Sore throat: to culture or not to culture.

abstract：STUDY OBJECTIVE:We compare the association between barriers to timely primary care and emergency department (ED) utilization among adults with Medicaid versus private insurance. METHODS:We analyzed 230,258 adult participants of the 1999 to 2009 National Health Interview Survey. We evaluated the association between 5 s...

journal_title：Annals of emergency medicine

authors： Cheung PT,Wiler JL,Lowe RA,Ginde AA

更新日期：2012-07-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the prevalences of bacterial meningitis and herpes simplex virus meningoencephalitis (HSV-ME) in children with a complex febrile seizure and determine these prevalences in the subgroup of children with a clinical examination result not suggestive of meningitis or encephalitis. METHODS:This mu...

journal_title：Annals of emergency medicine

authors： Guedj R,Chappuy H,Titomanlio L,De Pontual L,Biscardi S,Nissack-Obiketeki G,Pellegrino B,Charara O,Angoulvant F,Denis J,Levy C,Cohen R,Loschi S,Leger PL,Carbajal R

更新日期：2017-07-01 00:00:00

abstract：STUDY OBJECTIVE:We compare laryngoscopy performance and overall intubation success in trauma airways when primary airway management alternated between emergency medicine and anesthesia residents on an every-other-day basis. METHODS:Data on all trauma intubations during approximately 3 years were prospectively collecte...

journal_title：Annals of emergency medicine

authors： Levitan RM,Rosenblatt B,Meiner EM,Reilly PM,Hollander JE

更新日期：2004-01-01 00:00:00

abstract：:Descriptive statistics include measures of central tendency and variability. Measures of central tendency include mean, median, and mode. The mean is the arithmetic average of data from interval or ratio scales. The median reflects the 50th percentile score. The mode is the most frequently occurring value of a data di...

journal_title：Annals of emergency medicine

authors： Gaddis GM,Gaddis ML

更新日期：1990-03-01 00:00:00

abstract：STUDY OBJECTIVE:Emergency departments (EDs) frequently refer patients for needed outpatient specialty care, but little is known about the dynamics of these referrals when patients are publicly insured. Hence, we explored factors, including the role of ED referrals, associated with specialists' willingness to accept pat...

journal_title：Annals of emergency medicine

authors： Rhodes KV,Bisgaier J,Lawson CC,Soglin D,Krug S,Van Haitsma M

更新日期：2013-04-01 00:00:00

abstract：:Creatine phosphokinase (CPK) and creatine kinase-MB (CK-MB) have been used extensively as diagnostic markers for myocardial infarction and skeletal muscle injury. Many factors affect the variability of serum CPK and serum CK-MB activity, especially physical activity. We discuss the influence of physical activity on mu...

journal_title：Annals of emergency medicine

authors： Schneider CM,Dennehy CA,Rodearmel SJ,Hayward JR

更新日期：1995-04-01 00:00:00

abstract：:Elevated intracranial pressure commonly is associated with severe head injury. Emergency airway management technique in the patient who has sustained severe head injury must optimize conditions for intubation, minimize the adverse effects of intubation, and permit rapid and effective management of the elevated intracr...

journal_title：Annals of emergency medicine

authors： Walls RM

更新日期：1993-06-01 00:00:00

abstract：:Autoerythrocyte sensitization syndrome is characterized by sudden and spontaneous painful bruising and swelling occurring in young female patients with psychiatric disorders. This syndrome may present with such severe swelling of involved areas that aspiration or excision may be needed to relieve pressure. The present...

journal_title：Annals of emergency medicine

authors： Tomec RJ,Walsh M,Garcia JC,Jordan PK

更新日期：1989-07-01 00:00:00

abstract：:Many studies of prehospital resuscitation report on selected populations. We examined a series of 445 unselected nontraumatic cardiac arrests. Emergency cardiac care (ECC) was not initiated in 126 (28%). ECC was begun in 319 (78%), but was terminated in 132 (33%). Ninety-four (21%) were admitted to the hospital with p...

