Painless aortic dissection: an unusual cause of syncope.

abstract：STUDY OBJECTIVE:We evaluate the effectiveness and safety of an outpatient clinical care pathway for the initial treatment of acute proximal lower-extremity deep venous thrombosis (DVT) with low molecular weight heparin (LMWH) managed by the emergency department of 2 affiliated community hospitals. METHODS:This observa...

journal_title：Annals of emergency medicine

authors： Vinson DR,Berman DA

更新日期：2001-03-01 00:00:00

abstract：STUDY OBJECTIVE:Cancer immunotherapy is evolving rapidly and is transforming cancer care. During the last decade, immune checkpoint therapies have been developed to enhance the immune response; however, specific adverse effects related to autoimmunity are increasingly apparent. This study aims to fill the knowledge gap...

journal_title：Annals of emergency medicine

authors： El Majzoub I,Qdaisat A,Thein KZ,Win MA,Han MM,Jacobson K,Chaftari PS,Prejean M,Reyes-Gibby C,Yeung SJ

更新日期：2019-01-01 00:00:00

abstract：:The ability of military anti-shock trousers (MAST) to increase central venous pressure and improve cardiac filling pressure suggests that they might be useful in the prehospital treatment of pericardial tamponade. This study utilizes a canine model to examine the hemodynamic effects of MAST inflation on experimentally...

journal_title：Annals of emergency medicine

authors： Davis JW,McKone TK,Cram AE

更新日期：1981-04-01 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:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and w...

journal_title：Annals of emergency medicine

authors： Mittal MK,Shofer FS,Baren JM

更新日期：2009-10-01 00:00:00

abstract：:The World Health Assembly 2007 Resolution 60.22 tasked the global health community to address the lack of emergency care in low- and middle-income countries. Little progress has yet been made in integrating emergency care into most low- and middle-income-country health systems. At a rural Ugandan district hospital, ho...

journal_title：Annals of emergency medicine

authors： Hammerstedt H,Maling S,Kasyaba R,Dreifuss B,Chamberlain S,Nelson S,Bisanzo M,Ezati I

更新日期：2014-11-01 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：:A 24-year-old woman had a clinically occult injury of the carotid artery from the shoulder seat belt restraint in a motor vehicle accident. Acute thromboembolism and hemiplegia occurred two hours after her admission to the emergency department. There were contusions of the neck and chest (seat belt sign) but no associ...

journal_title：Annals of emergency medicine

authors： Ernst A,Robertson HJ,Bercier ML,Kline DG

更新日期：1988-10-01 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

abstract：STUDY OBJECTIVES:To test the feasibility of using handheld, battery-operated chemical analyzers by EMS personnel in a wilderness environment to aid in the diagnosis and management of heat illness. METHODS:During the summer of 1996, 3 portable clinical analyzers (i-STAT Corp, Princeton, NJ) were kept at different locat...

journal_title：Annals of emergency medicine

authors： Backer HD,Collins S

更新日期：1999-04-01 00:00:00

abstract：:Annals' 25th anniversary is a cause for celebration, but the future imposes a new set of ethical questions and moral dilemmas for emergency physicians. Each physician will need to make personal choices consistent with the courage, judgment, integrity, and dedication of past leaders when dealing with the moral dilemmas...

journal_title：Annals of emergency medicine

authors： Waeckerle JF

更新日期：1997-12-01 00:00:00

abstract：STUDY OBJECTIVE:In 2008, a pay-for-performance program was implemented in sequential waves in Ontario emergency departments (EDs), with the aim of reducing length of stay. We seek to evaluate its effects on ED length of stay and quality of care. METHODS:This was a retrospective observational study of ED visits in Onta...

journal_title：Annals of emergency medicine

authors： Vermeulen MJ,Stukel TA,Boozary AS,Guttmann A,Schull MJ

更新日期：2016-04-01 00:00:00

abstract：:Excessive brain lactate, as may develop in cerebral ischemia, has been implicated as a major cause of irreversible cell damage. With an experimental model that produces cerebral ischemia by bilateral carotid ligation combined with systemic hypotension, previous studies have shown that treatment with 25 mg/kg sodium di...

journal_title：Annals of emergency medicine

authors： Dimlich RV,Timerding BL,Kaplan J,Cammenga R,Van Ligten PF

更新日期：1989-11-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the efficacy of a novel antidote, insulin, with standard treatments, glucagon and epinephrine, in a canine model of acute beta-blocker toxicity. METHODS:Anesthetized dogs were fitted with instruments by means of thoracotomy and vascular cutdown for multiple cardiodynamic, hemodynamic, metabo...

journal_title：Annals of emergency medicine

authors： Kerns W 2nd,Schroeder D,Williams C,Tomaszewski C,Raymond R

更新日期：1997-06-01 00:00:00

abstract：STUDY OBJECTIVE:This study tests the effect of a brief intervention with emergency department (ED) patients to reduce at-risk drinking. METHODS:We enrolled patients aged 18 years or older who screened positive for at-risk drinking in an urban academic ED and used alternative allocation to assign them to control or int...

