Electrolytes, BUN, creatinine: who's at risk?

abstract：:Gastrointestinal decontamination has been practiced for hundreds of years; however, only in the past few years have data emerged that demonstrate a clinical benefit in some patients. Because most potentially toxic ingestions involve agents that are not toxic in the quantity consumed, the exact circumstances in which d...

journal_title：Annals of emergency medicine

authors： Bond GR

更新日期：2002-03-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the potential for cardiovascular toxicity from severe oral phenytoin overdose. STUDY POPULATION:Fifty-seven patients admitted during a two-year period to an inner-city hospital for severe oral phenytoin overdose, which is defined as a peak level of 40 micrograms/mL or more. METHODS:Case re...

journal_title：Annals of emergency medicine

authors： Wyte CD,Berk WA

更新日期：1991-05-01 00:00:00

abstract：STUDY OBJECTIVE:Emergency department (ED) patients with atrial fibrillation or flutter are at risk of stroke, and guidelines recommend anticoagulation for patients with increased cardiovascular risk. Emergency physicians have a unique opportunity to provide appropriate anticoagulation for such patients, and we wished t...

journal_title：Annals of emergency medicine

authors： Scheuermeyer FX,Innes G,Pourvali R,Dewitt C,Grafstein E,Heslop C,MacPhee J,Ward J,Heilbron B,McGrath L,Christenson J

更新日期：2013-12-01 00:00:00

abstract：:Situated in the heart of Europe, Switzerland's 7 million inhabitants, including 1 million foreigners, live in an area of 41,000 km2. German, French, Italian, and Rhaeto-Romanic are the official languages. The Swiss health service stands out because of the high quality and efficiency of its ambulatory and hospitalized ...

journal_title：Annals of emergency medicine

authors： Osterwalder JJ

更新日期：1998-08-01 00:00:00

abstract：STUDY OBJECTIVE:News media are used for community education and notification in exception from informed consent clinical trials, yet their effectiveness as an added safeguard in such research remains unknown. We assessed the number of callers requesting opt-out bracelets after each local media report and described the ...

journal_title：Annals of emergency medicine

authors： Nelson MJ,DeIorio NM,Schmidt T,Griffiths D,Daya M,Haywood L,Zive D,Newgard CD

更新日期：2010-01-01 00:00:00

abstract：:Colloid cyst of the third ventricle, although a benign lesion, carries with it high mortality and morbidity if not diagnosed in time. The most common presenting symptom is headache. A 31-year-old man with a history of intermittent, throbbing, unilateral headache and nausea was admitted because of exacerbation of his h...

journal_title：Annals of emergency medicine

authors： Weisz RR,Fazal M

更新日期：1983-12-01 00:00:00

abstract：:Positive-pressure bag-valve-mask ventilation during emergency airway management often results in significant gastric insufflation, which may impede adequate ventilation and oxygenation. Current-generation supraglottic airways have beneficial features, such as channels for gastric decompression while ventilation is ong...

journal_title：Annals of emergency medicine

authors： Dodd KW,Strobel AM,Driver BE,Reardon RF

更新日期：2016-10-01 00:00:00

abstract：STUDY OBJECTIVE:To test the hypothesis that residency-trained emergency physicians who left the practice of emergency medicine do not differ significantly from those who continue to practice. DESIGN:A retrospective cohort study using a mailed questionnaire. TYPE OF PARTICIPANTS:Eight hundred fifty-eight emergency med...

journal_title：Annals of emergency medicine

authors： Hall KN,Wakeman MA,Levy RC,Khoury J

更新日期：1992-03-01 00:00:00

abstract：:Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), is a propionic acid derivative that possesses analgesic and antipyretic properties through inhibition of prostaglandin synthesis. The propionic acids have been considered the least toxic of the NSAIDs, and one, ibuprofen, is currently available as an over-the-co...

journal_title：Annals of emergency medicine

authors： Martinez R,Smith DW,Frankel LR

更新日期：1989-10-01 00:00:00

abstract：:In December 2002, the federal government began a program to immunize approximately 500000 civilian public health and health care workers with smallpox (vaccinia) vaccine as a part of our pre-event defense against bioterrorism. First responders will likely follow, and the general US population might be offered vaccinat...

