The use of external, noninvasive pacing for the termination of ventricular tachycardia in the emergency department setting.

Abstract:

STUDY OBJECTIVE:To determine the potential usefulness of external cardiac pacing for the termination of sustained ventricular tachycardia in the emergency department setting. TYPE OF PARTICIPANTS:Five men and one woman (mean age, 57 years) who presented to the ED with a wide-complex, hemodynamically stable tachycardia that was later proven to be ventricular in origin. INTERVENTION:Each patient underwent external overdrive pacing using a modified external pacemaker at a pulse amplitude of 120 mA and a rate of 200 pulses per minute. RESULTS:In all six patients, external cardiac pacing was able to successfully terminate tachycardia without complication. CONCLUSION:We conclude that external noninvasive pacing may be an effective means of terminating ventricular tachycardia in the ED setting.

journal_name

Ann Emerg Med

authors

Grubb BP,Temesy-Armos P,Hahn H,Elliott L

doi

10.1016/s0196-0644(05)80160-x

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

174-6

issue

2

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(05)80160-X

journal_volume

21

pub_type

杂志文章
  • Verapamil administration to patients with contraindications: is it associated with adverse outcomes?

    abstract:STUDY OBJECTIVES:To determine if the use of verapamil in patients with contraindications is associated with adverse sequelae, thereby assessing whether process measures of the quality of care are correlated with patient outcomes. DESIGN:Retrospective chart review comparing the incidence of adverse outcomes and drug fa...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81382-4

    authors: Kuhn M,Schriger DL

    更新日期:1991-10-01 00:00:00

  • External Validation of the STONE Score, a Clinical Prediction Rule for Ureteral Stone: An Observational Multi-institutional Study.

    abstract:STUDY OBJECTIVE:The STONE score is a clinical decision rule that classifies patients with suspected nephrolithiasis into low-, moderate-, and high-score groups, with corresponding probabilities of ureteral stone. We evaluate the STONE score in a multi-institutional cohort compared with physician gestalt and hypothesize...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.annemergmed.2015.08.019

    authors: Wang RC,Rodriguez RM,Moghadassi M,Noble V,Bailitz J,Mallin M,Corbo J,Kang TL,Chu P,Shiboski S,Smith-Bindman R

    更新日期:2016-04-01 00:00:00

  • Rapid-sequence intubation in head trauma.

    abstract::Elevated intracranial pressure commonly is associated with severe head injury. Emergency airway management technique in the patient who has sustained severe head injury must optimize conditions for intubation, minimize the adverse effects of intubation, and permit rapid and effective management of the elevated intracr...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(05)82743-x

    authors: Walls RM

    更新日期:1993-06-01 00:00:00

  • Intravenous morphine at 0.1 mg/kg is not effective for controlling severe acute pain in the majority of patients.

    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

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2005.03.010

    authors: Bijur PE,Kenny MK,Gallagher EJ

    更新日期:2005-10-01 00:00:00

  • The ability of physicians to predict hyperkalemia from the ECG.

    abstract:STUDY OBJECTIVE:To determine whether physicians blinded to the serum potassium level can predict hyperkalemia (potassium concentration of more than 5.0 mmol/L) from the ECG. DESIGN:ECGs of patients at high risk for hyperkalemia were interpreted retrospectively by two physicians blinded not only to the specific clinica...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81476-3

    authors: Wrenn KD,Slovis CM,Slovis BS

    更新日期:1991-11-01 00:00:00

  • A comprehensive view of parental satisfaction with pediatric emergency department visits.

    abstract:STUDY OBJECTIVE:We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS:This was a retrospective observational study using data from an institution-wide system to measure patient sati...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2013.04.025

    authors: Byczkowski TL,Fitzgerald M,Kennebeck S,Vaughn L,Myers K,Kachelmeyer A,Timm N

    更新日期:2013-10-01 00:00:00

  • Hospital delays and problems with thrombolytic administration in patients receiving thrombolytic therapy: a multicenter prospective assessment. Virginia Thrombolytic Study Group.

