Rapid response systems: identification and management of the "prearrest state".

abstract：:The pathophysiology of esophageal and gastric disorders is complicated and broad and includes iatrogenic, structural, inflammatory, neuromuscular, neoplastic, and infectious causes. Symptoms can be nonspecific and are often initially attributed to cardiac or respiratory causes. These disorders have both acute and chro...

journal_title：Emergency medicine clinics of North America

authors： Mangili A

更新日期：2011-05-01 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

authors： Mitchell JM

更新日期：1989-11-01 00:00:00

abstract：:Despite the improvement of medical treatment for acute coronary syndromes throughout the 20th century, the authors believe that many cases of life-threatening coronary events could be avoided through early detection of CAD and the use of preventive strategies. Establishing chest pain units that are linked to the ED is...

journal_title：Emergency medicine clinics of North America

authors： Zalenski RJ,Grzybowski M

更新日期：2001-05-01 00:00:00

abstract：:Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitat...

journal_title：Emergency medicine clinics of North America

authors： Noel C,Mallemat H

更新日期：2019-08-01 00:00:00

abstract：:The knee is one of the most commonly injured joints in the human body, and, largely because of athletic injuries, they are increasing in frequency in the United States. This article provides a brief overview of knee anatomy, examines radiographic imaging techniques and arthrocentesis of the knee, and discusses injurie...

journal_title：Emergency medicine clinics of North America

authors： Roberts DM,Stallard TC

更新日期：2000-02-01 00:00:00

abstract：:This article focuses on the use of hyperbaric oxygen therapy (HBOt) in the treatment of open fractures and crush injuries. Based on the clinical evidence and cost analysis, medical institutions that treat open fracture and crush injuries are justified in incorporating HBOt as a standard of care. Both Medicare and Unde...

journal_title：Emergency medicine clinics of North America

authors： Buettner MF,Wolkenhauer D

更新日期：2007-02-01 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

authors： Morton PM,Marshall JP

更新日期：2004-05-01 00:00:00

abstract：:The formulary for dermatologic use in the emergency department must not only encompass drugs that are essential for advanced cardiac and trauma life support, but must have specific drugs that are indicated for common dermatologic conditions that are evaluated in the emergency department. First and foremost is the sele...

journal_title：Emergency medicine clinics of North America

authors： Drake LA

更新日期：1985-11-01 00:00:00

abstract：:Pediatric medical complaints and differential diagnoses often vary from adults, requiring a specialized knowledge base and behavioral skill set. This article addresses a variety of congenital and acquired pediatric genitourinary disorders. Genitourinary emergencies include paraphismosis, priapism, serious infection, s...

journal_title：Emergency medicine clinics of North America

authors： McGrath NA,Howell JM,Davis JE

更新日期：2011-08-01 00:00:00

abstract：:Wound healing is a complex interchange, orchestrated between cellular components that play their respective parts signaled by and mediated by different cellular instruments of healing. When healing is performed well, the final product is a thing of beauty. When healing is delayed, interrupted, or excessive, then unsig...

journal_title：Emergency medicine clinics of North America

authors： Strecker-McGraw MK,Jones TR,Baer DG

更新日期：2007-02-01 00:00:00

abstract：:The patient with severe head injury is a therapeutic challenge and demands all of the skills of the emergency medical specialist to manage traumatic injuries to the head, chest, abdomen, and limbs, as well as the specialized problems associated with respiratory care in a patient with raised ICP. The initial treatment ...

journal_title：Emergency medicine clinics of North America

authors： Fink ME

更新日期：1987-11-01 00:00:00

abstract：:Cardiac arrhythmias may result from poisoning by a variety of agents. Although some cardiac disturbances are of limited concern, others occur because of the specific cardiac properties of the ingested drugs, and require specific antidotes. Clinicians must understand the resultant pathophysiology so that therapy is app...

journal_title：Emergency medicine clinics of North America

authors： Miller MB

更新日期：1998-05-01 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：:Nonenhanced CT scan remains the most valuable and available neuroimaging study available in the ED. Nonenhanced CT scans are excellent for identifying acute hemorrhage, mass lesions, hydrocephalus, and cerebral edema. It is of limited value in identifying old blood, small abscesses and tumors, arteriovenous malformati...

journal_title：Emergency medicine clinics of North America

authors： Araiza J,Araiza B

更新日期：1997-08-01 00:00:00

abstract：:The elderly patient is likely to suffer severer immediate effects and more long-term complications from equivalent forces of injury. However, with an aggressive approach to evaluation, monitoring, and treatment, there is hope for successful recovery in the majority of cases. ...

