens A

    更新日期：1993-02-01 00:00:00

  • Houston's medical disaster response to Hurricane Katrina: part 1: the initial medical response from Trauma Service Area Q.

    abstract：:After Hurricane Katrina hit the Gulf Coast on August 29, 2005, thousands of ill and injured evacuees were transported to Houston, TX. Houston's regional disaster plan was quickly implemented, leading to the activation of the Regional Hospital Preparedness Council's Catastrophic Medical Operations Center and the rapid ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2008.10.014

    authors： Hamilton DR,Gavagan TF,Smart KT,Upton LA,Havron DA,Weller NF,Shah UA,Fishkind A,Persse D,Shank P,Mattox K

    更新日期：2009-04-01 00:00:00

  • A Survey of Staff Perceptions of an Emergency Medicine Pharmacist Program in a Community Hospital: A Brief Report.

    abstract：STUDY OBJECTIVE:For an emergency medicine pharmacist to become a well-integrated multidisciplinary team member, his or her services need to be accepted by the emergency department (ED) staff. There have been 2 published studies attesting the value of the emergency medicine pharmacist by ED staff: at an academic medical...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2016.08.451

    authors： Splawski J,Horner D,Tao K

    更新日期：2017-03-01 00:00:00

  • Endotracheal tube selection in children: a comparison of four methods.

    abstract：STUDY OBJECTIVE:To determine the accuracy of four methods of endotracheal tube size selection in the pediatric population. STUDY DESIGN:Prospective, blinded comparison. SETTING:The Children's Hospital of Philadelphia. PARTICIPANTS:Two hundred thirty-seven children aged 1 month to 9 years old undergoing elective surg...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)81937-7

    authors： King BR,Baker MD,Braitman LE,Seidl-Friedman J,Schreiner MS

    更新日期：1993-03-01 00:00:00

  • Cervical cancer screening in an urban emergency department.

    abstract：STUDY OBJECTIVES:To determine the feasibility of Pap screening and follow-up of urban emergency department patients and the prevalence of cervical dysplasia and carcinoma in this group. DESIGN:During a four-month period, Pap smears were added to pelvic examinations performed in the ED. Follow-up, including repeat Pap ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)82931-2

    authors： Hogness CG,Engelstad LP,Linck LM,Schorr KA

    更新日期：1992-08-01 00:00:00

  • Predicting Progression to Septic Shock in the Emergency Department Using an Externally Generalizable Machine-Learning Algorithm.

    abstract：STUDY OBJECTIVE:Machine-learning algorithms allow improved prediction of sepsis syndromes in the emergency department (ED), using data from electronic medical records. Transfer learning, a new subfield of machine learning, allows generalizability of an algorithm across clinical sites. We aim to validate the Artificial ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2020.11.007

    authors： Wardi G,Carlile M,Holder A,Shashikumar S,Hayden SR,Nemati S

    更新日期：2021-01-15 00:00:00

  • Revisiting the "Golden Hour": An Evaluation of Out-of-Hospital Time in Shock and Traumatic Brain Injury.

    abstract：STUDY OBJECTIVE:We evaluate patients with shock and traumatic brain injury who were previously enrolled in an out-of-hospital clinical trial to test the association between out-of-hospital time and outcome. METHODS:This was a secondary analysis of patients with shock and traumatic brain injury who were aged 15 years o...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.annemergmed.2014.12.004

    authors： Newgard CD,Meier EN,Bulger EM,Buick J,Sheehan K,Lin S,Minei JP,Barnes-Mackey RA,Brasel K,ROC Investigators.

    更新日期：2015-07-01 00:00:00

  • Ultrasound detection of ventricular fibrillation disguised as asystole.

    abstract：:Ultrasonography in the emergency department is being used for many purposes, including the evaluation of patients with cardiac arrest. Ultrasound testing has been shown to be useful in such patients in determining the presence of true electromechanical dissociation and pericardial effusions. We report a case of ventri...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(99)70372-0

    authors： Amaya SC,Langsam A

    更新日期：1999-03-01 00:00:00

  • Pediatric bacterial meningitis: is prior antibiotic therapy associated with an altered clinical presentation?

    abstract：STUDY HYPOTHESIS:The clinical features of children treated with oral antibiotics before the diagnosis of bacterial meningitis differ from those who receive no antibiotics. DESIGN:Retrospective case series. SETTING:University medical center. PARTICIPANTS:Two hundred fifty-eight children 24 months old or younger with ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80149-0

    authors： Rothrock SG,Green SM,Wren J,Letai D,Daniel-Underwood L,Pillar E

    更新日期：1992-02-01 00:00:00

  • Shortness of breath, syncope, and cardiac arrest caused by systemic mastocytosis.

