Management of unique clinical entities in disaster medicine.

abstract：:Patient satisfaction is an integral component of the measurement of health care quality. Proper attention to patient complaints is one part of a patient satisfaction management strategy aimed at revealing and alleviating the causes of patient dissatisfaction. ...

journal_title：Emergency medicine clinics of North America

authors： Schwartz LR,Overton DT

更新日期：1992-08-01 00:00:00

abstract：:Subarachnoid hemorrhage (SAH) is a neurologic emergency due to bleeding into the subarachnoid space. Mortality can reach 50%. The clinical presentation is most often in the form of headache, classically defined as maximal at onset and worst of life. The most common cause is traumatic; approximately 80% of nontraumatic...

journal_title：Emergency medicine clinics of North America

authors： Long B,Koyfman A,Runyon MS

更新日期：2017-11-01 00:00:00

abstract：:Bleeding in late-term pregnancy can present as an innocuous start to parturition or a catastrophic maternal-fetal hemorrhage masked by the physiologic adaptations of pregnancy. The emergency management of late-term bleeding can be challenging, especially when providing stabilizing care in a limited-resource environmen...

journal_title：Emergency medicine clinics of North America

authors： Young JS,White LM

更新日期：2019-05-01 00:00:00

abstract：:Although discussed much less than flexor tendon injuries, achievement of satisfactory function is difficult with these injuries. Under proper circumstances in clean wounds, and in a well equipped emergency department, they can be primarily repaired if the examining physician has the experience. If these conditions are...

journal_title：Emergency medicine clinics of North America

authors： Herndon JH

更新日期：1985-05-01 00:00:00

abstract：:Preparation for, and response to, hazardous materials emergencies requires both preplanning and just-in-time information management. The development of an emergency operations plan and a hazardous materials incident response plan involves many steps and implicates numerous resources: institutional, governmental, and p...

journal_title：Emergency medicine clinics of North America

authors： Borron SW

更新日期：2015-02-01 00:00:00

abstract：:Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This req...

journal_title：Emergency medicine clinics of North America

authors： McCabe JL,Grossman SJ,Joyce JM

更新日期：1991-11-01 00:00:00

abstract：:Fever is the most common reason that children and infants are brought to emergency departments. Emergency physicians face the challenge of quickly distinguishing benign from life-threatening conditions. The management of fever in children is guided by the patient's age, immunization status, and immune status as well a...

journal_title：Emergency medicine clinics of North America

authors： Wing R,Dor MR,McQuilkin PA

更新日期：2013-11-01 00:00:00

abstract：:This article discusses clinical presentations and diagnostic approaches to acute coronary syndrome in the emergency department. ...

journal_title：Emergency medicine clinics of North America

authors： Yiadom MY

更新日期：2011-11-01 00:00:00

abstract：:Urinary retention is a common problem encountered in the emergency department. Acute urinary retention (AUR) presents as a sudden inability to voluntarily void, and is typically associated with lower abdominal pain. Its etiology can be varied and multifactorial. Treatment of AUR aims to relieve the obstruction and mit...

journal_title：Emergency medicine clinics of North America

authors： Billet M,Windsor TA

更新日期：2019-11-01 00:00:00

abstract：:Pregnancy produces unique physical and physiologic changes. These changes alter, sometimes significantly, the presentation of trauma pathology. This article examines some of the unusual findings and controversies surrounding injury during pregnancy. ...

journal_title：Emergency medicine clinics of North America

authors： Neufeld JD

更新日期：1993-02-01 00:00:00

abstract：:Communication issues arise in emergency physician relationships with patients, nursing, and physician colleagues. It is important to acknowledge various perspectives in order to promote positive relationships and to avoid the social, medical, and legal hazards associated with miscommunication. This article outlines fu...

journal_title：Emergency medicine clinics of North America

authors： O'Mara K

更新日期：1999-05-01 00:00:00

abstract：:Emergency medical services for children require the integration of many community resources to operate optimally. In both urban and rural areas, the abilities of the receiving hospitals and medical staffs must be defined to develop a system that considers severity of injury and illness as well as transport times. ...

journal_title：Emergency medicine clinics of North America

authors： Seidel J

更新日期：1995-05-01 00:00:00

abstract：:A thorough working knowledge of the diagnosis and treatment of life-threatening electrolyte abnormalities in cancer patients, especially hyponatremia, hypoglycemia, and hypercalcemia, is essential to the successful practice of emergency medicine. Although most minor abnormalities have no specific treatment, severe cli...

journal_title：Emergency medicine clinics of North America

authors： Kacprowicz RF,Lloyd JD

更新日期：2009-05-01 00:00:00

abstract：:The penis is a very sensitive organ and even minor injury or discomfort may cause a patient to seek emergency evaluation. Emergency practitioners must be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis, namely ischemic priapism, paraphimosis, and entrapment in...

journal_title：Emergency medicine clinics of North America

authors： Dubin J,Davis JE

更新日期：2011-08-01 00:00:00

abstract：:As the geriatric population increases in the United States, there is an increase in number of visits to emergency departments for end-of-life and palliative care. This provides the emergency physician with a unique opportunity to alleviate and prevent further suffering in this vulnerable population. Competency in comm...

journal_title：Emergency medicine clinics of North America

authors： McEwan A,Silverberg JZ

更新日期：2016-08-01 00:00:00

abstract：:Acute dyspnea in older patients is a common presentation to the emergency department. Acute dyspnea in older adults is often the consequence of multiple overlapping disorders, such as pneumonia precipitating acute heart failure. Emergency physicians must be comfortable managing patients with acute dyspnea of uncertain...

