Consent and refusal of treatment.

abstract：:Acute iron poisoning continues to be one of the most common and deadly poisonings seen by emergency physicians. There are many potential pitfalls in the assessment, diagnosis, and treatment of iron-poisoned patients. This article reviews the pathophysiology of acute iron poisoning and describes a comprehensive managem...

journal_title：Emergency medicine clinics of North America

authors： Mills KC,Curry SC

更新日期：1994-05-01 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：:The general concepts of defibrillation are reviewed. Research continues in the area of implanted defibrillators, new circuiting, and more effective current transfer. ...

journal_title：Emergency medicine clinics of North America

authors： Ventriglia WJ,Hamilton GC

更新日期：1983-12-01 00:00:00

abstract：:Because of the altered physiology of the elderly population, either as a result of aging or as a result of other disease processes, many illnesses may present with features that are either atypical or nonspecific in nature. Difficult and nonspecific complaints such as weakness in an elderly patient must be handled in ...

journal_title：Emergency medicine clinics of North America

authors： Chew WM,Birnbaumer DM

更新日期：1999-02-01 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：:UTIs are common, potentially severe infections that the emergency physician must manage efficiently and effectively. In most cases, this entity is well recognized, and the clinician will be confident of the correct course. However, in certain populations, complications are common, and the best therapy has yet to be pr...

journal_title：Emergency medicine clinics of North America

authors： Miller O 2nd,Hemphill RR

更新日期：2001-08-01 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：:Patients who present to the Emergency Department with a behavioral or cognitive disorder should be treated in an organized fashion. The most important element of their care is determining the etiology of their abnormality, whether organic or functional. The history and physical examination, along with laboratory and a...

journal_title：Emergency medicine clinics of North America

authors： Bauer J,Roberts MR,Reisdorff EJ

更新日期：1991-02-01 00:00:00

abstract：:One of the most common problems facing the emergency department physician is the management of bite wounds. Therapy for these common injuries is ill-defined and often controversial. This article outlines treatment guidelines for the emergency physician for dog bites, cat bites, rabies, snake bites, and human bites. ...

journal_title：Emergency medicine clinics of North America

authors： Rest JG,Goldstein EJ

更新日期：1985-02-01 00:00:00

abstract：:The acute exacerbation of HF can be treated successfully in the OU. There are significant benefits, such as admission avoidance, decreased 90-day readmissions, and decreased costs. HF requires a comprehensive management program with extensive involvement from a multidisciplinary team committed to improving care for th...

journal_title：Emergency medicine clinics of North America

authors： Peacock WF 4th,Albert NM

更新日期：2001-02-01 00:00:00

abstract：:The porphyrias are a group of disorders involving enzymatic defects in heme synthesis. The porphyrias classically manifest neuro-visceral or photocutaneous symptoms based on which enzyme in the heme metabolic pathway is deficient. Although rare, the porphyrias would most likely be encountered in the emergency departme...

journal_title：Emergency medicine clinics of North America

authors： Dombeck TA,Satonik RC

更新日期：2005-08-01 00:00:00

abstract：:Gynecologic malignancies are the third most common cancer among women in the United States. Because of often subtle early findings, the diagnosis may not be made before the widespread dissemination of the disease. The Emergency Department physician will commonly encounter a woman with vaginal bleeding, pelvic pain, or...

journal_title：Emergency medicine clinics of North America

authors： Harwood-Nuss AL,Benrubi GI,Nuss RC

更新日期：1987-08-01 00:00:00

abstract：:Heat-related illness represents a continuum of disorders from minor syndromes such as heat cramps, heat syncope, and heat exhaustion to the severely life-threatening disorder known as heat stroke. It represents an important cause of wilderness-related morbidity and mortality. ...

journal_title：Emergency medicine clinics of North America

authors： Lugo-Amador NM,Rothenhaus T,Moyer P

更新日期：2004-05-01 00:00:00

abstract：:The aging process results in changes in pulmonary physiology that make the elderly population more susceptible to pulmonary disease. These physiologic changes also alter the clinical presentation of such diseases, making the diagnosis and treatment of pulmonary disorders particularly challenging for the clinician. It ...

journal_title：Emergency medicine clinics of North America

authors： Imperato J,Sanchez LD

更新日期：2006-05-01 00:00:00

abstract：:Weapons of mass destruction (WMDs) are capable of producing massive casualties and are typically grouped into nuclear, biologic, and chemical weapons. In the wake of the September 11th disasters, attention to terrorist groups and the potential for use of WMDs has increased. Biologic and chemical weapons are relatively...

