Abstract：
:During the past decade several new antiepileptic drugs (AEDs) have become available, including new formulations of some of the older medications. Understanding the pharmacokinetics of the new AEDs is important because they are primarily used for adjunctive therapy and interactions with other medications can result in significant toxicities. The new-generation AEDs do not cause serious morbidity in overdose, and treatment is primarily supportive. Specific medications should be chosen based on the patient's history and presentation.
journal_name
Emerg Med Clin North Amjournal_title
Emergency medicine clinics of North Americaauthors
Hung OL,Shih RDdoi
10.1016/j.emc.2010.09.004subject
Has Abstractpub_date
2011-02-01 00:00:00pages
141-50issue
1eissn
0733-8627issn
1558-0539pii
S0733-8627(10)00088-Xjournal_volume
29pub_type
杂志文章abstract：:This article is designed to review proper procedure by an emergency or primary care physician when evaluating a patient with decreased hearing. It will cover the anatomy and physiology of hearing, as well as the evaluation and initial management of conductive and sensorineural hearing loss. ...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1987-05-01 00:00:00
abstract：:Numerous surgical complications arise from parenteral drug use. Some complications have severe sequelae and most prove to be a diagnostic challenge. It is likely that these problems will remain a significant burden on the health care system as a result of continued widespread drug abuse. EPs must always maintain vigil...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0733-8627(03)00068-3
更新日期：2003-11-01 00:00:00
abstract：:Despite recent advances, care of the post-cardiac arrest patient remains a challenge. In this article, the authors discuss an approach to the initial care of post-cardiac arrest patients with particular focus on targeted temperature management (TTM). The article starts with history, physiologic rationale, and the majo...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2019.03.002
更新日期：2019-08-01 00:00:00
abstract：:Avoiding legal pitfalls of orthopedic injuries in the emergency department (ED) requires an understanding of certain high-risk injuries, their presentation, evaluation, and disposition. Various pitfalls pertaining to both upper and lower extremity injuries are discussed in detail, with recommendations regarding the hi...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2010.06.002
更新日期：2010-11-01 00:00:00
abstract：:Helium-oxygen ("heliox") mixtures have been used for decades in the treatment of various respiratory problems ranging from acute upper airway obstructions to lower airway derangements, such as asthma and exacerbations of chronic bronchitis. This review presents a brief history of helium and helium-oxygen mixtures and ...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2008.07.007
更新日期：2008-11-01 00:00:00
abstract：:This article reviews out-of-hospital cardiac arrest from a public health perspective. Case definitions are discussed. Incidence, outcome, and fixed and modifiable risk factors for cardiac arrest are described. There is a large variation in survival between communities that is not explained by patient or community fact...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章
doi：10.1016/j.emc.2011.09.003
更新日期：2012-02-01 00:00:00
abstract：:The ultrasound diagnosis of deep venous thrombosis by an emergency physician is occurring with increased frequency. The examination is simple to perform and, when combined with a clinical pretest probability or D-dimer, can aid in the rapid disposition ofa patient with lower extremity pain and swelling. The technique ...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2004.04.008
更新日期：2004-08-01 00:00:00
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：:Neurologic complications are unfortunately common in oncology patients, with many presenting to the emergency department for diagnosis and management. This case-based review provides a brief overview of the key points in pathophysiology, diagnosis, and management of 2 oncologic central nervous system emergencies: mali...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2018.04.010
更新日期：2018-08-01 00:00:00
abstract：:The penis is a very sensitive organ and even minor injury or discomfort may cause a patient to seek emergency evaluation. Emergency practitioners must be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis, namely ischemic priapism, paraphimosis, and entrapment in...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2011.04.006
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
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2006.12.002
更新日期：2007-02-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1993-08-01 00:00:00
abstract：:Patients with human immunodeficiency virus, those who are posttransplant, and those undergoing chemotherapy are populations who are immunocompromised and present to the emergency department with abdominal pain related to their disease processes, opportunistic infections, and complications of treatment. Emergency depar...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2015.12.002
更新日期：2016-05-01 00:00:00
