Subarachnoid hemorrhage presenting as acute chest pain: a variant of le coup de poignard.

abstract：STUDY OBJECTIVE:Increasingly, hospitals are using utilization review software to reduce hospital admissions in an effort to contain costs. Such practices have the potential to increase the number of unsafe discharges, particularly in public safety-net hospitals. Utilization review software tools are not well studied wi...

journal_title：Annals of emergency medicine

authors： Desai S,Gruber PF,Eiting E,Seabury SA,Mack WJ,Voyageur C,Vasquez V,Kim HT,Terp S

更新日期：2017-11-01 00:00:00

abstract：:We present a case of delay in diagnosis of diaphragmatic rupture and herniation in a pregnant 25-year-old woman. The diaphragmatic rupture was secondary to trauma sustained five months prior to presentation. Subsequent to her accident, she was provided medical care on multiple occasions for symptoms of intractable nau...

journal_title：Annals of emergency medicine

authors： Henzler M,Martin ML,Young J

更新日期：1988-04-01 00:00:00

abstract：STUDY OBJECTIVE:The benefit of epinephrine in cardiac arrest is controversial and has not been conclusively shown in any human clinical study. We seek to assess the effect of introducing intravenous epinephrine on the survival outcomes of out-of-hospital cardiac arrest patients in an emergency medical services (EMS) sy...

journal_title：Annals of emergency medicine

authors： Ong ME,Tan EH,Ng FS,Panchalingham A,Lim SH,Manning PG,Ong VY,Lim SH,Yap S,Tham LP,Ng KS,Venkataraman A,Cardiac Arrest and Resuscitation Epidemiology Study Group.

更新日期：2007-12-01 00:00:00

abstract：:We present the case of a patient who presented with persistent hiccups induced by a hair irritating the tympanic membrane and activating the vagally mediated hiccup neural reflex arc. Commonly identified etiologies and treatments of this condition are then reviewed. ...

journal_title：Annals of emergency medicine

authors： Wagner MS,Stapczynski JS

更新日期：1982-01-01 00:00:00

abstract：STUDY OBJECTIVES:Many patients with community-acquired pneumonia are treated empirically without an aggressive search for causative pathogens, an approach adopted largely because of the costs and difficulties encountered during efforts to identify the causative organisms. Blood and sputum cultures are not sensitive, an...

journal_title：Annals of emergency medicine

authors： Rodriguez RM,Fancher ML,Phelps M,Hawkins K,Johnson J,Stacks K,Rossini T,Way M,Holland D

更新日期：2001-10-01 00:00:00

abstract：:We examined the question of what determines the toxicity of alkaline solutions--pH, viscosity, or other factors. Our experiments have identified pH measurement as the simplest and most easily measured parameter for determining initial management of caustic ingestions. Viscosity is not a clinically useful measurement. ...

journal_title：Annals of emergency medicine

authors： Vancura EM,Clinton JE,Ruiz E,Krenzelok EP

更新日期：1980-03-01 00:00:00

abstract：:An important aspect in the effective management of an emergency medical services system is the ability to monitor system performance. To provide this information on a timely basis, a comprehensive data collection system is required. We describe the design, implementation, use, and effect of a comprehensive, computeriz...

journal_title：Annals of emergency medicine

authors： Valenzuela TD,Keeley KT,Criss EA,Spaite DW,Meislin HW

更新日期：1989-05-01 00:00:00

abstract：:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casua...

journal_title：Annals of emergency medicine

authors： Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD

更新日期：2009-02-01 00:00:00

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

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

更新日期：2020-09-01 00:00:00

abstract：:A prospective, randomized, blinded study was conducted to evaluate the efficacy of standard compared with high-dose epinephrine in cardiac arrest in dogs. Twenty-five mongrel dogs were anesthetized and monitored by central venous catheter, intra-arterial catheter, and ECG. A left lateral thoracotomy was performed, and...

journal_title：Annals of emergency medicine

authors： Brunette DD,Jameson SJ

更新日期：1990-01-01 00:00:00

abstract：:Traumatic dislocation of the hip joint is relatively uncommon in children. The trauma required to produce a dislocation can vary from minimal to severe, high-energy force. We report a case of posterior hip dislocation in a 9-year-old boy who received relatively minor trauma to his leg but who did not seek medical atte...

