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 and 1988. METHODS:The New Mexico Office of the Medical Investigator master mortality file was reviewed retrospectively to identify all unintentional firearm fatalities occurring in New Mexico children during a five-year period. Medical investigator, autopsy, and police reports were analyzed to identify epidemiologic factors associated with these deaths. Chi-square and Fisher's exact tests were used to analyze the data. RESULTS:Twenty-five unintentional firearm fatalities were identified. These deaths occurred most frequently among children playing with loaded firearms found within the home. A disproportionate number involved handguns. CONCLUSIONS:The study results provide a basis for preventive strategies that limit accessibility or decrease lethality of loaded firearms within the home.

journal_name

Ann Emerg Med

authors

Martin JR,Sklar DP,McFeeley P

doi

10.1016/s0196-0644(05)81120-5

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

58-61

issue

1

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(05)81120-5

journal_volume

20

pub_type

杂志文章
  • Emergency department two-dimensional echocardiography in the diagnosis of nontraumatic cardiac rupture.

    abstract::Myocardial rupture is a catastrophic complication of acute myocardial infarction that usually results in sudden death. If diagnosed quickly, patients with myocardial rupture may be salvaged. This report describes the application of emergency department two-dimensional echocardiography in the diagnosis of six cases of ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(94)70361-2

    authors: Plummer D,Dick C,Ruiz E,Clinton J,Brunette D

    更新日期:1994-06-01 00:00:00

  • Acute stroke: delays to presentation and emergency department evaluation.

    abstract:STUDY OBJECTIVE:To document prehospital and inhospital time intervals from stroke onset to emergency department evaluation and to identify factors associated with presentation to the ED within 3 hours of symptom onset, the current time window for thrombolytic therapy. METHODS:Patients admitted through the ED with a di...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(99)70431-2

    authors: Kothari R,Jauch E,Broderick J,Brott T,Sauerbeck L,Khoury J,Liu T

    更新日期:1999-01-01 00:00:00

  • Effect of magnesium sulfate on ventricular rate control in atrial fibrillation.

    abstract:STUDY OBJECTIVES:The objectives of this study were to assess the efficacy of parenteral magnesium sulfate (MgSO4), digoxin, and combined MgSO4-digoxin therapies in acutely lowering ventricular rates in patients with newly recognized atrial fibrillation. DESIGN:A randomized, double-blinded, placebo-controlled clinical ...

    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(94)70163-6

    authors: Hays JV,Gilman JK,Rubal BJ

    更新日期:1994-07-01 00:00:00

  • Massive OxyContin ingestion refractory to naloxone therapy.

    abstract::OxyContin (oxycodone hydrochloride controlled release) is a long-acting preparation of oxycodone that is used as an opioid analgesic to treat chronic pain conditions. We report a patient who ingested a massive quantity of OxyContin and had altered mental status, noncardiogenic pulmonary edema, and hypoventilation that...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/mem.2002.128143

    authors: Schneir AB,Vadeboncoeur TF,Offerman SR,Barry JD,Ly BT,Williams SR,Clark RF

    更新日期:2002-10-01 00:00:00

  • Clinical safety of lidocaine in patients with cocaine-associated myocardial infarction.

    abstract:STUDY OBJECTIVE:To evaluate the safety of lidocaine in the setting of cocaine-induced myocardial infarction (MI). DESIGN:A retrospective, multicenter study. SETTING:Twenty-nine university, university-affiliated, or community hospitals during a 6-year period (total of 117 cumulative hospital-years). PARTICIPANTS:Pati...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0196-0644(95)70041-2

    authors: Shih RD,Hollander JE,Burstein JL,Nelson LS,Hoffman RS,Quick AM

    更新日期:1995-12-01 00:00:00

  • Effectiveness of EDACS Versus ADAPT Accelerated Diagnostic Pathways for Chest Pain: A Pragmatic Randomized Controlled Trial Embedded Within Practice.

