Wound care of spider and snake envenomations.

Abstract:

:Venomous bites and stings are numerous but severe local tissue damage is uncommon. Venoms may be simple substances or complex mixtures of many poorly characterized components whose interactions are still not fully understood. The best studied example of a dermonecrotic venom is that produced by the brown recluse spider (Loxosceles reclusa). Rattlesnake envenomation also causes significant wound injuries. Many spider and snake envenomation management modalities are controversial and the evidence is mounting against the use of a number of these treatments.

journal_name

Ann Emerg Med

authors

Wasserman GS

doi

10.1016/s0196-0644(88)80360-3

subject

Has Abstract

pub_date

1988-12-01 00:00:00

pages

1331-5

issue

12

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(88)80360-3

journal_volume

17

pub_type

杂志文章,评审
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    abstract::As the AIDS epidemic progresses, the number of ED patients with HIV-related illness will continue to increase. As reviewed in this article, much of the existing clinical research in HIV-related illness has an impact on the diagnostic and management issues that arise in the ED. Many of the patterns of disease, subtleti...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(05)81080-7

    authors: Talan DA,Kennedy CA

    更新日期:1991-12-01 00:00:00

  • Evaluation of pancreatic injury after blunt abdominal trauma.

    abstract::Pancreatic injury after blunt abdominal trauma can be subtle and delayed in its onset. We present a 24-year-old man who became jaundiced 16 days after he experienced blunt trauma. He was found to have an isolated pancreatic contusion. We discuss the initial evaluation for blunt pancreatic injury, the differential diag...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(96)70171-3

    authors: Emmick RH Jr,Petersen SR

    更新日期:1996-05-01 00:00:00

  • Out-of-hospital continuous positive airway pressure ventilation versus usual care in acute respiratory failure: a randomized controlled trial.

    abstract:STUDY OBJECTIVE:Continuous positive airway pressure ventilation (CPAP) in appropriately selected patients with acute respiratory failure has been shown to reduce the need for tracheal intubation in hospital. Despite several case series, the effectiveness of out-of-hospital CPAP has not been rigorously studied. We perfo...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.annemergmed.2008.01.006

    authors: Thompson J,Petrie DA,Ackroyd-Stolarz S,Bardua DJ

    更新日期:2008-09-01 00:00:00

  • Association of Antibiotic Choice With Hospital Length of Stay and Risk Factors for Readmission in Patients With Sickle Cell Disease and Acute Chest Syndrome: An Observational Cohort Study.

    abstract:STUDY OBJECTIVE:We determine the association between use of specific cephalosporins and macrolides and hospital length of stay in patients with sickle cell disease (SCD) who are admitted with acute chest syndrome, and determine treatment risk factors for acute chest syndrome-related 30-day readmission. METHODS:Patient...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2020.08.011

    authors: Badaki-Makun O,Casella JF,Tackett S,Tao X,Chamberlain JM

    更新日期:2020-09-01 00:00:00

  • Concomitant use of activated charcoal and N-acetylcysteine.

    abstract::Activated charcoal is a safe, effective, inexpensive adjunct in the management of most toxic ingestions. It has the ability to adsorb a wide variety of drugs and chemicals, one of which is acetaminophen. N-acetylcysteine (NAC) is the specific antidote available for serious overdoses of acetaminophen. Current managemen...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(85)80781-2

    authors: Renzi FP,Donovan JW,Martin TG,Morgan L,Harrison EF

    更新日期:1985-06-01 00:00:00

  • Education in pediatric basic and advanced life support.

    abstract::Curricula in pediatric resuscitation must be based on adult learning principles. The Pediatric Basic and Advanced Life Support Courses (PBLS, PALS) should use educational strategies fostering positive interactions between the instructor and learners and should take into consideration the learner's motivation for takin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)80482-2

    authors: Seidel JS,Henderson DP,Spencer PE

    更新日期:1993-02-01 00:00:00

  • Severe oral phenytoin overdose does not cause cardiovascular morbidity.

    abstract:STUDY OBJECTIVE:To evaluate the potential for cardiovascular toxicity from severe oral phenytoin overdose. STUDY POPULATION:Fifty-seven patients admitted during a two-year period to an inner-city hospital for severe oral phenytoin overdose, which is defined as a peak level of 40 micrograms/mL or more. METHODS:Case re...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81604-x

    authors: Wyte CD,Berk WA

    更新日期:1991-05-01 00:00:00

  • Controversies in out-of-hospital emergency airway control: esophageal obstruction or endotracheal intubation?

