The emergency management of a medicinal leech bite.

abstract：STUDY OBJECTIVE:To determine the concordance of emergency physicians' and cardiologists' interpretations of abnormal ECGs. DESIGN:Retrospective cohort study. SETTING:An urban teaching hospital emergency department. TYPE OF PARTICIPANTS:Patients with an abnormal ED ECG that was interpreted by both an emergency physic...

journal_title：Annals of emergency medicine

authors： Westdrop EJ,Gratton MC,Watson WA

更新日期：1992-05-01 00:00:00

abstract：STUDY OBJECTIVE:The objective of our study is to evaluate the association between Ohio's April 2012 emergency physician guidelines aimed at reducing inappropriate opioid prescribing and the number and type of opioid prescriptions dispensed by emergency physicians. METHODS:We used Ohio's prescription drug monitoring pr...

journal_title：Annals of emergency medicine

authors： Weiner SG,Baker O,Poon SJ,Rodgers AF,Garner C,Nelson LS,Schuur JD

更新日期：2017-12-01 00:00:00

abstract：STUDY OBJECTIVE:The objective was to quantify the analgesic effect of a dose of intravenous morphine, 0.1 mg/kg, to emergency department (ED) patients presenting in acute, severe pain. METHODS:This was a prospective convenience cohort of patients aged 21 to 65 years and presenting to an academic urban ED with acute, s...

journal_title：Annals of emergency medicine

authors： Bijur PE,Kenny MK,Gallagher EJ

更新日期：2005-10-01 00:00:00

abstract：:Nine dogs were hemorrhaged to approximately 40% of their blood volume and then were resuscitated with a crystalloid solution (Normosol) at various flow rates. Three study groups with three dogs in each group were resuscitated at 15 mL/min/kg (Group 1), 6 mL/min/kg (Group 2), and 4 mL/min/kg (Group 3). Central venous p...

journal_title：Annals of emergency medicine

authors： Dula DJ,Lutz P,Vogel MF,Weaver BN

更新日期：1985-04-01 00:00:00

abstract：:The ability of military anti-shock trousers (MAST) to increase central venous pressure and improve cardiac filling pressure suggests that they might be useful in the prehospital treatment of pericardial tamponade. This study utilizes a canine model to examine the hemodynamic effects of MAST inflation on experimentally...

journal_title：Annals of emergency medicine

authors： Davis JW,McKone TK,Cram AE

更新日期：1981-04-01 00:00:00

abstract：:The management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

journal_title：Annals of emergency medicine

authors： Hovanessian HC

更新日期：1999-05-01 00:00:00

abstract：:Sodium metabisulfite (MBS) is a commonly used food and drug preservative. We report the case of a 32-year-old man with a documented history of allergy to MBS who developed an anaphylactic reaction after ingestion of MBS-treated foods. The patient had a prolonged clinical course requiring two emergency department visit...

journal_title：Annals of emergency medicine

authors： Riggs BS,Harchelroad FP Jr,Poole C

更新日期：1986-01-01 00:00:00

abstract：:[Parkhurst DC: Shift change. Ann Emerg Med June 1998;31:785-788.]. ...

journal_title：Annals of emergency medicine

authors： Parkhurst DC

更新日期：1998-06-01 00:00:00

abstract：STUDY OBJECTIVE:Reporting systems are designed to identify patient care issues so changes can be made to improve safety. However, a culture of blame discourages event reporting, and reporting seen as punitive can inhibit individual and system performance in patient safety. This study aimed to determine the frequency an...

journal_title：Annals of emergency medicine

authors： Feeser VR,Jackson AK,Savage NM,Layng TA,Senn RK,Dhindsa HS,Santen SA,Hemphill RR

更新日期：2020-08-14 00:00:00

abstract：:In a traditional clinical trial, a fixed number of patients are evaluated before the data are analyzed. This has the disadvantage that more patients may be enrolled than are necessary to achieve a statistically significant result. Sequential statistical techniques provide a method for the analysis of clinical trials s...

journal_title：Annals of emergency medicine

authors： Lewis RJ,Bessen HA

更新日期：1990-09-01 00:00:00

abstract：:The records of 50 patients with traumatic aortic rupture (Group I) and 50 patients with blunt chest trauma but negative aortograms (Group II) were reviewed retrospectively. Symptoms and signs referable to the chest and thoracic aorta were recorded and compared in Group I and Group II patients. Each patient's chart was...

