Severe sepsis and septic shock: review of the literature and emergency department management guidelines.

abstract：:Fentanyl is an attractive agent for analgesia in the emergency department. Its use in this setting has been limited to IV bolus administration. We report successful sedation, muscle relaxation, and analgesia of a multiple trauma patient with fentanyl IV bolus and continuous infusion in the ED. ...

journal_title：Annals of emergency medicine

authors： Walsh M,Smith GA,Yount RA,Ferlic FJ,Wieschhaus MF

更新日期：1991-08-01 00:00:00

abstract：:Although most clinical trials comparing therapies are analyzed using classical hypothesis testing and P values, such methods do not yield the information most useful to the clinician, that is, the probability that one treatment is more efficacious than another. Bayesian inference can yield this probability but only if...

journal_title：Annals of emergency medicine

authors： Lewis RJ,Wears RL

更新日期：1993-08-01 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 hypotension and myocardial depression that result from calcium channel blocker ingestion often are refractory to standard therapeutic modalities. Anecdotal reports on the use of glucagon have failed to show significant hemodynamic improvement. We report the first case of calcium channel blocker overdose that respo...

journal_title：Annals of emergency medicine

authors： Doyon S,Roberts JR

更新日期：1993-07-01 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：STUDY OBJECTIVE:The foraging of wild mushrooms can be complicated by toxicity from several mushroom types. Amatoxin, a peptide contained in several mushroom species, accounts for the majority of severe mushroom poisonings by binding to RNA polymerase II irreversibly, leading to severe hepatonecrosis. There is no effect...

journal_title：Annals of emergency medicine

authors： Tong TC,Hernandez M,Richardson WH 3rd,Betten DP,Favata M,Riffenburgh RH,Clark RF,Tanen DA

更新日期：2007-09-01 00:00:00

abstract：:A research project was developed to study the process of professional socialization in graduate medical education by describing and analyzing the development of emergency medicine residencies in comparison to those of surgery and internal medicine. Based on the assumption that residency programs have a profound impact...

journal_title：Annals of emergency medicine

authors： Anwar RA

更新日期：1980-02-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to compare triage designations derived from in-person and telephone interviews and systematically examine the effect of visual cues, vital signs, and complaint-based protocols on the triage process. METHODS:We conducted a 2-phase, prospective, observational study employing a randomized, cros...

journal_title：Annals of emergency medicine

authors： Salk ED,Schriger DL,Hubbell KA,Schwartz BL

更新日期：1998-12-01 00:00:00

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

authors： Splawski J,Horner D,Tao K

更新日期：2017-03-01 00:00:00

abstract：:Experimental data have suggested that pneumatic external counterpressure improves outcome in intra-abdominal hemorrhage by either a tamponade effect and/or elevation in central systemic blood pressure. As a result, the empiric use of the pneumatic antishock garment (PASG) has become a standard of care, even to the poi...

journal_title：Annals of emergency medicine

authors： Bickell WH,Pepe PE,Bailey ML,Wyatt CH,Mattox KL

更新日期：1987-06-01 00:00:00

abstract：STUDY OBJECTIVE:Serum markers of smooth muscle destruction have been shown to be elevated in ectopic pregnancy, but they remain of questionable clinical utility. Our goal was to determine the clinical utility of 3 markers of smooth muscle destruction: creatine phosphokinase (CPK), smooth muscle heavy-chain myosin (SMHC...

journal_title：Annals of emergency medicine

authors： Birkhahn RH,Gaeta TJ,Paraschiv D,Bove JJ,Suzuki T,Katoh H,Nagai R

更新日期：2001-12-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluated the influence of home visiting on the risk for medically attended unintentional injury during home visiting (0 to 3 years) and subsequent to home visiting (3 to 5 years). METHODS:A retrospective, quasi-experimental study was conducted in a cohort of mother-child pairs in Hamilton County, O...

journal_title：Annals of emergency medicine

authors： Folger AT,Bowers KA,Dexheimer JW,Sa T,Hall ES,Van Ginkel JB,Ammerman RT

更新日期：2017-09-01 00:00:00

abstract：STUDY OBJECTIVE:The presence of leukocyte esterase by urine dipstick and microscopic pyuria are both indicators of possible urinary tract infection. The effect of urine concentration on the diagnostic performance of the urinalysis for pediatric urinary tract infection has not been studied. Our objective is to determine...

journal_title：Annals of emergency medicine

authors： Chaudhari PP,Monuteaux MC,Shah P,Bachur RG

更新日期：2017-07-01 00:00:00

abstract：:A 19-year-old man who attempted suicide by ingesting approximately 600 mg fluoxetine (Prozac) and 140 mg loxapine (Loxitane) had two episodes of atrial flutter shortly thereafter. Admission serum fluoxetine, norfluoxetine, and loxapine levels were 1,053 ng/mL, 702 ng/mL, and 40 ng/mL, respectively. This case of atrial...

journal_title：Annals of emergency medicine

authors： Roberge RJ,Martin TG

更新日期：1994-03-01 00:00:00

abstract：:There is general agreement that physical examination alone is inadequate for abdominal evaluation in the multiply injured blunt trauma patient; but controversy exists regarding the preferred method of detecting intraabdominal injuries requiring celiotomy. Both peritoneal lavage and the newer computed tomography imagin...

journal_title：Annals of emergency medicine

authors： Kearney PA

更新日期：1989-12-01 00:00:00

abstract：:This report describes a case of near-fatal intoxication following accidental exposure to 1, 1, 1-trichloroethane in a child. This solvent, generally safe, is widely used to 1, 1, 1-trichloroethane in a child. This solvent, generally safe, is widely used in industrial and domestic preparations. Exposure to high levels ...

