Small-bowel obstruction secondary to activated charcoal and adhesions.


: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 activated charcoal (350 g, total) for treatment of theophylline toxicity. This patient also had low-grade, previously asymptomatic adhesions at the ileocecal valve. A 4.5 x 5 x 3-cm aggregate of charcoal was surgically removed from the distal ileum.


Ann Emerg Med


Goulbourne KB,Cisek JE




Has Abstract


1994-07-01 00:00:00














  • Hyperkalemic ascending paralysis.

    abstract::Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: McCarty M,Jagoda A,Fairweather P

    更新日期:1998-07-01 00:00:00

  • Serum levels of myoglobin, creatine phosphokinase, and smooth muscle heavy-chain myosin in patients with ectopic pregnancy.

    abstract:STUDY OBJECTIVE:Serum markers of smooth muscle destruction have been shown to be elevated in ectopic pregnancy, but they remain of questionable clinical utility. Our goal was to determine the clinical utility of 3 markers of smooth muscle destruction: creatine phosphokinase (CPK), smooth muscle heavy-chain myosin (SMHC...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Birkhahn RH,Gaeta TJ,Paraschiv D,Bove JJ,Suzuki T,Katoh H,Nagai R

    更新日期:2001-12-01 00:00:00

  • Cardiac arrest witnessed by prehospital personnel: intersystem variation in initial rhythm as a basis for a proposed extension of the Utstein recommendations.

    abstract:STUDY OBJECTIVE:To test the hypothesis that intersystem variation in initial rhythm among EMS-witnessed arrests is of sufficient magnitude to warrant standardization of survival by creation of an Utstein-style denominator of EMS-witnessed ventricular fibrillation (VF). METHODS:We conducted a planned subset analysis of...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Gallagher EJ,Lombardi G,Gennis P

    更新日期:1997-07-01 00:00:00

  • Faculty attrition among three specialties.

    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

    pub_type: 杂志文章


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

    更新日期:1991-01-01 00:00:00

  • Permanently imbedded subcutaneous acupuncture needles: radiographic appearance.

    abstract::During the evaluation of a victim of a motor vehicle accident, routine radiographs of the patient's cervical spine, chest, and pelvis revealed multiple radiopaque foreign bodies along his posterior neck, chest, abdomen, and pelvis. Repeat examination of the patient disclosed no evidence of foreign bodies. Further ques...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Hollander JE,Dewitz A,Bowers S

    更新日期:1991-09-01 00:00:00

  • Effects of physical activity on creatine phosphokinase and the isoenzyme creatine kinase-MB.

    abstract::Creatine phosphokinase (CPK) and creatine kinase-MB (CK-MB) have been used extensively as diagnostic markers for myocardial infarction and skeletal muscle injury. Many factors affect the variability of serum CPK and serum CK-MB activity, especially physical activity. We discuss the influence of physical activity on mu...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审


    authors: Schneider CM,Dennehy CA,Rodearmel SJ,Hayward JR

    更新日期:1995-04-01 00:00:00

  • Emergency medicine filing system.

    abstract::The development of an organized filing system for referencing articles pertinent to emergency medicine is presented. This simple and flexible system allows for modification for the individual needs of the emergency physician. ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: McMicken D

    更新日期:1980-09-01 00:00:00

  • Ventilation skills of emergency medical technicians: A teaching challenge for emergency medicine.

    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

    pub_type: 杂志文章


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

    更新日期:1986-10-01 00:00:00

  • Idiopathic priapism treated with inhalation of amyl nitrite.

    abstract::Presented is a case of idiopathic priapism that was successfully treated with inhalation of amyl nitrite. Routine treatment measures had failed. The same patient presented on several other occasions in a similar fashion. Each time amyl nitrite was successful. An investigation for diseases known to be associated with p...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Parrillo SJ,Manfrey S

    更新日期:1983-04-01 00:00:00

  • The Patient Protection and Affordable Care Act's Effect on Emergency Medicine: A Synthesis of the Data.

    abstract::This review synthesizes the existing literature to provide evidence-based predictions for the future of emergency care in the United States as a result of the Patient Protection and Affordable Care Act, with a focus on emergency department (ED) visit volume, acuity, and reimbursement. Patient behavior will likely be q...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审


    authors: Medford-Davis LN,Eswaran V,Shah RM,Dark C

    更新日期:2015-11-01 00:00:00

  • "It's Gonna be a Lifeline": Findings From Focus Group Research to Investigate What People Who Use Opioids Want From Peer-Based Postoverdose Interventions in the Emergency Department.

