Management of a vaginal foreign body.

abstract：:A seven-year-old boy ingested 3,000 mg (125 mg/kg) of isoniazid. Initial blood levels of isoniazid were 250 micrograms/mL approximately six hours after ingestion. Despite IV treatment in the emergency department with 3,000 mg pyridoxine and a repeat of the same antidote one hour later in the intensive care unit, the h...

journal_title：Annals of emergency medicine

authors： Orlowski JP,Paganini EP,Pippenger CE

更新日期：1988-01-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the safety of lidocaine in the setting of cocaine-induced myocardial infarction (MI). DESIGN:A retrospective, multicenter study. SETTING:Twenty-nine university, university-affiliated, or community hospitals during a 6-year period (total of 117 cumulative hospital-years). PARTICIPANTS:Pati...

journal_title：Annals of emergency medicine

authors： Shih RD,Hollander JE,Burstein JL,Nelson LS,Hoffman RS,Quick AM

更新日期：1995-12-01 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 OBJECTIVE:To determine the effectiveness of magnetic resonance imaging in detecting early myocardial infarction in vivo after coronary artery occlusion. DESIGN:A prospective, controlled canine study using a left anterior descending coronary artery ligation model. INTERVENTIONS:After thiopental anesthesia, nine ...

journal_title：Annals of emergency medicine

authors： Angelos MG,Katz-Stein A,Leasure JE

更新日期：1993-09-01 00:00:00

abstract：:Nine dogs were hemorrhaged to approximately 40% of their blood volume and then were resuscitated with a crystalloid solution (Normosol) at various flow rates. Three study groups with three dogs in each group were resuscitated at 15 mL/min/kg (Group 1), 6 mL/min/kg (Group 2), and 4 mL/min/kg (Group 3). Central venous p...

journal_title：Annals of emergency medicine

authors： Dula DJ,Lutz P,Vogel MF,Weaver BN

更新日期：1985-04-01 00:00:00

abstract：STUDY OBJECTIVE:Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the...

journal_title：Annals of emergency medicine

authors： Houry D,Kaslow NJ,Kemball RS,McNutt LA,Cerulli C,Straus H,Rosenberg E,Lu C,Rhodes KV

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVE:We describe patient perceptions of computed tomography (CT) and their understanding of radiation exposure and risk. METHODS:This was a cross-sectional study of acute abdominal pain patients aged 18 years or older. Confidence in medical evaluations with increasing levels of laboratory testing and imagin...

journal_title：Annals of emergency medicine

authors： Baumann BM,Chen EH,Mills AM,Glaspey L,Thompson NM,Jones MK,Farner MC

更新日期：2011-07-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the feasibility of Pap screening and follow-up of urban emergency department patients and the prevalence of cervical dysplasia and carcinoma in this group. DESIGN:During a four-month period, Pap smears were added to pelvic examinations performed in the ED. Follow-up, including repeat Pap ...

journal_title：Annals of emergency medicine

authors： Hogness CG,Engelstad LP,Linck LM,Schorr KA

更新日期：1992-08-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the incidence of needlestick injury among paramedics working in Florida during 1987, to describe the circumstances surrounding such injuries, and to assess the hepatitis B vaccination status of this group. DESIGN:Survey of a systematic random sample of paramedics using a self-administered...

journal_title：Annals of emergency medicine

authors： Klontz KC,Gunn RA,Caldwell JS

更新日期：1991-12-01 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：:We examined the question of what determines the toxicity of alkaline solutions--pH, viscosity, or other factors. Our experiments have identified pH measurement as the simplest and most easily measured parameter for determining initial management of caustic ingestions. Viscosity is not a clinically useful measurement. ...

journal_title：Annals of emergency medicine

authors： Vancura EM,Clinton JE,Ruiz E,Krenzelok EP

更新日期：1980-03-01 00:00:00

abstract：:As the AIDS epidemic progresses, the number of ED patients with HIV-related illness will continue to increase. As reviewed in this article, much of the existing clinical research in HIV-related illness has an impact on the diagnostic and management issues that arise in the ED. Many of the patterns of disease, subtleti...

journal_title：Annals of emergency medicine

authors： Talan DA,Kennedy CA

更新日期：1991-12-01 00:00:00

abstract：STUDY OBJECTIVE:Cost concerns may inhibit emergency medical services (EMS) use. Novel tax-based and subscription prepayment programs indemnify patients against the cost of EMS treatment and transport. We determine whether the presence of (or enrollment in) prepayment plans increase EMS use among patients with acute che...

journal_title：Annals of emergency medicine

authors： Siepmann DB,Mann NC,Hedges JR,Daya MR

更新日期：2000-06-01 00:00:00

abstract：:During a 3-month period, a 33-year-old man presented to the emergency department on 4 occasions with dyspnea, palpitations, and syncope. His initial presentation was accompanied by acute myocardial injury and ventricular fibrillation. An extensive evaluation spanned the 3 months and included echocardiography, cardiac ...

journal_title：Annals of emergency medicine

authors： Rohr SM,Rich MW,Silver KH

更新日期：2005-06-01 00:00:00

abstract：:Traumatic rupture of the tracheobronchial tree is an increasingly occurring complication of blunt chest trauma. Early detection and surgical repair are important for definitive and successful reconstruction. Bronchoscopy is the most reliable diagnostic procedure. Use of a rigid bronchoscope is difficult and traumatic ...

journal_title：Annals of emergency medicine

authors： Lee TS,Wright BD

更新日期：1980-05-01 00:00:00

abstract：STUDY PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with spontaneous paroxysmal supraventricular tachycardia (PSVT). DESIGN:An eight-month prospective outcome study. POPULATION:Patients 16 or more years old with PSVT by surface ECG criteria. Patients were excluded if ...

