The diagnosis and management of seizures and status epilepticus in the prehospital setting.

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：:This article updates research concerning the resuscitation of a pediatric patient. The topics discussed include the state of pediatric life support, the current guidelines, the management of those guidelines, and coping with death. ...

journal_title：Emergency medicine clinics of North America

authors： Brown K,Bocock J

更新日期：2002-02-01 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

authors： Jorden RC

更新日期：1988-11-01 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

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：:Pregnancy produces unique physical and physiologic changes. These changes alter, sometimes significantly, the presentation of trauma pathology. This article examines some of the unusual findings and controversies surrounding injury during pregnancy. ...

journal_title：Emergency medicine clinics of North America

authors： Neufeld JD

更新日期：1993-02-01 00:00:00

abstract：:Resuscitation goals for the patient with sepsis and septic shock are to return the patient to a physiologic state that promotes adequate end-organ perfusion along with matching metabolic supply and demand. Ideal resuscitation end points should assess the adequacy of tissue oxygen delivery and oxygen consumption, and b...

journal_title：Emergency medicine clinics of North America

authors： Greenwood JC,Orloski CJ

更新日期：2017-02-01 00:00:00

abstract：:Emergency department crowding is a multifactorial issue with causes intrinsic to the emergency department and to the health care system. Understanding that the causes of emergency department crowding span this continuum allows for a more accurate analysis of its effects and a more global consideration of potential sol...

journal_title：Emergency medicine clinics of North America

authors： Kenny JF,Chang BC,Hemmert KC

更新日期：2020-08-01 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：: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：:A better understanding of coronary syndromes allow physicians to appreciate UAP and AMI as part of a continuum of ACI. ACI is a life-threatening condition whose identification can have major economic and therapeutic importance as far as threatening dysrhythmias and preventing or limiting myocardial infarction size. Th...

journal_title：Emergency medicine clinics of North America

authors： Pope JH,Selker HP

更新日期：2003-02-01 00:00:00

abstract：:Many systemic diseases have associated oral symptoms. Occasionally, patients with these diseases present with lesions that occur primarily in the mouth. Although few systemic diseases have strictly pathognomonic lesions of the oral mucosa, a careful examination of the oral cavity can often lend important clues to maki...

journal_title：Emergency medicine clinics of North America

authors： Mulliken RA,Casner MJ

更新日期：2000-08-01 00:00:00

abstract：:Cardiogenic pulmonary edema (CPE) is a life-threatening condition that is frequently encountered in standard emergency medicine practice. Traditionally, diagnosis was based on physical assessment and chest radiography and treatment focused on the use of morphine sulfate and diuretics. Numerous advances in diagnosis an...

journal_title：Emergency medicine clinics of North America

authors： Mattu A,Martinez JP,Kelly BS

更新日期：2005-11-01 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：:Acutely agitated or psychotic patients are particularly challenging to manage in the emergency department. Often these patients present with little or no history, and an adequate assessment may initially be difficult because of the condition of the patient. This article discusses basic concepts regarding agitation, an...

journal_title：Emergency medicine clinics of North America

authors： Deal N,Hong M,Matorin A,Shah AA

更新日期：2015-11-01 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

authors： Derse AR

更新日期：1999-05-01 00:00:00

abstract：:This article examines the role and impact of EMTALA on the ethical delivery of hospital-based emergency services, primarily through close inspection of three of the core EMTALA mandates: the medical screening examination, the duty to accept patients in transfer from less capable facilities, and the requirement that th...

journal_title：Emergency medicine clinics of North America

authors： Bitterman RA

更新日期：2006-08-01 00:00:00

abstract：:Emergency medicine physicians are uniquely positioned to detect manifestations of human immunodeficiency virus (HIV) disease in the head and neck region. Awareness of the myriad of opportunistic infections and malignancies that involve the head, neck, and eyes is paramount to their diagnosis and treatment. On occasion...

journal_title：Emergency medicine clinics of North America

authors： Moayedi S

更新日期：2010-05-01 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：:Pediatric asthma is a disease that is managed across outpatient physicians, hospitalists, critical care physicians, and emergency department (ED) physicians. Scoring systems may facilitate a rapid assessment of the child with asthma in the ED. Short-acting beta agonists are still the mainstay of therapy for acute exac...

journal_title：Emergency medicine clinics of North America

authors： Kline-Krammes S,Patel NH,Robinson S

更新日期：2013-08-01 00:00:00

abstract：:The diagnosis of acute scrotal pain can be difficult. The most common causes include torsion of a testicular appendage, epididymitis, and testicular torsion, which account for 85% to 90% of all cases. These entities may be clinically indistinguishable because characteristic symptoms and signs for each overlap, whereas...

journal_title：Emergency medicine clinics of North America

authors： Burgher SW

更新日期：1998-11-01 00:00:00

abstract：:Ultrasonography has emerged as a primary imaging modality in the evaluation of the trauma victim. Both emergency physicians and surgeons have been proven capable of performing this rapid, noninvasive evaluation of the chest and abdomen. This article describes the trauma ultrasound examination and illustrates how bedsi...

journal_title：Emergency medicine clinics of North America

authors： Melanson SW,Heller M

更新日期：1998-02-01 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：:Preparation for, and response to, hazardous materials emergencies requires both preplanning and just-in-time information management. The development of an emergency operations plan and a hazardous materials incident response plan involves many steps and implicates numerous resources: institutional, governmental, and p...

journal_title：Emergency medicine clinics of North America

authors： Borron SW

更新日期：2015-02-01 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

authors： Dubin J,Davis JE

更新日期：2011-08-01 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

authors： Germann CA,Perron AD

更新日期：2010-11-01 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：:Hemophilia and von Willebrand's disease are the most common hereditary bleeding disorders. A variety of treatment modalities of these disorders are discussed. Common organ system bleeding and its treatment and disposition are outlined. Finally, potential complications of both the disease and treatment are reviewed. ...

journal_title：Emergency medicine clinics of North America

authors： Pfaff JA,Geninatti M

更新日期：1993-05-01 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

authors： Tracy JA,Edlow JA

更新日期：2004-08-01 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