Organophosphate poisoning.

abstract：STUDY OBJECTIVE:We evaluated a strategy to increase use of the test (Dix-Hallpike's test [DHT]) and treatment (canalith repositioning maneuver [CRM]) for benign paroxysmal positional vertigo in emergency department (ED) dizziness visits. METHODS:We conducted a stepped-wedge randomized trial in 6 EDs. The population wa...

journal_title：Annals of emergency medicine

authors： Kerber KA,Damschroder L,McLaughlin T,Brown DL,Burke JF,Telian SA,Tsodikov A,Fagerlin A,An LC,Morgenstern LB,Forman J,Vijan S,Rowell B,Meurer WJ

更新日期：2020-04-01 00:00:00

abstract：:Acid-base changes occurring during cardiac arrest and subsequent CPR are related to a complex low-perfusion state characterized clinically by venous and tissue hypercarbic and metabolic (lactic) acidosis. This low-flow state is a dynamic process dependent on the time intervals between onset of arrest, initiation of CP...

journal_title：Annals of emergency medicine

authors： von Planta M,Bar-Joseph G,Wiklund L,Bircher NG,Falk JL,Abramson NS

更新日期：1993-02-01 00:00:00

abstract：:Excessive brain lactate, as may develop in cerebral ischemia, has been implicated as a major cause of irreversible cell damage. With an experimental model that produces cerebral ischemia by bilateral carotid ligation combined with systemic hypotension, previous studies have shown that treatment with 25 mg/kg sodium di...

journal_title：Annals of emergency medicine

authors： Dimlich RV,Timerding BL,Kaplan J,Cammenga R,Van Ligten PF

更新日期：1989-11-01 00:00:00

abstract：:This clinical policy from the American College of Emergency Physicians addresses key issues in opioid management in adult patients presenting to the emergency department. A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical que...

journal_title：Annals of emergency medicine

authors： American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Opioids.,Hatten BW,Cantrill SV,Dubin JS,Ketcham EM,Runde DP,Wall SP,Wolf SJ

更新日期：2020-09-01 00:00:00

abstract：STUDY OBJECTIVE:In 2008, a pay-for-performance program was implemented in sequential waves in Ontario emergency departments (EDs), with the aim of reducing length of stay. We seek to evaluate its effects on ED length of stay and quality of care. METHODS:This was a retrospective observational study of ED visits in Onta...

journal_title：Annals of emergency medicine

authors： Vermeulen MJ,Stukel TA,Boozary AS,Guttmann A,Schull MJ

更新日期：2016-04-01 00:00:00

abstract：:Fentanyl is an attractive agent for analgesia in the emergency department. Its use in this setting has been limited to IV bolus administration. We report successful sedation, muscle relaxation, and analgesia of a multiple trauma patient with fentanyl IV bolus and continuous infusion in the ED. ...

journal_title：Annals of emergency medicine

authors： Walsh M,Smith GA,Yount RA,Ferlic FJ,Wieschhaus MF

更新日期：1991-08-01 00:00:00

abstract：:[Parkhurst DC: Shift change. Ann Emerg Med June 1998;31:785-788.]. ...

journal_title：Annals of emergency medicine

authors： Parkhurst DC

更新日期：1998-06-01 00:00:00

abstract：:In an effort to assess the reliability of patient history in excluding pregnancy, we studied the correlation between specific historical factors and the presence of a positive qualitative serum beta-human chorionic gonadotropin assay. Two hundred eight patients were studied, and information was collected prospectively...

journal_title：Annals of emergency medicine

authors： Ramoska EA,Sacchetti AD,Nepp M

更新日期：1989-01-01 00:00:00

abstract：:The case of a patient who developed severe acute respiratory failure during therapy for salicylate intoxication is described. The individual with aspirin overdose is at risk for this complication because of the potential for treatment modalities to cause or worsen lung edema initiated by the effects of salicylates on ...

journal_title：Annals of emergency medicine

authors： Zimmerman GA,Clemmer TP

更新日期：1981-02-01 00:00:00

abstract：:The 1982 US Festival, a three-day outdoor rock music festival, attracted close to 410,000 people. Through a private contractor, a group of physicians participated in the design, administration, and implementation of medical care for this event. Basic ambulatory care was provided by a multitiered approach, using emerge...

