Trends in training: focus on emergency medicine.

abstract：:Fentanyl is an attractive agent for analgesia in the emergency department. Its use in this setting has been limited to IV bolus administration. We report successful sedation, muscle relaxation, and analgesia of a multiple trauma patient with fentanyl IV bolus and continuous infusion in the ED. ...

journal_title：Annals of emergency medicine

authors： Walsh M,Smith GA,Yount RA,Ferlic FJ,Wieschhaus MF

更新日期：1991-08-01 00:00:00

abstract：STUDY OBJECTIVE:Inflammation plays an important role in acute coronary syndromes, and some evidence indicates that patients with a more pronounced vascular inflammatory response have a poorer outcome. Soluble intercellular adhesion molecule-1 (sICAM-1) is a specific marker for vascular endothelial cell activation. The ...

journal_title：Annals of emergency medicine

authors： Hillis GS,Terregino C,Taggart P,Killian A,Zhao N,Kaplan J,Dalsey WC,Mangione A

更新日期：2001-09-01 00:00:00

abstract：:Gastrointestinal obstruction is a rare complication of multiple-dose administration of activated charcoal. Previous reports deal only with obstruction after ingestion of drugs that impair gastrointestinal motility. This patient developed a small-bowel obstruction associated with the administration of multiple doses of...

journal_title：Annals of emergency medicine

authors： Goulbourne KB,Cisek JE

更新日期：1994-07-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the ability of emergency health care providers and patients to demonstrate the proper use of metered-dose inhalers (MDIs). DESIGN:Prospective cross-sectional survey. SETTING:Five Midwestern community teaching hospitals. PARTICIPANTS:One hundred eighty-five health care providers, comprisin...

journal_title：Annals of emergency medicine

authors： Jones JS,Holstege CP,Riekse R,White L,Bergquist T

更新日期：1995-09-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if intramedullary aspirate from intraosseous needle placement can be used as a source for evaluating blood compatibility. DESIGN:A prospective, nonrandomized, crossover study. SETTING/PARTICIPANTS:Patients admitted to the hematology/oncology service undergoing bone marrow aspiration for m...

journal_title：Annals of emergency medicine

authors： Brickman KR,Krupp K,Rega P,Alexander J,Guinness M

更新日期：1992-04-01 00:00:00

abstract：STUDY OBJECTIVES:To confirm the ability of the esophageal detector device (EDD) to indicate positioning of endotracheal tubes (ETTs) in patients intubated under emergency conditions and to compare the performance of the EDD with that of end-tidal carbon dioxide (ETCO2). METHODS:This single-subject study comprising a p...

journal_title：Annals of emergency medicine

authors： Bozeman WP,Hexter D,Liang HK,Kelen GD

更新日期：1996-05-01 00:00:00

abstract：:A prospective, randomized study of 500 consecutive emergency department patients with traumatic lacerations requiring sutures was performed comparing use of topical 1% povidone-iodine (Betadine) and scrubbing with wound management by irrigation with normal saline without scrubbing. A 60-second wound irrigation and scr...

journal_title：Annals of emergency medicine

authors： Gravett A,Sterner S,Clinton JE,Ruiz E

更新日期：1987-02-01 00:00:00

abstract：STUDY OBJECTIVE:We characterize the quantity and quality of data tables and figures in reports of randomized controlled trials (RCTs) submitted to the British Medical Journal (BMJ) and published in peer-reviewed journals. We investigate how the peer review process affected table and figure quality. METHODS:We reviewed...

journal_title：Annals of emergency medicine

authors： Schriger DL,Sinha R,Schroter S,Liu PY,Altman DG

更新日期：2006-12-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the importance of hospital bed occupancy for 30-day mortality, inhospital mortality, readmission for inpatient care within 30 days, and revisits to the emergency department (ED) within 7 days among all adult patients visiting the ED. METHODS:This was an observational cohort study including ...