    abstract:STUDY OBJECTIVE:A 2-hour accelerated diagnostic pathway based on the Thrombolysis in Myocardial Infarction score, ECG, and troponin measures (ADAPT-ADP) increased early discharge of patients with suspected acute myocardial infarction presenting to the emergency department compared with standard care (from 11% to 19.3%)...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.annemergmed.2016.01.001

    authors: Than MP,Pickering JW,Aldous SJ,Cullen L,Frampton CM,Peacock WF,Jaffe AS,Goodacre SW,Richards AM,Ardagh MW,Deely JM,Florkowski CM,George P,Hamilton GJ,Jardine DL,Troughton RW,van Wyk P,Young JM,Bannister L,Lord SJ

    更新日期:2016-07-01 00:00:00

  • Comparison of Web-versus classroom-based basic ultrasonographic and EFAST training in 2 European hospitals.

    abstract:STUDY OBJECTIVE:Training physicians in new skills through classroom-based teaching has inherent cost and time constraints. We seek to evaluate whether Web-based didactics result in similar knowledge improvement and retention of basic ultrasonographic principles and the Extended Focused Assessment with Sonography for Tr...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.annemergmed.2010.04.019

    authors: Platz E,Goldflam K,Mennicke M,Parisini E,Christ M,Hohenstein C

    更新日期:2010-12-01 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

  • Tourniquet syndrome caused by metallic bands: a new tool for removal.

    abstract::Reported are two cases of metallic constricting devices presenting to our emergency department. A 40-year-old man was unable to remove a steel ring from his engorged penile shaft after autostimulation, and a 22-year-old man riveted a metallic nut onto his right index finger proximal to his distal interphalangeal joint...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(82)80368-5

    authors: Greenspan L

    更新日期:1982-07-01 00:00:00

  • Electroencephalographic mapping and 99mTc HMPAO single-photon emission computed tomography in carbon monoxide poisoning.

    abstract:STUDY OBJECTIVE:To investigate whether topographic analysis of EEG mapping and technetium-99m (99mTc) hexamethylpropylenamine oxide (HMPAO) brain single-photon emission computed tomography (SPECT) can detect cerebral anomalies in the acute phase of carbon monoxide poisoning. DESIGN:Twelve patients aged 18 to 55 years ...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0196-0644(94)70212-8

    authors: Denays R,Makhoul E,Dachy B,Tondeur M,Noel P,Ham HR,Mols P

    更新日期:1994-11-01 00:00:00

  • External transcutaneous pacemakers in interhospital transport of cardiac patients.

    abstract::From October 1985 to April 1988, 297 patients with presumed unstable angina, acute myocardial infarction, or permanent pacemaker failure were transferred by helicopter from community hospitals to our medical center for tertiary care. Fifty-six patients (19%) experienced treatable bradycardia (heart rate of less than 5...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(89)80006-x

    authors: Vukov LF,Johnson DQ

    更新日期:1989-07-01 00:00:00

  • Boehler's angle: a reappraisal.

    abstract:STUDY OBJECTIVES:To reappraise Boehler's angle and evaluate factors, including centering of the central beam, sex of subjects, and side of the body, that may affect angle measurement. DESIGN:Retrospective clinical review. SETTING:Emergency department, Level I trauma center. TYPE OF PARTICIPANTS:120 consecutive patie...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81206-5

    authors: Chen MY,Bohrer SP,Kelley TF

    更新日期:1991-02-01 00:00:00

  • Electrolytes, BUN, creatinine: who's at risk?

    abstract::Electrolytes, BUN, and creatinine are some of the most frequently ordered laboratory tests. The use of these tests in emergency practice has not been studied critically, and few investigations of their use in other disciplines have been performed. A review of the available literature and an analysis of medical problem...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(86)80586-8

    authors: Checchio LM,Como AJ

    更新日期:1986-03-01 00:00:00

  • Role of iron ions in the genesis of reperfusion injury following successful cardiopulmonary resuscitation: preliminary data and a biochemical hypothesis.

    abstract::Presented is a rationale for use of a new class of drugs, the iron chelating agents, in advanced cardiac life support (ACLS) to prevent late deaths and brain damage following successful cardiopulmonary resuscitation. The relevant biochemical hypothesis states that free iron ions, liberated from bound intracellular sto...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(85)80056-1

    authors: Babbs CF

    更新日期:1985-08-01 00:00:00

  • Prospective, randomized trial of epinephrine, metaproterenol, and both in the prehospital treatment of asthma in the adult patient.

    abstract:STUDY OBJECTIVE:To compare the effectiveness and incidence of adverse reactions with three treatment regimens for asthma in adults in the prehospital setting. DESIGN:Prospective, randomized clinical study. SETTING:Inner-city emergency medical service system providing basic and advanced life support and transport to 1...