journal_title：Annals of emergency medicine

authors： Ounanian LL,Salinas C,Shear CL,Rodney WM

更新日期：1986-05-01 00:00:00

abstract：:A 19-year-old man who attempted suicide by ingesting approximately 600 mg fluoxetine (Prozac) and 140 mg loxapine (Loxitane) had two episodes of atrial flutter shortly thereafter. Admission serum fluoxetine, norfluoxetine, and loxapine levels were 1,053 ng/mL, 702 ng/mL, and 40 ng/mL, respectively. This case of atrial...

journal_title：Annals of emergency medicine

authors： Roberge RJ,Martin TG

更新日期：1994-03-01 00:00:00

abstract：STUDY OBJECTIVE:The antivenom currently available for treatment of systemic black widow envenomation (latrodectism) is composed of equine whole immunoglobin. Although considered effective, it has been associated with anaphylaxis and 2 reported fatalities. We test the efficacy and safety of new equine antivenom composed...

journal_title：Annals of emergency medicine

authors： Dart RC,Bush SP,Heard K,Arnold TC,Sutter M,Campagne D,Holstege CP,Seifert SA,Lo JCY,Quan D,Borron S,Meurer DA,Burnham RI,McNally J,Garcia-Ubbelohde W,Anderson VE

更新日期：2019-09-01 00:00:00

abstract：STUDY OBJECTIVE:For an emergency medicine pharmacist to become a well-integrated multidisciplinary team member, his or her services need to be accepted by the emergency department (ED) staff. There have been 2 published studies attesting the value of the emergency medicine pharmacist by ED staff: at an academic medical...

journal_title：Annals of emergency medicine

authors： Splawski J,Horner D,Tao K

更新日期：2017-03-01 00:00:00

abstract：STUDY OBJECTIVE:To examine the spectrum of electrical injuries and develop guidelines for management. DESIGN:Retrospective review of charts compiled during a 6-year period (1988 through 1993). SETTING:Pediatric emergency department. PARTICIPANTS:Seventy-eight patients seen for electrical injuries. RESULTS:Fifty-fou...

journal_title：Annals of emergency medicine

authors： Garcia CT,Smith GA,Cohen DM,Fernandez K

更新日期：1995-11-01 00:00:00

abstract：:Injury severity determination serves multiple purposes in trauma care systems by aiding prehospital triage, assisting clinical management, and facilitating outcome evaluation. Numerous authors have described methods for quantifying injury severity, most of which use physiologic status or anatomic injury. For prehospit...

journal_title：Annals of emergency medicine

authors： Cales RH

更新日期：1986-12-01 00:00:00

abstract：:The traditional use of the American ED, one of unrestricted access by patients and payment for services by insurers, is being questioned in this era of health care reform. Both primary care physicians and managed care organizations have questioned the use of the ED by patients without obvious problems of an emergency ...

journal_title：Annals of emergency medicine

authors： Derlet RW,Young GP

更新日期：1997-09-01 00:00:00

abstract：:A prospective study was conducted to determine the usefulness of clinical findings and 25-degree pronation and supination radiologic views to diagnose carpal navicular fractures. All patients presenting to the emergency department during a two-year period who fell on their outstretched hand and had pain and/or swellin...

journal_title：Annals of emergency medicine

authors： Mehta M,Brautigan MW

更新日期：1990-03-01 00:00:00

abstract：STUDY OBJECTIVE:Previous studies have indicated a number of barriers to screening for domestic violence (DV) in an emergency department setting. These barriers result in inconsistencies which determine who is screened as well as the content and quality of the information obtained, and if uncontrolled they are likely to...

journal_title：Annals of emergency medicine

authors： Furbee PM,Sikora R,Williams JM,Derk SJ

更新日期：1998-04-01 00:00:00

abstract：STUDY OBJECTIVE:Severe myocardial ischemia is the leading cause of arrhythmic sudden cardiac death. It is unclear, however, in which percentage of patients sudden cardiac death is triggered by ST-elevation myocardial infarction (STEMI) and whether the diagnosis of STEMI can be reliably established immediately after res...

journal_title：Annals of emergency medicine

authors： Müller D,Schnitzer L,Brandt J,Arntz HR

更新日期：2008-12-01 00:00:00

abstract：STUDY OBJECTIVE:The effect of urgent cares on local emergency department (ED) patient volumes is presently unknown. In this paper, we aimed to assess the change in low-acuity ED utilization at 2 academic medical centers in relation to patient proximity to an affiliated urgent care. METHODS:We created a geospatial data...

