Propranolol overdose.

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：:A preverbal toddler who presents with a distended abdomen can pose a difficult clinical problem. The differential diagnosis is extremely broad and consists of etiologies ranging from the benign to the life threatening. In this case report, we present 2 unusual life-threatening cases of abdominal distention in well-app...

journal_title：Annals of emergency medicine

authors： Ota FS,Maxson RT,Abramo TJ

更新日期：2005-05-01 00:00:00

abstract：:The ingestion of iron-containing products is a potential toxicologic emergency. The total iron binding capacity (TIBC) has been used widely as a predictor of end-organ toxicity and a guide to the need for deferoxamine therapy. When the TIBC is greater than the serum iron concentration (SIC), it is held that no free ir...

journal_title：Annals of emergency medicine

authors： Siff JE,Meldon SW,Tomassoni AJ

更新日期：1999-01-01 00:00:00

abstract：:The Hyatt Regency skywalk collapse (July 17, 1981) provided the emergency medical services system of Kansas City, Missouri, with its greatest challenge ever. Utilizing an EMS-based, centralized, city-wide disaster plan, the rescue operation encountered 113 dead and 188 multiply traumatized patients. The rescue operati...

journal_title：Annals of emergency medicine

authors： Orr SM,Robinson WA

更新日期：1983-10-01 00:00:00

abstract：:Communication at discharge is an important part of high-quality emergency department (ED) care. This review describes the existing literature on patient understanding and implementation of discharge instructions, discusses previous interventions aimed at improving the discharge process, and recommends best practices a...

journal_title：Annals of emergency medicine

authors： Samuels-Kalow ME,Stack AM,Porter SC

更新日期：2012-08-01 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：:We examined the hemodynamic effects of congesting cuffs (rotating tourniquets) in 12 patients with first acute myocardial infarction and new onset of congestive heart failure 24 to 48 hours after admission. Congesting cuffs were applied for two periods of 15 minutes each, 15 minutes apart, and inflated to 30 mm Hg and...

journal_title：Annals of emergency medicine

authors： Roth A,Hochenberg M,Keren G,Terdiman R,Laniado S

更新日期：1987-07-01 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：:Pancreatic injury after blunt abdominal trauma can be subtle and delayed in its onset. We present a 24-year-old man who became jaundiced 16 days after he experienced blunt trauma. He was found to have an isolated pancreatic contusion. We discuss the initial evaluation for blunt pancreatic injury, the differential diag...

journal_title：Annals of emergency medicine

authors： Emmick RH Jr,Petersen SR

更新日期：1996-05-01 00:00:00

abstract：:Abruptio placentae is a complication of pregnancy associated with significant morbidity and mortality for both fetus and mother. The presence of uterine pain and tenderness traditionally has been considered a useful criterion for distinguishing abruptio placentae from other causes of bleeding in pregnancy. We report t...

journal_title：Annals of emergency medicine

authors： Mechem CC,Knopp RK,Feldman D

更新日期：1992-07-01 00:00:00

abstract：:Lisfranc fracture-dislocations are rare, and their correct diagnosis is important. Misdiagnosis is common and can lead to grave, chronic disability. We present two cases of Lisfranc fracture-dislocation to highlight the mechanisms of injury, clinical presentation, diagnosis, and treatment. Accurate diagnosis by emerge...

journal_title：Annals of emergency medicine

authors： Englanoff G,Anglin D,Hutson HR

更新日期：1995-08-01 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

abstract：STUDY OBJECTIVE:We identify, describe, and categorize vulnerabilities in emergency department (ED) to internal medicine patient transfers. METHODS:We surveyed all emergency medicine house staff, emergency physician assistants, internal medicine house staff and hospitalists at an urban, academic medical center. Respond...

journal_title：Annals of emergency medicine

authors： Horwitz LI,Meredith T,Schuur JD,Shah NR,Kulkarni RG,Jenq GY

更新日期：2009-06-01 00:00:00

abstract：STUDY OBJECTIVE:The prevalence of agitation among emergency department (ED) patients is increasing. Physical restraints are routinely used to prevent self-harm and to protect staff, but are associated with serious safety risks. To date, characterization of physical restraint use in the emergency setting has been limite...

journal_title：Annals of emergency medicine

authors： Wong AH,Taylor RA,Ray JM,Bernstein SL

更新日期：2019-02-01 00:00:00

abstract：STUDY OBJECTIVE:To assess the ability of parents to estimate their children's weight. METHODS:We assembled a convenience sample of children, newborn to 5 years, who presented to the ED of a tertiary care hospital. Each child's mother or father was asked to estimate the child's weight as accurately as possible. The tri...

