Abstract:
:The definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients within 48 hours of the TIA and 10% within 90 days. This rate is decreasing, likely due to improved diagnostic and management strategies. Decision support scores have been developed to risk stratify patients, which include clinical and radiological elements. Antiplatelet and anticoagulant therapy, as well as carotid endarterectomy/stenting have been shown to reduce the stroke occurrence after TIA.
journal_name
Emerg Med Clin North Amjournal_title
Emergency medicine clinics of North Americaauthors
Duca A,Jagoda Adoi
10.1016/j.emc.2016.06.007subject
Has Abstractpub_date
2016-11-01 00:00:00pages
811-835issue
4eissn
0733-8627issn
1558-0539pii
S0733-8627(16)30048-7journal_volume
34pub_type
杂志文章,评审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
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2007.06.005
更新日期:2007-08-01 00:00:00
abstract::Ultrasound has rapidly become an essential tool in the emergency department, specifically in procedural guidance. Its use has been demonstrated to improve the success rate of procedures, while decreasing complications. In this article, we explore some of these specific procedures involving needle guidance and structur...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章
doi:10.1016/j.emc.2012.09.008
更新日期:2013-02-01 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
pub_type: 杂志文章
doi:10.1016/j.emc.2004.01.012
更新日期:2004-05-01 00:00:00
abstract::This article discusses clinical presentations and diagnostic approaches to acute coronary syndrome in the emergency department. ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2011.08.006
更新日期:2011-11-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1992-08-01 00:00:00
abstract::A future challenge for international EM development is expanding the specialty to Africa, where it is non-existent. Another goal for international EM development is to assist in the peace process in the Middle East. There is increasing need for good EM development throughout the world. Development of international EM ...
journal_title:Emergency medicine clinics of North America
pub_type: 历史文章,杂志文章
doi:10.1016/j.emc.2004.09.013
更新日期:2005-02-01 00:00:00
abstract::Pediatric patients with trauma pose unique challenges, both practical and cognitive, to front-line care providers. The combination of anatomic, physiologic, and metabolic factors leads to unique injury patterns with different approaches and responses to treatment compared with adults. A similar traumatic mechanism can...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2017.08.015
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abstract::Neurologic and myopathic complications of alcoholism are multiple and diverse, affecting both the central and peripheral nervous systems. In the ED, initial concern is for diagnosing readily reversible causes and ruling out possible life- or limb-threatening etiologies. A rapid assessment of the ABCs, a fingerstick bl...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-11-01 00:00:00
abstract::Pneumonia remains one of the most common reasons for admission of emergency department (ED) patients to the hospital. Pneumonia also remains one of the most common causes of death in our patients. As with many emergent conditions, the ED management of these patients initiated by ED physicians contributes greatly to th...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2008.02.005
更新日期:2008-05-01 00:00:00
abstract::There are several significant problems encountered in treating the assault victim in the Emergency Department setting. In a busy Emergency Department, the patient who has been assaulted may be prioritized behind other patients with more significant life-threatening illnesses or injuries. The delay in treatment that en...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1987-08-01 00:00:00
abstract::One of the most common problems facing the emergency department physician is the management of bite wounds. Therapy for these common injuries is ill-defined and often controversial. This article outlines treatment guidelines for the emergency physician for dog bites, cat bites, rabies, snake bites, and human bites. ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1985-02-01 00:00:00
abstract::Testing for HIV infection is not generally required for the appropriate treatment of medical emergencies. Current standard HIV tests rely on the detection of antibodies to the HIV virus and are among the most sensitive and specific tests used in medicine. Standard HIV tests can be unreliable for detecting infection in...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-02-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2006.05.003
更新日期:2006-08-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2016.12.004
更新日期:2017-05-01 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
pub_type: 杂志文章
doi:10.1016/j.emc.2007.07.002
更新日期:2007-08-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1988-08-01 00:00:00
abstract::The recognition of hypothyroidism may not always be easy in the emergency department setting. Laboratory evaluations of thyroid function are not usually performed on a 24-hour basis, and therefore the emergency physician, although suspecting the presence of hypothyroidism, may be unable to confirm the diagnosis while ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-11-01 00:00:00
abstract::Emergency medical services for children require the integration of many community resources to operate optimally. In both urban and rural areas, the abilities of the receiving hospitals and medical staffs must be defined to develop a system that considers severity of injury and illness as well as transport times. ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
abstract::Rapid sequence intubation is the process involving administration of a sedative (eg, induction agent) followed almost immediately by a neuromuscular blocking agent to facilitate endotracheal intubation The purpose of emergency RSI is to make emergent intubation easier and safer, thereby increasing the success rate of ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2008.10.002
更新日期:2008-11-01 00:00:00
abstract::Although emergency departments (ED's) vary in shape, size, and technology, similarities in responsibilities exist. The primary responsibility is to provide quality health care to the communities served. The (ED) constitutes a substantial business in any hospital. Because of changing acuity levels, patient volume, and ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/S0733-8627(03)00099-3
更新日期:2004-02-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70285-6
更新日期:1997-02-01 00:00:00
abstract::The history, effectiveness, and services of regional poison control centers are reviewed. In addition, the American Association of Poison Control Centers criteria for designation as a regional poison control center are presented. ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章
doi:
更新日期:1984-02-01 00:00:00
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journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70108-5
更新日期:2000-02-01 00:00:00
abstract::Pneumonia is a common disease seen in Emergency Department patients and is caused by a wide range of pathogens. The clinical and laboratory data that help to provide a specific etiologic diagnosis of the pneumonia are reviewed. In addition, current recommendations for the treatment and hospitalization of patients with...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-05-01 00:00:00
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journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2009.09.008
更新日期:2010-02-01 00:00:00
abstract::Some degree of abdominal pain is virtually physiologic in pregnancy, for which reason these women will commonly present to the emergency physician for clinical evaluation. Appendicitis is the commonest nonobstetric surgical malady complicating pregnancy; however, its clinical presentation may resemble several other su...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1994-02-01 00:00:00
abstract::Acutely agitated or psychotic patients are particularly challenging to manage in the emergency department. Often these patients present with little or no history, and an adequate assessment may initially be difficult because of the condition of the patient. This article discusses basic concepts regarding agitation, an...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
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更新日期:2015-11-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2008.09.005
更新日期:2009-02-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1992-02-01 00:00:00
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journal_title:Emergency medicine clinics of North America
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doi:10.1016/j.emc.2020.06.007
更新日期:2020-11-01 00:00:00