Chemical, thermal, and biological ocular exposures.

Abstract:

:Chemical or radiant energy injuries to the eyes are considered ocular burns. The majority of these injuries are occupation-related. Chemical burns are by far more common and represent a true emergency. Thermal and UV injuries are associated with severe pain, but often result in less long-term sequelae than chemical injuries do. The term "biologic exposure" refers to an exposure to human blood or other body fluid. This article describes patterns of these injuries and exposures, with particular emphasis on emergent management and including acute diagnostic and treatment considerations.

authors

Spector J,Fernandez WG

doi

10.1016/j.emc.2007.11.002

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

125-36, vii

issue

1

eissn

0733-8627

issn

1558-0539

pii

S0733-8627(07)00126-5

journal_volume

26

pub_type

杂志文章,评审
  • Pediatric genitourinary emergencies.

    abstract::Pediatric medical complaints and differential diagnoses often vary from adults, requiring a specialized knowledge base and behavioral skill set. This article addresses a variety of congenital and acquired pediatric genitourinary disorders. Genitourinary emergencies include paraphismosis, priapism, serious infection, s...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2011.04.003

    authors: McGrath NA,Howell JM,Davis JE

    更新日期:2011-08-01 00:00:00

  • Quality assurance in emergency medical service systems.

    abstract::EMS quality assurance programs can help guarantee that the provision of prehospital care is medically accountable. The establishment and management of such a program, although time consuming, are critically important. It is essential that the medical director or a designee responsible for quality assurance activities ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Polsky SS,Weigand JV

    更新日期:1990-02-01 00:00:00

  • Transient Ischemic Attacks: Advances in Diagnosis and Management in the Emergency Department.

    abstract::The definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients within 48 hours of the TIA and 10% within 90 days. This rate is ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2016.06.007

    authors: Duca A,Jagoda A

    更新日期:2016-11-01 00:00:00

  • Thyroid disease in the emergency department. Thyroid function tests and hypothyroidism and myxedema coma.

    abstract::The recognition of hypothyroidism may not always be easy in the emergency department setting. Laboratory evaluations of thyroid function are not usually performed on a 24-hour basis, and therefore the emergency physician, although suspecting the presence of hypothyroidism, may be unable to confirm the diagnosis while ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Mitchell JM

    更新日期:1989-11-01 00:00:00

  • High-risk pediatric orthopedic pitfalls.

    abstract::Pediatric patients often present to the emergency department with orthopedic pathology that can challenge the emergency department physician. This article focuses on key diagnoses that are frequently mismanaged. These diagnoses require specific knowledge to execute appropriate treatment. Pediatric fractures, compartme...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2009.09.008

    authors: Laine JC,Kaiser SP,Diab M

    更新日期:2010-02-01 00:00:00

  • Rapid Fire: Central Nervous System Emergencies.

    abstract::Neurologic complications are unfortunately common in oncology patients, with many presenting to the emergency department for diagnosis and management. This case-based review provides a brief overview of the key points in pathophysiology, diagnosis, and management of 2 oncologic central nervous system emergencies: mali...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2018.04.010

    authors: Dubbs SB,Honasoge AP

    更新日期:2018-08-01 00:00:00

  • New concepts in transthoracic defibrillation.

    abstract::The transition of biphasic waveforms from ICDs to external defibrillators constitutes a significant technological advances for transthoracic defibrillation. Impedance compensation has enabled the delivery of defibrillating current adapted to each patient and each shock in the same patient. Optimally designed biphasic ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/s0733-8627(02)00028-7

    authors: White RD

    更新日期:2002-11-01 00:00:00

  • Acute coronary syndrome clinical presentations and diagnostic approaches in the emergency department.

    abstract::This article discusses clinical presentations and diagnostic approaches to acute coronary syndrome in the emergency department. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2011.08.006

    authors: Yiadom MY

    更新日期:2011-11-01 00:00:00

  • Heat illness.

    abstract::Heat stroke is reviewed in detail. Particular attention is paid to diagnosis and current emergency department treatment, and a brief overview of pathophysiology is included. Early complications, with recommendations for prevention and management, are described. Minor heat related syndromes are also mentioned. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Tek D,Olshaker JS

    更新日期:1992-05-01 00:00:00

  • Abdominal trauma.

