Implementation of a computerized management information system in an urban fire department.

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：:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casua...

journal_title：Annals of emergency medicine

authors： Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD

更新日期：2009-02-01 00:00:00

abstract：STUDY OBJECTIVE:We identify measures of emergency department (ED) and hospital workflow that would be of value in understanding, monitoring, and managing crowding. METHODS:A national group of 74 experts developed 113 potential measures using a conceptual model of ED crowding that segmented the measures into input, thr...

journal_title：Annals of emergency medicine

authors： Solberg LI,Asplin BR,Weinick RM,Magid DJ

更新日期：2003-12-01 00:00:00

abstract：:Many patients seeking care in the modern emergency center are capable of participating in treatment decision making. In the traditional emergency center consent process, the patient or a surrogate is asked to sign a general consent form purporting to authorize any treatment the emergency physician deems necessary. We ...

journal_title：Annals of emergency medicine

authors： Boisaubin EV,Dresser R

更新日期：1987-01-01 00:00:00

abstract：:To assess the relationship between conjunctival pH (pHcj), arterial pH (pHa), and cardiorespiratory variables during normal and low-flow conditions, hemorrhagic hypotension was induced in eight dogs. Conjunctival pH became significantly less than control values after a hemorrhage volume of 15 mL/kg (P less than .05); ...

journal_title：Annals of emergency medicine

authors： Abraham E,Fink SE,Markle DR,Pinholster G,Tsang M

更新日期：1985-09-01 00:00:00

abstract：STUDY OBJECTIVE:Recent data suggest that emergency airway preoxygenation with a bag-valve-mask (BVM) device (held with a tight mask seal but without squeezing the bag) is superior to a nonrebreather (NRB) mask at standard oxygen flow rates. We seek to determine whether preoxygenation with an NRB mask with flush rate ox...

journal_title：Annals of emergency medicine

authors： Driver BE,Prekker ME,Kornas RL,Cales EK,Reardon RF

更新日期：2017-01-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate selective aortic arch perfusion (SAAP) with an oxygenated fluorocarbon emulsion, with and without aortic arch epinephrine during cardiac arrest. METHODS:This randomized, controlled study, undertaken at a university research laboratory, involved 15 mixed-breed dogs. After 10 minutes of ventr...

journal_title：Annals of emergency medicine

authors： Manning JE,Batson DN,Payne FB,Adam N,Murphy CA,Perretta SG,Norfleet EA

更新日期：1997-05-01 00:00:00

abstract：:Transthoracic cardiac pacing historically has been relegated to the role of the technique of last resort in treating cardiac arrest. Recent studies have shown that this technique has a high rate of successful electrical capture, but often without mechanical activity. Survival rates have been shown to be dismal when th...

journal_title：Annals of emergency medicine

authors： Hedges JR,Syverud SA,Dalsey WC

更新日期：1984-09-01 00:00:00

abstract：:Acoustic otoscopy detects middle ear pathology by measuring the ability of the tympanic membrane to reflect sound. Fluid or thickening of the tympanic membrane increases sound reflection. We conducted a study to compare acoustic otoscopy with pneumatic otoscopy in identifying middle ear pathology in 80 children (160 e...

journal_title：Annals of emergency medicine

authors： Jehle D,Cottington E

更新日期：1989-04-01 00:00:00

abstract：:The catatonic syndrome has a wide differential diagnosis that includes both psychiatric and organic disorders. We present the cases of two patients with catatonia seen acutely in the emergency department. In these cases, the striking clinical picture proved to be secondary to psychiatric disturbances, and were accompa...

journal_title：Annals of emergency medicine

authors： Valenstein M,Maltbie A,Kaplan P

更新日期：1985-04-01 00:00:00

abstract：:Epiglottitis in adults, while uncommon, is certainly not rare. Despite the increasing reports of the disorder in the literature, it continues to be misdiagnosed in emergency departments. The first step in the diagnosis of acute epiglottitis is for the emergency physician to think of it. The literature concerning the e...