journal_title：Annals of emergency medicine

authors： McGoff JP,Ramoska EA

更新日期：1987-01-01 00:00:00

abstract：:Early reports of "reperfusion arrhythmia" after experimental temporary coronary occlusion raised concern that these arrhythmias, particularly ventricular fibrillation and ventricular tachycardia, might occur in association with reperfusion of an occluded coronary vessel during thrombolysis. Such an occurrence could in...

journal_title：Annals of emergency medicine

authors： Burney RE,Walsh D,Kaplan LR,Fraser S,Tung B,Overmyer J

更新日期：1989-03-01 00:00:00

abstract：:In order to develop a rapid, simple test to differentiate toxic naphthalene from the less toxic mothball ingredient paradichlorobenzene, both types of mothballs were dissolved in isopropyl alcohol, ethanol, methanol, and turpentine. Twenty-five naphthalene and 25 paradichlorobenzene mothballs were weighed, randomly gr...

journal_title：Annals of emergency medicine

authors： Winkler JV,Kulig K,Rumack BH

更新日期：1985-01-01 00:00:00

abstract：STUDY OBJECTIVE:Urinary catheters are often placed in the emergency department (ED) and are associated with an increased safety risk for hospitalized patients. We evaluate the effect of an intervention to reduce unnecessary placement of urinary catheters in the ED. METHODS:Eighteen EDs from 1 health system underwent t...

journal_title：Annals of emergency medicine

authors： Fakih MG,Heavens M,Grotemeyer J,Szpunar SM,Groves C,Hendrich A

更新日期：2014-06-01 00:00:00

abstract：:To define the usefulness of the lumbar spine x-ray series in the emergency department and to generate clinical criteria for optimizing its application, we retrospectively studied 552 consecutive emergency department patients for whom lumbar spine x-rays were ordered. Patients were divided into traumatic (47.6%) and no...

journal_title：Annals of emergency medicine

authors： Patrick JD,Doris PE,Mills ML,Friedman J,Johnston C

更新日期：1983-02-01 00:00:00

abstract：STUDY OBJECTIVE:There is little information about sexual violence cases treated in emergency departments (EDs). This study describes ED visits associated with sexual violence and considers the associated health care burden. METHODS:A descriptive analysis was conducted using nationally representative data on nonfatal i...

journal_title：Annals of emergency medicine

authors： Saltzman LE,Basile KC,Mahendra RR,Steenkamp M,Ingram E,Ikeda R

更新日期：2007-02-01 00:00:00

abstract：:Blacks, Hispanics/Latinos, American Indians, Pacific Islanders, Alaska Natives, and Native Hawaiians make up 33% of the US population. These same groups are underrepresented in medicine. In 2013, the physician workforce was 4.1% black, 4.4% Hispanic/Latino, 0.4% American Indian or Alaska Native, 11.7% Asian, and 48.9%...

journal_title：Annals of emergency medicine

authors： Garrick JF,Perez B,Anaebere TC,Craine P,Lyons C,Lee T

更新日期：2019-06-01 00:00:00

abstract：STUDY OBJECTIVE:Researchers from low- and middle-income countries have limited access to publishing and editing resources. This study describes a journal-initiated platform to improve publication quantity and quality in Sub-Saharan Africa emergency care research: Author Assist. METHODS:This is a descriptive report of ...

journal_title：Annals of emergency medicine

authors： Bruijns SR,Banner M,Jacquet GA

更新日期：2017-04-01 00:00:00

abstract：:The management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

journal_title：Annals of emergency medicine

authors： Hovanessian HC

更新日期：1999-05-01 00:00:00

abstract：STUDY OBJECTIVE:Previous studies suggest improved patient outcomes for providers who perform high volumes of complex medical procedures. Out-of-hospital tracheal intubation is a difficult procedure. We seek to determine the association between rescuer procedural experience and patient survival after out-of-hospital tra...

