Severe metabolic acidosis after acute naproxen sodium ingestion.

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

authors： Chen MY,Bohrer SP,Kelley TF

更新日期：1991-02-01 00:00:00

abstract：:A patient with a 70% hydrofluoric acid burn developed systemic dissemination of fluoride ion from a 9% to 10% body surface area exposure on the lower extremities. Severe hypocalcemia and intractable ventricular arrhythmias resulted. This case is the second documented occurrence of hypocalcemia from hydrofluoric acid b...

journal_title：Annals of emergency medicine

authors： Mayer TG,Gross PL

更新日期：1985-02-01 00:00:00

abstract：:To evaluate the hypothesis that all victims of severe blunt trauma require a pelvic radiograph, we prospectively studied all such patients admitted to the Southern New Jersey Regional Trauma Center during a seven-month period. All patients were classified as unconscious; impaired; awake, alert, and symptomatic; or ale...

journal_title：Annals of emergency medicine

authors： Civil ID,Ross SE,Botehlo G,Schwab CW

更新日期：1988-05-01 00:00:00

abstract：:Stellate ganglion blockade has been previously suggested as a treatment option for intractable ventricular arrhythmia; however, its use in emergency department management of pulseless arrest with shockable rhythm has not been described. We report the case of a 65-year-old man brought in by ambulance who complained of ...

journal_title：Annals of emergency medicine

authors： Margus C,Correa A,Cheung W,Blaikie E,Kuo K,Hockensmith A,Kinas D,She T

更新日期：2020-02-01 00:00:00

abstract：STUDY OBJECTIVE:Lumbar puncture is a commonly performed procedure, although previous studies have documented low rates of successful completion in infants. Ultrasonography can visualize the anatomic landmarks for lumbar puncture and has been shown in some studies to reduce the failure rate of lumbar puncture in adults....

journal_title：Annals of emergency medicine

authors： Neal JT,Kaplan SL,Woodford AL,Desai K,Zorc JJ,Chen AE

更新日期：2017-05-01 00:00:00

abstract：STUDY OBJECTIVE:Medication history is an essential part of patient assessment in emergency care. Patient-reported medication history can be incomplete. We study whether an electronic pharmacy-sourced prescription record can supplement the patient-reported history. METHODS:In a community hospital, we compared the patie...

journal_title：Annals of emergency medicine

authors： Fung KW,Kayaalp M,Callaghan F,McDonald CJ

更新日期：2013-09-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the effectiveness of patient-controlled analgesia in the emergency department (ED). We hypothesized that decline in pain intensity from 30 to 120 minutes after initial intravenous opioid administration is greater in patients receiving morphine by patient-controlled analgesia compared with usua...

journal_title：Annals of emergency medicine

authors： Bijur PE,Mills AM,Chang AK,White D,Restivo A,Persaud S,Schechter CB,Gallagher EJ,Birnbaum AJ

更新日期：2017-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine antibody titers to hepatitis B surface antigen (anti-HBsAg) among previously vaccinated emergency physicians and to assess the degree of compliance with Centers for Disease Control and Prevention (CDC) postvaccination guidelines. METHODS:A descriptive analysis was performed of anti-HBsAg t...

journal_title：Annals of emergency medicine

authors： Goldberg R,Thomas H,Kuhn G,Moradzadeh D,Mody T,Boss RW,Goodman E

更新日期：1999-02-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the sensitivity, specificity, and clinical utility of the Gram's stain of peritoneal fluid in patients undergoing paracentesis. METHODS:We conducted a retrospective chart review of all peritoneal fluid analyses in a 3-year period in an urban 3-hospital system. Peritoneal dialysis and diagn...

journal_title：Annals of emergency medicine

authors： Chinnock B,Fox C,Hendey GW

更新日期：2009-07-01 00:00:00

abstract：STUDY OBJECTIVES:To survey faculty attrition in emergency medicine and compare it with faculty attrition in the specialties of orthopedic surgery and cardiology. DESIGN:Chairmen of the three departments were surveyed regarding faculty attrition, work hours, and motivation for leaving. Those emergency physicians having...

