Metered-dose inhalers: do emergency health care providers know what to teach?

abstract：STUDY OBJECTIVE:To determine the timeliness of response of consultants called to evaluate patients in the emergency department of a community hospital. METHODS:Consultation requests from an ED located in a medium-sized community hospital were studied for a 1-month period. Data collected included name and specialty of ...

journal_title：Annals of emergency medicine

authors： Vosk A

更新日期：1998-11-01 00:00:00

abstract：:Excitatory behavior, xerostomia, chest pain, severe dyspnea, tachycardia (150 beats/min), and mild hypertension (160/80 mm Hg) without ECG abnormalities were observed in a 20-year-old subject 6 hours after nasal insufflation (snorting) of a "legally" obtained white powdered substance sold as Synthacaine. A serum sampl...

journal_title：Annals of emergency medicine

authors： Lonati D,Buscaglia E,Papa P,Valli A,Coccini T,Giampreti A,Petrolini VM,Vecchio S,Serpelloni G,Locatelli CA

更新日期：2014-12-01 00:00:00

abstract：STUDY OBJECTIVE:Recent studies have demonstrated that a single episode of acute kidney injury from a number of causes can increase the risk of severe long-term outcomes, including major cardiovascular events and death. We tested the hypothesis that patients who develop acute kidney injury consistent with contrast-induc...

journal_title：Annals of emergency medicine

authors： Mitchell AM,Kline JA,Jones AE,Tumlin JA

更新日期：2015-09-01 00:00:00

abstract：:After recent terrorist attacks, new attention has been focused on health care facility decontamination practices. This article reviews core issues related to the selection of appropriate personal protective equipment for health care facility decontamination personnel, with an emphasis on respiratory protection. Existi...

journal_title：Annals of emergency medicine

authors： Hick JL,Hanfling D,Burstein JL,Markham J,Macintyre AG,Barbera JA

更新日期：2003-09-01 00:00:00

abstract：:Our study was conducted to determine the appropriate dose of lidocaine using the larynx and to characterize the onset and duration of therapeutic serum levels. A mean dose of 5.67 +/- 1.2 mg/kg was topically administered to the subglottic region of seven comatose patients through a cricothyroid membrane puncture. Seri...

journal_title：Annals of emergency medicine

authors： Boster SR,Danzl DF,Madden RJ,Jarboe CH

更新日期：1982-09-01 00:00:00

abstract：STUDY OBJECTIVE:Patients who leave before being seen by a physician represent a significant problem for many emergency departments (EDs). We sought to determine the effect of a new ED rapid entry and accelerated care at triage (REACT) process on the frequency of patients who leave before being seen. METHODS:We conduct...

journal_title：Annals of emergency medicine

authors： Chan TC,Killeen JP,Kelly D,Guss DA

更新日期：2005-12-01 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 article provides information supporting the need for new outcome measures in emergency care. It also addresses the use of outcome measures in emergency care, the impact of emergency care, identification of at-risk groups, new approaches to measuring patient satisfaction, quality of life and cost-effectiveness, an...

journal_title：Annals of emergency medicine

authors： Cairns CB,Garrison HG,Hedges JR,Schriger DL,Valenzuela TD

更新日期：1998-02-01 00:00:00

abstract：:Numerous interventions have been used to protect organ systems and cellular viability from the lethal injury accompanying hypoperfusion and ischemia. Some measures have been directed toward improving perfusion, while others have attempted to enhance the metabolic processes. Our work has focused for the most part on au...

journal_title：Annals of emergency medicine

authors： Markov AK

更新日期：1986-12-01 00:00:00

abstract：:Although we commonly assume that because residents spend a given number of months in the emergency department they achieve adequate exposure to all necessary clinical entities, this has never been shown. We suspect, rather, that great variability exists among residents in the number and variety of patients they see; a...

journal_title：Annals of emergency medicine

authors： Langdorf MI,Strange G,Macneil P

更新日期：1990-07-01 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:Data on poisoning with MCPA (4-chloro-2-methyl-phenoxyacetic acid) are limited to 6 case reports. Our objective is to describe outcomes from intentional self-poisoning with MCPA in a prospective case series of 181 patients presenting to hospitals in Sri Lanka. METHODS:Patient information was collected ...

journal_title：Annals of emergency medicine

authors： Roberts DM,Seneviratne R,Mohammed F,Patel R,Senarathna L,Hittarage A,Buckley NA,Dawson AH,Eddleston M

更新日期：2005-09-01 00:00:00

abstract：:Acute asthma exacerbations are common complaints in patients who present to the emergency department. A prospective, double-blinded study was designed to evaluate how frequency of dosing of an inhaled beta-agonist, metaproterenol (Alupent inhalation solution) would affect patient response, length of stay in the ED, an...

journal_title：Annals of emergency medicine

authors： Nelson MS,Hofstadter A,Parker J,Hargis C

更新日期：1990-01-01 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

abstract：:Traumatic dislocation of the hip joint is relatively uncommon in children. The trauma required to produce a dislocation can vary from minimal to severe, high-energy force. We report a case of posterior hip dislocation in a 9-year-old boy who received relatively minor trauma to his leg but who did not seek medical atte...