    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

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(84)80434-5

    authors: White RD

    更新日期:1984-09-01 00:00:00

  • Interrater reliability of cervical spine injury criteria in patients with blunt trauma.

    abstract:STUDY OBJECTIVE:To determine the interrater reliability of previously defined risk criteria for cervical spine injury. METHODS:Two emergency physicians independently evaluated patients with blunt trauma to determine whether they exhibited any of four risk criteria: (1) altered neurologic function; (2) evidence of into...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(98)70306-3

    authors: Mahadevan S,Mower WR,Hoffman JR,Peeples N,Goldberg W,Sonner R

    更新日期:1998-02-01 00:00:00

  • Cervical lung herniation associated with upper airway obstruction.

    abstract::We present the case of a 6-year-old boy with reactive airway disease who developed cervical lung herniation resulting in compression of the trachea and audible stridor. This association has never been reported in the pediatric age group, and a review of the literature revealed that lung herniation is a rare condition ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)81574-4

    authors: Gonzalez del Rey J,Cunha C

    更新日期:1990-08-01 00:00:00

  • Effect of standing orders on field times.

    abstract::Because of discontinuation of base hospital participation, paramedics in a large urban zone of a California emergency medical services (EMS) system serving 1.1 million persons went on emergency standing orders for nearly all calls requiring advanced life support. Subsequently, the base hospital resumed medical control...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(89)80944-8

    authors: Pointer JE,Osur MA

    更新日期:1989-10-01 00:00:00

  • Hospital, medical staff, and payer responsibility for emergency department patients.

    abstract::[American College of Emergency Physicians. Hospital, medical staff, and payer responsibility for emergency department patients. Ann Emerg Med. February 2000;35:210-211.]. ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/S0196-0644(00)70145-4

    authors:

    更新日期:2000-02-01 00:00:00

  • Fatal systemic fluorosis due to hydrofluoric acid burns.

    abstract::A patient with a 70% hydrofluoric acid burn developed systemic dissemination of fluoride ion from a 9% to 10% body surface area exposure on the lower extremities. Severe hypocalcemia and intractable ventricular arrhythmias resulted. This case is the second documented occurrence of hypocalcemia from hydrofluoric acid b...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(85)81078-7

    authors: Mayer TG,Gross PL

    更新日期:1985-02-01 00:00:00

  • Methamphetamine body stuffers: an observational case series.

    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

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2009.08.005

    authors: West PL,McKeown NJ,Hendrickson RG

    更新日期:2010-02-01 00:00:00

  • Allocating scarce resources in disasters: emergency department principles.

    abstract::Decisions about medical resource triage during disasters require a planned structured approach, with foundational elements of goals, ethical principles, concepts of operations for reactive and proactive triage, and decision tools understood by the physicians and staff before an incident. Though emergency physicians ar...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.annemergmed.2011.06.012

    authors: Hick JL,Hanfling D,Cantrill SV

    更新日期:2012-03-01 00:00:00

  • County-Level Variation in Emergency Department Admission Rates Among US Medicare Beneficiaries.

    abstract:STUDY OBJECTIVE:Hospital-based emergency departments (EDs) are the gateway to hospital admissions for many Americans. Approximately half of all US hospital admissions originate from EDs, and more than 3 in 4 are among Medicare beneficiaries. Recent literature has demonstrated nearly 2-fold variation in both physician- ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2016.03.019

    authors: Caines K,Shoff C,Bott DM,Pines JM

    更新日期:2016-10-01 00:00:00

  • The emergency department utility of Simplify D-dimer to exclude pulmonary embolism in patients with pleuritic chest pain.

    abstract:STUDY OBJECTIVE:Pleuritic chest pain is a common presenting complaint in the emergency department (ED) and a symptom of pulmonary embolism. Patients with pleuritic chest pain would benefit from a simple and rapid way of screening for pulmonary embolism. The aim of this study is to assess the utility of Simplify D-dimer...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.annemergmed.2005.03.018

    authors: Hogg K,Dawson D,Mackway-Jones K

    更新日期:2005-10-01 00:00:00

  • Heat-related illness and the automobile.

    abstract::To evaluate the heat burden in parked cars, a study was done to measure inside car temperatures in different situations. A large car and a small car were parked in direct sunlight and in shade. In direct sun, the highest temperatures recorded in the small and large cars were 78 C and 65 C, respectively. The highest te...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(82)80097-8

    authors: Surpure JS

    更新日期:1982-05-01 00:00:00

  • Ultrasound-guided peripheral intravenous access program is associated with a marked reduction in central venous catheter use in noncritically ill emergency department patients.

    abstract:STUDY OBJECTIVE:We examine the central venous catheter placement rate during the implementation of an ultrasound-guided peripheral intravenous access program. METHODS:We conducted a time-series analysis of the monthly central venous catheter rate among adult emergency department (ED) patients in an academic urban ED b...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2012.09.016

    authors: Shokoohi H,Boniface K,McCarthy M,Khedir Al-tiae T,Sattarian M,Ding R,Liu YT,Pourmand A,Schoenfeld E,Scott J,Shesser R,Yadav K

    更新日期:2013-02-01 00:00:00

  • Probabilistic linkage of computerized ambulance and inpatient hospital discharge records: a potential tool for evaluation of emergency medical services.

    abstract:STUDY OBJECTIVES:Emergency medical services (EMS) is an important part of the health care system. The effect of EMS on morbidity, mortality, and costs of illness is difficult to evaluate because hospital information is not available in out-of-hospital databases. We used probabilistic linkage to create such a database f...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1067/mem.2001.115214

    authors: Dean JM,Vernon DD,Cook L,Nechodom P,Reading J,Suruda A

    更新日期:2001-06-01 00:00:00

  • CARES: Cardiac Arrest Registry to Enhance Survival.

    abstract::Despite 3 decades of scientific progress, rates of survival from out-of-hospital cardiac arrest remain low. The Cardiac Arrest Registry to Enhance Survival (CARES) was created to provide communities with a means to identify cases of out-of-hospital cardiac arrest, measure how well emergency medical services (EMS) perf...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2009.03.018

    authors: McNally B,Stokes A,Crouch A,Kellermann AL,CARES Surveillance Group.