journal_title：Annals of emergency medicine

authors： Sturm JT,Perry JF Jr,Olson FR,Cicero JJ

更新日期：1984-10-01 00:00:00

abstract：:The goal of thrombolytic treatment in acute myocardial infarction is to reestablish permanent blood flow, salvage ischemic myocardium, and reduce mortality. If patency is achieved sufficiently early and is maintained, left ventricular function is preserved and mortality decreases. The recent experience with tissue pla...

journal_title：Annals of emergency medicine

authors： Heras M,Chesebro JH,Gersh BG,Holmes DR,Mock MB,Fuster V

更新日期：1988-11-01 00:00:00

abstract：:A seven-year-old boy ingested 3,000 mg (125 mg/kg) of isoniazid. Initial blood levels of isoniazid were 250 micrograms/mL approximately six hours after ingestion. Despite IV treatment in the emergency department with 3,000 mg pyridoxine and a repeat of the same antidote one hour later in the intensive care unit, the h...

journal_title：Annals of emergency medicine

authors： Orlowski JP,Paganini EP,Pippenger CE

更新日期：1988-01-01 00:00:00

abstract：:It is common practice to soak acute traumatic wounds in dilute povidone-iodine solution before definitive wound cleaning and debridement. The effectiveness of soaking wounds is unknown. Using quantitative wound bacterial counts as a measure of efficacy, we compared wounds soaked in 1% povidone-iodine solution or in no...

journal_title：Annals of emergency medicine

authors： Lammers RL,Fourré M,Callaham ML,Boone T

更新日期：1990-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether water or 0.9% saline should be used as diluent for endobronchial drug administration. PARTICIPANTS:Twelve adult patients. INTERVENTIONS:Patients were endobronchially administered 2 mg/kg lidocaine as marker substance in either 10 mL 0.9% saline or 10 mL distilled water during gene...

journal_title：Annals of emergency medicine

authors： Hähnel JH,Lindner KH,Schürmann C,Prengel A,Ahnefeld FW

更新日期：1990-11-01 00:00:00

abstract：:Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), is a propionic acid derivative that possesses analgesic and antipyretic properties through inhibition of prostaglandin synthesis. The propionic acids have been considered the least toxic of the NSAIDs, and one, ibuprofen, is currently available as an over-the-co...

journal_title：Annals of emergency medicine

authors： Martinez R,Smith DW,Frankel LR

更新日期：1989-10-01 00:00:00

abstract：:The epidemiology of pediatric fever has changed considerably during the past 2 decades with the development of vaccines against the most common bacterial pathogens causing bacteremia and meningitis. The decreasing incidence of these 2 conditions among vaccinated children has led to an emphasis on urinary tract infecti...

journal_title：Annals of emergency medicine

authors： Newman DH,Shreves AE,Runde DP

更新日期：2013-05-01 00:00:00

abstract：STUDY OBJECTIVE:To examine the spectrum of electrical injuries and develop guidelines for management. DESIGN:Retrospective review of charts compiled during a 6-year period (1988 through 1993). SETTING:Pediatric emergency department. PARTICIPANTS:Seventy-eight patients seen for electrical injuries. RESULTS:Fifty-fou...

journal_title：Annals of emergency medicine

authors： Garcia CT,Smith GA,Cohen DM,Fernandez K

更新日期：1995-11-01 00:00:00

abstract：:One hundred twenty-five pediatric emergency department patients were studied prospectively to determine whether any findings on the physical examination were predictive of abnormalities seen on chest radiograph. We attempted to find possible correlations between such clinical examination findings, recorded prior to ra...

journal_title：Annals of emergency medicine

authors： Zukin DD,Hoffman JR,Cleveland RH,Kushner DC,Herman TE

更新日期：1986-07-01 00:00:00

abstract：STUDY OBJECTIVE:We examine whether a specific educational effort reduces emergency department violence in the short term and quantify the amount of violence in the ED. METHODS:Cross-sectional prospective surveys were conducted at a tertiary referral center at baseline (1998) and at 3 and 6 months (1999) after the Prev...

journal_title：Annals of emergency medicine

authors： Fernandes CM,Raboud JM,Christenson JM,Bouthillette F,Bullock L,Ouellet L,Moore C,Violoence in the Emergency Department Study (VITES) Group.

