Impact of rapid entry and accelerated care at triage on reducing emergency department patient wait times, lengths of stay, and rate of left without being seen.

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

authors： Amaya SC,Langsam A

更新日期：1999-03-01 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：STUDY OBJECTIVES:Many patients with community-acquired pneumonia are treated empirically without an aggressive search for causative pathogens, an approach adopted largely because of the costs and difficulties encountered during efforts to identify the causative organisms. Blood and sputum cultures are not sensitive, an...

journal_title：Annals of emergency medicine

authors： Rodriguez RM,Fancher ML,Phelps M,Hawkins K,Johnson J,Stacks K,Rossini T,Way M,Holland D

更新日期：2001-10-01 00:00:00

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

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

更新日期：1999-11-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the diagnostic accuracy of a high-sensitivity cardiac troponin T (hs-cTnT) level less than 5 ng/L or less than or equal to 14 ng/L at emergency department (ED) presentation, combined with the emergency physician's assessment of history and ECG, for ruling out major adverse cardiac events wit...

journal_title：Annals of emergency medicine

authors： Mokhtari A,Lindahl B,Smith JG,Holzmann MJ,Khoshnood A,Ekelund U

更新日期：2016-12-01 00:00:00

abstract：STUDY OBJECTIVE:Recent data suggest that emergency airway preoxygenation with a bag-valve-mask (BVM) device (held with a tight mask seal but without squeezing the bag) is superior to a nonrebreather (NRB) mask at standard oxygen flow rates. We seek to determine whether preoxygenation with an NRB mask with flush rate ox...

journal_title：Annals of emergency medicine

authors： Driver BE,Prekker ME,Kornas RL,Cales EK,Reardon RF

更新日期：2017-01-01 00:00:00

abstract：:Latex allergy, an IgE-mediated reaction to proteins retained in finished natural rubber latex products, has become one of the most pervasive problems in medicine. Latex allergy has resulted in death, progressive asthma, severe food allergy from cross-reactivity, and disability of health care professionals with the acc...

journal_title：Annals of emergency medicine

authors： Kelly KJ,Walsh-Kelly CM

更新日期：1998-12-01 00:00:00

abstract：STUDY OBJECTIVES:To compare three different methods of teaching CPR to parents of infants at high risk for sudden cardiopulmonary arrest and to identify characteristics that predict difficulty in learning CPR. METHODS:We conducted a prospective, multicenter clinical trial of 480 parents and other infant caretakers. Su...

journal_title：Annals of emergency medicine

authors： Dracup K,Moser DK,Doering LV,Guzy PM

更新日期：1998-08-01 00:00:00

abstract：:The last 3 to 5 years have witnessed a tremendous change in direction for the academic health center. The major trends in this regard are increased importance of managed care, cost consciousness, development of a clinical system, pressure to downsize graduate medical education, and increased competition. ...

journal_title：Annals of emergency medicine

authors： McCabe JB

更新日期：1997-12-01 00:00:00

abstract：:Thrombolytic therapy offers the promise of major therapeutic intervention in many areas as well as in the treatment of patients with acute myocardial infarction who present to the emergency department. Infusion of tissue-type plasminogen activator (tPA) during field transport has been proven safe, but optimal methods ...

journal_title：Annals of emergency medicine

authors： Bresler MJ

更新日期：1989-12-01 00:00:00

abstract：:The situational crisis is a period of acute disorganization of affective cognitive and behavioral function precipitated by a traumatic life experience. We review the clinical features of a situational crisis and the four phases of the crisis sequence. Special emphasis is placed on the practical principles of treatment...

journal_title：Annals of emergency medicine

authors： Rabin PL,Hussain G

更新日期：1983-05-01 00:00:00

abstract：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine residency programs and the residents training in those programs. We present the 2016 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Marco CA,Baren JM,Beeson MS,Carius ML,Counselman FL,Gausche-Hill M,Goyal DG,Kowalenko T,Muelleman RL,Nelson LS,Wahl RP,Joldersma KB,Research Committee, American Board of Emergency Medicine.

更新日期：2016-05-01 00:00:00

abstract：:The cases of three patients with spinal cord compression who presented with acute urinary retention are discussed. Two patients had previously diagnosed carcinoma; in one, acute urinary retention was the first sign of metastatic renal cell carcinoma. Two patients had a history compatible with prostatic hypertrophy. Al...

journal_title：Annals of emergency medicine

authors： Tintinalli JE

更新日期：1986-10-01 00:00:00

abstract：STUDY OBJECTIVES:We assessed the validity and completeness of data in the past medical history (PMH) obtained electronically from parents and examined effects of the human-computer interface and sociodemographic variables on electronic parental report. METHODS:We compared parents' electronic report of PMH data with a ...

journal_title：Annals of emergency medicine

authors： Porter SC,Silvia MT,Fleisher GR,Kohane IS,Homer CJ,Mandl KD

更新日期：2000-04-01 00:00:00

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

authors： Jehle D,Cottington E

更新日期：1989-04-01 00:00:00

abstract：:Sodium dichloroacetate (DCA) has been shown to lower elevated serum lactate levels produced by hypoxia, exercise, and phenformin. We conducted a study to investigate the effect of DCA treatment on lactic acidosis following resuscitation from asphyxial cardiac arrest. Conditioned dogs were anesthetized with pentobarbit...