journal_title：Annals of emergency medicine

authors： Af Ugglas B,Djärv T,Ljungman PLS,Holzmann MJ

更新日期：2020-08-01 00:00:00

abstract：:We assessed the ability of 64 emergency medical technicians (EMTs) to ventilate a resuscitation manikin with a bag valve mask and with a pocket face mask to determine if their skill levels met the American Heart Association standard of 12 ventilations per minute, each with a tidal volume of 800 mL or more. All ventila...

journal_title：Annals of emergency medicine

authors： Cummins RO,Austin D,Graves JR,Litwin PE,Pierce J

更新日期：1986-10-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluated the influence of home visiting on the risk for medically attended unintentional injury during home visiting (0 to 3 years) and subsequent to home visiting (3 to 5 years). METHODS:A retrospective, quasi-experimental study was conducted in a cohort of mother-child pairs in Hamilton County, O...

journal_title：Annals of emergency medicine

authors： Folger AT,Bowers KA,Dexheimer JW,Sa T,Hall ES,Van Ginkel JB,Ammerman RT

更新日期：2017-09-01 00:00:00

abstract：STUDY OBJECTIVE:A 2-hour accelerated diagnostic pathway based on the Thrombolysis in Myocardial Infarction score, ECG, and troponin measures (ADAPT-ADP) increased early discharge of patients with suspected acute myocardial infarction presenting to the emergency department compared with standard care (from 11% to 19.3%)...

journal_title：Annals of emergency medicine

authors： Than MP,Pickering JW,Aldous SJ,Cullen L,Frampton CM,Peacock WF,Jaffe AS,Goodacre SW,Richards AM,Ardagh MW,Deely JM,Florkowski CM,George P,Hamilton GJ,Jardine DL,Troughton RW,van Wyk P,Young JM,Bannister L,Lord SJ

更新日期：2016-07-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether reminder signs placed at the exits to parking decks increase the rate of safety belt use. METHODS:The subjects in this study were drivers of automobiles with permits to park in campus decks at a major university. Volunteer observers were positioned near the exits of 5 parking decks...

journal_title：Annals of emergency medicine

authors： Clack ZA,Pitts SR,Kellermann AL

更新日期：2000-12-01 00:00:00

abstract：:TSS is a recently described acute febrile illness characterized by hypotension, rash, desquamation, and multisystemic involvement. While most common in menstruating women, TSS also occurs in men and non-menstruating women. It is now known that the disease is caused by one or more toxins produced by the S aureus organi...

journal_title：Annals of emergency medicine

authors： Wright SW,Trott AT

更新日期：1988-03-01 00:00:00

abstract：:Levels of nitrous oxide were monitored in the emergency department during the use of a Nitronox machine after four and eight minutes of breathing gas. Levels near the user's head were found to be 800 to 1,200 parts per million. Levels at the center of the room peaked at 300 ppm after eight minutes of use, and spot che...

journal_title：Annals of emergency medicine

authors： Dula DJ,Skiendzielewski JJ,Royko M

更新日期：1981-11-01 00:00:00

abstract：STUDY OBJECTIVE:The role of emergency department (ED) thoracotomy after blunt trauma is controversial. The objective of this review is to determine whether patients treated with an ED thoracotomy after blunt trauma survive and whether survivors have a good neurologic outcome. METHODS:A structured search was performed ...

journal_title：Annals of emergency medicine

authors： Slessor D,Hunter S

更新日期：2015-03-01 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：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：: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 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 OBJECTIVE:The use of the International Classification of Diseases system to describe emergency department (ED) case mix has disadvantages. We therefore developed computer algorithms that recognize a combination of words, word fragments, and word patterns to link free-text complaint fields to 20 reason-for-visit c...

