Randomized, prospective comparison of open and closed peritoneal lavage for abdominal trauma.

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：:Randomized clinical trials, which aim to determine the efficacy and safety of drugs and medical devices, are a complex enterprise with myriad challenges, stakeholders, and traditions. Although the primary goal is scientific discovery, clinical trials must also fulfill regulatory, clinical, and ethical requirements. In...

journal_title：Annals of emergency medicine

authors： Meurer WJ,Lewis RJ,Tagle D,Fetters MD,Legocki L,Berry S,Connor J,Durkalski V,Elm J,Zhao W,Frederiksen S,Silbergleit R,Palesch Y,Berry DA,Barsan WG

更新日期：2012-10-01 00:00:00

abstract：:Risperidone is an investigational antipsychotic agent currently being tested in an international multicenter drug trial. We report the first case of a risperidone overdose in an apparent suicide attempt. This was without serious clinical side effects and manifested mainly as ECG abnormalities. ...

journal_title：Annals of emergency medicine

authors： Brown K,Levy H,Brenner C,Leffler S,Hamburg EL

更新日期：1993-12-01 00:00:00

abstract：:A prospective study was conducted in the emergency departments of two community hospitals to assess the accuracy of Doppler ultrasonography performed by emergency physicians in the evaluation of patients with symptoms suggestive of deep-vein thrombosis. Seventy-eight extremities in 76 patients were evaluated by both D...

journal_title：Annals of emergency medicine

authors： Turnbull TL,Dymowski JJ,Zalut TE

更新日期：1990-06-01 00:00:00

abstract：:We present the case of a 27-year-old man who sustained a minor head injury and presented with complaints of headache and vomiting. The diagnosis of vertex epidural hematoma is discussed. ...

journal_title：Annals of emergency medicine

authors： Plotkin FR,Burke TF

更新日期：1994-08-01 00:00:00

abstract：:Management of snake venom poisoning with antivenin has been the time-proven and medically accepted standard in virtually every country, including the United States. All antivenins are equine in source, and administration to patients exposes them to all the adverse effects of heterologous antisera. The purity and speci...

journal_title：Annals of emergency medicine

authors： Sullivan JB Jr

更新日期：1987-09-01 00:00:00

abstract：:Antiarrhythmic agents have been used to treat malignant ventricular arrhythmias in the setting of acute myocardial ischemia with proven efficacy for many years. Thus, it has been presumed that these agents would be efficacious for the treatment of cardiac arrest. Unfortunately, hard data supporting this contention are...

journal_title：Annals of emergency medicine

authors： Jaffe AS

更新日期：1993-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest. DESIGN:A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program. SE...

journal_title：Annals of emergency medicine

authors： Sanders AB,Berg RA,Burress M,Genova RT,Kern KB,Ewy GA

更新日期：1994-01-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the ability of 5 established risk scores to identify patients with suspected acute coronary syndromes who are suitable for discharge after a modified single-presentation high-sensitivity troponin result. METHODS:This was a prospective observational study conducted in a UK district general ho...

journal_title：Annals of emergency medicine

authors： Carlton EW,Khattab A,Greaves K

更新日期：2015-12-01 00:00:00

abstract：:Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

journal_title：Annals of emergency medicine

authors： McCarty M,Jagoda A,Fairweather P

更新日期：1998-07-01 00:00:00

abstract：:Niacin (vitamin B3) is promoted for rapidly clearing the body of drugs of abuse, such as cocaine and cannabis, and is alleged to interfere with urine drug screening. We present 4 cases of such novel use associated with significant adverse effects. Two cases had isolated skin manifestations, whereas the other 2 present...

journal_title：Annals of emergency medicine

authors： Mittal MK,Florin T,Perrone J,Delgado JH,Osterhoudt KC

更新日期：2007-11-01 00:00:00

abstract：STUDY OBJECTIVE:Continuous positive airway pressure ventilation (CPAP) in appropriately selected patients with acute respiratory failure has been shown to reduce the need for tracheal intubation in hospital. Despite several case series, the effectiveness of out-of-hospital CPAP has not been rigorously studied. We perfo...

journal_title：Annals of emergency medicine

authors： Thompson J,Petrie DA,Ackroyd-Stolarz S,Bardua DJ

更新日期：2008-09-01 00:00:00

abstract：STUDY OBJECTIVE:Accurate and timely diagnosis of carbon monoxide (CO) poisoning is difficult because of nonspecific symptoms. Multiwave pulse oximetry might facilitate the screening for occult poisoning by noninvasive measurement of carboxyhemoglobin (COHb), but its reliability is still unknown. We assess bias and prec...

journal_title：Annals of emergency medicine

authors： Roth D,Herkner H,Schreiber W,Hubmann N,Gamper G,Laggner AN,Havel C

更新日期：2011-07-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the importance of hospital bed occupancy for 30-day mortality, inhospital mortality, readmission for inpatient care within 30 days, and revisits to the emergency department (ED) within 7 days among all adult patients visiting the ED. METHODS:This was an observational cohort study including ...

journal_title：Annals of emergency medicine

authors： Af Ugglas B,Djärv T,Ljungman PLS,Holzmann MJ

更新日期：2020-08-01 00:00:00

abstract：:Inconsistency in contacting the families of acutely ill patients can negatively affect relatives and induce stress in emergency department staff. Role clarification and performance guidelines are discussed in the context of a telephone notification of relatives checklist, with staff advised in six specific interventio...

