Unusual treatment response of a severe dystonia to diphenhydramine.

abstract：:A retrospective review of all patients admitted to an urban teaching hospital emergency department with the complaint of overdose, poisoning, or ingestion during a 10-month period was conducted. Analysis of these 82 episodes involving 69 individuals revealed: 1) a preponderance of women in the 20- to 40-year old range...

journal_title：Annals of emergency medicine

authors： Soslow AR

更新日期：1981-01-01 00:00:00

abstract：:Prothrombin complex concentrates are frequently used to rapidly reverse anticoagulation with vitamin K antagonists associated with life-threatening bleeding. We report a patient receiving warfarin who presented to the emergency department with an international normalization ratio greater than 12.8 in cardiac tamponade...

journal_title：Annals of emergency medicine

authors： Warren O,Simon B

更新日期：2009-06-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the performance of a wrist blood pressure oscillometer with the mercury standard in the triage process of an emergency department (ED) and evaluate the impact of wrist blood pressure measurement on triage decision. METHODS:Blood pressure was successively measured with the standard mercury sp...

journal_title：Annals of emergency medicine

authors： Rutschmann OT,Sarasin FP,Simon J,Vermeulen B,Riberdy L,Pechere-Bertschi A

更新日期：2005-08-01 00:00:00

abstract：:Sound scientific information with which to determine the true efficacy of zidovudine for prophylaxis will probably not be available soon. Physicians should educate themselves thoroughly on the issues. It is highly recommended that thoughtful discussions of the issue of transmission of HIV from health personnel to pati...

journal_title：Annals of emergency medicine

authors： Callaham ML

更新日期：1991-12-01 00:00:00

abstract：STUDY OBJECTIVE:To assess whether bystander CPR (BCPR) on collapse affects initial rhythm and outcome in patients with witnessed, unmonitored out-of-hospital cardiac arrest (OHCA). DESIGN:Prospective cohort study. Student's t test, the chi 2 test, and logistic regression were used for analysis. SETTING:Suburban emerg...

journal_title：Annals of emergency medicine

authors： Swor RA,Jackson RE,Cynar M,Sadler E,Basse E,Boji B,Rivera-Rivera EJ,Maher A,Grubb W,Jacobson R

更新日期：1995-06-01 00:00:00

abstract：:Although a number of studies have described endotracheal intubation of adult patients in the prehospital setting, there are few studies on prehospital endotracheal intubation of pediatric patients. The purposes of our study were to determine how frequently prehospital endotracheal intubation was used in pediatric card...

journal_title：Annals of emergency medicine

authors： Aijian P,Tsai A,Knopp R,Kallsen GW

更新日期：1989-05-01 00:00:00

abstract：:Although most clinical trials comparing therapies are analyzed using classical hypothesis testing and P values, such methods do not yield the information most useful to the clinician, that is, the probability that one treatment is more efficacious than another. Bayesian inference can yield this probability but only if...

journal_title：Annals of emergency medicine

authors： Lewis RJ,Wears RL

更新日期：1993-08-01 00:00:00

abstract：:Presented is the case of a 10-year-old child who presented in cardiopulmonary arrest from hypovolemic shock due to pathologic splenic rupture of undetermined etiology. Despite aggressive resuscitation efforts, the patient died. Although rare, pathologic rupture of an abnormal spleen must be considered in the patient w...

journal_title：Annals of emergency medicine

authors： Keaton BF

更新日期：1982-08-01 00:00:00

abstract：:The case of a patient with apparent cocaine toxicity and drug-mediated hypertension and tachycardia is presented. IV propranolol was used as the initial treatment for his hyperadrenergic state, resulting in a decrease in heart rate but a paroxsymal increase in blood pressure. The patient required nitroprusside for con...

journal_title：Annals of emergency medicine

authors： Ramoska E,Sacchetti AD

更新日期：1985-11-01 00:00:00

abstract：STUDY OBJECTIVE:Patient-centered medical homes are primary care practices that focus on coordinating acute and preventive care. Such practices can obtain patient-centered medical home recognition from the National Committee for Quality Assurance. We compare growth rates for emergency department (ED) use and costs of ED...

journal_title：Annals of emergency medicine

authors： Pines JM,Keyes V,van Hasselt M,McCall N

更新日期：2015-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether a set of published triage guidelines identifies patients who can safely be refused emergency department care. DESIGN:Historical cohort study. SETTING:A public hospital ED. TYPE OF PARTICIPANTS:All patients triaged during a one-week period who were not in the most acute triage cat...

journal_title：Annals of emergency medicine

authors： Lowe RA,Bindman AB,Ulrich SK,Norman G,Scaletta TA,Keane D,Washington D,Grumbach K

更新日期：1994-02-01 00:00:00

abstract：:In 1976 an independent department was established for the emergency treatment of patients in the county hospital in Szolnok, Hungary. The new system changed the traditional structure of patient flow and the work plan of other departments, and it influenced the curing and nursing activities of the departments. The reor...

journal_title：Annals of emergency medicine

authors： Csepanyi A

更新日期：1980-07-01 00:00:00

abstract：STUDY OBJECTIVE:I evaluate the variation in requirements for informed consent in studies evaluating chemical tranquilization of agitated patients. METHODS:A computer-assisted literature search of the National Library of Medicine was performed. Additional use of the references listed in the articles identified with the...

journal_title：Annals of emergency medicine

authors： Brown J

更新日期：2006-01-01 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：:We present the cases of three patients with skin blisters following carbon monoxide (CO) poisoning. Their blisters appeared to be related to the severity of the poisoning (HbCO levels of more than 40%). Two of the three patients died despite aggressive initial 100% surface oxygen followed by hyperbaric oxygen therapy....