journal_title：Annals of emergency medicine

authors： Sarant G

更新日期：1981-01-01 00:00:00

abstract：:We assessed the ability of 64 emergency medical technicians (EMTs) to ventilate a resuscitation manikin with a bag valve mask and with a pocket face mask to determine if their skill levels met the American Heart Association standard of 12 ventilations per minute, each with a tidal volume of 800 mL or more. All ventila...

journal_title：Annals of emergency medicine

authors： Cummins RO,Austin D,Graves JR,Litwin PE,Pierce J

更新日期：1986-10-01 00:00:00

abstract：STUDY OBJECTIVE:We perform a videographic analysis of external laryngeal manipulation (ELM) by novice intubators using a direct laryngoscopic imaging system and a validated means of assessing laryngeal view (percentage of glottic opening [POGO] score). METHODS:Nine first-year emergency medicine residents performed a t...

journal_title：Annals of emergency medicine

authors： Levitan RM,Mickler T,Hollander JE

更新日期：2002-07-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the timeliness of response of consultants called to evaluate patients in the emergency department of a community hospital. METHODS:Consultation requests from an ED located in a medium-sized community hospital were studied for a 1-month period. Data collected included name and specialty of ...

journal_title：Annals of emergency medicine

authors： Vosk A

更新日期：1998-11-01 00:00:00

abstract：:This article summarizes the current requirements for a waiver of informed consent for emergency research and analyzes ethical issues that are involved. Researchers who intend to apply for a waiver of informed consent for emergency research must understand that they are asking for the major protector of human subjects,...

journal_title：Annals of emergency medicine

authors： Adams JG,Wegener J

更新日期：1999-02-01 00:00:00

abstract：:Twenty cases of shaken baby syndrome are reviewed to determine important signs, symptoms, physical findings, laboratory parameters, and prognosis. The signs and symptoms of this form of head trauma are nonspecific. The findings may mimic infection, intoxication, or metabolic abnormalities. Diagnosis depends on a high ...

journal_title：Annals of emergency medicine

authors： Ludwig S,Warman M

更新日期：1984-02-01 00:00:00

abstract：STUDY OBJECTIVE:We describe the demographics, characteristics, treatment, and clinical course of methamphetamine body stuffers. We also determine the clinical characteristics of methamphetamine body stuffers who have severe outcomes. METHODS:A 6.5-year descriptive nonconcurrent observational case series evaluated meth...

journal_title：Annals of emergency medicine

authors： West PL,McKeown NJ,Hendrickson RG

更新日期：2010-02-01 00:00:00

abstract：:Electrolytes, BUN, and creatinine are some of the most frequently ordered laboratory tests. The use of these tests in emergency practice has not been studied critically, and few investigations of their use in other disciplines have been performed. A review of the available literature and an analysis of medical problem...

journal_title：Annals of emergency medicine

authors： Checchio LM,Como AJ

更新日期：1986-03-01 00:00:00

abstract：:Colchicine overdose is an uncommon but serious problem that may be missed or ignored unless the physician is aware of the significant potential for, and the various stages of, toxicity. We report two fatal cases in which the potential for lethal complications was not initially realized. Both patients developed multipl...

journal_title：Annals of emergency medicine

authors： Stapczynski JS,Rothstein RJ,Gaye WA,Niemann JT

更新日期：1981-07-01 00:00:00

abstract：:[Centers for Disease Control and Prevention. Use of pulsed-field gel electrophoresis for investigation of a cluster of invasive group A streptococcal illness-Spokane, Washington, 1999. MMWR Morb Mortal Wkly Rep. 1999;48:681-683.]. ...

journal_title：Annals of emergency medicine

authors：

更新日期：2000-03-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and w...

journal_title：Annals of emergency medicine

authors： Mittal MK,Shofer FS,Baren JM

更新日期：2009-10-01 00:00:00

abstract：:The recent adoption of World Health Assembly Resolution 60.22, titled "Health Systems: Emergency Care Systems," has established an important health care policy tool for improving emergency care access and availability globally. The resolution highlights the role that strengthened emergency care systems can play in red...

journal_title：Annals of emergency medicine

authors： Anderson PD,Suter RE,Mulligan T,Bodiwala G,Razzak JA,Mock C,International Federation for Emergency Medicine (IFEM) Task Force on Access and Availability of Emergency Care.

