Controversies in out-of-hospital emergency airway control: esophageal obstruction or endotracheal intubation?

abstract：STUDY OBJECTIVE:To determine whether physicians blinded to the serum potassium level can predict hyperkalemia (potassium concentration of more than 5.0 mmol/L) from the ECG. DESIGN:ECGs of patients at high risk for hyperkalemia were interpreted retrospectively by two physicians blinded not only to the specific clinica...

journal_title：Annals of emergency medicine

authors： Wrenn KD,Slovis CM,Slovis BS

更新日期：1991-11-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate selective aortic arch perfusion (SAAP) with an oxygenated fluorocarbon emulsion, with and without aortic arch epinephrine during cardiac arrest. METHODS:This randomized, controlled study, undertaken at a university research laboratory, involved 15 mixed-breed dogs. After 10 minutes of ventr...

journal_title：Annals of emergency medicine

authors： Manning JE,Batson DN,Payne FB,Adam N,Murphy CA,Perretta SG,Norfleet EA

更新日期：1997-05-01 00:00:00

abstract：STUDY OBJECTIVE:The objective of this study is to derive a clinical decision instrument with a sensitivity of at least 95% (with upper and lower bounds of the 95% confidence intervals [CIs] within a 5% range) to identify adult emergency department patients with mild traumatic intracranial hemorrhage who are at low risk...

journal_title：Annals of emergency medicine

authors： Nishijima DK,Sena M,Galante JM,Shahlaie K,London J,Melnikow J,Holmes JF

更新日期：2014-04-01 00:00:00

abstract：STUDY OBJECTIVE:This study was conducted to compare the clinical and spirometric effects of continuous and intermittent nebulization of salbutamol in acute severe asthma. METHODS:Forty-two consecutive patients presenting to the emergency department for acute severe asthma (peak expiratory flow [PEF] mean+/-SD, 24%+/-1...

journal_title：Annals of emergency medicine

authors： Besbes-Ouanes L,Nouira S,Elatrous S,Knani J,Boussarsar M,Abroug F

更新日期：2000-09-01 00:00:00

abstract：:A profoundly hypothermic 5-hour-old infant in cardiac arrest was brought to the emergency department by paramedics. The infant was found wrapped in a garbage bag inside a freezer. She had been in the freezer for approximately four hours. Her initial rectal temperature was 16.2 degrees C. Active external and core warmi...

journal_title：Annals of emergency medicine

authors： Thompson DA,Anderson N

更新日期：1994-06-01 00:00:00

abstract：:Patients who suffer an in-hospital cardiac arrest represent a neglected and underutilized resource for resuscitation research. There exists an unwritten, but widely held, belief among resuscitation researchers that the in-hospital arrest population is unsuitable for resuscitation research because it is composed mostly...

journal_title：Annals of emergency medicine

authors： Jastremski MS

更新日期：1993-01-01 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：: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：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：:Organophosphate insecticides have become increasingly popular for agricultural, industrial, and home use and represent a significant potential health risk. We have reviewed the history, pathophysiology, clinical presentation, laboratory findings, differential diagnosis, therapy, and complications of toxic exposure to ...

journal_title：Annals of emergency medicine

authors： Tafuri J,Roberts J

更新日期：1987-02-01 00:00:00

abstract：STUDY OBJECTIVE:We examine the central venous catheter placement rate during the implementation of an ultrasound-guided peripheral intravenous access program. METHODS:We conducted a time-series analysis of the monthly central venous catheter rate among adult emergency department (ED) patients in an academic urban ED b...

journal_title：Annals of emergency medicine

authors： Shokoohi H,Boniface K,McCarthy M,Khedir Al-tiae T,Sattarian M,Ding R,Liu YT,Pourmand A,Schoenfeld E,Scott J,Shesser R,Yadav K

更新日期：2013-02-01 00:00:00

abstract：:Strokes in the vertebrobasilar arterial distribution may result in a variety of physical findings and can be challenging to diagnose. We report a case of a 60-year-old woman with infarction of the left midbrain, right pons, and bilateral thalami with physical findings resembling transtentorial herniation. ...

journal_title：Annals of emergency medicine

authors： Lipinski CA,Swanson ER

更新日期：1998-05-01 00:00:00

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：:One hundred twenty-five pediatric emergency department patients were studied prospectively to determine whether any findings on the physical examination were predictive of abnormalities seen on chest radiograph. We attempted to find possible correlations between such clinical examination findings, recorded prior to ra...

journal_title：Annals of emergency medicine

authors： Zukin DD,Hoffman JR,Cleveland RH,Kushner DC,Herman TE

更新日期：1986-07-01 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：:Emergency thoracotomy has become a mainstay in the resuscitation of patients with major thoracic injuries. It also is occasionally useful in several other life-threatening conditions. The specific indications for emergency thoracotomy are reviewed, and expeditious thoracotomy in the emergency department, when necessar...

journal_title：Annals of emergency medicine

authors： Hoffman JR

更新日期：1981-05-01 00:00:00

abstract：:This clinical policy focuses on critical issues in the evaluation and management of adult patients with seizures. The medical literature was reviewed for articles that pertained to the critical questions posed. Subcommittee members and expert peer reviewers also supplied articles with direct bearing on this policy. Th...

journal_title：Annals of emergency medicine

authors： ACEP Clinical Policies Committee.,Clinical Policies Subcommittee on Seizures.