journal_title：Annals of emergency medicine

authors： Myers RA,Snyder SK,Majerus TC

更新日期：1985-06-01 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:We measure the rate of emergency department (ED) specimen processing error reduction after implementation of an electronic physician order entry system paired with a bar-coded specimen labeling process. METHODS:A cohort pre- and postintervention study was conducted in the ED during a 61-month period en...

journal_title：Annals of emergency medicine

authors： Hill PM,Mareiniss D,Murphy P,Gardner H,Hsieh YH,Levy F,Kelen GD

更新日期：2010-12-01 00:00:00

abstract：:Risperidone is an investigational antipsychotic agent currently being tested in an international multicenter drug trial. We report the first case of a risperidone overdose in an apparent suicide attempt. This was without serious clinical side effects and manifested mainly as ECG abnormalities. ...

journal_title：Annals of emergency medicine

authors： Brown K,Levy H,Brenner C,Leffler S,Hamburg EL

更新日期：1993-12-01 00:00:00

abstract：OBJECTIVE:Controversy surrounds the linkage of prevention counseling with emergency department (ED)-based HIV testing. Further, the effectiveness and feasibility of prevention counseling in the ED setting is unknown. We investigate these issues by conducting a preliminarily exploration of several related aspects of our...

journal_title：Annals of emergency medicine

authors： Sitlinger AP,Lindsell CJ,Ruffner AH,Wayne DB,Hart KW,Trott AT,Fichtenbaum CJ,Lyons MS

更新日期：2011-07-01 00:00:00

abstract：STUDY OBJECTIVE:Dabigatran is a reversible direct thrombin inhibitor recently approved for stroke prevention in patients with atrial fibrillation. An increasing number of patients receiving dabigatran present to the emergency department (ED) with bleeding complications. Unlike vitamin K antagonists, there are no accept...

journal_title：Annals of emergency medicine

authors： Berger R,Salhanick SD,Chase M,Ganetsky M

更新日期：2013-04-01 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:Recent data suggest that emergency airway preoxygenation with a bag-valve-mask (BVM) device (held with a tight mask seal but without squeezing the bag) is superior to a nonrebreather (NRB) mask at standard oxygen flow rates. We seek to determine whether preoxygenation with an NRB mask with flush rate ox...

journal_title：Annals of emergency medicine

authors： Driver BE,Prekker ME,Kornas RL,Cales EK,Reardon RF

更新日期：2017-01-01 00:00:00

abstract：STUDY OBJECTIVE:Training physicians in new skills through classroom-based teaching has inherent cost and time constraints. We seek to evaluate whether Web-based didactics result in similar knowledge improvement and retention of basic ultrasonographic principles and the Extended Focused Assessment with Sonography for Tr...

journal_title：Annals of emergency medicine

authors： Platz E,Goldflam K,Mennicke M,Parisini E,Christ M,Hohenstein C

更新日期：2010-12-01 00:00:00

abstract：:We present a framework for understanding calculations of continuous infusions of vasoactive substances. Several simplified methods for establishing initial concentrations and infusion rates of drug are derived, their applicability is discussed, and examples are given. ...

journal_title：Annals of emergency medicine

authors： Tilden S,Hopkins RL

更新日期：1983-11-01 00:00:00

abstract：:Niacin (vitamin B3) is promoted for rapidly clearing the body of drugs of abuse, such as cocaine and cannabis, and is alleged to interfere with urine drug screening. We present 4 cases of such novel use associated with significant adverse effects. Two cases had isolated skin manifestations, whereas the other 2 present...

journal_title：Annals of emergency medicine

authors： Mittal MK,Florin T,Perrone J,Delgado JH,Osterhoudt KC

更新日期：2007-11-01 00:00:00

abstract：:Patients frequently arrive in the emergency department under the influence of alcohol after exposure to extreme conditions of heat or cold. While ethanol ingestion and ambient heat are recognized to have vasodilatory action, previous studies of their interactive effect are limited and guidelines for patient care are v...

journal_title：Annals of emergency medicine

authors： Hughes JH,Henry RE,Daly MJ

更新日期：1984-08-01 00:00:00

abstract：:A double-blind prospective study of 98 patients was carried out, but 57 (58%) returned for follow-up and form the basis of this report. Wound irrigation and debridement were found to be important in reducing infection. Hand wounds were most likely to become infected; face and scalp wounds were at low risk. Puncture wo...

journal_title：Annals of emergency medicine

authors： Callaham M

更新日期：1980-08-01 00:00:00

abstract：:Epiglottitis in adults, while uncommon, is certainly not rare. Despite the increasing reports of the disorder in the literature, it continues to be misdiagnosed in emergency departments. The first step in the diagnosis of acute epiglottitis is for the emergency physician to think of it. The literature concerning the e...

journal_title：Annals of emergency medicine

authors： Sarant G

更新日期：1981-01-01 00:00:00

abstract：:The World Health Assembly 2007 Resolution 60.22 tasked the global health community to address the lack of emergency care in low- and middle-income countries. Little progress has yet been made in integrating emergency care into most low- and middle-income-country health systems. At a rural Ugandan district hospital, ho...

journal_title：Annals of emergency medicine

authors： Hammerstedt H,Maling S,Kasyaba R,Dreifuss B,Chamberlain S,Nelson S,Bisanzo M,Ezati I

更新日期：2014-11-01 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