Crisis intervention in an emergency setting.

abstract：STUDY OBJECTIVE:Physicians often prescribe antibiotics to patients even when there is no clear indication for their use. Previous studies examining antibiotic use in acute bronchitis and upper respiratory infections have been conducted in primary care settings. We evaluate the factors that physicians in the emergency d...

journal_title：Annals of emergency medicine

authors： Ong S,Nakase J,Moran GJ,Karras DJ,Kuehnert MJ,Talan DA,EMERGEncy ID NET Study Group.

更新日期：2007-09-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether the addition of a single aerosolized dose of glycopyrrolate leads to a greater improvement in pulmonary function than treatment with albuterol alone for patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). DESIGN:Prospective, randomized, blinded, cont...

journal_title：Annals of emergency medicine

authors： Cydulka RK,Emerman CL

更新日期：1995-04-01 00:00:00

abstract：STUDY OBJECTIVES:To examine trends in legal handgun purchases from federally licensed dealers and specifically to describe recent changes in age and gender of purchaser and caliber of handguns purchased. METHODS:A cohort study was performed of the adult population of Washington state from 1950 through 1992 using a sta...

journal_title：Annals of emergency medicine

authors： Dowd MD,Grossman DC,Cummings P,Britt J

更新日期：1998-07-01 00:00:00

abstract：STUDY OBJECTIVE:This study explored how a variety of demographic and illness-related factors were associated with telephone follow-up among patients visiting the emergency department for acute asthma. METHODS:We performed a prospective cohort study as part of the Multicenter Airway Research Collaboration (MARC). The s...

journal_title：Annals of emergency medicine

authors： Boudreaux ED,Clark S,Camargo CA Jr,MARC Investigators.

更新日期：2000-06-01 00:00:00

abstract：STUDY OBJECTIVE:We identify measures of emergency department (ED) and hospital workflow that would be of value in understanding, monitoring, and managing crowding. METHODS:A national group of 74 experts developed 113 potential measures using a conceptual model of ED crowding that segmented the measures into input, thr...

journal_title：Annals of emergency medicine

authors： Solberg LI,Asplin BR,Weinick RM,Magid DJ

更新日期：2003-12-01 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：STUDY OBJECTIVE:News media are used for community education and notification in exception from informed consent clinical trials, yet their effectiveness as an added safeguard in such research remains unknown. We assessed the number of callers requesting opt-out bracelets after each local media report and described the ...

journal_title：Annals of emergency medicine

authors： Nelson MJ,DeIorio NM,Schmidt T,Griffiths D,Daya M,Haywood L,Zive D,Newgard CD

更新日期：2010-01-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether a one-time dose of triamcinolone diacetate, 40 mg intramuscular (i.m.), given to adult patients treated in the emergency department for mild to moderate exacerbation of asthma would decrease the rate of relapse during the following week, compared with a nontapering course of oral pr...

journal_title：Annals of emergency medicine

authors： Schuckman H,DeJulius DP,Blanda M,Gerson LW,DeJulius AJ,Rajaratnam M

更新日期：1998-03-01 00:00:00

abstract：STUDY OBJECTIVE:To study early microcirculatory perfusion indices in patients with severe sepsis/septic shock, compare early microcirculatory indices in sepsis survivors versus nonsurvivors, and identify systemic hemodynamic/oxygen transport variables that correlate with early microcirculatory perfusion indices. METHO...

journal_title：Annals of emergency medicine

authors： Trzeciak S,Dellinger RP,Parrillo JE,Guglielmi M,Bajaj J,Abate NL,Arnold RC,Colilla S,Zanotti S,Hollenberg SM,Microcirculatory Alterations in Resuscitation and Shock Investigators.

更新日期：2007-01-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to compare triage designations derived from in-person and telephone interviews and systematically examine the effect of visual cues, vital signs, and complaint-based protocols on the triage process. METHODS:We conducted a 2-phase, prospective, observational study employing a randomized, cros...

journal_title：Annals of emergency medicine

authors： Salk ED,Schriger DL,Hubbell KA,Schwartz BL

更新日期：1998-12-01 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：: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：:Ornithine transcarbamylase deficiency (OTCD) is an X-linked inherited disease and the most common inborn error in urea synthesis in human patients. In adult heterozygous patients, OTCD can be responsible for life-threatening hyperammonemic coma. We report the case of a 32-year-old woman admitted to our hospital with s...

journal_title：Annals of emergency medicine

authors： Gaspari R,Arcangeli A,Mensi S,Wismayer DS,Tartaglione T,Antuzzi D,Conti G,Proietti R

更新日期：2003-01-01 00:00:00

abstract：STUDY OBJECTIVE:Traumatic eye injuries are common emergency department presentations worldwide, and diagnosis may be delayed because of concurrent injuries and lack of guidelines in regard to the utility of clinical examination, computed tomography (CT), and point-of-care ultrasonography. In this study, we compare poin...

journal_title：Annals of emergency medicine

authors： Ojaghihaghighi S,Lombardi KM,Davis S,Vahdati SS,Sorkhabi R,Pourmand A

更新日期：2019-09-01 00:00:00

abstract：:A 36-year-old man developed extreme shortness of breath after injecting "freebase" cocaine intravenously. Clinical and radiographic evaluation confirmed acute pulmonary edema, and blood gas studies substantiated acute respiratory failure. Despite vigorous therapy, the patient died three hours after admission. When coc...

journal_title：Annals of emergency medicine

authors： Allred RJ,Ewer S

更新日期：1981-08-01 00:00:00

abstract：:The insurance market is evolving, with increased emphasis on plans with high deductibles and a large degree of coinsurance. This article serves as an introduction to the defining characteristics of consumer-driven health care plans and their associated health savings accounts. We discuss the most recent evidence on th...