journal_title：Annals of emergency medicine

authors： McGoff JP,Ramoska EA

更新日期：1987-01-01 00:00:00

abstract：:As the sciences of emergency medicine and acute care medicine develop, it becomes imperative for researchers in these fields to accurately and completely report the methodology of their investigations. It is only through complete reporting that other investigators can critically examine, replicate, or expand on the re...

journal_title：Annals of emergency medicine

authors： Brown CG,Kelen GD,Moser M,Moeschberger ML,Rund DA

更新日期：1985-10-01 00:00:00

abstract：:Transthoracic cardiac pacing historically has been relegated to the role of the technique of last resort in treating cardiac arrest. Recent studies have shown that this technique has a high rate of successful electrical capture, but often without mechanical activity. Survival rates have been shown to be dismal when th...

journal_title：Annals of emergency medicine

authors： Hedges JR,Syverud SA,Dalsey WC

更新日期：1984-09-01 00:00:00

abstract：:The rapid expansion of cost-consciousness and managed care into the medical marketplace has challenged the autonomy of physicians and patients. These challenges have taken a variety of forms, including limitations on reimbursement and restrictions on the amount and type of emergency care patients may receive. Challeng...

journal_title：Annals of emergency medicine

authors： Larkin GL,Adams JG,Derse AR,Iserson KV,Gotthold WE

更新日期：1996-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the relationship between spinal injuries and helmet use in motorcycle trauma. DESIGN:Retrospective case series. SETTING:Twenty-eight hospitals in four midwestern states--Illinois, Iowa, Nebraska and Wisconsin--representing urban, suburban, and rural settings. PATIENTS AND OTHER PARTICIPA...

journal_title：Annals of emergency medicine

authors： Orsay EM,Muelleman RL,Peterson TD,Jurisic DH,Kosasih JB,Levy P

更新日期：1994-04-01 00:00:00

abstract：:The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology. One patient ingested 20.5 mg alprazolam before crashing his truck into parked automobiles. The patient was awakened by flumazenil administration, and the severity of his injuries was evaluated reliably. A sec...

journal_title：Annals of emergency medicine

authors： Burkhart KK,Kulig KW

更新日期：1990-03-01 00:00:00

abstract：:Four hundred twenty patients with open dog bite wounds on initial presentation to the emergency department had Gram stains, aerobic and anaerobic cultures, and antibiotic sensitivities of the bacterial isolates of each wound. Forty-eight percent of the wounds evidenced no bacterial growth. Staphylococcus epidermidis w...

journal_title：Annals of emergency medicine

authors： Ordog GJ

更新日期：1986-11-01 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

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：:We conducted a retrospective chart review to determine whether the treatment of uncomplicated convulsions in emergency department patients with a history of epilepsy complied with a clinical standard and whether the degree of compliance with the standard was related to the treating physician's specialty or postgraduat...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Schriger DL,Starkman S

更新日期：1990-04-01 00:00:00

abstract：:Systemic toxicity after significant dermal exposure to hydrofluoric acid includes rapid development of hypocalcemia and hyperkalemia, leading to ventricular fibrillation. Similar dysrhythmias have occurred in patients after ingestion of sodium fluoride-containing compounds. Ingestion of hydrofluoric acid could induce ...

journal_title：Annals of emergency medicine

authors： Stremski ES,Grande GA,Ling LJ

更新日期：1992-11-01 00:00:00

abstract：:Latex allergy, an IgE-mediated reaction to proteins retained in finished natural rubber latex products, has become one of the most pervasive problems in medicine. Latex allergy has resulted in death, progressive asthma, severe food allergy from cross-reactivity, and disability of health care professionals with the acc...

journal_title：Annals of emergency medicine

authors： Kelly KJ,Walsh-Kelly CM

更新日期：1998-12-01 00:00:00

abstract：:This article summarizes the current requirements for a waiver of informed consent for emergency research and analyzes ethical issues that are involved. Researchers who intend to apply for a waiver of informed consent for emergency research must understand that they are asking for the major protector of human subjects,...

journal_title：Annals of emergency medicine

authors： Adams JG,Wegener J

更新日期：1999-02-01 00:00:00

abstract：:A team of missionary doctors from Ecuador recently described striking success in the treatment of venomous snakebites with a series of brief, high-voltage, low-current electric shocks applied to the bit site. We designed a randomized, controlled, blinded test of their methods in laboratory rats. Venom of the fer-de-la...

journal_title：Annals of emergency medicine

authors： Howe NR,Meisenheimer JL Jr

更新日期：1988-03-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the efficacy of IM ketorolac versus that of oral ibuprofen in acute musculoskeletal pain. DESIGN:Randomized, prospective, double-blind clinical trial. SETTING:Urban teaching emergency department with an annual census of 43,000. PARTICIPANTS:Convenience sample of 82 patients aged 18 to 70 ...

journal_title：Annals of emergency medicine

authors： Turturro MA,Paris PM,Seaberg DC

更新日期：1995-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. DESIGN:After surgical preparation, swine were euhydrated or dehydrated for 24 or 48 hours. Animals were bled 25 mL/kg over 60 minutes and treated with HSD. SETTING:Laboratory. PARTICIPA...

journal_title：Annals of emergency medicine

authors： Wade CE,Tillman FJ,Loveday JA,Blackmon A,Potanko E,Hunt MM,Hannon JP

更新日期：1992-02-01 00:00:00