Risk management and avoiding legal pitfalls in the emergency treatment of high-risk orthopedic injuries.

abstract：:LSD is still readily available in the United States as a street drug of abuse. Emergency physicians may be called on to diagnose acute LSD intoxication in cases in which the history is unavailable. The typical LSD intoxication syndrome causes marked illusions of color and sound, along with a feeling of "cosmic awarene...

journal_title：Emergency medicine clinics of North America

authors： Kulig K

更新日期：1990-08-01 00:00:00

abstract：:More than 97% of pediatric exposures reported to the AAPCC in 2001 had either no effect or mild clinical effects. Despite the large number of exposures, only 26 of the 1074 reported fatalities occurred in children younger than age 6. These findings reflect the fact that, in contrast to adolescent or adult ingestions, ...

journal_title：Emergency medicine clinics of North America

authors： Michael JB,Sztajnkrycer MD

更新日期：2004-11-01 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：: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

authors： Siket MS,Cadena R

更新日期：2021-02-01 00:00:00

abstract：:This issue of the Emergency Medicine Clinics of North America focuses on the spectrum of public health issues that significantly impact the practice of emergency medicine and which are faced by practicing emergency physicians on daily basis. Topics include public health research in the emergency department; respirator...

journal_title：Emergency medicine clinics of North America

authors： Hirshon JM,Morris DM

更新日期：2006-11-01 00:00:00

abstract：:Most dog and cat bite injuries are minor wounds that require only local wound care as well a patient evaluation for tetanus and rabies postexposure immunoprophylaxis. For larger wounds, primary or delayed primary closure can be performed safely where indicated. When antimicrobial agents are necessary, inexpensive peni...

journal_title：Emergency medicine clinics of North America

authors： Dire DJ

更新日期：1992-11-01 00:00:00

abstract：:The emergency physician should be familiar with the four general categories of TP complications: malfunctions, infections and dermatitis, vascular complications, and psychiatric complications (Table 2). Each category of complication can be readily evaluated and initially managed based on a few simple steps. ...

journal_title：Emergency medicine clinics of North America

authors： Coppola M,Yealy DM

更新日期：1994-08-01 00:00:00

abstract：:Clearly, a multitude of potential consent problems can exist for the emergency physician. It is difficult at times to balance the concepts of patient autonomy with the desire to provide optimal medical care. Experienced emergency physicians should be able to individualize the type of consent needed in a particular sit...

journal_title：Emergency medicine clinics of North America

authors： Siegel DM

更新日期：1993-11-01 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：: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：:Adolescents are the victims, perpetrators, and witnesses of violent acts in the home, at school, and on the streets. Adolescent violence describes a dynamic, destructive, and repercussive process. This article discusses the unique aspects of adolescent violence and the involvement undertaken by the emergency departmen...

journal_title：Emergency medicine clinics of North America

authors： Grausz HM,Pelucio MT

更新日期：1999-08-01 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：: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：: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

authors： Mikrogianakis A,Grant V

更新日期：2018-02-01 00:00:00

abstract：:UTIs are common, potentially severe infections that the emergency physician must manage efficiently and effectively. In most cases, this entity is well recognized, and the clinician will be confident of the correct course. However, in certain populations, complications are common, and the best therapy has yet to be pr...

journal_title：Emergency medicine clinics of North America

authors： Miller O 2nd,Hemphill RR

更新日期：2001-08-01 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：: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：: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：: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：: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：:Although once considered unlikely, bioterrorism is now a reality in the United States since the anthrax cases began appearing in the fall of 2001. Intelligence sources indicate there are many countries and terrorist organizations that either possess biological weapons or are attempting to procure them. In the future i...

journal_title：Emergency medicine clinics of North America

authors： Darling RG,Catlett CL,Huebner KD,Jarrett DG

更新日期：2002-05-01 00:00:00

abstract：:Although emergency departments (ED's) vary in shape, size, and technology, similarities in responsibilities exist. The primary responsibility is to provide quality health care to the communities served. The (ED) constitutes a substantial business in any hospital. Because of changing acuity levels, patient volume, and ...

journal_title：Emergency medicine clinics of North America

authors： Almeida SL

更新日期：2004-02-01 00:00:00

abstract：:There are several significant problems encountered in treating the assault victim in the Emergency Department setting. In a busy Emergency Department, the patient who has been assaulted may be prioritized behind other patients with more significant life-threatening illnesses or injuries. The delay in treatment that en...

journal_title：Emergency medicine clinics of North America

authors： Hochbaum SR

更新日期：1987-08-01 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：:Central nervous system (CNS) infections require early recognition and aggressive management to improve patient survival and prevent long-term neurologic sequelae. Although early detection and treatment are important in many infectious syndromes, CNS infections pose unique diagnostic and therapeutic challenges. The non...

journal_title：Emergency medicine clinics of North America

authors： Jain R,Chang WW

更新日期：2018-11-01 00:00:00

abstract：:Drug-facilitated sexual assault (DFSA) is a complex and ever-prevalent problem presenting to emergency departments. Emergency personnel should consider DFSA in patients who are amnestic to the specific details of the event following a reported sexual assault. The presence of ethanol or a positive routine drug screen i...

journal_title：Emergency medicine clinics of North America

authors： Bechtel LK,Holstege CP

更新日期：2007-05-01 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：: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：: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

authors： Pollack ES

更新日期：1993-05-01 00:00:00

abstract：:Emergency thoracotomy is a valuable therapeutic modality for the moribund patient when trauma is the cause of the shock state. It is a procedure that requires an understanding of the technique and indications and should be instituted based on the indications listed above. There is probably no reason to do this procedu...

journal_title：Emergency medicine clinics of North America

authors： Krome RL,Dalbec DL

更新日期：1986-08-01 00:00:00