Limitation on effectiveness of rapid defibrillation by emergency medical technicians in a rural setting.

abstract：:Early experience with the use of tissue plasminogen activator (tPA) in acute myocardial infarction is reviewed, including comparisons with other thrombolytic agents, a summary of hemorrhagic complications associated with its use, and the rationale for adjunctive therapeutic strategies. The use of tPA has been associat...

journal_title：Annals of emergency medicine

authors： Califf RM,Mantell S,Westawski C,Bride W,Honan MB,Bellinger RL,Wall TC

更新日期：1988-11-01 00:00:00

abstract：STUDY OBJECTIVE:The potential of infectious disease spread in diseases such as tuberculosis, infectious disease epidemic such as avian flu and the threat of terrorism with agents capable of airborne transmission have focused attention on the need for increased surge capacity for patient isolation. Total negative pressu...

journal_title：Annals of emergency medicine

authors： Davis MA,Landesman R,Tadmor B,Hopmeier M,Shenhar G,Barker T,Pozner CN,Binstadt ES,Nelson S,Look R,Shubina M,Walls RM

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVES:Many patients with community-acquired pneumonia are treated empirically without an aggressive search for causative pathogens, an approach adopted largely because of the costs and difficulties encountered during efforts to identify the causative organisms. Blood and sputum cultures are not sensitive, an...

journal_title：Annals of emergency medicine

authors： Rodriguez RM,Fancher ML,Phelps M,Hawkins K,Johnson J,Stacks K,Rossini T,Way M,Holland D

更新日期：2001-10-01 00:00:00

abstract：STUDY OBJECTIVE:The presence of leukocyte esterase by urine dipstick and microscopic pyuria are both indicators of possible urinary tract infection. The effect of urine concentration on the diagnostic performance of the urinalysis for pediatric urinary tract infection has not been studied. Our objective is to determine...

journal_title：Annals of emergency medicine

authors： Chaudhari PP,Monuteaux MC,Shah P,Bachur RG

更新日期：2017-07-01 00:00:00

abstract：:Experimental data have suggested that pneumatic external counterpressure improves outcome in intra-abdominal hemorrhage by either a tamponade effect and/or elevation in central systemic blood pressure. As a result, the empiric use of the pneumatic antishock garment (PASG) has become a standard of care, even to the poi...

journal_title：Annals of emergency medicine

authors： Bickell WH,Pepe PE,Bailey ML,Wyatt CH,Mattox KL

更新日期：1987-06-01 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 determine the feasibility of managing patients with acute pyelonephritis as outpatients after initial treatment with IV antibiotics in an emergency department observation unit. DESIGN:Prospective and uncontrolled. SETTING:ED observation unit. TYPE OF PARTICIPANTS:Nonpregnant female patients 14 yea...

journal_title：Annals of emergency medicine

authors： Ward G,Jorden RC,Severance HW

更新日期：1991-03-01 00:00:00

abstract：STUDY OBJECTIVE:We examine racial and ethnic differences in opioid prescribing and dosing for long bone fractures at emergency department (ED) discharge. METHODS:We conducted an electronic health records-based cross-sectional study of adults with long bone fractures who presented to the ED across 22 sites from a healt...

journal_title：Annals of emergency medicine

authors： Romanelli RJ,Shen Z,Szwerinski N,Scott A,Lockhart S,Pressman AR

更新日期：2019-11-01 00:00:00

abstract：STUDY OBJECTIVE:Urinary catheters are often placed in the emergency department (ED) and are associated with an increased safety risk for hospitalized patients. We evaluate the effect of an intervention to reduce unnecessary placement of urinary catheters in the ED. METHODS:Eighteen EDs from 1 health system underwent t...

journal_title：Annals of emergency medicine

authors： Fakih MG,Heavens M,Grotemeyer J,Szpunar SM,Groves C,Hendrich A

更新日期：2014-06-01 00:00:00

abstract：:We examined the performance of a hospital-based mobile coronary care unit staffed by emergency physicians, coronary care nurses, and ambulance personnel in a metropolitan setting (Brisbane, Australia). Our unit attended 2,260 calls during 18 months of operation. Standard dispatched ambulances arrived first to 78% of t...

journal_title：Annals of emergency medicine

authors： Bett JH

更新日期：1989-09-01 00:00:00

abstract：:A fatal case of ascending tonic-clonic seizure (ATCS) syndrome resulted from the inadvertent, unrecognized use of a hyperosmolar ionic contrast agent during myelography. The patient presented with lower-extremity myoclonic jerking, agitation, hyperthermia, rhabdomyolysis, and disseminated intravascular coagulation. Em...

journal_title：Annals of emergency medicine

authors： Dunford J

更新日期：1998-11-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the public health impact of a hurricane on an inland area. DESIGN:Descriptive study. SETTING:Seven hospital emergency departments. PARTICIPANTS:Patients who were treated from September 22 to October 6, 1989, for an injury or illness related to Hurricane Hugo. INTERVENTION:None. MEASUREM...

journal_title：Annals of emergency medicine

authors： Brewer RD,Morris PD,Cole TB

更新日期：1994-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine antibody titers to hepatitis B surface antigen (anti-HBsAg) among previously vaccinated emergency physicians and to assess the degree of compliance with Centers for Disease Control and Prevention (CDC) postvaccination guidelines. METHODS:A descriptive analysis was performed of anti-HBsAg t...