journal_title：Annals of emergency medicine

authors： Robinson MA

更新日期：1982-11-01 00:00:00

abstract：:The sudden emergence of 2009 H1N1 influenza in the spring of that year sparked a surge in visits to emergency departments in New York City and other communities. A larger, second wave of cases was anticipated the following autumn. To reduce a potential surge of health system utilization without denying needed care, we...

journal_title：Annals of emergency medicine

authors： Kellermann AL,Isakov AP,Parker R,Handrigan MT,Foldy S

更新日期：2010-09-01 00:00:00

abstract：:Recent investigations suggest that increased intrathoracic pressure causing compression of the heart and great vessels in the thorax plays an important role in providing blood flow during cardiopulmonary resuscitation. This communication reports the case of a four-year-old asphyxiated girl found to have a small amount...

journal_title：Annals of emergency medicine

authors： Forney J,Ornato JP

更新日期：1980-12-01 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 OBJECTIVE:We identify measures of emergency department (ED) and hospital workflow that would be of value in understanding, monitoring, and managing crowding. METHODS:A national group of 74 experts developed 113 potential measures using a conceptual model of ED crowding that segmented the measures into input, thr...

journal_title：Annals of emergency medicine

authors： Solberg LI,Asplin BR,Weinick RM,Magid DJ

更新日期：2003-12-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to examine the outcome of a subgroup of patients with extreme carbon monoxide (CO) poisoning, specifically those discovered in cardiac arrest, resuscitated, and subsequently treated with hyperbaric oxygen (HBO(2)). Opinions of hyperbaric medicine physicians regarding the treatment of such pati...

journal_title：Annals of emergency medicine

authors： Hampson NB,Zmaeff JL

更新日期：2001-07-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the efficacy of a novel antidote, insulin, with standard treatments, glucagon and epinephrine, in a canine model of acute beta-blocker toxicity. METHODS:Anesthetized dogs were fitted with instruments by means of thoracotomy and vascular cutdown for multiple cardiodynamic, hemodynamic, metabo...

journal_title：Annals of emergency medicine

authors： Kerns W 2nd,Schroeder D,Williams C,Tomaszewski C,Raymond R

更新日期：1997-06-01 00:00:00

abstract：:Cocaine use and abuse continue to overwhelm urban economic, social, and health care systems. Patients frequently present to the emergency department with life-threatening manifestations of cocaine use, including trauma, acquired immune deficiency syndrome, psychomotor agitation, and cardiovascular collapse. Adequate t...

journal_title：Annals of emergency medicine

authors： Goldfrank LR,Hoffman RS

更新日期：1991-02-01 00:00:00

abstract：STUDY OBJECTIVE:To study the efficacy of intravenous ketorolac, morphine, and both drugs in combination in reducing pain in acute renal colic. METHODS:We conducted a prospective, double-blinded, randomized controlled trial in an urban, teaching emergency department. Patients aged 18 to 55 years and with a clinical dia...

journal_title：Annals of emergency medicine

authors： Safdar B,Degutis LC,Landry K,Vedere SR,Moscovitz HC,D'Onofrio G

更新日期：2006-08-01 00:00:00

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

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

abstract：STUDY OBJECTIVES:The health care needs of the elderly population are significantly different from those of younger patients and require special knowledge and skills on the part of emergency physicians. The purpose of this study was to identify the nature and extent of geriatric training currently provided to emergency ...

journal_title：Annals of emergency medicine

authors： Jones JS,Rousseau EW,Schropp MA,Sanders AB

更新日期：1992-07-01 00:00:00

abstract：:Single-dose antibiotic therapy for urinary tract infections in which no underlying structural or neurologic lesions are present holds the promise of greater patient compliance and convenience. We present the results of a study comparing a single intramuscular dose of a long-acting, third-generation cephalosporin, ceft...

journal_title：Annals of emergency medicine

authors： Rosenberg JM,Levy RC,Cicmanec JF,Hedges JR,Burke BM

更新日期：1985-10-01 00:00:00

abstract：STUDY OBJECTIVE:The purpose of this study was to observe, measure, and describe the changes in central venous oxygen saturation during CPR and immediately after return of spontaneous circulation. It also was to examine the clinical utility of continuous central venous oxygen saturation monitoring as a indicator of retu...

journal_title：Annals of emergency medicine

authors： Rivers EP,Martin GB,Smithline H,Rady MY,Schultz CH,Goetting MG,Appleton TJ,Nowak RM

更新日期：1992-09-01 00:00:00

abstract：STUDY OBJECTIVE:To assess the need for cranial computed tomography (CT) in the emergency department evaluation of children with Glasgow Coma Scale (GCS) score of 15 after mild head injury with loss of consciousness. DESIGN:Retrospective case series of children aged 2 to 17 years with documented loss of consciousness a...

journal_title：Annals of emergency medicine

authors： Davis RL,Mullen N,Makela M,Taylor JA,Cohen W,Rivara FP

更新日期：1994-10-01 00:00:00

abstract：STUDY OBJECTIVES:To develop a practical procedure for producing a nomogram describing the relationship between the osmolality gap and serum ethanol concentrations that is appropriate for the formulas and analytical methodologies in use at any laboratory. DESIGN:Retrospective review of serum sodium, glucose, urea nitro...

journal_title：Annals of emergency medicine

authors： Galvan LA,Watts MT

更新日期：1992-11-01 00:00:00

abstract：:The management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

journal_title：Annals of emergency medicine

authors： Hovanessian HC

更新日期：1999-05-01 00:00:00