abstract：:The emergency department (ED) presents unique challenges to infection control and prevention. Hand hygiene, transmission-based precautions, environmental cleaning, high-level disinfection and sterilization of reusable medical devices, and prevention of health care-associated infections (catheter-associated urinary tra...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2018.06.013
更新日期：2018-11-01 00:00:00
abstract：:The treatment of acute ischemic stroke is one of the most rapidly evolving areas in medicine. Like all ischemic vascular emergencies, the priority is reperfusion before irreversible infarction. The central nervous system is sensitive to brief periods of hypoperfusion, making stroke a golden hour diagnosis. Although th...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2020.09.014
更新日期：2021-02-01 00:00:00
abstract：:Patients with complications of chemotherapy, either acute or chronic, are frequently encountered in the emergency department (ED). Some patients present with complaints immediately after chemotherapy administration, whereas others may show subtle, secondary signs or may have no signs or symptoms of chemotoxicity. An i...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2014.04.006
更新日期：2014-08-01 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
pub_type： 杂志文章
doi：
更新日期：1987-08-01 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
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
更新日期：2018-02-01 00:00:00
abstract：:Ethical issues in emergency medicine often are accompanied by legal issues. Although the legal aspects of an ethical problem are important factors to take into consideration, the law may not directly address the problem, and following the law does not always ensure an ethical outcome. Emergency physicians should have ...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0733-8627(05)70061-4
更新日期：1999-05-01 00:00:00
abstract：:Acute dyspnea in older patients is a common presentation to the emergency department. Acute dyspnea in older adults is often the consequence of multiple overlapping disorders, such as pneumonia precipitating acute heart failure. Emergency physicians must be comfortable managing patients with acute dyspnea of uncertain...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2015.08.003
更新日期：2016-02-01 00:00:00
abstract：:Tumor lysis syndrome is most often seen after the treatment of blood and solid malignancies. The resultant hyperkalemia, hyperphosphatemia, hypocalcemia, and hyperuricemia can lead to life threatening complications. Expeditious evaluation and therapy are paramount in preventing the most serious sequelae of acute renal...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章
doi：10.1016/j.emc.2009.04.010
更新日期：2009-08-01 00:00:00
abstract：:The diagnosis of malignancy in childhood is challenging. Signs and symptoms are generally nonspecific, and children with an underlying malignancy rarely are seriously ill at the time of initial presentation. A thorough history and physical examination are the most important components of the emergency physician's asse...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1993-05-01 00:00:00
abstract：:In recent years, health care providers have sounded the call that the US mental health system is in crisis. With decreases in funding and eroding access to care, the availability of psychiatric services has become increasingly limited, failing to meet growing needs. This article provides a brief history of mental heal...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2015.07.013
更新日期：2015-11-01 00:00:00
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
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2011.01.007
更新日期：2011-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.emc.2011.09.012
更新日期：2012-02-01 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
pub_type： 历史文章,杂志文章,评审
doi：10.1016/s0733-8627(02)00028-7
更新日期：2002-11-01 00:00:00
abstract：:Dissections of the carotid and vertebral arteries are a common cause of stroke in young adults. The diagnosis may be missed because the typical signs and symptoms are often delayed in onset, or easily confused with other more commonly encountered entities. Dissections of the carotid and vertebral arteries may occur sp...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0733-8627(05)70325-4
更新日期：1997-08-01 00:00:00
abstract：:Epilepsy is a chronic disorder characterized by recurrent unprovoked epileptic seizures. Not all epileptic seizures indicate the existence of an epileptic disorder; many represent a natural response of the normal brain to transient noxious insults that are not likely to be repeated (reactive seizures). Not only is it ...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1994-11-01 00:00:00
abstract：:PTV is an adjunct to airway management that can prove helpful in selected cases. Its speed and ease of performance are offset by the need for specialized equipment to accomplish it. This difficulty, combined with infrequent indications, makes PTV a rarely performed procedure. Nevertheless, it remains a viable airway m...
journal_title：Emergency medicine clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1988-11-01 00:00:00