journal_title：Annals of emergency medicine

authors： McConnell KJ

更新日期：2005-12-01 00:00:00

abstract：:Olfactory and gustatory hallucinations are not often encountered in the acute care setting but may represent the subtle presenting features of a significant underlying disease process. We describe a patient whose most striking presenting symptoms were of olfactory and gustatory hallucinations and in whom the diagnosis...

journal_title：Annals of emergency medicine

authors： Capampangan DJ,Hoerth MT,Drazkowski JF,Lipinski CA

更新日期：2010-10-01 00:00:00

abstract：STUDY OBJECTIVE:The antivenom currently available for treatment of systemic black widow envenomation (latrodectism) is composed of equine whole immunoglobin. Although considered effective, it has been associated with anaphylaxis and 2 reported fatalities. We test the efficacy and safety of new equine antivenom composed...

journal_title：Annals of emergency medicine

authors： Dart RC,Bush SP,Heard K,Arnold TC,Sutter M,Campagne D,Holstege CP,Seifert SA,Lo JCY,Quan D,Borron S,Meurer DA,Burnham RI,McNally J,Garcia-Ubbelohde W,Anderson VE

更新日期：2019-09-01 00:00:00

abstract：STUDY OBJECTIVE:Intravenous metoclopramide is effective as primary therapy for acute migraine, but the optimal dose of this medication is not yet known. The objective of this study is to compare the efficacy and safety of 3 different doses of intravenous metoclopramide for the treatment of acute migraine. METHODS:This...

journal_title：Annals of emergency medicine

authors： Friedman BW,Mulvey L,Esses D,Solorzano C,Paternoster J,Lipton RB,Gallagher EJ

更新日期：2011-05-01 00:00:00

abstract：STUDY OBJECTIVE:Availability of timely follow-up care is essential in emergency medicine. We describe nonprice barriers to care experienced by callers reporting to be emergency department (ED) patients in need of follow-up care. METHODS:This was a secondary analysis of data collected during a survey of ambulatory clin...

journal_title：Annals of emergency medicine

authors： Vieth TL,Rhodes KV

更新日期：2008-05-01 00:00:00

abstract：STUDY OBJECTIVE:We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS:This was a retrospective observational study using data from an institution-wide system to measure patient sati...

journal_title：Annals of emergency medicine

authors： Byczkowski TL,Fitzgerald M,Kennebeck S,Vaughn L,Myers K,Kachelmeyer A,Timm N

更新日期：2013-10-01 00:00:00

abstract：:We present the cases of three patients with skin blisters following carbon monoxide (CO) poisoning. Their blisters appeared to be related to the severity of the poisoning (HbCO levels of more than 40%). Two of the three patients died despite aggressive initial 100% surface oxygen followed by hyperbaric oxygen therapy....

journal_title：Annals of emergency medicine

authors： Myers RA,Snyder SK,Majerus TC

更新日期：1985-06-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to describe the effects of continuous intravenous midazolam infusion as therapy for severe bark scorpion (Centruroides exilicauda) envenomation. METHODS:A retrospective chart review from July 1, 1993, through January 1, 1998, identified all patients treated at a university hospital with Inter...

journal_title：Annals of emergency medicine

authors： Gibly R,Williams M,Walter FG,McNally J,Conroy C,Berg RA

更新日期：1999-11-01 00:00:00

abstract：:Blacks, Hispanics/Latinos, American Indians, Pacific Islanders, Alaska Natives, and Native Hawaiians make up 33% of the US population. These same groups are underrepresented in medicine. In 2013, the physician workforce was 4.1% black, 4.4% Hispanic/Latino, 0.4% American Indian or Alaska Native, 11.7% Asian, and 48.9%...

journal_title：Annals of emergency medicine

authors： Garrick JF,Perez B,Anaebere TC,Craine P,Lyons C,Lee T

更新日期：2019-06-01 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：:The management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

journal_title：Annals of emergency medicine

authors： Hovanessian HC

更新日期：1999-05-01 00:00:00

abstract：:A prospective, randomized, blinded study was conducted to evaluate the efficacy of standard compared with high-dose epinephrine in cardiac arrest in dogs. Twenty-five mongrel dogs were anesthetized and monitored by central venous catheter, intra-arterial catheter, and ECG. A left lateral thoracotomy was performed, and...

journal_title：Annals of emergency medicine

authors： Brunette DD,Jameson SJ

更新日期：1990-01-01 00:00:00

abstract：:The medical antishock trouser (MAST) has been advocated as potentially beneficial in the resuscitation of patients in cardiac arrest. Currently available data indicate that the MAST will increase the blood pressure generated by external cardiopulmonary resuscitation. In addition, there may be an increased survival of ...

journal_title：Annals of emergency medicine

authors： Lilja GP,Clinton J,Mahoney B

更新日期：1984-09-01 00:00:00

abstract：:We surveyed all patients admitted to nine community hospital coronary care units to determine what proportion could be candidates for thrombolytic therapy. During the 12-month study period, there were 4,115 admissions for possible acute myocardial infarction, and 1,076 (26%) had a discharge diagnosis of myocardial inf...

journal_title：Annals of emergency medicine

authors： Eisenberg MS,Ho MT,Schaeffer S,Litwin P,Larsen MP,Hallstrom AP,Weaver DW

更新日期：1989-08-01 00:00:00

abstract：STUDY OBJECTIVES:This study measures the effect of meeting emergency department (ED) patients' expectations for diagnostic and therapeutic interventions on patient satisfaction. METHODS:This was a cross-sectional study of consecutive patients during block enrollment periods surveyed at the beginning and end of their E...

journal_title：Annals of emergency medicine

authors： Toma G,Triner W,McNutt LA

更新日期：2009-09-01 00:00:00