journal_title：Annals of emergency medicine

authors： Cairns CB,Niemann JT

更新日期：1991-07-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the sensitivity of Ohio's 2009 emergency medical services (EMS) geriatric trauma triage criteria compared with the previous adult triage criteria in identifying need for trauma center care among older adults. METHODS:We studied a retrospective cohort of injured patients aged 16 years or old...

journal_title：Annals of emergency medicine

authors： Ichwan B,Darbha S,Shah MN,Thompson L,Evans DC,Boulger CT,Caterino JM

更新日期：2015-01-01 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：:It is common practice to soak acute traumatic wounds in dilute povidone-iodine solution before definitive wound cleaning and debridement. The effectiveness of soaking wounds is unknown. Using quantitative wound bacterial counts as a measure of efficacy, we compared wounds soaked in 1% povidone-iodine solution or in no...

journal_title：Annals of emergency medicine

authors： Lammers RL,Fourré M,Callaham ML,Boone T

更新日期：1990-06-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the performance of a wrist blood pressure oscillometer with the mercury standard in the triage process of an emergency department (ED) and evaluate the impact of wrist blood pressure measurement on triage decision. METHODS:Blood pressure was successively measured with the standard mercury sp...

journal_title：Annals of emergency medicine

authors： Rutschmann OT,Sarasin FP,Simon J,Vermeulen B,Riberdy L,Pechere-Bertschi A

更新日期：2005-08-01 00:00:00

abstract：:The esophageal obturator airway (EOA) is in common use throughout the country. This report outlines an unexpected and serious complication: gastric rupture due to overinsufflation. A survey of the literature revealed that most of the known complications involve direct trauma to the esophagus or trachea. In our case, t...

journal_title：Annals of emergency medicine

authors： Crippen D,Olvey S,Graffis R

更新日期：1981-07-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the efficacy of intranasal fentanyl versus intravenous morphine in a pediatric population presenting to an emergency department (ED) with acute long-bone fractures. METHODS:We conducted a prospective, randomized, double-blind, placebo-controlled, clinical trial in a tertiary pediatric ED bet...

journal_title：Annals of emergency medicine

authors： Borland M,Jacobs I,King B,O'Brien D

更新日期：2007-03-01 00:00:00

abstract：:The ingestion of the mushroom Amanita phalloides is associated with hepatic necrosis appearing clinically two to three days after ingestion. The mechanism of this toxicity is unknown, and no reliable antidote is available. Because of the similarity of Amanita poisoning to other toxins affecting cytochrome P450, we inv...

journal_title：Annals of emergency medicine

authors： Schneider SM,Borochovitz D,Krenzelok EP

更新日期：1987-10-01 00:00:00

abstract：STUDY OBJECTIVE:Atrial flutter is a common arrhythmia seen in the emergency department (ED), yet there is little research describing its management and outcomes. We analyze the success and safety of treatment of ED patients with atrial flutter. METHODS:This was a retrospective cohort study obtained by searching the ED...

journal_title：Annals of emergency medicine

authors： Scheuermeyer FX,Grafstein E,Heilbron B,Innes G

更新日期：2011-06-01 00:00:00

abstract：STUDY OBJECTIVE:There is little information about sexual violence cases treated in emergency departments (EDs). This study describes ED visits associated with sexual violence and considers the associated health care burden. METHODS:A descriptive analysis was conducted using nationally representative data on nonfatal i...

journal_title：Annals of emergency medicine

authors： Saltzman LE,Basile KC,Mahendra RR,Steenkamp M,Ingram E,Ikeda R

更新日期：2007-02-01 00:00:00

abstract：STUDY OBJECTIVES:We assessed the validity and completeness of data in the past medical history (PMH) obtained electronically from parents and examined effects of the human-computer interface and sociodemographic variables on electronic parental report. METHODS:We compared parents' electronic report of PMH data with a ...

journal_title：Annals of emergency medicine

authors： Porter SC,Silvia MT,Fleisher GR,Kohane IS,Homer CJ,Mandl KD

更新日期：2000-04-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the speed of IV access and the rate of infusion for saphenous venous cutdown and percutaneous femoral catheterization. DESIGN:Prospective, randomized, multicentered trial. Patient enrollment occurred from September 1990 through September 1991. SETTING:Patients were enrolled at three urban L...

journal_title：Annals of emergency medicine

authors： Westfall MD,Price KR,Lambert M,Himmelman R,Kacey D,Dorevitch S,Mathews J

更新日期：1994-03-01 00:00:00

abstract：STUDY OBJECTIVE:Continuous positive airway pressure ventilation (CPAP) in appropriately selected patients with acute respiratory failure has been shown to reduce the need for tracheal intubation in hospital. Despite several case series, the effectiveness of out-of-hospital CPAP has not been rigorously studied. We perfo...

journal_title：Annals of emergency medicine

authors： Thompson J,Petrie DA,Ackroyd-Stolarz S,Bardua DJ

更新日期：2008-09-01 00:00:00

abstract：:The case of a patient with apparent cocaine toxicity and drug-mediated hypertension and tachycardia is presented. IV propranolol was used as the initial treatment for his hyperadrenergic state, resulting in a decrease in heart rate but a paroxsymal increase in blood pressure. The patient required nitroprusside for con...

journal_title：Annals of emergency medicine

authors： Ramoska E,Sacchetti AD

更新日期：1985-11-01 00:00:00

abstract：:Patients who suffer an in-hospital cardiac arrest represent a neglected and underutilized resource for resuscitation research. There exists an unwritten, but widely held, belief among resuscitation researchers that the in-hospital arrest population is unsuitable for resuscitation research because it is composed mostly...

journal_title：Annals of emergency medicine

authors： Jastremski MS

更新日期：1993-01-01 00:00:00