journal_title：Emergency medicine clinics of North America

authors： Martin RE,Teberian G

更新日期：1990-05-01 00:00:00

abstract：:Respiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, d...

journal_title：Emergency medicine clinics of North America

authors： Wright BJ

更新日期：2014-11-01 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：:Prehospital management of musculoskeletal injuries in the traumatized patient is based on the application of a few basic principles in an orderly but expeditious manner. The patient must be assessed for immediate life-threatening conditions involving airway, respiratory, and circulatory functions while the cervical sp...

journal_title：Emergency medicine clinics of North America

authors： Worsing RA Jr

更新日期：1984-05-01 00:00:00

abstract：:Although laryngotracheobronchitis is the most common upper respiratory tract disorder in pediatrics, several other diseases are potentially life-threatening. The emergency physician must recognize both the obvious and subtle distinctions among upper airway diseases. The status of the patient's airway remains the prima...

journal_title：Emergency medicine clinics of North America

authors： Bank DE,Krug SE

更新日期：1995-05-01 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

authors： Hornbeak KB,Auerbach PS

更新日期：2017-05-01 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

authors： Chang TS,Lepanto L

更新日期：1992-02-01 00:00:00

abstract：:Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This req...

journal_title：Emergency medicine clinics of North America

authors： McCabe JL,Grossman SJ,Joyce JM

更新日期：1991-11-01 00:00:00

abstract：:Although useful to emergency physicians in determining and following up treatment, the microbiology department can be a source of frustration and erroneous results due to improper or inconsistent methodology, ordering, and interpretation. This article will review the principles of microbiologic specimen collection, ha...

journal_title：Emergency medicine clinics of North America

authors： Pancoast P,McCabe JB

更新日期：1986-05-01 00:00:00

abstract：:The porphyrias are a group of disorders involving enzymatic defects in heme synthesis. The porphyrias classically manifest neuro-visceral or photocutaneous symptoms based on which enzyme in the heme metabolic pathway is deficient. Although rare, the porphyrias would most likely be encountered in the emergency departme...

journal_title：Emergency medicine clinics of North America

authors： Dombeck TA,Satonik RC

更新日期：2005-08-01 00:00:00

abstract：:Academic emergency departments (EDs) play a vital role in provision of emergency care and contribute to training of resident physicians. Academic EDs also generate innovations and discoveries through clinical research within academic medical centers. However, academic EDs face challenges when initiating operational pr...

journal_title：Emergency medicine clinics of North America

authors： Vinton D,Sanchez LD

更新日期：2020-08-01 00:00:00

abstract：:Health care professionals often encounter patients who refuse a recommended treatment plan. Overriding a patient's right to autonomy has ethical, legal, and moral consequences. Incapacity is the determination by a physician that a patient lacks the ability to make informed decisions about his or her health care. The f...

journal_title：Emergency medicine clinics of North America

authors： Miller SS,Marin DB

更新日期：2000-05-01 00:00:00

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 ...

journal_title：Emergency medicine clinics of North America

authors： Duca A,Jagoda A

更新日期：2016-11-01 00:00:00

abstract：:Subarachnoid hemorrhage (SAH) is a neurologic emergency due to bleeding into the subarachnoid space. Mortality can reach 50%. The clinical presentation is most often in the form of headache, classically defined as maximal at onset and worst of life. The most common cause is traumatic; approximately 80% of nontraumatic...

journal_title：Emergency medicine clinics of North America

authors： Long B,Koyfman A,Runyon MS

更新日期：2017-11-01 00:00:00

abstract：:Medical planning requires the expedition physician to draw from many aspects of the knowledge base of wilderness and environmental medicine and to learn and use lessons from those that have gone before. The medical plan is dependent on parameters of the expedition objective, scope, and resources and is developed coope...

journal_title：Emergency medicine clinics of North America

authors： Tek D

更新日期：1992-05-01 00:00:00

abstract：:Pulmonary edema is differentiated into two categories--cardiogenic and noncardiogenic. Noncardiogenic pulmonary edema is due to changes in permeability of the pulmonary capillary membrane as a result of either a direct or an indirect pathologic process. It is a spectrum of illness ranging from the less severe form of ...

journal_title：Emergency medicine clinics of North America

authors： Perina DG

更新日期：2003-05-01 00:00:00