journal_title：Emergency medicine clinics of North America

authors： Bozeman WP,Dilbero D,Schauben JL

更新日期：2002-11-01 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：:Despite the improvement of medical treatment for acute coronary syndromes throughout the 20th century, the authors believe that many cases of life-threatening coronary events could be avoided through early detection of CAD and the use of preventive strategies. Establishing chest pain units that are linked to the ED is...

journal_title：Emergency medicine clinics of North America

authors： Zalenski RJ,Grzybowski M

更新日期：2001-05-01 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：:Ethical issues in emergency medicine often are accompanied by legal issues. Although the legal aspects of an ethical problem are important factors to take into consideration, the law may not directly address the problem, and following the law does not always ensure an ethical outcome. Emergency physicians should have ...

journal_title：Emergency medicine clinics of North America

authors： Derse AR

更新日期：1999-05-01 00:00:00

abstract：:Defibrillation has emerged as the single most effective intervention for resuscitation of patients from cardiac arrest. This article reviews the electrophysiologic basis of defibrillation, and ways to increase the effectiveness of counter-shocks, particularly for refractory ventricular fibrillation. Automatic implanta...

journal_title：Emergency medicine clinics of North America

authors： Cummins RO

更新日期：1988-05-01 00:00:00

abstract：:Critically ill patients with pulmonary hypertension (PH) often seem well, but they can decompensate dramatically in a short time. PH has several causes, classes, and complications; but the natural progression eventually leads to right ventricular failure, which can be extraordinarily difficult to manage. The purpose o...

journal_title：Emergency medicine clinics of North America

authors： Greenwood JC,Spangler RM

更新日期：2015-08-01 00:00:00

abstract：:Nonenhanced CT scan remains the most valuable and available neuroimaging study available in the ED. Nonenhanced CT scans are excellent for identifying acute hemorrhage, mass lesions, hydrocephalus, and cerebral edema. It is of limited value in identifying old blood, small abscesses and tumors, arteriovenous malformati...

journal_title：Emergency medicine clinics of North America

authors： Araiza J,Araiza B

更新日期：1997-08-01 00:00:00

abstract：:The recognition of hypothyroidism may not always be easy in the emergency department setting. Laboratory evaluations of thyroid function are not usually performed on a 24-hour basis, and therefore the emergency physician, although suspecting the presence of hypothyroidism, may be unable to confirm the diagnosis while ...

journal_title：Emergency medicine clinics of North America

authors： Mitchell JM

更新日期：1989-11-01 00:00:00

abstract：:Respiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, d...

journal_title：Emergency medicine clinics of North America

authors： Wright BJ

更新日期：2014-11-01 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：:Chemical or radiant energy injuries to the eyes are considered ocular burns. The majority of these injuries are occupation-related. Chemical burns are by far more common and represent a true emergency. Thermal and UV injuries are associated with severe pain, but often result in less long-term sequelae than chemical in...

journal_title：Emergency medicine clinics of North America

authors： Spector J,Fernandez WG

更新日期：2008-02-01 00:00:00

abstract：:Knowledge of the basics of pediatric ECG interpretation is helpful in differentiating normal from abnormal findings. These basics include familiarity with the age-related normal findings in heart rate, intervals, axis, and waveform morphologies; an understand-ing of cardiac physiologic changes associated with age and ...

journal_title：Emergency medicine clinics of North America

authors： Sharieff GQ,Rao SO

更新日期：2006-02-01 00:00:00

abstract：:The elderly patient is likely to suffer severer immediate effects and more long-term complications from equivalent forces of injury. However, with an aggressive approach to evaluation, monitoring, and treatment, there is hope for successful recovery in the majority of cases. ...

journal_title：Emergency medicine clinics of North America

authors： Martin RE,Teberian G

更新日期：1990-05-01 00:00:00

abstract：:More than 97% of pediatric exposures reported to the AAPCC in 2001 had either no effect or mild clinical effects. Despite the large number of exposures, only 26 of the 1074 reported fatalities occurred in children younger than age 6. These findings reflect the fact that, in contrast to adolescent or adult ingestions, ...

journal_title：Emergency medicine clinics of North America

authors： Michael JB,Sztajnkrycer MD

更新日期：2004-11-01 00:00:00

abstract：:Injury to the chest accounts directly or indirectly for up to 50 per cent of deaths secondary to trauma. Eighty-five per cent of patients with chest injury may be managed by minor procedures available to the emergency physician. The indications for surgery in the remaining 15 per cent of patients with chest injury mus...

journal_title：Emergency medicine clinics of North America

authors： Mattox KL,Allen MK

更新日期：1984-11-01 00:00:00