Vaginal bleeding.

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：: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：: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

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：: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 widely recognized benefits of early diagnosis and treatment of acute myocardial infarction (AMI) have only emphasized the importance of emergency physician (EP) competence in electrocardiographic interpretation. As such, the EP must be an expert in the interpretation of the electrocardiogram (ECG) in the emergency...

journal_title：Emergency medicine clinics of North America

authors： Brady WJ Jr,Aufderheide TP,Chan T,Perron AD

更新日期：2001-05-01 00:00:00

abstract：:Adolescents are the victims, perpetrators, and witnesses of violent acts in the home, at school, and on the streets. Adolescent violence describes a dynamic, destructive, and repercussive process. This article discusses the unique aspects of adolescent violence and the involvement undertaken by the emergency departmen...

journal_title：Emergency medicine clinics of North America

authors： Grausz HM,Pelucio MT

更新日期：1999-08-01 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：: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：: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：:Syncope is a sudden, transient loss of consciousness associated with inability to maintain postural tone followed by spontaneous recovery and return to baseline neurologic status. Global cerebral hypoperfusion is the final pathway common to all presentations of syncope, but this symptom presentation has a broad differ...

journal_title：Emergency medicine clinics of North America

authors： Kessler C,Tristano JM,De Lorenzo R

更新日期：2010-08-01 00:00:00

abstract：:Epilepsy is a chronic disorder characterized by recurrent unprovoked epileptic seizures. Not all epileptic seizures indicate the existence of an epileptic disorder; many represent a natural response of the normal brain to transient noxious insults that are not likely to be repeated (reactive seizures). Not only is it ...

journal_title：Emergency medicine clinics of North America

authors： Engel J Jr,Starkman S

更新日期：1994-11-01 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：: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：: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：:Pediatric mechanical ventilation is first initiated by emergency physicians when performing active airway management in a critically ill or injured child. When initiating and adjusting mechanical ventilation, the child has unique anatomy and physiology to consider. The EP is the first to respond to ventilator alarm tr...

journal_title：Emergency medicine clinics of North America

authors： Pacheco GS,Mendelson J,Gaspers M

更新日期：2018-05-01 00:00:00

abstract：:This article examines the role and impact of EMTALA on the ethical delivery of hospital-based emergency services, primarily through close inspection of three of the core EMTALA mandates: the medical screening examination, the duty to accept patients in transfer from less capable facilities, and the requirement that th...

journal_title：Emergency medicine clinics of North America

authors： Bitterman RA

更新日期：2006-08-01 00:00:00

abstract：:This article reviews the pearls and pitfalls of obstetric and gynecologic emergencies occurring in women presenting to the emergency department. Some pitfalls include failure to screen for ectopic pregnancy, tachycardia as an unreliable indicator of a ruptured ectopic pregnancy, and the use of serum hCG as a testing p...

journal_title：Emergency medicine clinics of North America

authors： Nadel E,Talbot-Stern J

更新日期：1997-05-01 00:00:00

abstract：:Medical planning requires the expedition physician to draw from many aspects of the knowledge base of wilderness and environmental medicine and to learn and use lessons from those that have gone before. The medical plan is dependent on parameters of the expedition objective, scope, and resources and is developed coope...

journal_title：Emergency medicine clinics of North America

authors： Tek D

更新日期：1992-05-01 00:00:00

abstract：:The interrelationships between biomedical ethics and the law are perhaps nowhere as starkly apparent as in the realm of medical malpractice. Although ethical and legal conduct and practices are often in harmony, in many areas ethical principles and the issues surrounding medical liability appear to come into conflict....

journal_title：Emergency medicine clinics of North America

authors： Solomon RC

更新日期：2006-08-01 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：:The aging population of the United States creates pharmaceutical challenges for the practicing emergency physician. Polypharmacy, drug-drug and drug-disease interactions, and other pharmaceutical complications from the pathophysiologic changes associated with aging need to be recognized in order to optimize outcomes i...

journal_title：Emergency medicine clinics of North America

authors： Welker KL,Mycyk MB

更新日期：2016-08-01 00:00:00

abstract：:Pain, swelling, and limited range of motion of a joint are extremely common complaints in the emergency department. In assessing joint complaints it is helpful for the emergency physician to keep in mind the major categories of diagnostic possibilities; it is also useful to distinguish between chronic and acute proble...

journal_title：Emergency medicine clinics of North America

authors： Preslar AJ 3rd,Heckman JD

更新日期：1984-05-01 00:00:00

abstract：:Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitat...

journal_title：Emergency medicine clinics of North America

authors： Noel C,Mallemat H

更新日期：2019-08-01 00:00:00

abstract：:The clinical spectrum of hyperthyroidism varies from asymptomatic,subclinical hyperthyroidism to the life-threatening "thyroid storm". Hyperthyroidism is a common form of thyroid disease that mimics many of the common complaints in the emergency department. The diagnosis of hyperthyroidism is often challenging due to ...

journal_title：Emergency medicine clinics of North America

authors： McKeown NJ,Tews MC,Gossain VV,Shah SM

更新日期：2005-08-01 00:00:00

abstract：:Sexually transmitted diseases comprise one of the most common medical complications of pregnancy. Prompt treatment is essential to minimize the risk of fetal and neonatal adverse consequences. At this time, however, no pharmacologic therapy is routinely employed for the viral STDs during pregnancy, including HIV, HSV,...

journal_title：Emergency medicine clinics of North America

authors： Martens KA

更新日期：1994-02-01 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：: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：:This issue of the Emergency Medicine Clinics of North America focuses on the spectrum of public health issues that significantly impact the practice of emergency medicine and which are faced by practicing emergency physicians on daily basis. Topics include public health research in the emergency department; respirator...

journal_title：Emergency medicine clinics of North America

authors： Hirshon JM,Morris DM

更新日期：2006-11-01 00:00:00

abstract：:Venomous aquatic animals are hazardous to swimmers, surfers, divers, and fishermen. Exposures include mild stings, bites, abrasions, and lacerations. Severe envenomations can be life threatening. This article reviews common marine envenomations, exploring causative species, clinical presentation, and current treatment...

journal_title：Emergency medicine clinics of North America

authors： Hornbeak KB,Auerbach PS

更新日期：2017-05-01 00:00:00