journal_title：Annals of emergency medicine

authors： Aprahamian C,Thompson BM,Gruchow HW,Mateer JR,Tucker JF,Stueven HA,Darin JC

更新日期：1986-04-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the prognostic role of initial glucose levels in patients with a first acute myocardial infarction in the emergency department (ED). METHODS:We conducted a 3-year retrospective cohort study. Patients with a first acute myocardial infarction were recruited from the ED of a tertiary hospital fr...

journal_title：Annals of emergency medicine

authors： Hsu CW,Chen HH,Sheu WH,Chu SJ,Shen YS,Wu CP,Chien KL

更新日期：2007-05-01 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：STUDY OBJECTIVE:To determine whether N-acetylcysteine (NAC reduces methemoglobin. METHODS:We carried out an in vitro laboratory experiment in which five healthy adult volunteers donated blood. Each sample was divided equally among three test tubes. Tube 1 served as a negative control. Sodium nitrite .18 mol/L with dex...

journal_title：Annals of emergency medicine

authors： Wright RO,Magnani B,Shannon MW,Woolf AD

更新日期：1996-11-01 00:00:00

abstract：STUDY OBJECTIVE:We identify measures of emergency department (ED) and hospital workflow that would be of value in understanding, monitoring, and managing crowding. METHODS:A national group of 74 experts developed 113 potential measures using a conceptual model of ED crowding that segmented the measures into input, thr...

journal_title：Annals of emergency medicine

authors： Solberg LI,Asplin BR,Weinick RM,Magid DJ

更新日期：2003-12-01 00:00:00

abstract：:The cases of three patients with spinal cord compression who presented with acute urinary retention are discussed. Two patients had previously diagnosed carcinoma; in one, acute urinary retention was the first sign of metastatic renal cell carcinoma. Two patients had a history compatible with prostatic hypertrophy. Al...

journal_title：Annals of emergency medicine

authors： Tintinalli JE

更新日期：1986-10-01 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：:We present the case of a 6-year-old boy with reactive airway disease who developed cervical lung herniation resulting in compression of the trachea and audible stridor. This association has never been reported in the pediatric age group, and a review of the literature revealed that lung herniation is a rare condition ...

journal_title：Annals of emergency medicine

authors： Gonzalez del Rey J,Cunha C

更新日期：1990-08-01 00:00:00

abstract：STUDY OBJECTIVE:Tetanus antibody levels have been shown to be inadequate in 50% of patients older than 65 years. Although immunization recommendations have been made for this age group, the efficacy of this intervention has not been well documented. We sought to determine the difference in tetanus antibody levels after...

journal_title：Annals of emergency medicine

authors： Alagappan K,Rennie W,Narang V,Auerbach C

更新日期：1997-10-01 00:00:00

abstract：STUDY OBJECTIVE:The aim of this study is to characterize hospital and patient characteristics associated with administration of thrombolysis in acute ischemic stroke patients in the United States. METHODS:This retrospective, observational, cohort study used data from the Nationwide Inpatient Sample, an administrative ...

journal_title：Annals of emergency medicine

authors： Schumacher HC,Bateman BT,Boden-Albala B,Berman MF,Mohr JP,Sacco RL,Pile-Spellman J

更新日期：2007-08-01 00:00:00

abstract：STUDY OBJECTIVES:To determine whether music significantly reduces the pain and anxiety associated with laceration repair in the emergency department. PARTICIPANTS AND SETTING:Adult patients presenting to the ED at an urban teaching hospital for laceration repair. Exclusion criteria included patients less than 18 years...

journal_title：Annals of emergency medicine

authors： Menegazzi JJ,Paris PM,Kersteen CH,Flynn B,Trautman DE

更新日期：1991-04-01 00:00:00

abstract：:Pulmonary embolism is diagnosed 120,000 times yearly in the United States and contributes to 30,000 deaths. This probably represents an underestimate of incidence because massive acute pulmonary embolism may often result in rapid and therefore unexplained death in the absence of autopsy confirmation. The innovative an...