journal_title：Annals of emergency medicine

authors： Thorne CD,Hirshon JM,Himes CD,McDiarmid MA

更新日期：2003-11-01 00:00:00

abstract：:Our study was conducted to determine the appropriate dose of lidocaine using the larynx and to characterize the onset and duration of therapeutic serum levels. A mean dose of 5.67 +/- 1.2 mg/kg was topically administered to the subglottic region of seven comatose patients through a cricothyroid membrane puncture. Seri...

journal_title：Annals of emergency medicine

authors： Boster SR,Danzl DF,Madden RJ,Jarboe CH

更新日期：1982-09-01 00:00:00

abstract：:This article is part of a regular series on emerging infections from the Centers for Disease Control and Prevention (CDC) and the EMERGEncy ID NET, an emergency department-based and CDC-collaborative surveillance network. Important infectious disease public health information with relevance to emergency physicians is ...

journal_title：Annals of emergency medicine

authors： Pollack CV Jr,Fuller J

更新日期：1999-11-01 00:00:00

abstract：:Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

journal_title：Annals of emergency medicine

authors： McCarty M,Jagoda A,Fairweather P

更新日期：1998-07-01 00:00:00

abstract：STUDY OBJECTIVE:The Quick Sequential Organ Failure Assessment (qSOFA) score (composed of respiratory rate ≥22 breaths/min, systolic blood pressure ≤100 mm Hg, and altered mental status) may identify patients with infection who are at risk of complications. We determined the association between qSOFA scores and outcomes...

journal_title：Annals of emergency medicine

authors： Singer AJ,Ng J,Thode HC Jr,Spiegel R,Weingart S

更新日期：2017-04-01 00:00:00

abstract：:We conducted a study to determine the number of items and successful response rate to questions specific to emergency medicine on the National Board of Medical Examiners Test, Part II (NBME-II). The 1979 and 1983 NBME-II examinations were reviewed by a subcommittee of the Society of Teachers of Emergency Medicine. Ite...

journal_title：Annals of emergency medicine

authors： Sanders AB,Burdick WP,Stair TO,Witzke D

更新日期：1986-01-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the concordance of emergency physicians' and cardiologists' interpretations of abnormal ECGs. DESIGN:Retrospective cohort study. SETTING:An urban teaching hospital emergency department. TYPE OF PARTICIPANTS:Patients with an abnormal ED ECG that was interpreted by both an emergency physic...

journal_title：Annals of emergency medicine

authors： Westdrop EJ,Gratton MC,Watson WA

更新日期：1992-05-01 00:00:00

abstract：:A treatment protocol for patients with acute bronchospasm was introduced to an adult emergency department in an attempt to decrease treatment time and potentially decrease need for admission. The charts of all patients seen in a control year (before any protocol was in place) and the first three years of the protocol ...

journal_title：Annals of emergency medicine

authors： Schneider SM

更新日期：1986-06-01 00:00:00

abstract：:The sudden emergence of 2009 H1N1 influenza in the spring of that year sparked a surge in visits to emergency departments in New York City and other communities. A larger, second wave of cases was anticipated the following autumn. To reduce a potential surge of health system utilization without denying needed care, we...

journal_title：Annals of emergency medicine

authors： Kellermann AL,Isakov AP,Parker R,Handrigan MT,Foldy S

更新日期：2010-09-01 00:00:00

abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Procalcitonin is a biomarker that appears to correlate with bacterial infection. WHAT QUESTION THIS STUDY ADDRESSED: Does a procalcitonin level add prognostic information for pneumonia patients in conjunction with scoring systems such as the Pneumonia Severity Index or CURB-65? WHA...

journal_title：Annals of emergency medicine

authors： Menchine MD,Barrett TW,Schriger DL

更新日期：2008-07-01 00:00:00

abstract：STUDY OBJECTIVE:The objective was to quantify the analgesic effect of a dose of intravenous morphine, 0.1 mg/kg, to emergency department (ED) patients presenting in acute, severe pain. METHODS:This was a prospective convenience cohort of patients aged 21 to 65 years and presenting to an academic urban ED with acute, s...

