Altitude illness.

abstract：:Sepsis is recognized by the presence of physiologic and laboratory changes that reflect the inflammatory response to infection on cellular and systemic levels. Comorbid conditions, such as cirrhosis, end-stage renal disease, and obesity, alter patients' susceptibility to infection and their response to it once present...

journal_title：Emergency medicine clinics of North America

authors： Borloz MP,Hamden KE

更新日期：2017-02-01 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：:Pediatric cardiac arrest is a relatively rare but devastating presentation in infants and children. In contrast to adult patients, in whom a primary cardiac dysrhythmia is the most likely cause of cardiac arrest, pediatric patients experience cardiovascular collapse most frequently after an initial respiratory arrest....

journal_title：Emergency medicine clinics of North America

authors： Mick NW,Williams RJ

更新日期：2020-11-01 00:00:00

abstract：:The threat of a BT event has catalyzed serious reflection on the troublesome issues that come with event management and triage. Such reflection has had the effect of multiplying the efforts to find solutions to what could become a catastrophic public health disaster. Management options are becoming more robust, as are...

journal_title：Emergency medicine clinics of North America

authors： Burkle FM Jr

更新日期：2002-05-01 00:00:00

abstract：:As more Americans venture into the wilderness, physicians will be called upon to provide care in the backcountry or austere setting. Additionally, more isolated regions of the world are becoming accessible for trekking and mountaineering. These facts imply a higher rate of injuries and medical problems within a distin...

journal_title：Emergency medicine clinics of North America

authors： Morton PM,Marshall JP

更新日期：2004-05-01 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：: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：: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：:The patient who has sustained blunt trauma to the chest can present a diagnostic challenge to the emergency physician. There are several diagnostic modalities available for treating life-threatening injuries to these patients. The authors review published studies to support the use of these tests in diagnosing injurie...

journal_title：Emergency medicine clinics of North America

authors： Greenberg MD,Rosen CL

更新日期：1999-02-01 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：:Sepsis and septic shock remain all too frequent syndromes in modern medicine with unacceptably high mortality rates. Physicians must be aware of the many ways in which sepsis and septic shock may present and the multiple differential diagnoses. Early recognition and prompt institution of empiric therapy are of utmost ...

journal_title：Emergency medicine clinics of North America

authors： Ellrodt AG

更新日期：1986-11-01 00:00:00

abstract：:Patients presenting to the emergency department (ED) with behavioral disturbances account for approximately 6% of all ED visits. Emergency physicians are often responsible for the initial assessment of these patients' psychiatric complaints, which might include homicidal and suicidal behavior and acute psychosis. The ...

journal_title：Emergency medicine clinics of North America

authors： Sood TR,Mcstay CM

更新日期：2009-11-01 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：:The emergency physician should be familiar with the four general categories of TP complications: malfunctions, infections and dermatitis, vascular complications, and psychiatric complications (Table 2). Each category of complication can be readily evaluated and initially managed based on a few simple steps. ...

journal_title：Emergency medicine clinics of North America

authors： Coppola M,Yealy DM

更新日期：1994-08-01 00:00:00

abstract：:Toxic overdose can present with various clinical signs and symptoms. These may be the only clues to diagnosis when the cause of toxicity is unknown at the time of initial assessment. The prognosis and clinical course of recovery of a patient poisoned by a specific agent depends largely on the quality of care delivered...

journal_title：Emergency medicine clinics of North America

authors： Erickson TB,Thompson TM,Lu JJ

更新日期：2007-05-01 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：:Essential aspects of emergency department assessment and initial treatment of patients with traumatic amputations are outlined. Pitfalls of early treatment and indications for replantation are discussed. The dogmatic approach is avoided. ...

journal_title：Emergency medicine clinics of North America

authors： Schlenker JD,Koulis CP

更新日期：1993-08-01 00:00:00

abstract：:The diagnosis of malignancy in childhood is challenging. Signs and symptoms are generally nonspecific, and children with an underlying malignancy rarely are seriously ill at the time of initial presentation. A thorough history and physical examination are the most important components of the emergency physician's asse...

journal_title：Emergency medicine clinics of North America

authors： Pollack ES

更新日期：1993-05-01 00:00:00

abstract：:Seizure is one of the most common complaints encountered in the prehospital setting. In this review the authors discuss the prehospital management of seizures and review the evidence for specific treatment approaches. Specific attention is devoted to prehospital care of the pediatric seizure patient. Topics of interes...

journal_title：Emergency medicine clinics of North America

authors： Michael GE,O'Connor RE

更新日期：2011-02-01 00:00:00

abstract：:Determining the appropriate immunizations for international travelers is a complex, multifaceted process. This article proposes a stepwise and systematic approach to the immunization needs of the traveler-patient. Vaccines for routine health maintenance as well as special issues of the elderly, pregnant, immunocomprom...

journal_title：Emergency medicine clinics of North America

authors： Thanassi WT,Weiss EL

更新日期：1997-02-01 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：: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：: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：:Toxidromes aid emergency care providers in the context of the patient presenting with suspected poisoning, unexplained altered mental status, unknown hazardous materials or chemical weapons exposure, or the unknown overdose. The ability to capture an adequate chemical exposure history and to recognize toxidromes may r...

journal_title：Emergency medicine clinics of North America

authors： Tomassoni AJ,French RN,Walter FG

更新日期：2015-02-01 00:00:00

abstract：:Pediatric patients often present to the emergency department with orthopedic pathology that can challenge the emergency department physician. This article focuses on key diagnoses that are frequently mismanaged. These diagnoses require specific knowledge to execute appropriate treatment. Pediatric fractures, compartme...

journal_title：Emergency medicine clinics of North America

authors： Laine JC,Kaiser SP,Diab M

更新日期：2010-02-01 00:00:00

abstract：:This article discusses the management of clinical problems encountered particularly in disasters. These include the principles of multiple-casualty triage, and field and hospital management of blast injury, crush syndrome, compartment syndrome, particulate inhalation, and traumatic asphyxiation. The indications for ex...

journal_title：Emergency medicine clinics of North America

authors： Gans L,Kennedy T

更新日期：1996-05-01 00:00:00

abstract：:Pulmonary embolism (PE) remains one of the most challenging medical diseases in the emergency department. PE is a potentially life threatening diagnosis that is seen in patients with chest pain and/or dyspnea but can span the clinical spectrum of medical presentations. In addition, it does not have any particular clin...

journal_title：Emergency medicine clinics of North America

authors： Ouellette DW,Patocka C

更新日期：2012-05-01 00:00:00

abstract：:Blunt abdominal trauma results in potentially life-threatening injuries that require organized rapid evaluation and treatment. Resuscitation of hemodynamically unstable patients should be completed in the operating room if retroperitoneal hemorrhage is not strongly suspected. DPL and abdominal CT scans are methods of ...

journal_title：Emergency medicine clinics of North America

authors： Smedira N,Schecter WP

更新日期：1989-08-01 00:00:00

abstract：:This article reviews out-of-hospital cardiac arrest from a public health perspective. Case definitions are discussed. Incidence, outcome, and fixed and modifiable risk factors for cardiac arrest are described. There is a large variation in survival between communities that is not explained by patient or community fact...

journal_title：Emergency medicine clinics of North America

authors： Taniguchi D,Baernstein A,Nichol G

更新日期：2012-02-01 00:00:00