Approach to metabolic acidosis in the emergency department.

abstract：:Prompt recognition of actual or impending aortic emergencies is essential to the effective practice of emergency medicine. Understanding the pathophysiologic principles and awareness of the potential subtleties in the clinical presentations of aortic dissection, aneurysm, and occlusive disease are prerequisites to thi...

journal_title：Emergency medicine clinics of North America

authors： Knaut AL,Cleveland JC Jr

更新日期：2003-11-01 00:00:00

abstract：:The scope of gynecologic infections presenting to the emergency department is quite diverse. This article presents an update on the current literature for vaginitis, cervicitis, pelvic inflammatory disease, tubo-ovarian abscesses, the Fitz-Hugh-Curtis syndrome, herpes, and syphilis. Inadequate identification or treatm...

journal_title：Emergency medicine clinics of North America

authors： Zeger W,Holt K

更新日期：2003-08-01 00:00:00

abstract：:Newer drugs of abuse, such as MDMA, GHB, GBL, 1,4-BD and ketamine, are frequently used in the settings of raves and are often promoted on the internet. The popularity of these agents is increasing; therefore, emergency physicians should become familiar with the clinical presentations and management of the toxicity ind...

journal_title：Emergency medicine clinics of North America

authors： Graeme KA

更新日期：2000-11-01 00:00:00

abstract：:Essential aspects of emergency department assessment and initial treatment of patients with traumatic amputations are outlined. Pitfalls of early treatment and indications for replantation are discussed. The dogmatic approach is avoided. ...

journal_title：Emergency medicine clinics of North America

authors： Schlenker JD,Koulis CP

更新日期：1993-08-01 00:00:00

abstract：:Results of prospective studies have shown that physicians' estimate of clinical likelihoods of PE have predictive value. The ability of clinicians to assess the factors that determine the probability of disease based on clinical manifestations such as history and signs and symptoms at presentation, and to make bedside...

journal_title：Emergency medicine clinics of North America

authors： Lee LC,Shah K

更新日期：2001-11-01 00:00:00

abstract：:Communication issues arise in emergency physician relationships with patients, nursing, and physician colleagues. It is important to acknowledge various perspectives in order to promote positive relationships and to avoid the social, medical, and legal hazards associated with miscommunication. This article outlines fu...

journal_title：Emergency medicine clinics of North America

authors： O'Mara K

更新日期：1999-05-01 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：:Blunt abdominal trauma results in potentially life-threatening injuries that require organized rapid evaluation and treatment. Resuscitation of hemodynamically unstable patients should be completed in the operating room if retroperitoneal hemorrhage is not strongly suspected. DPL and abdominal CT scans are methods of ...

journal_title：Emergency medicine clinics of North America

authors： Smedira N,Schecter WP

更新日期：1989-08-01 00:00:00

abstract：:A thorough working knowledge of the diagnosis and treatment of life-threatening electrolyte abnormalities in cancer patients, especially hyponatremia, hypoglycemia, and hypercalcemia, is essential to the successful practice of emergency medicine. Although most minor abnormalities have no specific treatment, severe cli...

journal_title：Emergency medicine clinics of North America

authors： Kacprowicz RF,Lloyd JD

更新日期：2009-05-01 00:00:00

abstract：:International EM development requires a comprehensive assessment of the current system and careful planning to ensure that the most important needs are addressed. Modeling a country's EM system after an existing foreign system underestimates the complex needs for instituting appropriate system interventions. Planning ...

journal_title：Emergency medicine clinics of North America

authors： Thomas TL

更新日期：2005-02-01 00:00:00

abstract：:This article discusses the management of clinical problems encountered particularly in disasters. These include the principles of multiple-casualty triage, and field and hospital management of blast injury, crush syndrome, compartment syndrome, particulate inhalation, and traumatic asphyxiation. The indications for ex...

journal_title：Emergency medicine clinics of North America

authors： Gans L,Kennedy T

更新日期：1996-05-01 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：: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：: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：: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：:The patient who has sustained blunt trauma to the chest can present a diagnostic challenge to the emergency physician. There are several diagnostic modalities available for treating life-threatening injuries to these patients. The authors review published studies to support the use of these tests in diagnosing injurie...

