Failure of cross clamping the thoracic aorta to control intra-abdominal bleeding.

abstract：:Ethanol disrupts the physical structure of cell membranes. The most fluid membranes, including those that are low in cholesterol, are the most easily disordered by ethanol. Although the membrane-disordering effect is small, there is pharmacological, temporal, and genetic evidence that it is important. Animals that are...

journal_title：Annals of emergency medicine

authors： Goldstein DB

更新日期：1986-09-01 00:00:00

abstract：STUDY OBJECTIVE:The Centers for Medicare & Medicaid Services (CMS) recently published emergency department (ED) timeliness measures. These data show substantial variation in hospital performance and suggest the need for process improvement initiatives. However, the CMS measures are not risk adjusted and may provide mis...

journal_title：Annals of emergency medicine

authors： Sun BC,Laurie A,Prewitt L,Fu R,Chang AM,Augustine J,Reese C 4th,McConnell KJ

更新日期：2016-04-01 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：:Presented is the case of a man who had localized depigmentation after local injection of triamcinolone diacetate. Search of the literature indicates that this is a rare complication of such therapy. Localized depigmentation may have important cultural implications for dark-skinned patients. There is some experimental ...

journal_title：Annals of emergency medicine

authors： Stapczynski JS

更新日期：1991-07-01 00:00:00

abstract：:The Prehospital Index (PHI) is a triage-oriented trauma severity scoring system comprising four components: systolic blood pressure, pulse, respiratory status, and level of consciousness, each scored 0 to 5. The PHI was developed after analysis of 313 cases to provide an objective prehospital scoring system for distin...

journal_title：Annals of emergency medicine

authors： Koehler JJ,Baer LJ,Malafa SA,Meindertsma MS,Navitskas NR,Huizenga JE

更新日期：1986-02-01 00:00:00

abstract：STUDY OBJECTIVE:This study compares selected laboratory values of blood samples obtained by means of venipuncture and by means of a peripheral intravenous catheter after a normal saline solution bolus. METHODS:In this prospective experimental study, each participant served as his or her own control. Hospital employees...

journal_title：Annals of emergency medicine

authors： Zlotowski SJ,Kupas DF,Wood GC

更新日期：2001-11-01 00:00:00

abstract：:Two case reports of patients with anion gap metabolic lactic acidosis and hypoglycemia are presented. Both patients subsequently died of acute liver failure secondary to acetaminophen hepatotoxicity. The development of type B lactic acidosis with hypoglycemia might have been caused by a deficit in gluconeogenesis seco...

journal_title：Annals of emergency medicine

authors： Zabrodski RM,Schnurr LP

更新日期：1984-10-01 00:00:00

abstract：STUDY OBJECTIVE:We explore what emergency physicians with access to health information exchange have to say about it and strive to better understand the factors affecting their use of it. METHODS:A qualitative study using grounded theory principles was conducted in 4 urban emergency departments that had health informa...

journal_title：Annals of emergency medicine

authors： Thorn SA,Carter MA,Bailey JE

更新日期：2014-03-01 00:00:00

abstract：STUDY OBJECTIVE:Allergic reactions are common presentations to the emergency department (ED). An unknown proportion of patients will develop biphasic reactions, and patients are often monitored for prolonged periods to manage potential reactions. We seek to determine the incidence of clinically important biphasic react...

journal_title：Annals of emergency medicine

authors： Grunau BE,Li J,Yi TW,Stenstrom R,Grafstein E,Wiens MO,Schellenberg RR,Scheuermeyer FX

更新日期：2014-06-01 00:00:00

abstract：STUDY OBJECTIVE:Severe myocardial ischemia is the leading cause of arrhythmic sudden cardiac death. It is unclear, however, in which percentage of patients sudden cardiac death is triggered by ST-elevation myocardial infarction (STEMI) and whether the diagnosis of STEMI can be reliably established immediately after res...

journal_title：Annals of emergency medicine

authors： Müller D,Schnitzer L,Brandt J,Arntz HR

更新日期：2008-12-01 00:00:00

abstract：STUDY OBJECTIVE:The literature suggests that the d -dimer is useful in patients suspected of having pulmonary embolism and who have a low pretest probability of disease. A previously defined clinical decision rule, the Wells Criteria, may provide a reliable and reproducible means of determining this pretest probability...

journal_title：Annals of emergency medicine

authors： Wolf SJ,McCubbin TR,Feldhaus KM,Faragher JP,Adcock DM

更新日期：2004-11-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the safety and efficacy of transcutaneous cardiac pacing using low-impedance defibrillation-type, self-adhesive polymer electrode pads positioned in the same anatomic sites typical of such pad placement in emergency defibrillation attempts. DESIGN:Prospective, randomized, single-blinded norm...

journal_title：Annals of emergency medicine

authors： Chapman PD,Stratbucker RA,Schlageter DP,Pruzina SP

更新日期：1992-12-01 00:00:00

abstract：:A young woman presented with acute abdominal pain, anemia, and a positive pregnancy test. At surgery a large retroperitoneal hematoma secondary to a ruptured right kidney was found. Pathological examination revealed a hematogenic necrosis of a choriocarcinoma of the kidney. The patient tolerated subsequent chemotherap...

journal_title：Annals of emergency medicine

authors： Plaus WJ

更新日期：1987-12-01 00:00:00

abstract：STUDY OBJECTIVE:To be able to adhere to discharge instructions after a visit to the emergency department (ED), patients should understand both the care that they received and their discharge instructions. The objective of this study is to assess, at discharge, patients' comprehension of their ED care and instructions a...

