Management of overdose with psychoactive medications.

abstract：:Despite recent advances, care of the post-cardiac arrest patient remains a challenge. In this article, the authors discuss an approach to the initial care of post-cardiac arrest patients with particular focus on targeted temperature management (TTM). The article starts with history, physiologic rationale, and the majo...

journal_title：Emergency medicine clinics of North America

authors： Walker AC,Johnson NJ

更新日期：2019-08-01 00:00:00

abstract：:Orthopedic injuries in children are unique when compared to those of adults because of the physiologic differences, especially the growth plates, stronger periosteum, and dynamic state of growth. The approach to the orthopedically injured child requires a gentle yet thorough focus with consideration of the growth plat...

journal_title：Emergency medicine clinics of North America

authors： Thornton MD,Della-Giustina K,Aronson PL

更新日期：2015-05-01 00:00:00

abstract：:Pulmonary edema is differentiated into two categories--cardiogenic and noncardiogenic. Noncardiogenic pulmonary edema is due to changes in permeability of the pulmonary capillary membrane as a result of either a direct or an indirect pathologic process. It is a spectrum of illness ranging from the less severe form of ...

journal_title：Emergency medicine clinics of North America

authors： Perina DG

更新日期：2003-05-01 00:00:00

abstract：:The ultrasound diagnosis of deep venous thrombosis by an emergency physician is occurring with increased frequency. The examination is simple to perform and, when combined with a clinical pretest probability or D-dimer, can aid in the rapid disposition ofa patient with lower extremity pain and swelling. The technique ...

journal_title：Emergency medicine clinics of North America

authors： Tracy JA,Edlow JA

更新日期：2004-08-01 00:00:00

abstract：:US is the imaging modality of choice in many situations encountered in the Emergency Department. It is particularly useful in evaluating renal colic, pain or vaginal bleeding in the pregnant patient, and pelvic pain in the nonpregnant woman; and in diagnosing gallbladder disease, appendicitis, proximal lower extremity...

journal_title：Emergency medicine clinics of North America

authors： Chang TS,Lepanto L

更新日期：1992-02-01 00:00:00

abstract：:Adverse cardiovascular events comprise a large portion of the morbidity and mortality in drug overdose emergencies. Adverse cardiovascular events encountered by emergency physicians treating poisoned patients include myocardial injury, hemodynamic compromise with shock, tachydysrhythmias, and cardiac arrest. Early sig...

journal_title：Emergency medicine clinics of North America

authors： Jang DH,Spyres MB,Fox L,Manini AF

更新日期：2014-02-01 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：: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：:Elderly trauma patients present unique challenges and face more significant obstacles to recovery than younger patients. Despite overall higher mortality, longer length of stay, increased resource use, and higher rates of discharge to rehabilitation, most elderly trauma patients return to independent or preinjury func...

journal_title：Emergency medicine clinics of North America

authors： Callaway DW,Wolfe R

更新日期：2007-08-01 00:00:00

abstract：:LSD is still readily available in the United States as a street drug of abuse. Emergency physicians may be called on to diagnose acute LSD intoxication in cases in which the history is unavailable. The typical LSD intoxication syndrome causes marked illusions of color and sound, along with a feeling of "cosmic awarene...

journal_title：Emergency medicine clinics of North America

authors： Kulig K

更新日期：1990-08-01 00:00:00

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：: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：:Vaginal bleeding is one of the most common gynecologic symptoms for which the patient will come to the Emergency Department. It is usually associated with psychologic distress and can be frightening to the patient. Vaginal bleeding can be the first sign of life-threatening medical disorders such as carcinoma, bleeding...

journal_title：Emergency medicine clinics of North America

authors： Hochbaum SR

更新日期：1987-08-01 00:00:00

abstract：:Drug-facilitated sexual assault (DFSA) is a complex and ever-prevalent problem presenting to emergency departments. Emergency personnel should consider DFSA in patients who are amnestic to the specific details of the event following a reported sexual assault. The presence of ethanol or a positive routine drug screen i...

journal_title：Emergency medicine clinics of North America

authors： Bechtel LK,Holstege CP

更新日期：2007-05-01 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：:The pathophysiology of esophageal and gastric disorders is complicated and broad and includes iatrogenic, structural, inflammatory, neuromuscular, neoplastic, and infectious causes. Symptoms can be nonspecific and are often initially attributed to cardiac or respiratory causes. These disorders have both acute and chro...