journal_title：Annals of emergency medicine

authors： Carlson LC,Raja AS,Dworkis DA,Lee J,Brown DFM,Samuels-Kalow M,Wilson M,Shapiro M,Kim J,Yun BJ

更新日期：2020-03-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to examine the outcome of a subgroup of patients with extreme carbon monoxide (CO) poisoning, specifically those discovered in cardiac arrest, resuscitated, and subsequently treated with hyperbaric oxygen (HBO(2)). Opinions of hyperbaric medicine physicians regarding the treatment of such pati...

journal_title：Annals of emergency medicine

authors： Hampson NB,Zmaeff JL

更新日期：2001-07-01 00:00:00

abstract：:Mechanical interventions in acute ischemic stroke promise to provide emergency physicians with tools to treat patients in whom conventional thrombolysis might be ineffective or contraindicated, including most patients with stroke who arrive at the emergency department beyond the 3-hour time window for intravenous tiss...

journal_title：Annals of emergency medicine

authors： Leary MC,Saver JL,Gobin YP,Jahan R,Duckwiler GR,Vinuela F,Kidwell CS,Frazee J,Starkman S

更新日期：2003-06-01 00:00:00

abstract：:During the past 30 years, emergency medical services (EMS) in the United States have experienced explosive growth. The American health care system is now transforming, providing an opportune time to examine what we have learned over the past three decades in order to create a vision for the future of EMS. Over the cou...

journal_title：Annals of emergency medicine

authors： Delbridge TR,Bailey B,Chew JL Jr,Conn AK,Krakeel JJ,Manz D,Miller DR,O'Malley PJ,Ryan SD,Spaite DW,Stewart RD,Suter RE,Wilson EM

更新日期：1998-02-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to describe the effects of continuous intravenous midazolam infusion as therapy for severe bark scorpion (Centruroides exilicauda) envenomation. METHODS:A retrospective chart review from July 1, 1993, through January 1, 1998, identified all patients treated at a university hospital with Inter...

journal_title：Annals of emergency medicine

authors： Gibly R,Williams M,Walter FG,McNally J,Conroy C,Berg RA

更新日期：1999-11-01 00:00:00

abstract：:The application of molecular biology to microbiology has led to a surge of new information about most infectious microorganisms, the pathogenesis of the infections they cause, and the specific microbial antigens involved in the immune response to these infections. The simultaneous application of the same techniques to...

journal_title：Annals of emergency medicine

authors： Engleberg NC

更新日期：1994-09-01 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:We examine racial and ethnic differences in opioid prescribing and dosing for long bone fractures at emergency department (ED) discharge. METHODS:We conducted an electronic health records-based cross-sectional study of adults with long bone fractures who presented to the ED across 22 sites from a healt...

journal_title：Annals of emergency medicine

authors： Romanelli RJ,Shen Z,Szwerinski N,Scott A,Lockhart S,Pressman AR

更新日期：2019-11-01 00:00:00

abstract：:While advanced cardiac life support (ACLS) and advanced trauma life support (ATLS) courses have become accepted standards for physicians who care for the critically ill and injured patient, only recently have pediatric advanced life support (PALS) courses been developed. The American Academy of Pediatrics has shown re...

journal_title：Annals of emergency medicine

authors： Thompson BM,Rice T,Jaffe J,Aprahamian C,Horwitz L,Torphy D

更新日期：1984-11-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the utility of the peripheral blood WBC count as a screen for lumbar puncture among young infants evaluated for serious bacterial infections. METHODS:We performed logistic regression modeling and receiver operating characteristic curve analysis of peripheral blood WBC count and cerebrospinal ...

journal_title：Annals of emergency medicine

authors： Bonsu BK,Harper MB

更新日期：2003-02-01 00:00:00

abstract：:Electrolytes, BUN, and creatinine are some of the most frequently ordered laboratory tests. The use of these tests in emergency practice has not been studied critically, and few investigations of their use in other disciplines have been performed. A review of the available literature and an analysis of medical problem...

journal_title：Annals of emergency medicine

authors： Checchio LM,Como AJ

更新日期：1986-03-01 00:00:00