    abstract::Abdominal injuries are an important cause of morbidity and mortality. In the face of more obvious traumatic lesions, life-threatening intra-abdominal injuries may be initially overlooked. Plain abdominal and chest radiographs may prove diagnostic for specific injuries. However, normal or equivocal studies should not e...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Evers K,DeGaeta LR

    更新日期:1985-08-01 00:00:00

  • Neurologic complications of alcoholism.

    abstract::Neurologic and myopathic complications of alcoholism are multiple and diverse, affecting both the central and peripheral nervous systems. In the ED, initial concern is for diagnosing readily reversible causes and ruling out possible life- or limb-threatening etiologies. A rapid assessment of the ABCs, a fingerstick bl...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Wrenn KD,Slovis CM

    更新日期:1990-11-01 00:00:00

  • Emergency management of dog and cat bite wounds.

    abstract::Most dog and cat bite injuries are minor wounds that require only local wound care as well a patient evaluation for tetanus and rabies postexposure immunoprophylaxis. For larger wounds, primary or delayed primary closure can be performed safely where indicated. When antimicrobial agents are necessary, inexpensive peni...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Dire DJ

    更新日期:1992-11-01 00:00:00

  • Modern management of cardiogenic pulmonary edema.

    abstract::Cardiogenic pulmonary edema (CPE) is a life-threatening condition that is frequently encountered in standard emergency medicine practice. Traditionally, diagnosis was based on physical assessment and chest radiography and treatment focused on the use of morphine sulfate and diuretics. Numerous advances in diagnosis an...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2005.07.005

    authors: Mattu A,Martinez JP,Kelly BS

    更新日期:2005-11-01 00:00:00

  • Gynecologic infections.

    abstract::The scope of gynecologic infections presenting to the emergency department is quite diverse. This article presents an update on the current literature for vaginitis, cervicitis, pelvic inflammatory disease, tubo-ovarian abscesses, the Fitz-Hugh-Curtis syndrome, herpes, and syphilis. Inadequate identification or treatm...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(03)00039-7

    authors: Zeger W,Holt K

    更新日期:2003-08-01 00:00:00

  • Oral manifestations of systemic disease.

    abstract::Many systemic diseases have associated oral symptoms. Occasionally, patients with these diseases present with lesions that occur primarily in the mouth. Although few systemic diseases have strictly pathognomonic lesions of the oral mucosa, a careful examination of the oral cavity can often lend important clues to maki...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70144-9

    authors: Mulliken RA,Casner MJ

    更新日期:2000-08-01 00:00:00

  • Optimal trauma outcome: trauma system design and the trauma team.

    abstract::Trauma is the number one killer of Americans under age 34; optimal trauma care is provided when there is a well-functioning, comprehensive system. This article reviews the development of trauma centers in the United States, recommending that the number of trauma centers be optimized so that resources and expense be ke...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.emc.2007.07.002

    authors: Markovchick VJ,Moore EE

    更新日期:2007-08-01 00:00:00

  • Medical direction in emergency medical services: the role of the physician.

    abstract::The past two decades has seen the development of sophisticated systems of prehospital care. The task now is to intensify the input of well-trained physicians into all aspects of EMS systems. This article tracks the history of EMS in this country and provides some suggested answers to the difficult questions facing thi...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Stewart RD

    更新日期:1987-02-01 00:00:00

  • Electrical interventions in cardiopulmonary resuscitation: defibrillation.

    abstract::The general concepts of defibrillation are reviewed. Research continues in the area of implanted defibrillators, new circuiting, and more effective current transfer. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Ventriglia WJ,Hamilton GC

    更新日期:1983-12-01 00:00:00

  • Soft tissue wounds and principles of healing.

    abstract::Wound healing is a complex interchange, orchestrated between cellular components that play their respective parts signaled by and mediated by different cellular instruments of healing. When healing is performed well, the final product is a thing of beauty. When healing is delayed, interrupted, or excessive, then unsig...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2006.12.002

    authors: Strecker-McGraw MK,Jones TR,Baer DG

    更新日期:2007-02-01 00:00:00

  • Airway trauma.

    abstract::The mechanism of injury, diagnosis, and treatment of maxillofacial, laryngeal, tracheal, and bronchial trauma are considered. Also discussed is pulmonary barotrauma. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Meislin HW,Iserson KV,Kaback KR,Kobernick M,Sanders AB,Seifert S