journal_title：Emergency medicine clinics of North America

authors： Tyler K,Stevenson D

更新日期：2016-02-01 00:00:00

abstract：:This article provides a review of the evaluation and treatment of common injuries to the shoulder, humerus, and clavicle in the emergency department (ED) setting. In addition to a focused review of the shoulder's physical examination, topics include common emergent injuries such as glenohumeral dislocations, proximal ...

journal_title：Emergency medicine clinics of North America

authors： Malik S,Chiampas G,Leonard H

更新日期：2010-11-01 00:00:00

abstract：:Ultrasonography has emerged as a primary imaging modality in the evaluation of the trauma victim. Both emergency physicians and surgeons have been proven capable of performing this rapid, noninvasive evaluation of the chest and abdomen. This article describes the trauma ultrasound examination and illustrates how bedsi...

journal_title：Emergency medicine clinics of North America

authors： Melanson SW,Heller M

更新日期：1998-02-01 00:00:00

abstract：:Health care professionals often encounter patients who refuse a recommended treatment plan. Overriding a patient's right to autonomy has ethical, legal, and moral consequences. Incapacity is the determination by a physician that a patient lacks the ability to make informed decisions about his or her health care. The f...

journal_title：Emergency medicine clinics of North America

authors： Miller SS,Marin DB

更新日期：2000-05-01 00:00:00

abstract：:Trauma is the number one killer of Americans under age 34; optimal trauma care is provided when there is a well-functioning, comprehensive system. This article reviews the development of trauma centers in the United States, recommending that the number of trauma centers be optimized so that resources and expense be ke...

journal_title：Emergency medicine clinics of North America

authors： Markovchick VJ,Moore EE

更新日期：2007-08-01 00:00:00

abstract：:Emergency department crowding is a multifactorial issue with causes intrinsic to the emergency department and to the health care system. Understanding that the causes of emergency department crowding span this continuum allows for a more accurate analysis of its effects and a more global consideration of potential sol...

journal_title：Emergency medicine clinics of North America

authors： Kenny JF,Chang BC,Hemmert KC

更新日期：2020-08-01 00:00:00

abstract：:This article reviews current issues regarding the Focused Assessment with Sonography for Trauma (FAST) examination. Technical performance issues, decision-making and practice algorithms, fluid volume and scoring systems, proficiency and training, and the role of the FAST in pediatric trauma are covered. This article e...

journal_title：Emergency medicine clinics of North America

authors： Rose JS

更新日期：2004-08-01 00:00:00

abstract：:Central nervous system (CNS) infections require early recognition and aggressive management to improve patient survival and prevent long-term neurologic sequelae. Although early detection and treatment are important in many infectious syndromes, CNS infections pose unique diagnostic and therapeutic challenges. The non...

journal_title：Emergency medicine clinics of North America

authors： Jain R,Chang WW

更新日期：2018-11-01 00:00:00

abstract：:Heat stroke is reviewed in detail. Particular attention is paid to diagnosis and current emergency department treatment, and a brief overview of pathophysiology is included. Early complications, with recommendations for prevention and management, are described. Minor heat related syndromes are also mentioned. ...

journal_title：Emergency medicine clinics of North America

authors： Tek D,Olshaker JS

更新日期：1992-05-01 00:00:00

abstract：:Bradydysrhythimas include sinus bradycardia, junctional brady-cardia, and idioventricular rhythm, which can be distinguished by examining the tracing for the presence or absence of P waves,noting the morphology of these P waves, and determining the width of the QRS complex. Sinoatrial blocks may occur in either first,...

journal_title：Emergency medicine clinics of North America

authors： Ufberg JW,Clark JS

更新日期：2006-02-01 00:00:00

abstract：:As the number of advanced practice providers has grown in emergency medicine, establishment of guidelines and policies governing their practice has become increasingly important. This article addresses the scope of practice of physician assistants and nurse practitioners working in the emergency department, including ...

journal_title：Emergency medicine clinics of North America

authors： Clark A,Amanti C,Sheng AY

更新日期：2020-05-01 00:00:00

abstract：:Disruption of cerebral blood flow may influence brain energy metabolism to produce reversible or irreversible neurologic deficits. The emergency physician is in a unique position to provide timely treatment during the first few hours of an acute stroke. He or she must be facile with unique pharmacologic and non-pharma...

journal_title：Emergency medicine clinics of North America

authors： Naradzay JF,Gaasch WR

更新日期：1996-02-01 00:00:00

abstract：:In recent years, multiple global forces have contributed to the emergence and widespread distribution of previously unknown disease entities. This article discusses Ebola virus, West Nile virus, and Hantavirus as representative emerging infectious diseases. Smallpox is discussed along with concerns about the safety of...

journal_title：Emergency medicine clinics of North America

authors： Saks MA,Karras D

更新日期：2006-11-01 00:00:00

abstract：:In recent years, health care providers have sounded the call that the US mental health system is in crisis. With decreases in funding and eroding access to care, the availability of psychiatric services has become increasingly limited, failing to meet growing needs. This article provides a brief history of mental heal...

journal_title：Emergency medicine clinics of North America

authors： Halmer TC,Beall RC,Shah AA,Dark C

更新日期：2015-11-01 00:00:00

abstract：:Patients presenting to the emergency department with certain traumatic conditions can be managed in observation units. The evidence base supporting the use of observation units to manage injured patients is smaller than the evidence base supporting the management of medical conditions in observation units. The conditi...

journal_title：Emergency medicine clinics of North America

authors： Caspers CG

更新日期：2017-08-01 00:00:00