Anion gap acidosis with hypoglycemia in acetaminophen toxicity.

abstract：:We report a case of traumatic arterial hemorrhage from the posterior urethral artery, refractory to traditional hemostatic technique, and successfully managed with intraurethral thrombin hemostatic matrix (FloSeal [Baxter Healthcare Corporation, Deerfield, Illinois, US]). We believe that this demonstrates a safe, effe...

journal_title：Annals of emergency medicine

authors： Park BR,Kuehl DR

更新日期：2016-12-01 00:00:00

abstract：STUDY OBJECTIVE:To demonstrate that a complete and rapid clinical history can be obtained using a self-administered, bilingual questionnaire. DESIGN:A post-test experimental design was used to evaluate time spent obtaining the history and information completeness for the two groups. SETTING:Urban county emergency dep...

journal_title：Annals of emergency medicine

authors： Nasr I,Cordero M,Houmes B,Fagan J,Rydman R,Green C

更新日期：1993-05-01 00:00:00

abstract：:Test strips recently have become available to measure theophylline levels. One such test strip (AccuLevel) had not been tested in an actual clinical situation with nontechnician personnel. We prospectively evaluated the test strip on consecutive emergency department patients, comparing it with the agglutination inhibi...

journal_title：Annals of emergency medicine

authors： Hurley WT,Saglio SD,Henley CE,Gatrell CB

更新日期：1988-10-01 00:00:00

abstract：:Colchicine overdose is an uncommon but serious problem that may be missed or ignored unless the physician is aware of the significant potential for, and the various stages of, toxicity. We report two fatal cases in which the potential for lethal complications was not initially realized. Both patients developed multipl...

journal_title：Annals of emergency medicine

authors： Stapczynski JS,Rothstein RJ,Gaye WA,Niemann JT

更新日期：1981-07-01 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：:This is a report of a patient who survived a large propranolol overdose, as documented by toxic blood levels. The signs and symptoms were those of profound inotropic and moderate chronotropic cardiotoxicity which failed to respond to parasympatholytics or catecholamines, but subsequently reversed coincident with the a...

journal_title：Annals of emergency medicine

authors： Salzberg MR,Gallagher EJ

更新日期：1980-01-01 00:00:00

abstract：:Although all emergency physicians are familiar with catastrophic causes of free intraperitoneal air, we describe the case of a healthy 26-year-old woman who presented to our emergency department (ED) with a nonsurgical and previously unreported cause of pneumoperitoneum. The patient presented to our ED with complaints...

journal_title：Annals of emergency medicine

authors： Frank D,Gilleran E,Hewitt K

更新日期：2015-08-01 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：:Activated charcoal is a safe, effective, inexpensive adjunct in the management of most toxic ingestions. It has the ability to adsorb a wide variety of drugs and chemicals, one of which is acetaminophen. N-acetylcysteine (NAC) is the specific antidote available for serious overdoses of acetaminophen. Current managemen...

journal_title：Annals of emergency medicine

authors： Renzi FP,Donovan JW,Martin TG,Morgan L,Harrison EF

更新日期：1985-06-01 00:00:00

abstract：:Stellate ganglion blockade has been previously suggested as a treatment option for intractable ventricular arrhythmia; however, its use in emergency department management of pulseless arrest with shockable rhythm has not been described. We report the case of a 65-year-old man brought in by ambulance who complained of ...

journal_title：Annals of emergency medicine

authors： Margus C,Correa A,Cheung W,Blaikie E,Kuo K,Hockensmith A,Kinas D,She T

更新日期：2020-02-01 00:00:00

abstract：:In order to develop a rapid, simple test to differentiate toxic naphthalene from the less toxic mothball ingredient paradichlorobenzene, both types of mothballs were dissolved in isopropyl alcohol, ethanol, methanol, and turpentine. Twenty-five naphthalene and 25 paradichlorobenzene mothballs were weighed, randomly gr...

journal_title：Annals of emergency medicine

authors： Winkler JV,Kulig K,Rumack BH

更新日期：1985-01-01 00:00:00

abstract：STUDY OBJECTIVE:To describe the development of an emergency department-based injury surveillance system, to describe the problems encountered, and to briefly describe the data output and potential applications. METHODS:Within our university-based hospital system and Level I trauma center register, injury data currentl...

journal_title：Annals of emergency medicine

authors： Williams JM,Furbee PM,Prescott JE

更新日期：1996-01-01 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：STUDY OBJECTIVE:Apnea is a known complication of pediatric seizures, but patient factors that predispose children are unclear. We seek to quantify the risk of apnea attributable to midazolam and identify additional risk factors for apnea in children transported by paramedics for out-of-hospital seizure. METHODS:This i...

journal_title：Annals of emergency medicine

authors： Bosson N,Santillanes G,Kaji AH,Fang A,Fernando T,Huang M,Lee J,Gausche-Hill M

更新日期：2014-03-01 00:00:00

abstract：STUDY OBJECTIVE:Peripheral intravenous catheters are the most common invasive device in health care yet have very high failure rates. We investigate whether the failure rate could be reduced by the addition of skin glue to standard peripheral intravenous catheter care. METHODS:We conducted a single-site, 2-arm, nonbli...

journal_title：Annals of emergency medicine

authors： Bugden S,Shean K,Scott M,Mihala G,Clark S,Johnstone C,Fraser JF,Rickard CM

更新日期：2016-08-01 00:00:00

abstract：:We have developed a new method of implementing a transcribed emergency record at minimum cost. Dictated emergency records are typed immediately by a transcriber located in the emergency department. This member of the medical record transcriber pool is given other non-urgent medical record material to type when there a...