    更新日期:1983-08-01 00:00:00

  • Aortic emergencies.

    abstract::Prompt recognition of actual or impending aortic emergencies is essential to the effective practice of emergency medicine. Understanding the pathophysiologic principles and awareness of the potential subtleties in the clinical presentations of aortic dissection, aneurysm, and occlusive disease are prerequisites to thi...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(03)00063-4

    authors: Knaut AL,Cleveland JC Jr

    更新日期:2003-11-01 00:00:00

  • Care of Traumatic Conditions in an Observation Unit.

    abstract::Patients presenting to the emergency department with certain traumatic conditions can be managed in observation units. The evidence base supporting the use of observation units to manage injured patients is smaller than the evidence base supporting the management of medical conditions in observation units. The conditi...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2017.03.010

    authors: Caspers CG

    更新日期:2017-08-01 00:00:00

  • Management of overdose with psychoactive medications.

    abstract::General management of the patient who has ingested an overdose of psychoactive medication is emphasized, since the suicidal patient has almost invariably taken multiple substances and often alcohol as well. The drug groups considered in detail include the sedative hypnotics, tricyclic antidepressants, phenothiazines, ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Goldfrank L,Flomenbaum N,Weisman R

    更新日期:1984-02-01 00:00:00

  • Deadly pediatric poisons: nine common agents that kill at low doses.

    abstract::More than 97% of pediatric exposures reported to the AAPCC in 2001 had either no effect or mild clinical effects. Despite the large number of exposures, only 26 of the 1074 reported fatalities occurred in children younger than age 6. These findings reflect the fact that, in contrast to adolescent or adult ingestions, ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2004.05.004

    authors: Michael JB,Sztajnkrycer MD

    更新日期:2004-11-01 00:00:00

  • The diagnosis and management of seizures and status epilepticus in the prehospital setting.

    abstract::Seizure is one of the most common complaints encountered in the prehospital setting. In this review the authors discuss the prehospital management of seizures and review the evidence for specific treatment approaches. Specific attention is devoted to prehospital care of the pediatric seizure patient. Topics of interes...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2010.08.003

    authors: Michael GE,O'Connor RE

    更新日期:2011-02-01 00:00:00

  • Heliox in airway management.

    abstract::Helium-oxygen ("heliox") mixtures have been used for decades in the treatment of various respiratory problems ranging from acute upper airway obstructions to lower airway derangements, such as asthma and exacerbations of chronic bronchitis. This review presents a brief history of helium and helium-oxygen mixtures and ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2008.07.007

    authors: McGarvey JM,Pollack CV

    更新日期:2008-11-01 00:00:00

  • Stabilization and Management of the Acutely Agitated or Psychotic Patient.

    abstract::Acutely agitated or psychotic patients are particularly challenging to manage in the emergency department. Often these patients present with little or no history, and an adequate assessment may initially be difficult because of the condition of the patient. This article discusses basic concepts regarding agitation, an...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2015.07.003

    authors: Deal N,Hong M,Matorin A,Shah AA

    更新日期:2015-11-01 00:00:00

  • Marine Envenomation.

    abstract::Venomous aquatic animals are hazardous to swimmers, surfers, divers, and fishermen. Exposures include mild stings, bites, abrasions, and lacerations. Severe envenomations can be life threatening. This article reviews common marine envenomations, exploring causative species, clinical presentation, and current treatment...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2016.12.004

    authors: Hornbeak KB,Auerbach PS

    更新日期:2017-05-01 00:00:00

  • Acute scrotal pain.

    abstract::The diagnosis of acute scrotal pain can be difficult. The most common causes include torsion of a testicular appendage, epididymitis, and testicular torsion, which account for 85% to 90% of all cases. These entities may be clinically indistinguishable because characteristic symptoms and signs for each overlap, whereas...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70033-x

    authors: Burgher SW

    更新日期:1998-11-01 00:00:00

  • Communication and conflict resolution in emergency medicine.

    abstract::Communication issues arise in emergency physician relationships with patients, nursing, and physician colleagues. It is important to acknowledge various perspectives in order to promote positive relationships and to avoid the social, medical, and legal hazards associated with miscommunication. This article outlines fu...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70071-7

    authors: O'Mara K

    更新日期:1999-05-01 00:00:00