Emergency intervention to break the cycle of drunken driving and recurrent injury.

abstract：STUDY OBJECTIVE:To analyze the emergency medicine system in a developing country and identify areas of need and potential collaboration. DESIGN:Convenience sample surveys of all emergency visits over a 2-week period, hospital admission and health department statistics, and interviews with government officials, health ...

journal_title：Annals of emergency medicine

authors： Kirsch TD,Hilwig WK,Holder Y,Smith GS,Pooran S,Edwards R

更新日期：1995-09-01 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 management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

journal_title：Annals of emergency medicine

authors： Hovanessian HC

更新日期：1999-05-01 00:00:00

abstract：:A technique of direct mechanical ventricular assistance (DMVA) has been available since 1966. Ventricular assistance is provided by a glass cup lined with a Silastic diaphragm. It is held on the cardiac ventricles by suction. Alternating positive and negative pressure in the space between the cup and the diaphragm pro...

journal_title：Annals of emergency medicine

authors： McCabe JB,Ventriglia WJ,Anstadt GL,Nolan DJ

更新日期：1983-12-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of different doses of the vasopressor angiotensin II on aortic diastolic and coronary perfusion pressures in a swine model of cardiac arrest. DESIGN:Immature swine were anesthetized and hemodynamically monitored. Ventricular fibrillation was induced; CPR was begun after ten minut...

journal_title：Annals of emergency medicine

authors： Little CM,Hobson JL,Brown CG

更新日期：1993-02-01 00:00:00

abstract：:We conducted a study to assess the efficacy of the dipstick leukocyte esterase test (LET) in the detection of cerebrospinal fluid (CSF) leukocytosis as a quick screen for bacterial meningitis. Nine hundred forty-two CSF samples were collected from 800 patients. The LET was compared in a double-blinded fashion with rou...

journal_title：Annals of emergency medicine

authors： DeLozier JS,Auerbach PS

更新日期：1989-11-01 00:00:00

abstract：STUDY OBJECTIVE:I test the hypothesis that having a gun in the home is a risk factor for adults to be killed (homicide) or to commit suicide. METHODS:Two case-control analyses were based on national samples of subjects 18 years of age or older. Homicide and suicide case subjects were drawn from the 1993 National Morta...

journal_title：Annals of emergency medicine

authors： Wiebe DJ

更新日期：2003-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether the use of diclofenac ophthalmic solution is a safe and effective analgesic in the treatment of traumatic corneal abrasions in the emergency department. METHODS:We conducted a prospective, randomized, double-blinded, placebo-controlled clinical trial. Consenting consecutive patient...

journal_title：Annals of emergency medicine

authors： Szucs PA,Nashed AH,Allegra JR,Eskin B

更新日期：2000-02-01 00:00:00

abstract：:In 2013 and 2014, more than 700 deaths were attributed to fentanyl and fentanyl analogues in the United States. Of recent concern is the cluster of unintentional fentanyl overdoses because of tablets thought to be "Norco" purchased on the street in Northern California. U-47700 (trans-3,4-dichloro-N-[2-(dimethyl-amino)...

journal_title：Annals of emergency medicine

authors： Armenian P,Olson A,Anaya A,Kurtz A,Ruegner R,Gerona RR

更新日期：2017-01-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the efficacy of a 4-day "burst" course of prednisone added to standard treatment with H1 antihistamines for the management of acute urticaria in outpatients. DESIGN:Prospective, randomized, double-blinded, clinical trial. SETTING:Emergency department of an urban tertiary care teaching hosp...

journal_title：Annals of emergency medicine

authors： Pollack CV Jr,Romano TJ

更新日期：1995-11-01 00:00:00

abstract：:Strokes in the vertebrobasilar arterial distribution may result in a variety of physical findings and can be challenging to diagnose. We report a case of a 60-year-old woman with infarction of the left midbrain, right pons, and bilateral thalami with physical findings resembling transtentorial herniation. ...

journal_title：Annals of emergency medicine

authors： Lipinski CA,Swanson ER

更新日期：1998-05-01 00:00:00

abstract：STUDY OBJECTIVE:In 2001, less than 20% of emergency medicine residents had more than $150,000 of educational debt. Our emergency medicine residents anecdotally reported much larger debt loads. Surveys have reported that debt affects career and life choices. Qualitative approaches are well suited to explore how and why ...

journal_title：Annals of emergency medicine

authors： Young TP,Brown MM,Reibling ET,Ghassemzadeh S,Gordon DM,Phan TH,Thomas TL,Brown L

更新日期：2016-10-01 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：:Antiarrhythmic agents have been used to treat malignant ventricular arrhythmias in the setting of acute myocardial ischemia with proven efficacy for many years. Thus, it has been presumed that these agents would be efficacious for the treatment of cardiac arrest. Unfortunately, hard data supporting this contention are...

