Ultrasonography in the emergency setting.

abstract：:Bleeding in late-term pregnancy can present as an innocuous start to parturition or a catastrophic maternal-fetal hemorrhage masked by the physiologic adaptations of pregnancy. The emergency management of late-term bleeding can be challenging, especially when providing stabilizing care in a limited-resource environmen...

journal_title：Emergency medicine clinics of North America

authors： Young JS,White LM

更新日期：2019-05-01 00:00:00

abstract：:A thorough working knowledge of the diagnosis and treatment of life-threatening electrolyte abnormalities in cancer patients, especially hyponatremia, hypoglycemia, and hypercalcemia, is essential to the successful practice of emergency medicine. Although most minor abnormalities have no specific treatment, severe cli...

journal_title：Emergency medicine clinics of North America

authors： Kacprowicz RF,Lloyd JD

更新日期：2009-05-01 00:00:00

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

authors： Caspers CG

更新日期：2017-08-01 00:00:00

abstract：:As the number of advanced practice providers has grown in emergency medicine, establishment of guidelines and policies governing their practice has become increasingly important. This article addresses the scope of practice of physician assistants and nurse practitioners working in the emergency department, including ...

journal_title：Emergency medicine clinics of North America

authors： Clark A,Amanti C,Sheng AY

更新日期：2020-05-01 00:00:00

abstract：:Resuscitation goals for the patient with sepsis and septic shock are to return the patient to a physiologic state that promotes adequate end-organ perfusion along with matching metabolic supply and demand. Ideal resuscitation end points should assess the adequacy of tissue oxygen delivery and oxygen consumption, and b...

journal_title：Emergency medicine clinics of North America

authors： Greenwood JC,Orloski CJ

更新日期：2017-02-01 00:00:00

abstract：:Pain, swelling, and limited range of motion of a joint are extremely common complaints in the emergency department. In assessing joint complaints it is helpful for the emergency physician to keep in mind the major categories of diagnostic possibilities; it is also useful to distinguish between chronic and acute proble...

journal_title：Emergency medicine clinics of North America

authors： Preslar AJ 3rd,Heckman JD

更新日期：1984-05-01 00:00:00

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

authors： McGarvey JM,Pollack CV

更新日期：2008-11-01 00:00:00

abstract：:Headache continues to be a frequent cause of emergency department (ED) use, accounting for 2% of all visits. Most of these headaches prove to be benign but painful exacerbations of chronic headache disorders, such as migraine, tension-type, and cluster. The goal of ED management is to provide rapid and quick relief of...

journal_title：Emergency medicine clinics of North America

authors： Friedman BW,Grosberg BM

更新日期：2009-02-01 00:00:00

abstract：:This article reviews the pearls and pitfalls of obstetric and gynecologic emergencies occurring in women presenting to the emergency department. Some pitfalls include failure to screen for ectopic pregnancy, tachycardia as an unreliable indicator of a ruptured ectopic pregnancy, and the use of serum hCG as a testing p...

journal_title：Emergency medicine clinics of North America

authors： Nadel E,Talbot-Stern J

更新日期：1997-05-01 00:00:00

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

authors： White RD

更新日期：2002-11-01 00:00:00

abstract：:The emergency physician should be familiar with the four general categories of TP complications: malfunctions, infections and dermatitis, vascular complications, and psychiatric complications (Table 2). Each category of complication can be readily evaluated and initially managed based on a few simple steps. ...

journal_title：Emergency medicine clinics of North America

authors： Coppola M,Yealy DM

更新日期：1994-08-01 00:00:00

abstract：:Defibrillation has emerged as the single most effective intervention for resuscitation of patients from cardiac arrest. This article reviews the electrophysiologic basis of defibrillation, and ways to increase the effectiveness of counter-shocks, particularly for refractory ventricular fibrillation. Automatic implanta...

journal_title：Emergency medicine clinics of North America

authors： Cummins RO

更新日期：1988-05-01 00:00:00

abstract：:Toxic overdose can present with various clinical signs and symptoms. These may be the only clues to diagnosis when the cause of toxicity is unknown at the time of initial assessment. The prognosis and clinical course of recovery of a patient poisoned by a specific agent depends largely on the quality of care delivered...

journal_title：Emergency medicine clinics of North America

authors： Erickson TB,Thompson TM,Lu JJ

更新日期：2007-05-01 00:00:00

abstract：:Respiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, d...

journal_title：Emergency medicine clinics of North America

authors： Wright BJ

更新日期：2014-11-01 00:00:00

abstract：:Few presentations to the emergency department are as critical or dramatic as the patient in shock. Cardiovascular disasters that commonly present with shock include massive pulmonary embolism, cardiac tamponade, aortic dissection and aneurysm, and cardiogenic shock associated with acute myocardial infarction. Because ...

journal_title：Emergency medicine clinics of North America

authors： Rodgers KG

更新日期：1995-11-01 00:00:00

abstract：:Results of prospective studies have shown that physicians' estimate of clinical likelihoods of PE have predictive value. The ability of clinicians to assess the factors that determine the probability of disease based on clinical manifestations such as history and signs and symptoms at presentation, and to make bedside...