journal_title：Annals of emergency medicine

authors： Bijur PE,Kenny MK,Gallagher EJ

更新日期：2005-10-01 00:00:00

abstract：:We describe a patient with a long history of rheumatoid arthritis who presented in full cardiopulmonary arrest. He was given intracardiac epinephrine. Fibroptic laryngoscopy determined the cause of the arrest to be upper airway obstruction from cricoarytenoid joint ankylosis, a complication of long-standing rheumatoid...

journal_title：Annals of emergency medicine

authors： Kandora TF,Gilmore IM,Sorber JA,Rose FB,Matta II

更新日期：1985-07-01 00:00:00

abstract：STUDY HYPOTHESIS:Risk factors associated with unintentional gunshot fatalities among children include gender and race of the decedent, type of firearm used, and whether loaded guns are stored within the home. STUDY POPULATION:All New Mexico children 0 to 14 years old unintentionally killed by a firearm between 1984 an...

journal_title：Annals of emergency medicine

authors： Martin JR,Sklar DP,McFeeley P

更新日期：1991-01-01 00:00:00

abstract：:Communication at discharge is an important part of high-quality emergency department (ED) care. This review describes the existing literature on patient understanding and implementation of discharge instructions, discusses previous interventions aimed at improving the discharge process, and recommends best practices a...

journal_title：Annals of emergency medicine

authors： Samuels-Kalow ME,Stack AM,Porter SC

更新日期：2012-08-01 00:00:00

abstract：STUDY OBJECTIVE:To compare patient and practitioner assessments of pain associated with commonly performed emergency department procedures and use of anesthetics before these procedures. METHODS:This was a prospective, observational, cross-sectional study conducted at a university-based ED with a convenience sample of...

journal_title：Annals of emergency medicine

authors： Singer AJ,Richman PB,Kowalska A,Thode HC Jr

更新日期：1999-06-01 00:00:00

abstract：:A prospective, randomized study of 500 consecutive emergency department patients with traumatic lacerations requiring sutures was performed comparing use of topical 1% povidone-iodine (Betadine) and scrubbing with wound management by irrigation with normal saline without scrubbing. A 60-second wound irrigation and scr...

journal_title：Annals of emergency medicine

authors： Gravett A,Sterner S,Clinton JE,Ruiz E

更新日期：1987-02-01 00:00:00

abstract：:During the evaluation of a victim of a motor vehicle accident, routine radiographs of the patient's cervical spine, chest, and pelvis revealed multiple radiopaque foreign bodies along his posterior neck, chest, abdomen, and pelvis. Repeat examination of the patient disclosed no evidence of foreign bodies. Further ques...

journal_title：Annals of emergency medicine

authors： Hollander JE,Dewitz A,Bowers S

更新日期：1991-09-01 00:00:00

abstract：STUDY OBJECTIVES:To develop a practical procedure for producing a nomogram describing the relationship between the osmolality gap and serum ethanol concentrations that is appropriate for the formulas and analytical methodologies in use at any laboratory. DESIGN:Retrospective review of serum sodium, glucose, urea nitro...

journal_title：Annals of emergency medicine

authors： Galvan LA,Watts MT

更新日期：1992-11-01 00:00:00

abstract：STUDY OBJECTIVE:We compare 3 methods of hands-only cardiopulmonary resuscitation (CPR) education, using performance scores. A paucity of research exists on the comparative effectiveness of different types of hands-only CPR education. This study also includes a novel kiosk approach that has not previously been studied, ...

journal_title：Annals of emergency medicine

authors： Heard DG,Andresen KH,Guthmiller KM,Lucas R,Heard KJ,Blewer AL,Abella BS,Gent LM,Sasson C

更新日期：2019-06-01 00:00:00

abstract：STUDY OBJECTIVE:The purpose of this study was to observe, measure, and describe the changes in central venous oxygen saturation during CPR and immediately after return of spontaneous circulation. It also was to examine the clinical utility of continuous central venous oxygen saturation monitoring as a indicator of retu...

journal_title：Annals of emergency medicine

authors： Rivers EP,Martin GB,Smithline H,Rady MY,Schultz CH,Goetting MG,Appleton TJ,Nowak RM

更新日期：1992-09-01 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