    abstract:STUDY OBJECTIVES:To assess the timing of key decisions and clinical events in the treatment of acute myocardial infarction with thrombolytic therapy. DESIGN:Prospective study of emergency department patients. SETTING:EDs in 11 urban and two rural hospitals. TYPES OF PARTICIPANTS:Patients with presumed acute myocardi...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0196-0644(05)81749-4

    authors: Gonzalez ER,Jones LA,Ornato JP,Bleecker GC,Strauss MJ

    更新日期:1992-10-01 00:00:00

  • A randomized trial on subject tolerance and the adverse effects associated with higher- versus lower-flow oxygen through a standard nasal cannula.

    abstract:STUDY OBJECTIVE:Experts advocate the use of a standard nasal cannula to provide oxygen at flow rates of up to 15 L/minute during emergency intubation. However, because of concerns about potential patient discomfort, some providers avoid providing nasal cannula oxygen at flow rates greater than 6 L/minute. This trial is...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.annemergmed.2014.10.023

    authors: Brainard A,Chuang D,Zeng I,Larkin GL

    更新日期:2015-04-01 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

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

    abstract::Severe sepsis and septic shock are as common and lethal as other acute life-threatening conditions that emergency physicians routinely confront such as acute myocardial infarction, stroke, and trauma. Recent studies have led to a better understanding of the pathogenic mechanisms and the development of new or newly app...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.annemergmed.2006.02.015

    authors: Nguyen HB,Rivers EP,Abrahamian FM,Moran GJ,Abraham E,Trzeciak S,Huang DT,Osborn T,Stevens D,Talan DA,Emergency Department Sepsis Education Program and Strategies to Improve Survival (ED-SEPSIS) Working Group.

    更新日期:2006-07-01 00:00:00

  • Correction: Correction to 'Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning' [Annals of Emergency Medicine 69 (2017) 98-107.e6].

    abstract::Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,已发布勘误

    doi:10.1016/j.annemergmed.2017.03.036

    authors: Wolf SJ,Maloney GE,Shih RD,Shy BD,Brown MD,American College of Emergency Physicians.

    更新日期:2017-11-01 00:00:00

  • Hemodynamics and metabolic effects of fructose 1-6 diphosphate in ischemia and shock--experimental and clinical observations.

    abstract::Numerous interventions have been used to protect organ systems and cellular viability from the lethal injury accompanying hypoperfusion and ischemia. Some measures have been directed toward improving perfusion, while others have attempted to enhance the metabolic processes. Our work has focused for the most part on au...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(86)80946-5

    authors: Markov AK

    更新日期:1986-12-01 00:00:00

  • The Efficacy of Antivenin Latrodectus (Black Widow) Equine Immune F(ab')2 Versus Placebo in the Treatment of Latrodectism: A Randomized, Double-Blind, Placebo-Controlled, Clinical Trial.

    abstract:STUDY OBJECTIVE:The antivenom currently available for treatment of systemic black widow envenomation (latrodectism) is composed of equine whole immunoglobin. Although considered effective, it has been associated with anaphylaxis and 2 reported fatalities. We test the efficacy and safety of new equine antivenom composed...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.annemergmed.2019.02.007

    authors: Dart RC,Bush SP,Heard K,Arnold TC,Sutter M,Campagne D,Holstege CP,Seifert SA,Lo JCY,Quan D,Borron S,Meurer DA,Burnham RI,McNally J,Garcia-Ubbelohde W,Anderson VE

    更新日期:2019-09-01 00:00:00

  • Effect of povidone-iodine and saline soaking on bacterial counts in acute, traumatic, contaminated wounds.

    abstract::It is common practice to soak acute traumatic wounds in dilute povidone-iodine solution before definitive wound cleaning and debridement. The effectiveness of soaking wounds is unknown. Using quantitative wound bacterial counts as a measure of efficacy, we compared wounds soaked in 1% povidone-iodine solution or in no...