journal_title：Emergency medicine clinics of North America

authors： Lee LC,Shah K

更新日期：2001-11-01 00:00:00

abstract：:Stroke is rare in children but leads to significant morbidity and mortality. Emergency department physicians are likely to be the first to evaluate children suffering strokes and it is, therefore, important for them to recognize common presenting features and risk factors for pediatric stroke. This review describes th...

journal_title：Emergency medicine clinics of North America

authors： Freundlich CL,Cervantes-Arslanian AM,Dorfman DH

更新日期：2012-08-01 00:00:00

abstract：:Earache, a common emergency department presentation, may be caused by a variety of conditions, some distant from the ear. This article discusses the diagnosis and treatment of acute otitis media, otitis media with effusion, otitis externa, otitis media with ruptured tympanic membrane or tympanostomy tubes, malignant o...

journal_title：Emergency medicine clinics of North America

authors： Conover K

更新日期：2013-05-01 00:00:00

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

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

更新日期：1983-08-01 00:00:00

abstract：:Pediatric mechanical ventilation is first initiated by emergency physicians when performing active airway management in a critically ill or injured child. When initiating and adjusting mechanical ventilation, the child has unique anatomy and physiology to consider. The EP is the first to respond to ventilator alarm tr...

journal_title：Emergency medicine clinics of North America

authors： Pacheco GS,Mendelson J,Gaspers M

更新日期：2018-05-01 00:00:00

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

authors： Evers K,DeGaeta LR

更新日期：1985-08-01 00:00:00

abstract：:Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This req...

journal_title：Emergency medicine clinics of North America

authors： McCabe JL,Grossman SJ,Joyce JM

更新日期：1991-11-01 00:00:00

abstract：:Injury to the chest accounts directly or indirectly for up to 50 per cent of deaths secondary to trauma. Eighty-five per cent of patients with chest injury may be managed by minor procedures available to the emergency physician. The indications for surgery in the remaining 15 per cent of patients with chest injury mus...

journal_title：Emergency medicine clinics of North America

authors： Mattox KL,Allen MK

更新日期：1984-11-01 00:00:00

abstract：:Cardiac arrhythmias may result from poisoning by a variety of agents. Although some cardiac disturbances are of limited concern, others occur because of the specific cardiac properties of the ingested drugs, and require specific antidotes. Clinicians must understand the resultant pathophysiology so that therapy is app...

journal_title：Emergency medicine clinics of North America

authors： Miller MB

更新日期：1998-05-01 00:00:00

abstract：:Disruption of cerebral blood flow may influence brain energy metabolism to produce reversible or irreversible neurologic deficits. The emergency physician is in a unique position to provide timely treatment during the first few hours of an acute stroke. He or she must be facile with unique pharmacologic and non-pharma...

journal_title：Emergency medicine clinics of North America

authors： Naradzay JF,Gaasch WR

更新日期：1996-02-01 00:00:00

abstract：:Acute iron poisoning continues to be one of the most common and deadly poisonings seen by emergency physicians. There are many potential pitfalls in the assessment, diagnosis, and treatment of iron-poisoned patients. This article reviews the pathophysiology of acute iron poisoning and describes a comprehensive managem...

journal_title：Emergency medicine clinics of North America

authors： Mills KC,Curry SC

更新日期：1994-05-01 00:00:00

abstract：:This article reviews out-of-hospital cardiac arrest from a public health perspective. Case definitions are discussed. Incidence, outcome, and fixed and modifiable risk factors for cardiac arrest are described. There is a large variation in survival between communities that is not explained by patient or community fact...

journal_title：Emergency medicine clinics of North America

authors： Taniguchi D,Baernstein A,Nichol G

更新日期：2012-02-01 00:00:00

abstract：:The treatment of acute ischemic stroke is one of the most rapidly evolving areas in medicine. Like all ischemic vascular emergencies, the priority is reperfusion before irreversible infarction. The central nervous system is sensitive to brief periods of hypoperfusion, making stroke a golden hour diagnosis. Although th...

journal_title：Emergency medicine clinics of North America

authors： Siket MS,Cadena R

更新日期：2021-02-01 00:00:00

abstract：:The treatment of gynecologic and other infections in obstetric patients involves consideration of the physiologic changes of pregnancy, the clinical implications of the infection for the patient as well as the fetus, and the safety of antimicrobials available for therapy. This article highlights the treatment of infec...

journal_title：Emergency medicine clinics of North America

authors： Torres M,Moayedi S

更新日期：2012-11-01 00:00:00

abstract：:Patients with complications of chemotherapy, either acute or chronic, are frequently encountered in the emergency department (ED). Some patients present with complaints immediately after chemotherapy administration, whereas others may show subtle, secondary signs or may have no signs or symptoms of chemotoxicity. An i...

journal_title：Emergency medicine clinics of North America

authors： Young JS,Simmons JW

更新日期：2014-08-01 00:00:00