journal_title：Annals of emergency medicine

authors： Jaffe AS

更新日期：1993-02-01 00:00:00

abstract：STUDY OBJECTIVES:We determine whether the addition of heat to topical eutectic mixture of local anesthetic (EMLA) cream shortens the onset time to effective analgesia. We hypothesized that applying EMLA cream for 20 minutes with an external heat pack would be as effective as the standard 60-minute application time. ME...

journal_title：Annals of emergency medicine

authors： Liu DR,Kirchner HL,Petrack EM

更新日期：2003-07-01 00:00:00

abstract：:Prothrombin complex concentrates are frequently used to rapidly reverse anticoagulation with vitamin K antagonists associated with life-threatening bleeding. We report a patient receiving warfarin who presented to the emergency department with an international normalization ratio greater than 12.8 in cardiac tamponade...

journal_title：Annals of emergency medicine

authors： Warren O,Simon B

更新日期：2009-06-01 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：:We compared the abilities of the Trauma Score (TS), the Revised Trauma Score (RTS), and the Pediatric Trauma Score (PTS) to retrospectively identify severely injured children. TS, RTS, and PTS were computed on admission for 1,334 consecutive blunt and penetrating trauma victims 0 to 14 years old. Injury Severity Score...

journal_title：Annals of emergency medicine

authors： Eichelberger MR,Gotschall CS,Sacco WJ,Bowman LM,Mangubat EA,Lowenstein AD

更新日期：1989-10-01 00:00:00

abstract：STUDY OBJECTIVE:Urinary catheters are often placed in the emergency department (ED) and are associated with an increased safety risk for hospitalized patients. We evaluate the effect of an intervention to reduce unnecessary placement of urinary catheters in the ED. METHODS:Eighteen EDs from 1 health system underwent t...

journal_title：Annals of emergency medicine

authors： Fakih MG,Heavens M,Grotemeyer J,Szpunar SM,Groves C,Hendrich A

更新日期：2014-06-01 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：STUDY OBJECTIVE:We sought to determine whether working 5 serial night shifts in the emergency department results in a decline in physician performance as measured with an intelligence test. METHODS:This study compared the cognitive functioning of emergency physicians who worked the day shift (7 AM to 5 pm) with those ...

journal_title：Annals of emergency medicine

authors： Dula DJ,Dula NL,Hamrick C,Wood GC

更新日期：2001-08-01 00:00:00

abstract：STUDY OBJECTIVE:News media are used for community education and notification in exception from informed consent clinical trials, yet their effectiveness as an added safeguard in such research remains unknown. We assessed the number of callers requesting opt-out bracelets after each local media report and described the ...

journal_title：Annals of emergency medicine

authors： Nelson MJ,DeIorio NM,Schmidt T,Griffiths D,Daya M,Haywood L,Zive D,Newgard CD

更新日期：2010-01-01 00:00:00

abstract：:Post-dural-puncture headache is a common complication after both diagnostic and therapeutic procedures. Prompt recognition of the clinical syndrome, followed by supportive and corrective actions, can decrease the morbidity in those afflicted. The most useful preventive measure during dural puncture in adult patients i...

journal_title：Annals of emergency medicine

authors： Leibold RA,Yealy DM,Coppola M,Cantees KK

更新日期：1993-12-01 00:00:00

abstract：:There are many infectious causes of fatigue, sore throat, and fever, including mononucleosis and toxoplasmosis. Toxoplasma antibody testing is rarely performed in most emergency departments; as a result, toxoplasmosis is diagnosed infrequently. We obtained Toxoplasma IgG IFA titers on ED patients who had mononucleosis...

journal_title：Annals of emergency medicine

authors： Sayre MR,Jehle D

更新日期：1989-04-01 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：: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：: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：:Decisions about medical resource triage during disasters require a planned structured approach, with foundational elements of goals, ethical principles, concepts of operations for reactive and proactive triage, and decision tools understood by the physicians and staff before an incident. Though emergency physicians ar...

journal_title：Annals of emergency medicine

authors： Hick JL,Hanfling D,Cantrill SV

更新日期：2012-03-01 00:00:00

abstract：STUDY OBJECTIVE:We derive a clinical decision rule for ongoing investigation of patients who present to the emergency department (ED) with chest pain. The rule identifies patients who are at low risk of acute coronary syndrome and could be discharged without further cardiac testing. METHODS:This was a prospective obse...

journal_title：Annals of emergency medicine

authors： Greenslade JH,Parsonage W,Than M,Scott A,Aldous S,Pickering JW,Hammett CJ,Cullen L

更新日期：2016-04-01 00:00:00

abstract：:Pulmonary embolism is diagnosed 120,000 times yearly in the United States and contributes to 30,000 deaths. This probably represents an underestimate of incidence because massive acute pulmonary embolism may often result in rapid and therefore unexplained death in the absence of autopsy confirmation. The innovative an...

journal_title：Annals of emergency medicine

authors： Kessler CM,Druy E,Goldhaber SZ

更新日期：1988-11-01 00:00:00