journal_title：Annals of emergency medicine

authors： Goldberg R,Thomas H,Kuhn G,Moradzadeh D,Mody T,Boss RW,Goodman E

更新日期：1999-02-01 00:00:00

abstract：STUDY OBJECTIVE:To derive a highly sensitive decision rule for the selective use of radiography in acute knee injuries. DESIGN:Prospectively administered survey. SETTING:Emergency departments of two university hospitals. PARTICIPANTS:Convenience sample of 1,047 adults with acute knee injuries. RESULTS:Attending eme...

journal_title：Annals of emergency medicine

authors： Stiell IG,Greenberg GH,Wells GA,McKnight RD,Cwinn AA,Cacciotti T,McDowell I,Smith NA

更新日期：1995-10-01 00:00:00

abstract：STUDY OBJECTIVE:We characterize repeat pediatric emergency department visits and determine the cause for such visits as an indicator of potential need for quality improvement. We hypothesized that most repeat ED visits resulting in hospitalization do not represent medical errors. METHODS:The study was performed at a l...

journal_title：Annals of emergency medicine

authors： Depiero AD,Ochsenschlager DW,Chamberlain JM

更新日期：2002-02-01 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 OBJECTIVE:There has been increasing attention to screening for health-related social needs. However, little is known about the screening practices of emergency departments (EDs). Within New England, we seek to identify the prevalence of ED screening for health-related social needs, understand the factors associat...

journal_title：Annals of emergency medicine

authors： Samuels-Kalow ME,Boggs KM,Cash RE,Herrington R,Mick NW,Rutman MS,Venkatesh AK,Zabbo CP,Sullivan AF,Hasegawa K,Zachrison KS,Camargo CA Jr

更新日期：2021-01-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to characterize the clinical manifestations, outcome, and etiology of inadvertent ketamine overdose in the emergency department. METHODS:We investigated cases of inadvertent ketamine overdose in children seen in the ED solicited through electronic mail subscription lists or reported to the In...

journal_title：Annals of emergency medicine

authors： Green SM,Clark R,Hostetler MA,Cohen M,Carlson D,Rothrock SG

更新日期：1999-10-01 00:00:00

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: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：:We present the case of a patient who presented with persistent hiccups induced by a hair irritating the tympanic membrane and activating the vagally mediated hiccup neural reflex arc. Commonly identified etiologies and treatments of this condition are then reviewed. ...

journal_title：Annals of emergency medicine

authors： Wagner MS,Stapczynski JS

更新日期：1982-01-01 00:00:00

abstract：STUDY OBJECTIVE:Glottic visualization with video is superior to direct laryngoscopy in controlled operating room studies. However, glottic exposure with video laryngoscopy has not been evaluated in the emergency department (ED) setting, where blood, secretions, poor patient positioning, and physiologic derangement can ...

journal_title：Annals of emergency medicine

authors： Brown CA 3rd,Bair AE,Pallin DJ,Laurin EG,Walls RM,National Emergency Airway Registry (NEAR) Investigators.

更新日期：2010-08-01 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：:A 45-year-old man ate the liver of the toxic pufferfish (Diodron hystrix) and developed mild tetrodotoxication consisting of hyperemesis, bradycardia, hypotension, generalized numbness, and a generalized paresis. He was treated with atropine, normal saline IV infusions, nasogastric suction, and oxygen, and he recovere...

journal_title：Annals of emergency medicine

authors： Sims JK,Ostman DC

更新日期：1986-09-01 00:00:00

abstract：:As the sciences of emergency medicine and acute care medicine develop, it becomes imperative for researchers in these fields to accurately and completely report the methodology of their investigations. It is only through complete reporting that other investigators can critically examine, replicate, or expand on the re...

journal_title：Annals of emergency medicine

authors： Brown CG,Kelen GD,Moser M,Moeschberger ML,Rund DA

更新日期：1985-10-01 00:00:00

abstract：:Ultrasonography in the emergency department is being used for many purposes, including the evaluation of patients with cardiac arrest. Ultrasound testing has been shown to be useful in such patients in determining the presence of true electromechanical dissociation and pericardial effusions. We report a case of ventri...

journal_title：Annals of emergency medicine

authors： Amaya SC,Langsam A

更新日期：1999-03-01 00:00:00

abstract：:In more than 15 years of paramedic operation, fewer than 15 prehospital studies have been undertaken on the pharmacologic intervention by paramedics. Many of these studies suffer from inadequate sample size or deficient study design. There is no evidence that any medication given by the prehospital care provider is be...

journal_title：Annals of emergency medicine

authors： Shuster M,Chong J

更新日期：1989-02-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the ability of 4 sampling methods to generate representative samples of the emergency department (ED) population. METHODS:We analyzed the electronic records of 21,662 consecutive patient visits at an urban, academic ED. From this population, we simulated different models of study recruitmen...

journal_title：Annals of emergency medicine

authors： Valley MA,Heard KJ,Ginde AA,Lezotte DC,Lowenstein SR

更新日期：2012-08-01 00:00:00

abstract：:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casua...

journal_title：Annals of emergency medicine

authors： Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD

更新日期：2009-02-01 00:00:00

abstract：:Maprotiline, a new tetracyclic antidepressant, has a pattern of toxicity that is different from that of tricyclics. Maprotiline overdosage appears more likely to cause seizures but less likely to cause the peripheral autonomic and cardiac manifestations seen with tricyclics. Two cases of maprotiline overdose resulting...

journal_title：Annals of emergency medicine

authors： Northup L,Reed G,McAnalley B,Anderson RJ

更新日期：1984-06-01 00:00:00