    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)82486-2

    authors: Lammers RL,Fourré M,Callaham ML,Boone T

    更新日期:1990-06-01 00:00:00

  • Prehospital Index: a scoring system for field triage of trauma victims.

    abstract::The Prehospital Index (PHI) is a triage-oriented trauma severity scoring system comprising four components: systolic blood pressure, pulse, respiratory status, and level of consciousness, each scored 0 to 5. The PHI was developed after analysis of 313 cases to provide an objective prehospital scoring system for distin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(86)80016-6

    authors: Koehler JJ,Baer LJ,Malafa SA,Meindertsma MS,Navitskas NR,Huizenga JE

    更新日期:1986-02-01 00:00:00

  • Shoulder pain and pneumoperitoneum following a diving accident.

    abstract::We present the case of a diver who experienced the acute onset of shoulder pain after a rapid ascent. It was determined that the patient had decompression sickness ("the bends") of the right shoulder and pulmonary barotrauma resulting in secondary pneumoperitoneum. He underwent decompression, with prompt resolution of...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(87)80240-8

    authors: Schriger DL,Rosenberg G,Wilder RJ

    更新日期:1987-11-01 00:00:00

  • Ventilatory strategies affect gas exchange in a pig model of closed-chest cardiac compression.

    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

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(98)70203-3

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

    更新日期:1998-05-01 00:00:00

  • Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromes.

    abstract:STUDY OBJECTIVE:Coronary computed tomographic (CT) angiography has excellent performance characteristics relative to coronary angiography and exercise or pharmacologic stress testing. We hypothesize that coronary CT angiography can identify a cohort of emergency department (ED) patients with a potential acute coronary ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2008.09.025

    authors: Hollander JE,Chang AM,Shofer FS,McCusker CM,Baxt WG,Litt HI

    更新日期:2009-03-01 00:00:00

  • Missed opportunities for appropriate anticoagulation among emergency department patients with uncomplicated atrial fibrillation or flutter.

    abstract:STUDY OBJECTIVE:Emergency department (ED) patients with atrial fibrillation or flutter are at risk of stroke, and guidelines recommend anticoagulation for patients with increased cardiovascular risk. Emergency physicians have a unique opportunity to provide appropriate anticoagulation for such patients, and we wished t...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2013.04.004

    authors: Scheuermeyer FX,Innes G,Pourvali R,Dewitt C,Grafstein E,Heslop C,MacPhee J,Ward J,Heilbron B,McGrath L,Christenson J

    更新日期:2013-12-01 00:00:00

  • In-hospital cardiac arrest.

    abstract::Patients who suffer an in-hospital cardiac arrest represent a neglected and underutilized resource for resuscitation research. There exists an unwritten, but widely held, belief among resuscitation researchers that the in-hospital arrest population is unsuitable for resuscitation research because it is composed mostly...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(05)80263-x

    authors: Jastremski MS

    更新日期:1993-01-01 00:00:00

  • Emergency intravenous access through the femoral vein.

    abstract::A study was undertaken to assess the efficacy and safety of femoral venous catheterization for resuscitation of critically ill patients in the emergency department setting. From May 1982 to April 1983, 100 attempts were made at percutaneous insertion of a large-bore catheter into the femoral veins of patients presenti...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(84)80471-0

    authors: Swanson RS,Uhlig PN,Gross PL,McCabe CJ

    更新日期:1984-04-01 00:00:00

  • Comparison of laboratory values obtained by means of routine venipuncture versus peripheral intravenous catheter after a normal saline solution bolus.

    abstract:STUDY OBJECTIVE:This study compares selected laboratory values of blood samples obtained by means of venipuncture and by means of a peripheral intravenous catheter after a normal saline solution bolus. METHODS:In this prospective experimental study, each participant served as his or her own control. Hospital employees...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章

    doi:10.1067/mem.2001.118015

    authors: Zlotowski SJ,Kupas DF,Wood GC

    更新日期:2001-11-01 00:00:00

  • Evaluation of a brief intervention in an inner-city emergency department.