journal_title：Emergency medicine clinics of North America

authors： Greenberg MD,Rosen CL

更新日期：1999-02-01 00:00:00

abstract：:The treatment of gynecologic and other infections in obstetric patients involves consideration of the physiologic changes of pregnancy, the clinical implications of the infection for the patient as well as the fetus, and the safety of antimicrobials available for therapy. This article highlights the treatment of infec...

journal_title：Emergency medicine clinics of North America

authors： Torres M,Moayedi S

更新日期：2012-11-01 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

authors： Mace SE

更新日期：2008-11-01 00:00:00

abstract：:Vaginal bleeding is one of the most common gynecologic symptoms for which the patient will come to the Emergency Department. It is usually associated with psychologic distress and can be frightening to the patient. Vaginal bleeding can be the first sign of life-threatening medical disorders such as carcinoma, bleeding...

journal_title：Emergency medicine clinics of North America

authors： Hochbaum SR

更新日期：1987-08-01 00:00:00

abstract：:Patients presenting to the emergency department (ED) with behavioral disturbances account for approximately 6% of all ED visits. Emergency physicians are often responsible for the initial assessment of these patients' psychiatric complaints, which might include homicidal and suicidal behavior and acute psychosis. The ...

journal_title：Emergency medicine clinics of North America

authors： Sood TR,Mcstay CM

更新日期：2009-11-01 00:00:00

abstract：:Abdominal injuries are an important cause of morbidity and mortality. In the face of more obvious traumatic lesions, life-threatening intra-abdominal injuries may be initially overlooked. Plain abdominal and chest radiographs may prove diagnostic for specific injuries. However, normal or equivocal studies should not e...

journal_title：Emergency medicine clinics of North America

authors： Evers K,DeGaeta LR

更新日期：1985-08-01 00:00:00

abstract：:Rapid response systems (RRS) are both intuitive and supported by data, but the institution of an RRS is not a panacea for in-hospital cardiac arrest or unexpected deaths. RRS implementation should be one component of an institution-wide effort to improve patient safety that includes adequate nursing education and staf...

journal_title：Emergency medicine clinics of North America

authors： McCurdy MT,Wood SL

更新日期：2012-02-01 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

authors： Plouffe JF,Martin DR

更新日期：2008-05-01 00:00:00

abstract：:A rapid controlled induction of anesthesia is useful to facilitate emergency intubation and to reduce the complications of intubation in pediatric patients. A protocol for rapid sequence intubation and suggestions for optimizing airway management in the Emergency Department are described. The use of end tidal carbon d...

journal_title：Emergency medicine clinics of North America

authors： Yamamoto LG

更新日期：1991-08-01 00:00:00

abstract：:Heat-related illness represents a continuum of disorders from minor syndromes such as heat cramps, heat syncope, and heat exhaustion to the severely life-threatening disorder known as heat stroke. It represents an important cause of wilderness-related morbidity and mortality. ...

journal_title：Emergency medicine clinics of North America

authors： Lugo-Amador NM,Rothenhaus T,Moyer P

更新日期：2004-05-01 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

authors： Seidel J

更新日期：1995-05-01 00:00:00

abstract：:The transition of biphasic waveforms from ICDs to external defibrillators constitutes a significant technological advances for transthoracic defibrillation. Impedance compensation has enabled the delivery of defibrillating current adapted to each patient and each shock in the same patient. Optimally designed biphasic ...

journal_title：Emergency medicine clinics of North America

authors： White RD

更新日期：2002-11-01 00:00:00

abstract：:Weapons of mass destruction (WMDs) are capable of producing massive casualties and are typically grouped into nuclear, biologic, and chemical weapons. In the wake of the September 11th disasters, attention to terrorist groups and the potential for use of WMDs has increased. Biologic and chemical weapons are relatively...

journal_title：Emergency medicine clinics of North America

authors： Bozeman WP,Dilbero D,Schauben JL

更新日期：2002-11-01 00:00:00

abstract：:The evaluation of hydrocephalic shunts is a common problem seen in emergency departments. The emergency medicine practitioner must be aware of the various types of apparatus, the functional considerations of the shunt, and the potential complications of obstruction. Shunt malfunction, either from obstruction or infect...

journal_title：Emergency medicine clinics of North America

authors： Jordan KT

更新日期：1994-08-01 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