journal_title：Annals of emergency medicine

authors： Leffler S,Hayes M

更新日期：1997-08-01 00:00:00

abstract：:Ten healthy male volunteers were studied to compare the effects of simultaneous versus sequential inflation of antishock trousers (AST) and simultaneous inflation pressures of 20, 40, and 100 mm Hg on blood volume displacement centrally. Radioisotope scans were used to determine the change in blood volume distribution...

journal_title：Annals of emergency medicine

authors： Hanke BK,Bivins HG,Knopp R,dos Santos PA

更新日期：1985-07-01 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:The optimal ratio of chest compressions to ventilations during cardiopulmonary resuscitation (CPR) is unknown. We determine 24-hour survival and neurologic outcome, comparing 4 different chest compression-ventilation CPR ratios in a porcine model of prolonged cardiac arrest and bystander CPR. METHODS:F...

journal_title：Annals of emergency medicine

authors： Sanders AB,Kern KB,Berg RA,Hilwig RW,Heidenrich J,Ewy GA

更新日期：2002-12-01 00:00:00

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：:Axial (in-line) traction is recommended as a stabilizing maneuver during orotracheal intubation of a trauma victim with a potential cervical spine injury. There are no published data demonstrating the safety of this technique in trauma patients with an unstable cervical spine. In our study, 17 victims of blunt traumat...

journal_title：Annals of emergency medicine

authors： Bivins HG,Ford S,Bezmalinovic Z,Price HM,Williams JL

更新日期：1988-01-01 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：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine-sponsored residency and fellowship programs, as well as the residents and fellows training in those programs. We present the 2018 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Nelson LS,Keim SM,Baren JM,Beeson MS,Carius ML,Chudnofsky CR,Gausche-Hill M,Goyal DG,Kowalenko T,Marco CA,Muelleman RL,Research Committee, American Board of Emergency Medicine.,Johnston MM,Joldersma KB,American Board of Emerg

更新日期：2018-05-01 00:00:00

abstract：:A double-blind prospective study of 98 patients was carried out, but 57 (58%) returned for follow-up and form the basis of this report. Wound irrigation and debridement were found to be important in reducing infection. Hand wounds were most likely to become infected; face and scalp wounds were at low risk. Puncture wo...

journal_title：Annals of emergency medicine

authors： Callaham M

更新日期：1980-08-01 00:00:00

abstract：:The 1982 US Festival, a three-day outdoor rock music festival, attracted close to 410,000 people. Through a private contractor, a group of physicians participated in the design, administration, and implementation of medical care for this event. Basic ambulatory care was provided by a multitiered approach, using emerge...

journal_title：Annals of emergency medicine

authors： Ounanian LL,Salinas C,Shear CL,Rodney WM

更新日期：1986-05-01 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：:A 43-year-old woman presented to the emergency department with acute agitation, confusion, and tonic seizures. She had a history of drug abuse, most notably beer, which constituted her major dietary intake. The patient's seizures were at first thought to be factitious in association with an acute psychosis; however, h...

journal_title：Annals of emergency medicine

authors： Joyce SM,Potter R

更新日期：1986-06-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to examine the outcome of a subgroup of patients with extreme carbon monoxide (CO) poisoning, specifically those discovered in cardiac arrest, resuscitated, and subsequently treated with hyperbaric oxygen (HBO(2)). Opinions of hyperbaric medicine physicians regarding the treatment of such pati...

journal_title：Annals of emergency medicine

authors： Hampson NB,Zmaeff JL

更新日期：2001-07-01 00:00:00

abstract：STUDY OBJECTIVES:To survey faculty attrition in emergency medicine and compare it with faculty attrition in the specialties of orthopedic surgery and cardiology. DESIGN:Chairmen of the three departments were surveyed regarding faculty attrition, work hours, and motivation for leaving. Those emergency physicians having...

journal_title：Annals of emergency medicine

authors： Thomas H Jr,Moorhead J,Magnusson AR,Schwartz E

更新日期：1991-01-01 00:00:00

abstract：STUDY OBJECTIVE:Stress is an emergent occupational problem in modern societies. Among workers, medical practitioners are particularly exposed. However, data objectifying stress levels during work time are scarce. The aim of this study was to establish diurnal salivary cortisol levels in a highly stressful work environm...

journal_title：Annals of emergency medicine

authors： Weibel L,Gabrion I,Aussedat M,Kreutz G

更新日期：2003-04-01 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