    abstract:STUDY OBJECTIVE:This study tests the effect of a brief intervention with emergency department (ED) patients to reduce at-risk drinking. METHODS:We enrolled patients aged 18 years or older who screened positive for at-risk drinking in an urban academic ED and used alternative allocation to assign them to control or int...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.annemergmed.2004.10.014

    authors: Bazargan-Hejazi S,Bing E,Bazargan M,Der-Martirosian C,Hardin E,Bernstein J,Bernstein E

    更新日期:2005-07-01 00:00:00

  • Getting It Right the First Time: Defining Regionally Relevant Training Curricula and Provider Core Competencies for Point-of-Care Ultrasound Education on the African Continent.

    abstract::Significant evidence identifies point-of-care ultrasound (PoCUS) as an important diagnostic and therapeutic tool in resource-limited settings. Despite this evidence, local health care providers on the African continent continue to have limited access to and use of ultrasound, even in potentially high-impact fields suc...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2016.07.030

    authors: Salmon M,Landes M,Hunchak C,Paluku J,Malemo Kalisya L,Salmon C,Muller MM,Wachira B,Mangan J,Chhaganlal K,Kalanzi J,Azazh A,Berman S,Zied ES,Lamprecht H

    更新日期:2017-02-01 00:00:00

  • Accidental firearm fatalities among New Mexico children.

    abstract:STUDY HYPOTHESIS:Risk factors associated with unintentional gunshot fatalities among children include gender and race of the decedent, type of firearm used, and whether loaded guns are stored within the home. STUDY POPULATION:All New Mexico children 0 to 14 years old unintentionally killed by a firearm between 1984 an...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81120-5

    authors: Martin JR,Sklar DP,McFeeley P

    更新日期:1991-01-01 00:00:00

  • Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department.

    abstract:STUDY OBJECTIVE:Preoxygenation is important to prevent oxygen desaturation during emergency airway management. The purpose of this study is to describe the use of end tidal oxygen (eto2) during rapid sequence intubation in the emergency department. METHODS:This study was carried out in 2 academic centers in Sydney, Au...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.annemergmed.2019.01.038

    authors: Caputo ND,Oliver M,West JR,Hackett R,Sakles JC

    更新日期:2019-09-01 00:00:00

  • Serious bacterial infections in infants who have experienced an apparent life-threatening event.

    abstract:STUDY OBJECTIVE:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and w...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2008.12.037

    authors: Mittal MK,Shofer FS,Baren JM

    更新日期:2009-10-01 00:00:00

  • Lumbar spine x-rays: a multihospital study.

    abstract::To define the usefulness of the lumbar spine x-ray series in the emergency department and to generate clinical criteria for optimizing its application, we retrospectively studied 552 consecutive emergency department patients for whom lumbar spine x-rays were ordered. Patients were divided into traumatic (47.6%) and no...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(83)80378-3

    authors: Patrick JD,Doris PE,Mills ML,Friedman J,Johnston C

    更新日期:1983-02-01 00:00:00

  • The significance of femoral fractures in children.

    abstract::This study was undertaken to determine the clinical circumstances of femoral fractures in children. The study was a retrospective investigation of 117 consecutive patients with femoral fractures admitted to The Children's Mercy Hospital, Kansas City, Missouri, from December 1975 to September 1979. Of the 117 patients....

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(82)80492-7

    authors: Anderson WA

    更新日期:1982-04-01 00:00:00

  • An analysis of Part II of the National Board of Medical Examiners Test with regard to questions in emergency medicine.

    abstract::We conducted a study to determine the number of items and successful response rate to questions specific to emergency medicine on the National Board of Medical Examiners Test, Part II (NBME-II). The 1979 and 1983 NBME-II examinations were reviewed by a subcommittee of the Society of Teachers of Emergency Medicine. Ite...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(86)80479-6

    authors: Sanders AB,Burdick WP,Stair TO,Witzke D

    更新日期:1986-01-01 00:00:00