journal_title：Annals of emergency medicine

authors： Gin-Shaw SL,Barsan WG,Eymer V,Hedges J

更新日期：1988-05-01 00:00:00

abstract：STUDY OBJECTIVE:Approximately 1 in 3 computed tomography (CT) scans performed for head injury may be avoidable. We evaluate the association of implementation of the Canadian CT Head Rule on head CT imaging in community emergency departments (EDs). METHODS:We conducted an interrupted time-series analysis of encounters ...

journal_title：Annals of emergency medicine

authors： Sharp AL,Huang BZ,Tang T,Shen E,Melnick ER,Venkatesh AK,Kanter MH,Gould MK

更新日期：2018-01-01 00:00:00

abstract：STUDY OBJECTIVE:We measure the rate of emergency department (ED) specimen processing error reduction after implementation of an electronic physician order entry system paired with a bar-coded specimen labeling process. METHODS:A cohort pre- and postintervention study was conducted in the ED during a 61-month period en...

journal_title：Annals of emergency medicine

authors： Hill PM,Mareiniss D,Murphy P,Gardner H,Hsieh YH,Levy F,Kelen GD

更新日期：2010-12-01 00:00:00

abstract：STUDY OBJECTIVE:To study early microcirculatory perfusion indices in patients with severe sepsis/septic shock, compare early microcirculatory indices in sepsis survivors versus nonsurvivors, and identify systemic hemodynamic/oxygen transport variables that correlate with early microcirculatory perfusion indices. METHO...

journal_title：Annals of emergency medicine

authors： Trzeciak S,Dellinger RP,Parrillo JE,Guglielmi M,Bajaj J,Abate NL,Arnold RC,Colilla S,Zanotti S,Hollenberg SM,Microcirculatory Alterations in Resuscitation and Shock Investigators.

更新日期：2007-01-01 00:00:00

abstract：STUDY OBJECTIVE:We determine whether children with immediate posttraumatic seizures require hospitalization for observation of possible neurologic complications. METHODS:This was a prospective observational cohort study of children younger than 18 years with blunt head trauma resulting in immediate posttraumatic seizu...

journal_title：Annals of emergency medicine

authors： Holmes JF,Palchak MJ,Conklin MJ,Kuppermann N

更新日期：2004-06-01 00:00:00

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

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

更新日期：2020-08-01 00:00:00

abstract：:This report describes a case of acquired eventration of a hemidiaphragm after insertion of a chest tube for treatment of an iatrogenic pneumothorax. Partial withdrawal of the chest tube resulted in immediate return of the hemidiaphragm to its original position. This is believed to be the first report of the resolution...

journal_title：Annals of emergency medicine

authors： Salon JE

更新日期：1995-04-01 00:00:00

abstract：:As the AIDS epidemic progresses, the number of ED patients with HIV-related illness will continue to increase. As reviewed in this article, much of the existing clinical research in HIV-related illness has an impact on the diagnostic and management issues that arise in the ED. Many of the patterns of disease, subtleti...

journal_title：Annals of emergency medicine

authors： Talan DA,Kennedy CA

更新日期：1991-12-01 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：:To evaluate the hypothesis that all victims of severe blunt trauma require a pelvic radiograph, we prospectively studied all such patients admitted to the Southern New Jersey Regional Trauma Center during a seven-month period. All patients were classified as unconscious; impaired; awake, alert, and symptomatic; or ale...

journal_title：Annals of emergency medicine

authors： Civil ID,Ross SE,Botehlo G,Schwab CW

更新日期：1988-05-01 00:00:00

abstract：:We conducted a retrospective chart review to determine whether the treatment of uncomplicated convulsions in emergency department patients with a history of epilepsy complied with a clinical standard and whether the degree of compliance with the standard was related to the treating physician's specialty or postgraduat...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Schriger DL,Starkman S

更新日期：1990-04-01 00:00:00

abstract：:The medical antishock trouser (MAST) has been advocated as potentially beneficial in the resuscitation of patients in cardiac arrest. Currently available data indicate that the MAST will increase the blood pressure generated by external cardiopulmonary resuscitation. In addition, there may be an increased survival of ...

journal_title：Annals of emergency medicine

authors： Lilja GP,Clinton J,Mahoney B

更新日期：1984-09-01 00:00:00

abstract：:Leeches have been used as a medicinal remedy for years untold. Recently, there appears to have been a resurgence in the use of the medicinal leech, Hirudo medicinalis. Presented is the case of a patient who called the emergency department for advice concerning the management of a bleeding leech bite. We discuss briefl...

journal_title：Annals of emergency medicine

authors： Adams SL

更新日期：1989-03-01 00:00:00

abstract：STUDY OBJECTIVE:Tetanus antibody levels have been shown to be inadequate in 50% of patients older than 65 years. Although immunization recommendations have been made for this age group, the efficacy of this intervention has not been well documented. We sought to determine the difference in tetanus antibody levels after...

journal_title：Annals of emergency medicine

authors： Alagappan K,Rennie W,Narang V,Auerbach C

更新日期：1997-10-01 00:00:00

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

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

更新日期：1984-09-01 00:00:00