journal_title：Annals of emergency medicine

authors： Bazargan-Hejazi S,Bing E,Bazargan M,Der-Martirosian C,Hardin E,Bernstein J,Bernstein E

更新日期：2005-07-01 00:00:00

abstract：:After recent terrorist attacks, new attention has been focused on health care facility decontamination practices. This article reviews core issues related to the selection of appropriate personal protective equipment for health care facility decontamination personnel, with an emphasis on respiratory protection. Existi...

journal_title：Annals of emergency medicine

authors： Hick JL,Hanfling D,Burstein JL,Markham J,Macintyre AG,Barbera JA

更新日期：2003-09-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effects of early fluid resuscitation on the rate, volume, and duration of hemorrhage using a sheep model of uncontrolled pulmonary vascular hemorrhage. METHODS:Sixteen adult sheep were anesthetized and fitted with catheters to measure systemic and pulmonary artery pressures. A branch o...

journal_title：Annals of emergency medicine

authors： Sakles JC,Sena MJ,Knight DA,Davis JM

更新日期：1997-03-01 00:00:00

abstract：STUDY OBJECTIVE:To test the hypothesis that intersystem variation in initial rhythm among EMS-witnessed arrests is of sufficient magnitude to warrant standardization of survival by creation of an Utstein-style denominator of EMS-witnessed ventricular fibrillation (VF). METHODS:We conducted a planned subset analysis of...

journal_title：Annals of emergency medicine

authors： Gallagher EJ,Lombardi G,Gennis P

更新日期：1997-07-01 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：:To evaluate the heat burden in parked cars, a study was done to measure inside car temperatures in different situations. A large car and a small car were parked in direct sunlight and in shade. In direct sun, the highest temperatures recorded in the small and large cars were 78 C and 65 C, respectively. The highest te...

journal_title：Annals of emergency medicine

authors： Surpure JS

更新日期：1982-05-01 00:00:00

abstract：:This clinical policy focuses on critical issues concerning the management of patients presenting to the emergency department (ED) with acetaminophen overdose. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: 1. What are the indications for N-acetylcysteine (...

journal_title：Annals of emergency medicine

authors： Wolf SJ,Heard K,Sloan EP,Jagoda AS,American College of Emergency Physicians.

更新日期：2007-09-01 00:00:00

abstract：:Cardiac ultrasound quickly provides both anatomic and physiologic assessment of the heart at the bedside, permitting rapid diagnosis and triage of patients presenting to the emergency department with chest pain, hypotension, or dyspnea. The identification and quantification of left ventricular dysfunction by ultrasoun...

journal_title：Annals of emergency medicine

authors： Hauser AM

更新日期：1989-12-01 00:00:00

abstract：:An important aspect in the effective management of an emergency medical services system is the ability to monitor system performance. To provide this information on a timely basis, a comprehensive data collection system is required. We describe the design, implementation, use, and effect of a comprehensive, computeriz...

journal_title：Annals of emergency medicine

authors： Valenzuela TD,Keeley KT,Criss EA,Spaite DW,Meislin HW

更新日期：1989-05-01 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：:A study was undertaken to assess the efficacy and safety of femoral venous catheterization for resuscitation of critically ill patients in the emergency department setting. From May 1982 to April 1983, 100 attempts were made at percutaneous insertion of a large-bore catheter into the femoral veins of patients presenti...

journal_title：Annals of emergency medicine

authors： Swanson RS,Uhlig PN,Gross PL,McCabe CJ

更新日期：1984-04-01 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：:Profound hypothermia is associated with high mortality and morbidity. Optimal outcomes have been reported with invasive extracorporeal warming techniques not readily available in most hospitals. Endovascular warming devices may provide a less invasive alternative. A 68-year-old woman developed profound hypothermia aft...

journal_title：Annals of emergency medicine

authors： Laniewicz M,Lyn-Kew K,Silbergleit R

更新日期：2008-02-01 00:00:00

abstract：STUDY OBJECTIVE:This study measures the degree to which parents of patients, in the course of evaluation and treatment in a pediatric emergency department (ED), could report what they were waiting for. METHODS:Brief in-person interviews were conducted with parents of nonemergency patients during an ED visit. After the...

journal_title：Annals of emergency medicine

authors： Cramm KJ,Dowd MD

更新日期：2008-04-01 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：:Recent interest in civilian trauma as a public health problem dates from the National Academy of Sciences white paper in 1966. Civilian trauma patterns vary depending on locale--blunt trauma predominates in rural and smaller urban areas (65% to 80% of hospital admissions); penetrating trauma in larger urban areas outw...

journal_title：Annals of emergency medicine

authors： Baker CC

更新日期：1986-12-01 00:00:00