journal_title：Annals of emergency medicine

authors： Thomas H Jr,Moorhead J,Magnusson AR,Schwartz E

更新日期：1991-01-01 00:00:00

abstract：:This clinical policy from the American College of Emergency Physicians addresses key issues in opioid management in adult patients presenting to the emergency department. A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical que...

journal_title：Annals of emergency medicine

authors： American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Opioids.,Hatten BW,Cantrill SV,Dubin JS,Ketcham EM,Runde DP,Wall SP,Wolf SJ

更新日期：2020-09-01 00:00:00

abstract：STUDY OBJECTIVE:I evaluate the variation in requirements for informed consent in studies evaluating chemical tranquilization of agitated patients. METHODS:A computer-assisted literature search of the National Library of Medicine was performed. Additional use of the references listed in the articles identified with the...

journal_title：Annals of emergency medicine

authors： Brown J

更新日期：2006-01-01 00:00:00

abstract：STUDY OBJECTIVE:In 2008, a pay-for-performance program was implemented in sequential waves in Ontario emergency departments (EDs), with the aim of reducing length of stay. We seek to evaluate its effects on ED length of stay and quality of care. METHODS:This was a retrospective observational study of ED visits in Onta...

journal_title：Annals of emergency medicine

authors： Vermeulen MJ,Stukel TA,Boozary AS,Guttmann A,Schull MJ

更新日期：2016-04-01 00:00:00

abstract：:Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

journal_title：Annals of emergency medicine

authors： McCarty M,Jagoda A,Fairweather P

更新日期：1998-07-01 00:00:00

abstract：STUDY OBJECTIVE:Abdominal compressions can be interposed between the thoracic compressions of standard CPR (SCPR). The resulting interposed abdominal compression CPR (IAC-CPR) may increase blood pressures and patient survival, particularly if applied as a primary technique after in-hospital cardiac arrest. We used a pr...

journal_title：Annals of emergency medicine

authors： Hoekstra OS,van Lambalgen AA,Groeneveld AB,van den Bos GC,Thijs LG

更新日期：1995-03-01 00:00:00

abstract：STUDY OBJECTIVE:This study investigated the hypothesis that modern computed tomographic (CT) imaging is sufficient to exclude subarachnoid hemorrhage (SAH) in patients with severe headache. METHODS:All 38,730 adult patients who presented to Hermann Hospital in Houston, Texas, during a 16-month period were prospectivel...

journal_title：Annals of emergency medicine

authors： Morgenstern LB,Luna-Gonzales H,Huber JC Jr,Wong SS,Uthman MO,Gurian JH,Castillo PR,Shaw SG,Frankowski RF,Grotta JC

更新日期：1998-09-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the association between barriers to timely primary care and emergency department (ED) utilization among adults with Medicaid versus private insurance. METHODS:We analyzed 230,258 adult participants of the 1999 to 2009 National Health Interview Survey. We evaluated the association between 5 s...

journal_title：Annals of emergency medicine

authors： Cheung PT,Wiler JL,Lowe RA,Ginde AA

更新日期：2012-07-01 00:00:00

abstract：STUDY OBJECTIVE:Publication bias compromises the validity of systematic reviews. This problem can be addressed in part through searching clinical trials registries to identify unpublished studies. This study aims to determine how often systematic reviews published in emergency medicine journals include clinical trials ...

journal_title：Annals of emergency medicine

authors： Keil LG,Platts-Mills TF,Jones CW

更新日期：2015-10-01 00:00:00

abstract：STUDY OBJECTIVE:To develop management guidelines for the treatment of anaphylactoid reactions to intravenous N-acetylcysteine (NAC) and to assess the safety of restarting the infusion after a reaction. METHODS:In phased 1, we used a 6-year retrospective case series of hospitalized patients and a review of the literatu...

journal_title：Annals of emergency medicine

authors： Bailey B,McGuigan MA

更新日期：1998-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the clinical efficacy and safety of IV adenosine administration in the field for the treatment of paroxysmal supraventricular tachycardia (PSVT). DESIGN:Prospective, consecutive case series. SETTING:An urban emergency medical services system. PARTICIPANTS:Thirty-seven adult patients in w...