    更新日期:2009-11-01 00:00:00

  • Future role of thrombolytic therapy in emergency medicine.

    abstract::Thrombolytic therapy offers the promise of major therapeutic intervention in many areas as well as in the treatment of patients with acute myocardial infarction who present to the emergency department. Infusion of tissue-type plasminogen activator (tPA) during field transport has been proven safe, but optimal methods ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(89)80271-9

    authors: Bresler MJ

    更新日期:1989-12-01 00:00:00

  • Permanently imbedded subcutaneous acupuncture needles: radiographic appearance.

    abstract::During the evaluation of a victim of a motor vehicle accident, routine radiographs of the patient's cervical spine, chest, and pelvis revealed multiple radiopaque foreign bodies along his posterior neck, chest, abdomen, and pelvis. Repeat examination of the patient disclosed no evidence of foreign bodies. Further ques...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)82986-5

    authors: Hollander JE,Dewitz A,Bowers S

    更新日期:1991-09-01 00:00:00

  • Measuring response intervals in a system with a 911 primary and an emergency medical services secondary public safety answering point.

    abstract:STUDY OBJECTIVE:Measurement of interval data is important in the accurate recording of events that occur in an emergency medical services system. Measurement of intervals should be a simple task. However, when two separate clocks are needed to record the beginning and end of an interval, accurate measurement may be dif...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(97)70222-1

    authors: Campbell JP,Gridley TS,Muelleman RL

    更新日期:1997-04-01 00:00:00

  • Organophosphate poisoning.

    abstract::Organophosphate insecticides have become increasingly popular for agricultural, industrial, and home use and represent a significant potential health risk. We have reviewed the history, pathophysiology, clinical presentation, laboratory findings, differential diagnosis, therapy, and complications of toxic exposure to ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(87)80015-x

    authors: Tafuri J,Roberts J

    更新日期:1987-02-01 00:00:00

  • A trial of povidone-iodine in the prevention of infection in sutured lacerations.

    abstract::A prospective, randomized study of 500 consecutive emergency department patients with traumatic lacerations requiring sutures was performed comparing use of topical 1% povidone-iodine (Betadine) and scrubbing with wound management by irrigation with normal saline without scrubbing. A 60-second wound irrigation and scr...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0196-0644(87)80008-2

    authors: Gravett A,Sterner S,Clinton JE,Ruiz E

    更新日期:1987-02-01 00:00:00

  • Intravenous adenosine in the prehospital treatment of paroxysmal supraventricular tachycardia.

    abstract:STUDY OBJECTIVE:To determine the clinical efficacy and safety of IV adenosine administration in the field for the treatment of paroxysmal supraventricular tachycardia (PSVT). DESIGN:Prospective, consecutive case series. SETTING:An urban emergency medical services system. PARTICIPANTS:Thirty-seven adult patients in w...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)82650-2

    authors: McCabe JL,Adhar GC,Menegazzi JJ,Paris PM

    更新日期:1992-04-01 00:00:00

  • Thrombolytic therapy of massive pulmonary embolism during prolonged cardiac arrest using recombinant tissue-type plasminogen activator.

    abstract::Cardiac arrest caused by massive pulmonary embolism is highly refractory to conventional resuscitation. Emergency surgical embolectomy has been considered the only effective intervention. We present the case of a 33-year-old woman who suffered a massive pulmonary embolism with circulatory arrest refractory to one half...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(89)80527-x

    authors: Langdon RW,Swicegood WR,Schwartz DA

    更新日期:1989-06-01 00:00:00

  • Emergency department patients who leave without seeing a physician: the Toronto Hospital experience.

    abstract:STUDY OBJECTIVES:To determine why emergency department patients leave without being seen by a physician and whether they receive alternate medical care. DESIGN:A prospective, cross-sectional study of patients who left without being seen. Charts were reviewed for population demographics, presenting complaints, and clin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(94)70238-1

    authors: Fernandes CM,Daya MR,Barry S,Palmer N

    更新日期:1994-12-01 00:00:00

  • Safety and efficacy of diclofenac ophthalmic solution in the treatment of corneal abrasions.

    abstract:STUDY OBJECTIVE:To determine whether the use of diclofenac ophthalmic solution is a safe and effective analgesic in the treatment of traumatic corneal abrasions in the emergency department. METHODS:We conducted a prospective, randomized, double-blinded, placebo-controlled clinical trial. Consenting consecutive patient...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0196-0644(00)70132-6

    authors: Szucs PA,Nashed AH,Allegra JR,Eskin B

    更新日期:2000-02-01 00:00:00