更新日期：2004-05-01 00:00:00

abstract：:The ingestion of iron-containing products is a potential toxicologic emergency. The total iron binding capacity (TIBC) has been used widely as a predictor of end-organ toxicity and a guide to the need for deferoxamine therapy. When the TIBC is greater than the serum iron concentration (SIC), it is held that no free ir...

journal_title：Annals of emergency medicine

authors： Siff JE,Meldon SW,Tomassoni AJ

更新日期：1999-01-01 00:00:00

abstract：STUDY OBJECTIVE:We estimate the test characteristics of nasogastric aspiration to diagnose upper gastrointestinal tract hemorrhage in patients without hematemesis. METHODS:In this retrospective cohort study, medical records from patients admitted to 2 urban hospitals between 1997 and 2002 for gastrointestinal tract bl...

journal_title：Annals of emergency medicine

authors： Witting MD,Magder L,Heins AE,Mattu A,Granja CA,Baumgarten M

更新日期：2004-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the interrater reliability of previously defined risk criteria for cervical spine injury. METHODS:Two emergency physicians independently evaluated patients with blunt trauma to determine whether they exhibited any of four risk criteria: (1) altered neurologic function; (2) evidence of into...

journal_title：Annals of emergency medicine

authors： Mahadevan S,Mower WR,Hoffman JR,Peeples N,Goldberg W,Sonner R

更新日期：1998-02-01 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：STUDY OBJECTIVE:To determine emergency department patients' behaviors during informed consent for an intimate partner violence survey. METHODS:We conducted a cross-sectional study during administration of informed consent. Research assistants recorded whether informed consent was read, time spent reading it, whether q...

journal_title：Annals of emergency medicine

authors： Baren J,Campbell CF,Schears RM,Shofer FS,Datner EM,Hollander JE

更新日期：2010-01-01 00:00:00

abstract：STUDY OBJECTIVE:We describe the demographics, characteristics, treatment, and clinical course of methamphetamine body stuffers. We also determine the clinical characteristics of methamphetamine body stuffers who have severe outcomes. METHODS:A 6.5-year descriptive nonconcurrent observational case series evaluated meth...

journal_title：Annals of emergency medicine

authors： West PL,McKeown NJ,Hendrickson RG

更新日期：2010-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether abdominal ultrasound can be used routinely as the primary screening test to identify the need for laparotomy in trauma patients. METHODS:Ultrasound was used at a Level II trauma center as a primary screening test for evaluation of intraabdominal injury. We reviewed the charts of al...

journal_title：Annals of emergency medicine

authors： Porter RS,Nester BA,Dalsey WC,O'Mara M,Gleeson T,Pennell R,Beyer FC

更新日期：1997-03-01 00:00:00

abstract：STUDY OBJECTIVE:Aeromedical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control for the effect of other potentially influential variables. Here we ex...

journal_title：Annals of emergency medicine

authors： Davis DP,Peay J,Serrano JA,Buono C,Vilke GM,Sise MJ,Kennedy F,Eastman AB,Velky T,Hoyt DB

更新日期：2005-08-01 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：:A patient with a 70% hydrofluoric acid burn developed systemic dissemination of fluoride ion from a 9% to 10% body surface area exposure on the lower extremities. Severe hypocalcemia and intractable ventricular arrhythmias resulted. This case is the second documented occurrence of hypocalcemia from hydrofluoric acid b...

journal_title：Annals of emergency medicine

authors： Mayer TG,Gross PL

更新日期：1985-02-01 00:00:00

abstract：STUDY OBJECTIVE:We derive a clinical decision rule for ongoing investigation of patients who present to the emergency department (ED) with chest pain. The rule identifies patients who are at low risk of acute coronary syndrome and could be discharged without further cardiac testing. METHODS:This was a prospective obse...

journal_title：Annals of emergency medicine

authors： Greenslade JH,Parsonage W,Than M,Scott A,Aldous S,Pickering JW,Hammett CJ,Cullen L

更新日期：2016-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether emergency medical services (EMS) run reports adequately document vehicle damage when compared with vehicle photographs by using a traffic accident scoring system. DESIGN:A prospective study consisting of three phases: photographing motor vehicle collisions and collecting their resp...

journal_title：Annals of emergency medicine

authors： Hunt RC,Brown RL,Cline KA,Krohmer JR,McCabe JB,Whitley TW

更新日期：1993-04-01 00:00:00

abstract：:Significant toxicity can result from ingestion of certain species of the Zigadenus plant, an herb occasionally confused with nontoxic wild onions. A 50-year-old man inadvertently ingested Z paniculatus and presented to the emergency department with profound gastrointestinal toxicity, hypotension, and bradycardia. The ...

journal_title：Annals of emergency medicine

authors： Heilpern KL

更新日期：1995-02-01 00:00:00