journal_title：Annals of emergency medicine

authors： McCabe JL,Adhar GC,Menegazzi JJ,Paris PM

更新日期：1992-04-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the ability of emergency health care providers and patients to demonstrate the proper use of metered-dose inhalers (MDIs). DESIGN:Prospective cross-sectional survey. SETTING:Five Midwestern community teaching hospitals. PARTICIPANTS:One hundred eighty-five health care providers, comprisin...

journal_title：Annals of emergency medicine

authors： Jones JS,Holstege CP,Riekse R,White L,Bergquist T

更新日期：1995-09-01 00:00:00

abstract：:A study was undertaken to compare warm gastric (Group 1) and closed thoracic cavity (Group 2) lavage for rewarming severely hypothermic dogs. Adult mongrel dogs were monitored by intra-arterial catheter, central venous catheter, and ECG, and by central venous, esophageal, and rectal temperature probes. Animals were ex...

journal_title：Annals of emergency medicine

authors： Brunette DD,Sterner S,Robinson EP,Ruiz E

更新日期：1987-11-01 00:00:00

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

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

更新日期：2010-09-01 00:00:00

abstract：:While remaining prominent in paramedic care and beneficial to some patients, out-of-hospital endotracheal intubation has not clearly improved survival or reduced morbidity from critical illness or injury when studied more broadly. Recent studies identify equivocal or unfavorable clinical effects, adverse events and er...

journal_title：Annals of emergency medicine

authors： Wang HE,Yealy DM

更新日期：2006-06-01 00:00:00

abstract：:Significant evidence identifies point-of-care ultrasound (PoCUS) as an important diagnostic and therapeutic tool in resource-limited settings. Despite this evidence, local health care providers on the African continent continue to have limited access to and use of ultrasound, even in potentially high-impact fields suc...

journal_title：Annals of emergency medicine

authors： Salmon M,Landes M,Hunchak C,Paluku J,Malemo Kalisya L,Salmon C,Muller MM,Wachira B,Mangan J,Chhaganlal K,Kalanzi J,Azazh A,Berman S,Zied ES,Lamprecht H

更新日期：2017-02-01 00:00:00

abstract：:A 57-year-old woman presented in severe respiratory distress 30 minutes after ingesting hydrochlorothiazide. Pulmonary edema was evident clinically and radiographically. A noncardiogenic etiology was suggested by the lack of jugular venous distention, S3 gallop, or pedal edema, and the presence of a normal cardiac sil...

journal_title：Annals of emergency medicine

authors： Klein MD

更新日期：1987-08-01 00:00:00

abstract：STUDY OBJECTIVE:Annually, 38 million people are evaluated for trauma, the leading cause of death in persons younger than 45 years. The primary objective is to assess whether using a protocol inclusive of point-of-care, limited ultrasonography (PLUS), compared to usual care (control), among patients presenting to the em...

journal_title：Annals of emergency medicine

authors： Melniker LA,Leibner E,McKenney MG,Lopez P,Briggs WM,Mancuso CA

更新日期：2006-09-01 00:00:00

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

authors： Backer HD,Collins S

更新日期：1999-04-01 00:00:00

abstract：STUDY OBJECTIVE:We seek to examine the effectiveness of the graduated driver licensing system in Utah by determining whether crash rates of 16-year-old drivers decreased after graduated driver licensing implementation. METHODS:We studied 16-year-old-driver crashes using statewide motor vehicle crash data probabilistic...

journal_title：Annals of emergency medicine

authors： Hyde LK,Cook LJ,Knight S,Olson LM

更新日期：2005-02-01 00:00:00

abstract：STUDY OBJECTIVE:To study early microcirculatory perfusion indices in patients with severe sepsis/septic shock, compare early microcirculatory indices in sepsis survivors versus nonsurvivors, and identify systemic hemodynamic/oxygen transport variables that correlate with early microcirculatory perfusion indices. METHO...

journal_title：Annals of emergency medicine

authors： Trzeciak S,Dellinger RP,Parrillo JE,Guglielmi M,Bajaj J,Abate NL,Arnold RC,Colilla S,Zanotti S,Hollenberg SM,Microcirculatory Alterations in Resuscitation and Shock Investigators.

更新日期：2007-01-01 00:00:00