journal_title：Annals of emergency medicine

authors： Day FC,Schriger DL,La M

更新日期：2004-03-01 00:00:00

abstract：STUDY OBJECTIVE:We seek to describe the medical history and clinical findings of patients attending the emergency department (ED) with suspected coronavirus disease 2019 (COVID-19) and estimate the diagnostic accuracy of patients' characteristics for predicting COVID-19. METHODS:We prospectively enrolled all patients ...

journal_title：Annals of emergency medicine

authors： Peyrony O,Marbeuf-Gueye C,Truong V,Giroud M,Rivière C,Khenissi K,Legay L,Simonetta M,Elezi A,Principe A,Taboulet P,Ogereau C,Tourdjman M,Ellouze S,Fontaine JP

更新日期：2020-10-01 00:00:00

abstract：:Gastrointestinal decontamination has been practiced for hundreds of years; however, only in the past few years have data emerged that demonstrate a clinical benefit in some patients. Because most potentially toxic ingestions involve agents that are not toxic in the quantity consumed, the exact circumstances in which d...

journal_title：Annals of emergency medicine

authors： Bond GR

更新日期：2002-03-01 00:00:00

abstract：:We present a framework for understanding calculations of continuous infusions of vasoactive substances. Several simplified methods for establishing initial concentrations and infusion rates of drug are derived, their applicability is discussed, and examples are given. ...

journal_title：Annals of emergency medicine

authors： Tilden S,Hopkins RL

更新日期：1983-11-01 00:00:00

abstract：:We describe a patient with a long history of rheumatoid arthritis who presented in full cardiopulmonary arrest. He was given intracardiac epinephrine. Fibroptic laryngoscopy determined the cause of the arrest to be upper airway obstruction from cricoarytenoid joint ankylosis, a complication of long-standing rheumatoid...

journal_title：Annals of emergency medicine

authors： Kandora TF,Gilmore IM,Sorber JA,Rose FB,Matta II

更新日期：1985-07-01 00:00:00

abstract：:This double-blind study compared the analgesic effects of morphine with those of butorphanol in patients who presented with pain because of sickle cell crisis. Patients were placed at bed rest, administered IV hydration, and randomly assigned on each visit to receive either 2 mg IM butorphanol or 6 mg IM morphine ever...

journal_title：Annals of emergency medicine

authors： Gonzalez ER,Ornato JP,Ware D,Bull D,Evens RP

更新日期：1988-08-01 00:00:00

abstract：STUDY OBJECTIVE:Aeromedical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control for the effect of other potentially influential variables. Here we ex...

journal_title：Annals of emergency medicine

authors： Davis DP,Peay J,Serrano JA,Buono C,Vilke GM,Sise MJ,Kennedy F,Eastman AB,Velky T,Hoyt DB

更新日期：2005-08-01 00:00:00

abstract：STUDY OBJECTIVE:To develop management guidelines for the treatment of anaphylactoid reactions to intravenous N-acetylcysteine (NAC) and to assess the safety of restarting the infusion after a reaction. METHODS:In phased 1, we used a 6-year retrospective case series of hospitalized patients and a review of the literatu...

journal_title：Annals of emergency medicine

authors： Bailey B,McGuigan MA

更新日期：1998-06-01 00:00:00

abstract：:Colloid cyst of the third ventricle, although a benign lesion, carries with it high mortality and morbidity if not diagnosed in time. The most common presenting symptom is headache. A 31-year-old man with a history of intermittent, throbbing, unilateral headache and nausea was admitted because of exacerbation of his h...

journal_title：Annals of emergency medicine

authors： Weisz RR,Fazal M

更新日期：1983-12-01 00:00:00

abstract：:The traditional use of the throat culture to guide treatment of potential streptococcal pharyngitis recently has been questioned because of the following facts: antibiotic therapy within the first 48 hours of illness reduces the severity and symptoms of streptococcal pharyngitis; more rapid treatment of streptococcal ...

journal_title：Annals of emergency medicine

authors： Hedges JR,Lowe RA

更新日期：1986-03-01 00:00:00