    abstract：:During a 3-month period, a 33-year-old man presented to the emergency department on 4 occasions with dyspnea, palpitations, and syncope. His initial presentation was accompanied by acute myocardial injury and ventricular fibrillation. An extensive evaluation spanned the 3 months and included echocardiography, cardiac ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2005.02.002

    authors： Rohr SM,Rich MW,Silver KH

    更新日期：2005-06-01 00:00:00

  • Treatment of pyelonephritis in an observation unit.

    abstract：STUDY OBJECTIVE:To determine the feasibility of managing patients with acute pyelonephritis as outpatients after initial treatment with IV antibiotics in an emergency department observation unit. DESIGN:Prospective and uncontrolled. SETTING:ED observation unit. TYPE OF PARTICIPANTS:Nonpregnant female patients 14 yea...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80935-7

    authors： Ward G,Jorden RC,Severance HW

    更新日期：1991-03-01 00:00:00

  • Stellate Ganglion Nerve Block by Point-of-Care Ultrasonography for Treatment of Refractory Infarction-Induced Ventricular Fibrillation.

    abstract：:Stellate ganglion blockade has been previously suggested as a treatment option for intractable ventricular arrhythmia; however, its use in emergency department management of pulseless arrest with shockable rhythm has not been described. We report the case of a 65-year-old man brought in by ambulance who complained of ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2019.07.026

    authors： Margus C,Correa A,Cheung W,Blaikie E,Kuo K,Hockensmith A,Kinas D,She T

    更新日期：2020-02-01 00:00:00

  • The emergency services physician assistant: results of two years' experience.

    abstract：:The physician assistant (PA) has become an integral part of urban health care. The roles chosen are diverse and often meet the particular needs of physicians or hospitals. We have developed a unique program in emergency services that allows for training and development of PAs in two distinctly different hospital setti...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(80)80338-6

    authors： Goldfrank L,Corso T,Squillacote D

    更新日期：1980-02-01 00:00:00

  • Central pulmonary embolism with normal ventilation/perfusion scan-diagnosis by nuclear pulmonary artery flow studies.

    abstract：:Pulmonary embolism, although uncommon in children, occurs in as many as 104 per 100,000 pediatric patients. Undiagnosed and untreated pulmonary embolism has a high mortality rate; thus, a high index of clinical suspicion and reliable diagnostic modalities are necessary to ensure prompt and accurate diagnosis. We repor...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)81131-x

    authors： Hackbarth R,Kuhns L,Sarnaik A

    更新日期：1991-01-01 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

  • The effectiveness of bystander CPR in an animal model.

    abstract：:Several clinical studies have yielded conflicting results in examining the effectiveness of bystander CPR (BCPR). The purpose of this pilot study was to determine the effectiveness of BCPR in an animal model of cardiac arrest and resuscitation. Ten swine were instrumented for hemodynamic and regional blood flow measur...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)81561-6

    authors： Hoekstra JW,Rinnert K,Van Ligten P,Neumar R,Werman HA,Brown CG

    更新日期：1990-08-01 00:00:00

  • Frequency of inhaled metaproterenol in the treatment of acute asthma exacerbation.

    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

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0196-0644(05)82134-1

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

    更新日期：1990-01-01 00:00:00

  • Seizures due to maprotiline overdose.

    abstract：:Maprotiline, a new tetracyclic antidepressant, has a pattern of toxicity that is different from that of tricyclics. Maprotiline overdosage appears more likely to cause seizures but less likely to cause the peripheral autonomic and cardiac manifestations seen with tricyclics. Two cases of maprotiline overdose resulting...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80016-5

    authors： Northup L,Reed G,McAnalley B,Anderson RJ

    更新日期：1984-06-01 00:00:00

  • The leukocyte esterase test for detection of cerebrospinal fluid leukocytosis and bacterial meningitis.

    abstract：:We conducted a study to assess the efficacy of the dipstick leukocyte esterase test (LET) in the detection of cerebrospinal fluid (CSF) leukocytosis as a quick screen for bacterial meningitis. Nine hundred forty-two CSF samples were collected from 800 patients. The LET was compared in a double-blinded fashion with rou...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0196-0644(89)80058-7

    authors： DeLozier JS,Auerbach PS

    更新日期：1989-11-01 00:00:00

  • Ultrasonographically guided peripheral intravenous cannulation of children and adults: a systematic review and meta-analysis.

    abstract：STUDY OBJECTIVE:Peripheral intravenous cannulation is procedurally challenging and painful. We perform a systematic review to evaluate ultrasonographic guidance as an aid to peripheral intravenous cannulation. METHODS:We searched MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, Cumulative Index to Nurs...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.annemergmed.2012.11.014

    authors： Heinrichs J,Fritze Z,Vandermeer B,Klassen T,Curtis S

    更新日期：2013-04-01 00:00:00