更新日期：2012-07-01 00:00:00

abstract：STUDY OBJECTIVE:Computed tomography (CT) is frequently used in evaluating children with blunt head trauma. Routine use of CT, however, has disadvantages. Therefore, we sought to derive a decision rule for identifying children at low risk for traumatic brain injuries. METHODS:We enrolled children with blunt head trauma...

journal_title：Annals of emergency medicine

authors： Palchak MJ,Holmes JF,Vance CW,Gelber RE,Schauer BA,Harrison MJ,Willis-Shore J,Wootton-Gorges SL,Derlet RW,Kuppermann N

更新日期：2003-10-01 00:00:00

abstract：:A characteristic case of overwhelming postsplenectomy infection in a previously healthy, 25-year-old man is presented. The patient progressed from influenza-like symptoms to irreversible septic shock and death within 24 hours. His spleen had been removed nine years earlier because of abdominal trauma. Aggressive thera...

journal_title：Annals of emergency medicine

authors： Stryker RM,Orton DW

更新日期：1988-02-01 00:00:00

abstract：:A team of missionary doctors from Ecuador recently described striking success in the treatment of venomous snakebites with a series of brief, high-voltage, low-current electric shocks applied to the bit site. We designed a randomized, controlled, blinded test of their methods in laboratory rats. Venom of the fer-de-la...

journal_title：Annals of emergency medicine

authors： Howe NR,Meisenheimer JL Jr

更新日期：1988-03-01 00:00:00

abstract：:We examined the hemodynamic effects of congesting cuffs (rotating tourniquets) in 12 patients with first acute myocardial infarction and new onset of congestive heart failure 24 to 48 hours after admission. Congesting cuffs were applied for two periods of 15 minutes each, 15 minutes apart, and inflated to 30 mm Hg and...

journal_title：Annals of emergency medicine

authors： Roth A,Hochenberg M,Keren G,Terdiman R,Laniado S

更新日期：1987-07-01 00:00:00

abstract：:The sudden emergence of 2009 H1N1 influenza in the spring of that year sparked a surge in visits to emergency departments in New York City and other communities. A larger, second wave of cases was anticipated the following autumn. To reduce a potential surge of health system utilization without denying needed care, we...

journal_title：Annals of emergency medicine

authors： Kellermann AL,Isakov AP,Parker R,Handrigan MT,Foldy S

更新日期：2010-09-01 00:00:00

abstract：:There is general agreement that physical examination alone is inadequate for abdominal evaluation in the multiply injured blunt trauma patient; but controversy exists regarding the preferred method of detecting intraabdominal injuries requiring celiotomy. Both peritoneal lavage and the newer computed tomography imagin...

journal_title：Annals of emergency medicine

authors： Kearney PA

更新日期：1989-12-01 00:00:00

abstract：:Maintaining an unobstructed airway and providing adequate oxygenation and CO2 elimination, by artificial means if necessary, are among the highest priorities in all life-threatening circumstances. How this goal can best be met in the prehospital setting has become a controversial issue. The esophageal obturator airway...

journal_title：Annals of emergency medicine

authors： White RD

更新日期：1984-09-01 00:00:00

abstract：:Interest in the development of the specialty of emergency medicine and of emergency health care systems has greatly increased worldwide in the last few years. The guidelines in this article were developed in an effort to assist others in design and evaluation of all types of emergency medicine projects. ...

journal_title：Annals of emergency medicine

authors： Holliman CJ,Kirsch TD,Green GB,Wolfson AB,Tom PA

更新日期：1997-12-01 00:00:00