journal_title：Annals of emergency medicine

authors： Engel KG,Heisler M,Smith DM,Robinson CH,Forman JH,Ubel PA

更新日期：2009-04-01 00:00:00

abstract：:During the evaluation of a victim of a motor vehicle accident, routine radiographs of the patient's cervical spine, chest, and pelvis revealed multiple radiopaque foreign bodies along his posterior neck, chest, abdomen, and pelvis. Repeat examination of the patient disclosed no evidence of foreign bodies. Further ques...

journal_title：Annals of emergency medicine

authors： Hollander JE,Dewitz A,Bowers S

更新日期：1991-09-01 00:00:00

abstract：STUDY OBJECTIVE:We determine whether there are differences in role-related communication patterns in the emergency department (ED). METHODS:This was an observational study of a metropolitan ED. Four medical officers and 4 nurses were observed for 19 hours and 52 minutes. Communication load was measured by proportion o...

journal_title：Annals of emergency medicine

authors： Spencer R,Coiera E,Logan P

更新日期：2004-09-01 00:00:00

abstract：:Acute ischemic stroke is the third leading cause of death in the United States and the leading cause of adult disability. The direct and indirect costs of stroke care exceed $51 billion annually. In 1996, the US Food and Drug Administration approved the first treatment for acute ischemic stroke, intravenous tissue pla...

journal_title：Annals of emergency medicine

authors： Lewandowski C,Barsan W

更新日期：2001-02-01 00:00:00

abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Procalcitonin is a biomarker that appears to correlate with bacterial infection. WHAT QUESTION THIS STUDY ADDRESSED: Does a procalcitonin level add prognostic information for pneumonia patients in conjunction with scoring systems such as the Pneumonia Severity Index or CURB-65? WHA...

journal_title：Annals of emergency medicine

authors： Menchine MD,Barrett TW,Schriger DL

更新日期：2008-07-01 00:00:00

abstract：STUDY OBJECTIVE:We examine whether using public National Hospital Ambulatory Medical Care Survey (NHAMCS) data with masked design variables produces different estimates, standard errors, and confidence intervals (CIs) for the temporal trend of overall and injury-related emergency department (ED) visits compared with us...

journal_title：Annals of emergency medicine

authors： Zhu M,Chu H,Rice TM,Carter MW

更新日期：2011-06-01 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：STUDY OBJECTIVE:To evaluate the ability of emergency medical technician-paramedic (EMT-P) units to become and remain proficient in the performance of the intraosseous infusion procedure. DESIGN AND SETTING:Descriptive nonrandomized trial open to all patients meeting protocol criteria over a five-year period; prehospit...

journal_title：Annals of emergency medicine

authors： Glaeser PW,Hellmich TR,Szewczuga D,Losek JD,Smith DS

更新日期：1993-07-01 00:00:00

abstract：:Presented is a case of syncope as the initial sign of a painless aortic dissection. The patient was stabilized by percutaneous drainage of a hemopericardium, and then underwent angiography and successful operative repair. Although uncommon, painless aortic dissection should be included in the differential diagnosis of...

journal_title：Annals of emergency medicine

authors： Kuhlmann TP,Powers RD

更新日期：1984-07-01 00:00:00

abstract：:Clinical studies on the use of magnesium in acute myocardial infarction have yielded contradictory results. While the exact reasons for these discrepancies are unclear, it appears that the timing of magnesium administration is crucial to the success or failure of therapy. Although some studies have shown a significant...

journal_title：Annals of emergency medicine

authors： Heesch CM,Eichhorn EJ

更新日期：1994-12-01 00:00:00

abstract：:A treatment protocol for patients with acute bronchospasm was introduced to an adult emergency department in an attempt to decrease treatment time and potentially decrease need for admission. The charts of all patients seen in a control year (before any protocol was in place) and the first three years of the protocol ...

journal_title：Annals of emergency medicine

authors： Schneider SM

更新日期：1986-06-01 00:00:00

abstract：:Patients evaluated by paramedics but not transported to the hospital account for 50% to 90% of emergency medical services lawsuits. We reviewed 2,698 consecutive paramedic run reports to examine documentation in these cases. Documentation criteria for prehospital patient release were history, physical examination, vit...

journal_title：Annals of emergency medicine

authors： Selden BS,Schnitzer PG,Nolan FX

更新日期：1990-05-01 00:00:00

abstract：STUDY OBJECTIVE:The accurate diagnosis of influenza remains a diagnostic dilemma. We examine the performance of various strategies for diagnosing influenza infection in an unselected sample of adults during influenza season. METHODS:Consecutive adults presenting to a university emergency department or urgent care clin...

journal_title：Annals of emergency medicine

authors： Stein J,Louie J,Flanders S,Maselli J,Hacker JK,Drew WL,Gonzales R

更新日期：2005-11-01 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：:A 57-year-old woman presented in severe respiratory distress 30 minutes after ingesting hydrochlorothiazide. Pulmonary edema was evident clinically and radiographically. A noncardiogenic etiology was suggested by the lack of jugular venous distention, S3 gallop, or pedal edema, and the presence of a normal cardiac sil...

journal_title：Annals of emergency medicine

authors： Klein MD

更新日期：1987-08-01 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：:Although a number of studies have described endotracheal intubation of adult patients in the prehospital setting, there are few studies on prehospital endotracheal intubation of pediatric patients. The purposes of our study were to determine how frequently prehospital endotracheal intubation was used in pediatric card...

journal_title：Annals of emergency medicine

authors： Aijian P,Tsai A,Knopp R,Kallsen GW

更新日期：1989-05-01 00:00:00