journal_title：Annals of emergency medicine

authors： Kessler CM,Druy E,Goldhaber SZ

更新日期：1988-11-01 00:00:00

abstract：:Abruptio placentae is a complication of pregnancy associated with significant morbidity and mortality for both fetus and mother. The presence of uterine pain and tenderness traditionally has been considered a useful criterion for distinguishing abruptio placentae from other causes of bleeding in pregnancy. We report t...

journal_title：Annals of emergency medicine

authors： Mechem CC,Knopp RK,Feldman D

更新日期：1992-07-01 00:00:00

abstract：:Systemic toxicity after significant dermal exposure to hydrofluoric acid includes rapid development of hypocalcemia and hyperkalemia, leading to ventricular fibrillation. Similar dysrhythmias have occurred in patients after ingestion of sodium fluoride-containing compounds. Ingestion of hydrofluoric acid could induce ...

journal_title：Annals of emergency medicine

authors： Stremski ES,Grande GA,Ling LJ

更新日期：1992-11-01 00:00:00

abstract：STUDY OBJECTIVE:Frequent emergency department (ED) users have been the targets of health care reform proposals and hospital crowding interventions, but it is not clear that common assumptions about this group are supported by data. We review the literature pertaining to frequent ED users, their demographics, acuity of ...

journal_title：Annals of emergency medicine

authors： LaCalle E,Rabin E

更新日期：2010-07-01 00:00:00

abstract：:We describe the case of a 41-year-old man who suffered a bite to the tongue from the Western Diamondback rattlesnake (C atrox). Life-threatening obstruction of his upper airway secondary to massive edema of the tongue and other soft tissue structures quickly followed envenomation. Nasotracheal intubation, IV antivenin...

journal_title：Annals of emergency medicine

authors： Gerkin R,Sergent KC,Curry SC,Vance M,Nielsen DR,Kazan A

更新日期：1987-07-01 00:00:00

abstract：STUDY OBJECTIVE:Studies of travel-related mortality and morbidity have been limited to nonfatal events. Causes of travel-related mortality may differ significantly from morbidity and thus have different prevention strategies. DESIGN:We examined the overseas fatalities of US citizen travelers for the years 1975 and 198...

journal_title：Annals of emergency medicine

authors： Hargarten SW,Baker TD,Guptill K

更新日期：1991-06-01 00:00:00

abstract：:This clinical policy focuses on critical issues concerning the management of patients presenting to the emergency department (ED) with acetaminophen overdose. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: 1. What are the indications for N-acetylcysteine (...

journal_title：Annals of emergency medicine

authors： Wolf SJ,Heard K,Sloan EP,Jagoda AS,American College of Emergency Physicians.

更新日期：2007-09-01 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

abstract：:Irukandji syndrome is a constellation of delayed severe local and systemic symptoms occurring after a Carukia barnesi box jellyfish sting involving any exposed skin. These cases are limited to Australia, the habitat of that animal. Numerous other cases of an Irukandji-like syndrome after other small Carybdeid genus en...

journal_title：Annals of emergency medicine

authors： Grady JD,Burnett JW

更新日期：2003-12-01 00:00:00

abstract：:This clinical policy focuses on critical issues in the evaluation and management of patients with acute myocardial infarction or unstable angina. A MEDLINE search for articles published between January 1993 and December 1998 was performed using combinations of the key words chest pain, acute myocardial infarction, uns...

journal_title：Annals of emergency medicine

authors：

更新日期：2000-05-01 00:00:00

abstract：:Nontraumatic gas gangrene is extremely rare. It usually occurs following ulceration or perforation of an abdominal or pelvic viscus in persons having impaired host immune defenses. A fatal case of nontraumatic Clostridium septicum septicemia and myonecrosis in an elderly diabetic man with a perforated colon carcinoma ...

journal_title：Annals of emergency medicine

authors： Kizer KW,Ogle LC

更新日期：1981-06-01 00:00:00