journal_title：Emergency medicine clinics of North America

authors： Mangili A

更新日期：2011-05-01 00:00:00

abstract：:Although once considered unlikely, bioterrorism is now a reality in the United States since the anthrax cases began appearing in the fall of 2001. Intelligence sources indicate there are many countries and terrorist organizations that either possess biological weapons or are attempting to procure them. In the future i...

journal_title：Emergency medicine clinics of North America

authors： Darling RG,Catlett CL,Huebner KD,Jarrett DG

更新日期：2002-05-01 00:00:00

abstract：:Headache continues to be a frequent cause of emergency department (ED) use, accounting for 2% of all visits. Most of these headaches prove to be benign but painful exacerbations of chronic headache disorders, such as migraine, tension-type, and cluster. The goal of ED management is to provide rapid and quick relief of...

journal_title：Emergency medicine clinics of North America

authors： Friedman BW,Grosberg BM

更新日期：2009-02-01 00:00:00

abstract：:Many systemic diseases have associated oral symptoms. Occasionally, patients with these diseases present with lesions that occur primarily in the mouth. Although few systemic diseases have strictly pathognomonic lesions of the oral mucosa, a careful examination of the oral cavity can often lend important clues to maki...

journal_title：Emergency medicine clinics of North America

authors： Mulliken RA,Casner MJ

更新日期：2000-08-01 00:00:00

abstract：:Clearly, a multitude of potential consent problems can exist for the emergency physician. It is difficult at times to balance the concepts of patient autonomy with the desire to provide optimal medical care. Experienced emergency physicians should be able to individualize the type of consent needed in a particular sit...

journal_title：Emergency medicine clinics of North America

authors： Siegel DM

更新日期：1993-11-01 00:00:00

abstract：:Resuscitation goals for the patient with sepsis and septic shock are to return the patient to a physiologic state that promotes adequate end-organ perfusion along with matching metabolic supply and demand. Ideal resuscitation end points should assess the adequacy of tissue oxygen delivery and oxygen consumption, and b...

journal_title：Emergency medicine clinics of North America

authors： Greenwood JC,Orloski CJ

更新日期：2017-02-01 00:00:00

abstract：:The scope of gynecologic infections presenting to the emergency department is quite diverse. This article presents an update on the current literature for vaginitis, cervicitis, pelvic inflammatory disease, tubo-ovarian abscesses, the Fitz-Hugh-Curtis syndrome, herpes, and syphilis. Inadequate identification or treatm...

journal_title：Emergency medicine clinics of North America

authors： Zeger W,Holt K

更新日期：2003-08-01 00:00:00

abstract：:Prehospital management of musculoskeletal injuries in the traumatized patient is based on the application of a few basic principles in an orderly but expeditious manner. The patient must be assessed for immediate life-threatening conditions involving airway, respiratory, and circulatory functions while the cervical sp...

journal_title：Emergency medicine clinics of North America

authors： Worsing RA Jr

更新日期：1984-05-01 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：: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：: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：:Cardiogenic pulmonary edema (CPE) is a life-threatening condition that is frequently encountered in standard emergency medicine practice. Traditionally, diagnosis was based on physical assessment and chest radiography and treatment focused on the use of morphine sulfate and diuretics. Numerous advances in diagnosis an...

journal_title：Emergency medicine clinics of North America

authors： Mattu A,Martinez JP,Kelly BS

更新日期：2005-11-01 00:00:00

abstract：:Acute urinary retention is a common emergency genitourinary symptom. The etiology of acute retention includes obstructive, neurogenic, pharmacologic, and psychogenic causes. The emergency management of acute urinary retention is bladder decompression, which is usually accomplished with a Foley catheter. ...

journal_title：Emergency medicine clinics of North America

authors： Fontanarosa PB,Roush WR

更新日期：1988-08-01 00:00:00

abstract：:Although there are complications associated with cardioversion, they are relatively infrequent and usually of small magnitude compared with the primary disease. Cardioversion is an invaluable part of the emergency physician's armamentarium. ...

journal_title：Emergency medicine clinics of North America

authors： Pancoast P,Hamilton GC

更新日期：1983-12-01 00:00:00

abstract：:Cardiac arrhythmias may result from poisoning by a variety of agents. Although some cardiac disturbances are of limited concern, others occur because of the specific cardiac properties of the ingested drugs, and require specific antidotes. Clinicians must understand the resultant pathophysiology so that therapy is app...

journal_title：Emergency medicine clinics of North America

authors： Miller MB

更新日期：1998-05-01 00:00:00