更新日期：2002-01-01 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：:Spontaneous rupture of utero-ovarian vessels during pregnancy is a rare cause of maternal and fetal loss. We report the case of a 30-year-old woman who presented to the emergency department in her third trimester with frank maternal shock. The prompt recognition of shock, correction of hypovolemia, and rapid surgical ...

journal_title：Annals of emergency medicine

authors： Bellucci MJ,Burke MC,Querusio L

更新日期：1994-02-01 00:00:00

abstract：STUDY OBJECTIVE:Newer combination HIV antigen-antibody tests allow detection of HIV sooner after infection than previous antibody-only immunoassays because, in addition to HIV-1 and -2 antibodies, they detect the HIV-1 p24 antigen, which appears before antibodies develop. We determine the yield of screening with HIV an...

journal_title：Annals of emergency medicine

authors： White DAE,Giordano TP,Pasalar S,Jacobson KR,Glick NR,Sha BE,Mammen PE,Hunt BR,Todorovic T,Moreno-Walton L,Adomolga V,Feaster DJ,Branson BM

更新日期：2018-07-01 00:00:00

abstract：:A case is presented of a vaginal foreign body. A drinking glass was inserted in the vagina of an intoxicated patient by her irate lover. Infection followed. The emergency care is described, including the method of extraction of the object, along with discussion of the principles involved and associated complications. ...

journal_title：Annals of emergency medicine

authors： Kurzel RB,Chaudhuri G,Hall D

更新日期：1981-09-01 00:00:00

abstract：:In rescue medicine, a suction apparatus must function in a variety of environmental conditions. To find an appropriate device for the Swedish Air Force air rescue service the Laerdal suction device 790,000 was selected for further testing according to international standards for aviation safety. Tests showed that vibr...

journal_title：Annals of emergency medicine

authors： Dahlgren BE,Nilsson H,Bjorn P,Skedevik C

更新日期：1987-12-01 00:00:00

abstract：:We examined the performance of a hospital-based mobile coronary care unit staffed by emergency physicians, coronary care nurses, and ambulance personnel in a metropolitan setting (Brisbane, Australia). Our unit attended 2,260 calls during 18 months of operation. Standard dispatched ambulances arrived first to 78% of t...

journal_title：Annals of emergency medicine

authors： Bett JH

更新日期：1989-09-01 00:00:00

abstract：STUDY OBJECTIVE:We describe the recidivism characteristics of an adult emergency department (ED) observation unit population and determine whether rates differ according to demographic or clinical features. METHODS:This prospective observational cohort study of a protocol-driven ED observation unit reviewed all discha...

journal_title：Annals of emergency medicine

authors： Ross MA,Hemphill RR,Abramson J,Schwab K,Clark C

更新日期：2010-07-01 00:00:00

abstract：STUDY OBJECTIVE:We estimate the test characteristics of nasogastric aspiration to diagnose upper gastrointestinal tract hemorrhage in patients without hematemesis. METHODS:In this retrospective cohort study, medical records from patients admitted to 2 urban hospitals between 1997 and 2002 for gastrointestinal tract bl...

journal_title：Annals of emergency medicine

authors： Witting MD,Magder L,Heins AE,Mattu A,Granja CA,Baumgarten M

更新日期：2004-04-01 00:00:00

abstract：:A 19-year-old pedestrian who was the victim of a motor vehicle accident had a left pneumothorax with a large air leak. Despite a well-placed chest tube, a chest radiograph showed that the left lung had fallen down and away from the mediastinum and that no hilar structures were visible. This "fallen lung with an absent...

journal_title：Annals of emergency medicine

authors： Endress C,Guyot DR,Engels JA

更新日期：1991-03-01 00:00:00

abstract：:The insurance market is evolving, with increased emphasis on plans with high deductibles and a large degree of coinsurance. This article serves as an introduction to the defining characteristics of consumer-driven health care plans and their associated health savings accounts. We discuss the most recent evidence on th...

journal_title：Annals of emergency medicine

authors： McConnell KJ

更新日期：2005-12-01 00:00:00