journal_title：Annals of emergency medicine

authors： Klimt CR,Becker S,Fox BS,Ensminger F

更新日期：1983-09-01 00:00:00

abstract：:We present a case of lethal ingestion of pyrimidifen, a new insecticide with an unclear mode of action. The primary manifestations were coma and circulatory shock, leading to irreversible multiorgan failure. Pyrimidifen was detected in the patient's blood, urine, brain tissue, and gastric content samples. Minimal stru...

journal_title：Annals of emergency medicine

authors： Eisinger M,Almog Y

更新日期：2003-08-01 00:00:00

abstract：:A prospective study was conducted in the emergency departments of two community hospitals to assess the accuracy of Doppler ultrasonography performed by emergency physicians in the evaluation of patients with symptoms suggestive of deep-vein thrombosis. Seventy-eight extremities in 76 patients were evaluated by both D...

journal_title：Annals of emergency medicine

authors： Turnbull TL,Dymowski JJ,Zalut TE

更新日期：1990-06-01 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 prevalence of agitation among emergency department (ED) patients is increasing. Physical restraints are routinely used to prevent self-harm and to protect staff, but are associated with serious safety risks. To date, characterization of physical restraint use in the emergency setting has been limite...

journal_title：Annals of emergency medicine

authors： Wong AH,Taylor RA,Ray JM,Bernstein SL

更新日期：2019-02-01 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：STUDY OBJECTIVE:To identify the arterial and mixed venous blood gas changes caused by different ventilatory strategies during resuscitation from ventricular fibrillation in a pig model of closed-chest cardiac compression. METHODS:A prospective randomized animal study was performed using 27 domestic pigs (body weight, ...

journal_title：Annals of emergency medicine

authors： Whitehurst ME,Blount AD,Austin PE,Carroll RG

更新日期：1998-05-01 00:00:00

abstract：:The ingestion of the mushroom Amanita phalloides is associated with hepatic necrosis appearing clinically two to three days after ingestion. The mechanism of this toxicity is unknown, and no reliable antidote is available. Because of the similarity of Amanita poisoning to other toxins affecting cytochrome P450, we inv...

journal_title：Annals of emergency medicine

authors： Schneider SM,Borochovitz D,Krenzelok EP

更新日期：1987-10-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether water or 0.9% saline should be used as diluent for endobronchial drug administration. PARTICIPANTS:Twelve adult patients. INTERVENTIONS:Patients were endobronchially administered 2 mg/kg lidocaine as marker substance in either 10 mL 0.9% saline or 10 mL distilled water during gene...

journal_title：Annals of emergency medicine

authors： Hähnel JH,Lindner KH,Schürmann C,Prengel A,Ahnefeld FW

更新日期：1990-11-01 00:00:00

abstract：STUDY OBJECTIVE:Video capsule endoscopy has been used to diagnose gastrointestinal hemorrhage and other small bowel diseases but has not been tested in an emergency department (ED) setting. The objectives in this pilot study are to demonstrate the ability of emergency physicians to detect blood in the upper gastrointes...

journal_title：Annals of emergency medicine

authors： Meltzer AC,Ali MA,Kresiberg RB,Patel G,Smith JP,Pines JM,Fleischer DE

更新日期：2013-04-01 00:00:00

abstract：STUDY OBJECTIVES:To compare diagnostic strategies for the emergency assessment of patients with suspected acute thoracic aortic dissection and to measure the effect of delays related to the availability of these tests on the selection of the most appropriate one. METHODS:We carried out a decision analysis representing...

journal_title：Annals of emergency medicine

authors： Sarasin FP,Louis-Simonet M,Gaspoz JM,Junod AF

更新日期：1996-09-01 00:00:00

abstract：:The use of electronic control devices has expanded worldwide during the last few years, the most widely used model being the Taser. However, the scientific knowledge about electronic control devices remains limited. We reviewed the medical literature to examine the potential implications of electronic devices in terms...

journal_title：Annals of emergency medicine

authors： Pasquier M,Carron PN,Vallotton L,Yersin B

更新日期：2011-08-01 00:00:00

abstract：STUDY OBJECTIVE:Throughout the coronavirus disease 2019 pandemic, many emergency departments have been using passive protective enclosures ("intubation boxes") during intubation. The effectiveness of these enclosures remains uncertain. We sought to quantify their ability to contain aerosols using industry standard test...

journal_title：Annals of emergency medicine

authors： Turer DM,Good CH,Schilling BK,Turer RW,Karlowsky NR,Dvoracek LA,Ban H,Chang JS,Rubin JP

更新日期：2021-01-01 00:00:00

abstract：:We report 2 deaths and 1 injury that resulted from 2 separate unintentional discharges of the same Ruger Blackhawk revolver. One discharge was a consequence of careless firearm handling combined with a slip during a decocking procedure unique to certain hammer-action firearms. The second discharge occurred when the fi...

journal_title：Annals of emergency medicine

authors： Lee C,Nolte KB

更新日期：2001-03-01 00:00:00

abstract：STUDY HYPOTHESIS:The clinical features of children treated with oral antibiotics before the diagnosis of bacterial meningitis differ from those who receive no antibiotics. DESIGN:Retrospective case series. SETTING:University medical center. PARTICIPANTS:Two hundred fifty-eight children 24 months old or younger with ...

journal_title：Annals of emergency medicine

authors： Rothrock SG,Green SM,Wren J,Letai D,Daniel-Underwood L,Pillar E

更新日期：1992-02-01 00:00:00