journal_title：Annals of emergency medicine

authors： Wang HE,Balasubramani GK,Cook LJ,Lave JR,Yealy DM

更新日期：2010-06-01 00:00:00

abstract：:An important responsibility of emergency departments is the management of injuries sustained in assaults. Most assaults, including many causing serious injury, are not reported and not recorded by the police. This is important because police investigation and the conviction of offenders has a substantial deterrent eff...

journal_title：Annals of emergency medicine

authors： Shepherd JP

更新日期：2001-10-01 00:00:00

abstract：STUDY OBJECTIVE:In patients presenting to the emergency department (ED) with an initial diagnostic impression of noncardiac chest pain, we determine the 30-day incidence of adverse cardiac events and characteristics associated with those events. METHODS:The multicenter, prospectively collected Internet Tracking Regist...

journal_title：Annals of emergency medicine

authors： Miller CD,Lindsell CJ,Khandelwal S,Chandra A,Pollack CV,Tiffany BR,Hollander JE,Gibler WB,Hoekstra JW

更新日期：2004-12-01 00:00:00

abstract：STUDY HYPOTHESIS:To determine the prevalence of antibody to human immunodeficiency virus (HIV) in trauma and nontrauma patients not identified as having known HIV infection in a noninner-city university teaching hospital emergency department, and to determine the frequency with which treating emergency physicians are k...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Talan DA,Torres M

更新日期：1991-07-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether reminder signs placed at the exits to parking decks increase the rate of safety belt use. METHODS:The subjects in this study were drivers of automobiles with permits to park in campus decks at a major university. Volunteer observers were positioned near the exits of 5 parking decks...

journal_title：Annals of emergency medicine

authors： Clack ZA,Pitts SR,Kellermann AL

更新日期：2000-12-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of different doses of the vasopressor angiotensin II on aortic diastolic and coronary perfusion pressures in a swine model of cardiac arrest. DESIGN:Immature swine were anesthetized and hemodynamically monitored. Ventricular fibrillation was induced; CPR was begun after ten minut...

journal_title：Annals of emergency medicine

authors： Little CM,Hobson JL,Brown CG

更新日期：1993-02-01 00:00:00

abstract：STUDY OBJECTIVE:Emergency department records are an important source of injury surveillance data. However, documentation regarding intentional assault has not been studied and may be suboptimal. The purpose of this study was to analyze physician documentation of assailant, site, and object used in intentional assault. ...

journal_title：Annals of emergency medicine

authors： Houry D,Feldhaus KM,Nyquist SR,Abbott J,Pons PT

更新日期：1999-12-01 00:00:00

abstract：:The treatment of dyspepsia in the emergency department often consists of antacid in combination with viscous lidocaine, even though the specific etiology of the pain is frequently unknown. The efficacy of lidocaine as a component of symptomatic therapy was evaluated in a randomized, patient-blinded protocol. Patients ...

journal_title：Annals of emergency medicine

authors： Welling LR,Watson WA

更新日期：1990-07-01 00:00:00

abstract：:Presented is the case of a motor vehicle accident (MVA) victim with hypotension and evisceration of small intestine. Vigorous resuscitation in the emergency department was required, after which a portion of small bowel was resected at laparotomy. Evisceration secondary to trauma in an MVA is a rare injury. Significant...

journal_title：Annals of emergency medicine

authors： Majernick TG,West JC,Snover W,Brotman S

更新日期：1984-08-01 00:00:00

abstract：:One vital aspect of emergency medicine management is communication after episodes of care to improve future performance through group reflection on the shared experience. This reflective activity in teams is known as debriefing, and despite supportive evidence highlighting its benefits, many practitioners experience b...

journal_title：Annals of emergency medicine

authors： Kessler DO,Cheng A,Mullan PC

更新日期：2015-06-01 00:00:00

abstract：:Presented is a case of syncope as the initial sign of a painless aortic dissection. The patient was stabilized by percutaneous drainage of a hemopericardium, and then underwent angiography and successful operative repair. Although uncommon, painless aortic dissection should be included in the differential diagnosis of...

journal_title：Annals of emergency medicine

authors： Kuhlmann TP,Powers RD

更新日期：1984-07-01 00:00:00