    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(95)70116-8

    authors: Quadrel M,Lavery RF,Jaker M,Atkin S,Tortella BJ,Cody RP

    更新日期:1995-10-01 00:00:00

  • Varicella pneumonia in adults: a spectrum of disease.

    abstract::Varicella (Chicken pox) is a contagious disease common in childhood but uncommon in adulthood. Pneumonia, however, is a relatively common complication of the disease in adults. Recognition of the potential for this complication in adult patients with varicella is essential for the emergency physician. Three cases of v...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(86)80679-5

    authors: Hockberger RS,Rothstein RJ

    更新日期:1986-08-01 00:00:00

  • Older patients in the emergency department: a review.

    abstract::Older patients account for up to a quarter of all emergency department (ED) visits. Atypical clinical presentation of illness, a high prevalence of cognitive disorders, and the presence of multiple comorbidities complicate their evaluation and management. Increased frailty, delayed diagnosis, and greater illness sever...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.annemergmed.2010.04.015

    authors: Samaras N,Chevalley T,Samaras D,Gold G

    更新日期:2010-09-01 00:00:00

  • Sequential clinical trials in emergency medicine.

    abstract::In a traditional clinical trial, a fixed number of patients are evaluated before the data are analyzed. This has the disadvantage that more patients may be enrolled than are necessary to achieve a statistically significant result. Sequential statistical techniques provide a method for the analysis of clinical trials s...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)82570-3

    authors: Lewis RJ,Bessen HA

    更新日期:1990-09-01 00:00:00

  • Intravenous streptokinase in acute myocardial infarction.

    abstract::Intravenous (IV) fibrinolytic therapy, a recent area of research, has a great deal of applicability in emergency medicine. We report our experience with 30 patients treated with this method. Thirty consecutive patients in the early stages of acute evolving myocardial infarction (AMI) were assigned to receive high-dose...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(85)80283-3

    authors: Mayer G,Story WE,Seco JE,Nocero MA Jr,Shaskey DJ,Black MA

    更新日期:1985-05-01 00:00:00

  • Intestinal evisceration resulting from a motor vehicle accident.

    abstract::Presented is the case of a motor vehicle accident (MVA) victim with hypotension and evisceration of small intestine. Vigorous resuscitation in the emergency department was required, after which a portion of small bowel was resected at laparotomy. Evisceration secondary to trauma in an MVA is a rare injury. Significant...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(84)80296-6

    authors: Majernick TG,West JC,Snover W,Brotman S

    更新日期:1984-08-01 00:00:00

  • Refusing care to emergency department of patients: evaluation of published triage guidelines.

    abstract:STUDY OBJECTIVE:To determine whether a set of published triage guidelines identifies patients who can safely be refused emergency department care. DESIGN:Historical cohort study. SETTING:A public hospital ED. TYPE OF PARTICIPANTS:All patients triaged during a one-week period who were not in the most acute triage cat...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(94)70042-7

    authors: Lowe RA,Bindman AB,Ulrich SK,Norman G,Scaletta TA,Keane D,Washington D,Grumbach K

    更新日期:1994-02-01 00:00:00

  • Molecular methods: applications for clinical infectious diseases.

    abstract::The application of molecular biology to microbiology has led to a surge of new information about most infectious microorganisms, the pathogenesis of the infections they cause, and the specific microbial antigens involved in the immune response to these infections. The simultaneous application of the same techniques to...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(94)70187-3

    authors: Engleberg NC

    更新日期:1994-09-01 00:00:00

  • Integrating the Accreditation Council for Graduate Medical Education Core competencies into the model of the clinical practice of emergency medicine.