journal_title：Annals of emergency medicine

authors： Gerace RV

更新日期：1981-10-01 00:00:00

abstract：STUDY OBJECTIVE:To identify the arterial and mixed venous blood gas changes caused by different ventilatory strategies during resuscitation from ventricular fibrillation in a pig model of closed-chest cardiac compression. METHODS:A prospective randomized animal study was performed using 27 domestic pigs (body weight, ...

journal_title：Annals of emergency medicine

authors： Whitehurst ME,Blount AD,Austin PE,Carroll RG

更新日期：1998-05-01 00:00:00

abstract：:The traditional use of the throat culture to guide treatment of potential streptococcal pharyngitis recently has been questioned because of the following facts: antibiotic therapy within the first 48 hours of illness reduces the severity and symptoms of streptococcal pharyngitis; more rapid treatment of streptococcal ...

journal_title：Annals of emergency medicine

authors： Hedges JR,Lowe RA

更新日期：1986-03-01 00:00:00

abstract：STUDY OBJECTIVE:Throughout the coronavirus disease 2019 pandemic, many emergency departments have been using passive protective enclosures ("intubation boxes") during intubation. The effectiveness of these enclosures remains uncertain. We sought to quantify their ability to contain aerosols using industry standard test...

journal_title：Annals of emergency medicine

authors： Turer DM,Good CH,Schilling BK,Turer RW,Karlowsky NR,Dvoracek LA,Ban H,Chang JS,Rubin JP

更新日期：2021-01-01 00:00:00

abstract：STUDY OBJECTIVE:We compare 3 methods of hands-only cardiopulmonary resuscitation (CPR) education, using performance scores. A paucity of research exists on the comparative effectiveness of different types of hands-only CPR education. This study also includes a novel kiosk approach that has not previously been studied, ...

journal_title：Annals of emergency medicine

authors： Heard DG,Andresen KH,Guthmiller KM,Lucas R,Heard KJ,Blewer AL,Abella BS,Gent LM,Sasson C

更新日期：2019-06-01 00:00:00

abstract：STUDY OBJECTIVE:Pleuritic chest pain is a common presenting complaint in the emergency department (ED) and a symptom of pulmonary embolism. Patients with pleuritic chest pain would benefit from a simple and rapid way of screening for pulmonary embolism. The aim of this study is to assess the utility of Simplify D-dimer...

journal_title：Annals of emergency medicine

authors： Hogg K,Dawson D,Mackway-Jones K

更新日期：2005-10-01 00:00:00

abstract：:Early reports of "reperfusion arrhythmia" after experimental temporary coronary occlusion raised concern that these arrhythmias, particularly ventricular fibrillation and ventricular tachycardia, might occur in association with reperfusion of an occluded coronary vessel during thrombolysis. Such an occurrence could in...

journal_title：Annals of emergency medicine

authors： Burney RE,Walsh D,Kaplan LR,Fraser S,Tung B,Overmyer J

更新日期：1989-03-01 00:00:00

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

authors： DeLozier JS,Auerbach PS

更新日期：1989-11-01 00:00:00

abstract：STUDY OBJECTIVES:For many foodborne outbreaks, the pathogen and food vehicle never are identified. Delayed collection of epidemiologic and microbiologic information may contribute to this. We postulated that collection of this information from ill persons as they presented to the emergency department during a recent ou...

journal_title：Annals of emergency medicine

authors： Goodman LJ,Lisowski JM,Harris AA,Kerns EA,Weaver DC,Pannaralla K,Langkop CW,Biek RW

更新日期：1993-08-01 00:00:00

abstract：STUDY OBJECTIVE:Nearly 3 million patients present to US emergency departments (EDs) annually with undifferentiated musculoskeletal low back pain. Little is known about short- and longer-term outcomes in this group. We seek to describe the pain and functional outcomes 1 week and 3 months after discharge in a sample of E...

journal_title：Annals of emergency medicine

authors： Friedman BW,O'Mahony S,Mulvey L,Davitt M,Choi H,Xia S,Esses D,Bijur PE,Gallagher EJ

更新日期：2012-02-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the cost-effectiveness of out-of-hospital continuous positive airway pressure (CPAP) compared with standard care for adults presenting to emergency medical services with acute respiratory failure. METHODS:We developed an economic model using a United Kingdom health care system perspective ...

journal_title：Annals of emergency medicine

authors： Thokala P,Goodacre S,Ward M,Penn-Ashman J,Perkins GD

更新日期：2015-05-01 00:00:00

abstract：:We report 2 deaths and 1 injury that resulted from 2 separate unintentional discharges of the same Ruger Blackhawk revolver. One discharge was a consequence of careless firearm handling combined with a slip during a decocking procedure unique to certain hammer-action firearms. The second discharge occurred when the fi...

journal_title：Annals of emergency medicine

authors： Lee C,Nolte KB

更新日期：2001-03-01 00:00:00

abstract：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine residency training programs and the residents in those programs. We present the 2010 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Task Force on Residency Training Information.,Perina DG,Collier RE,Thomas HA,Witt EA

更新日期：2010-05-01 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：:Colloid cyst of the third ventricle, although a benign lesion, carries with it high mortality and morbidity if not diagnosed in time. The most common presenting symptom is headache. A 31-year-old man with a history of intermittent, throbbing, unilateral headache and nausea was admitted because of exacerbation of his h...

journal_title：Annals of emergency medicine

authors： Weisz RR,Fazal M

更新日期：1983-12-01 00:00:00