    abstract::In response to public pressure for greater accountability from the medical profession, a transformation is occurring in the approach to medical education and assessment of physician competency. Over the past 5 years, the Accreditation Council for Graduate Medical Education (ACGME) has implemented the Outcomes and Gene...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/S0196064403013532

    authors: Chapman DM,Hayden S,Sanders AB,Binder LS,Chinnis A,Corrigan K,LaDuca T,Dyne P,Perina DG,Smith-Coggins R,Sulton L,Swing S

    更新日期:2004-06-01 00:00:00

  • Injury control in Honduras: a survey of injury mortality.

    abstract:STUDY OBJECTIVE:We sought to evaluate the methods and accuracy of mortality data collection and summarize the injury mortality rate in one sector of the State of Olancho, Honduras, with the intent to establish a baseline of injury mortality that will identify potential areas of intervention and serve as a comparison af...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/mem.2000.109444

    authors: Richman M,Shayne P,Heron S,Lowery D,Todd KH

    更新日期:2000-10-01 00:00:00

  • Interstitial pregnancy: a potential for misdiagnosis of ectopic pregnancy with emergency department ultrasonography.

    abstract::Interstitial pregnancy is a rare and dangerous form of ectopic pregnancy that can be mistaken for a normal intrauterine pregnancy on ultrasonography, leading to catastrophic results. Increasingly, emergency physicians are using ultrasonography to diagnose intrauterine pregnancy. Emergency physicians should be aware of...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/mem.2002.125426

    authors: DeWitt C,Abbott J

    更新日期:2002-07-01 00:00:00

  • Thyrotoxic periodic paralysis.

    abstract::We present the case of a 21-year-old man who presented to the emergency department with an episode of profound weakness due to thyrotoxic periodic paralysis, a syndrome of muscular weakness occurring in patients with hyperthyroidism. Prior to the diagnosis, the patient was treated with a parenteral tranquilizer. When ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(88)80568-7

    authors: Bergeron L,Sternbach GL

    更新日期:1988-08-01 00:00:00

  • Use of a handheld, battery-operated chemistry analyzer for evaluation of heat-related symptoms in the backcountry of Grand Canyon National Park: a brief report.

    abstract:STUDY OBJECTIVES:To test the feasibility of using handheld, battery-operated chemical analyzers by EMS personnel in a wilderness environment to aid in the diagnosis and management of heat illness. METHODS:During the summer of 1996, 3 portable clinical analyzers (i-STAT Corp, Princeton, NJ) were kept at different locat...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(99)70306-9

    authors: Backer HD,Collins S

    更新日期:1999-04-01 00:00:00

  • Clotting competence of intracavitary blood in trauma victims.

    abstract::In order to assess more rationally the requirement for anticoagulation during intraoperative autotransfusion, the clotting competence of blood collected from the body cavities of 31 trauma victims entering our emergency department with indications for intraoperative transfusion was assessed. Blood was collected at tho...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(81)80375-7

    authors: Broadie TA,Glover JL,Bang N,Bendick PJ,Lowe DK,Yaw PB,Kafoure D

    更新日期:1981-03-01 00:00:00

  • A decision rule for identifying children at low risk for brain injuries after blunt head trauma.

    abstract:STUDY OBJECTIVE:Computed tomography (CT) is frequently used in evaluating children with blunt head trauma. Routine use of CT, however, has disadvantages. Therefore, we sought to derive a decision rule for identifying children at low risk for traumatic brain injuries. METHODS:We enrolled children with blunt head trauma...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/s0196-0644(03)00425-6

    authors: Palchak MJ,Holmes JF,Vance CW,Gelber RE,Schauer BA,Harrison MJ,Willis-Shore J,Wootton-Gorges SL,Derlet RW,Kuppermann N

    更新日期:2003-10-01 00:00:00

  • Identifying Patients Suitable for Discharge After a Single-Presentation High-Sensitivity Troponin Result: A Comparison of Five Established Risk Scores and Two High-Sensitivity Assays.

    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

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2015.07.006

    authors: Carlton EW,Khattab A,Greaves K

    更新日期:2015-12-01 00:00:00