    abstract:STUDY OBJECTIVE:Postoverdose interventions that deploy peer recovery support specialists to emergency departments (EDs) are a promising response to opioid overdoses among patients presenting in EDs. The objective of this study was to elicit patients' perspectives regarding the feasibility and acceptability of such an i...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Wagner KD,Mittal ML,Harding RW,Smith KP,Dawkins AD,Wei X,Woodard S,Roget NA,Oman RF

    更新日期:2020-12-01 00:00:00

  • Sixteen years of croup in a Western Australian teaching hospital: effects of routine steroid treatment.

    abstract:STUDY OBJECTIVE:To describe the experience of croup at Princess Margaret Hospital for Children (PMH), the only tertiary pediatric hospital in Western Australia, from 1980 through 1995 with reference to the introduction of routine steroid treatment in the ICU in 1989, in the general hospital wards from 1989 through 1993...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Geelhoed GC

    更新日期:1996-12-01 00:00:00

  • Traumatic hip dislocation in a child.

    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

    pub_type: 杂志文章


    authors: McGoff JP,Ramoska EA

    更新日期:1987-01-01 00:00:00

  • Continuous versus intermittent nebulization of salbutamol in acute severe asthma: a randomized, controlled trial.

    abstract:STUDY OBJECTIVE:This study was conducted to compare the clinical and spirometric effects of continuous and intermittent nebulization of salbutamol in acute severe asthma. METHODS:Forty-two consecutive patients presenting to the emergency department for acute severe asthma (peak expiratory flow [PEF] mean+/-SD, 24%+/-1...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Besbes-Ouanes L,Nouira S,Elatrous S,Knani J,Boussarsar M,Abroug F

    更新日期:2000-09-01 00:00:00

  • Injury control in Honduras: a survey of injury mortality.

    abstract:STUDY OBJECTIVE:We sought to evaluate the methods and accuracy of mortality data collection and summarize the injury mortality rate in one sector of the State of Olancho, Honduras, with the intent to establish a baseline of injury mortality that will identify potential areas of intervention and serve as a comparison af...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Richman M,Shayne P,Heron S,Lowery D,Todd KH

    更新日期:2000-10-01 00:00:00

  • To be blunt: are we wasting our time? Emergency department thoracotomy following blunt trauma: a systematic review and meta-analysis.

    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

    pub_type: 杂志文章,meta分析,评审


    authors: Slessor D,Hunter S

    更新日期:2015-03-01 00:00:00

  • MAST usage in cardiopulmonary resuscitation.

    abstract::The medical antishock trouser (MAST) has been advocated as potentially beneficial in the resuscitation of patients in cardiac arrest. Currently available data indicate that the MAST will increase the blood pressure generated by external cardiopulmonary resuscitation. In addition, there may be an increased survival of ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Lilja GP,Clinton J,Mahoney B

    更新日期:1984-09-01 00:00:00

  • County-Level Variation in Emergency Department Admission Rates Among US Medicare Beneficiaries.

    abstract:STUDY OBJECTIVE:Hospital-based emergency departments (EDs) are the gateway to hospital admissions for many Americans. Approximately half of all US hospital admissions originate from EDs, and more than 3 in 4 are among Medicare beneficiaries. Recent literature has demonstrated nearly 2-fold variation in both physician- ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Caines K,Shoff C,Bott DM,Pines JM

    更新日期:2016-10-01 00:00:00

  • Selective aortic arch perfusion during cardiac arrest: enhanced resuscitation using oxygenated perflubron emulsion, with and without aortic arch epinephrine.

    abstract:STUDY OBJECTIVE:To evaluate selective aortic arch perfusion (SAAP) with an oxygenated fluorocarbon emulsion, with and without aortic arch epinephrine during cardiac arrest. METHODS:This randomized, controlled study, undertaken at a university research laboratory, involved 15 mixed-breed dogs. After 10 minutes of ventr...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Manning JE,Batson DN,Payne FB,Adam N,Murphy CA,Perretta SG,Norfleet EA

    更新日期:1997-05-01 00:00:00

  • Effect of a treatment protocol on the efficiency of care of the adult acute asthmatic.

    abstract::A treatment protocol for patients with acute bronchospasm was introduced to an adult emergency department in an attempt to decrease treatment time and potentially decrease need for admission. The charts of all patients seen in a control year (before any protocol was in place) and the first three years of the protocol ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Schneider SM

    更新日期:1986-06-01 00:00:00

  • Prehospital Index: a scoring system for field triage of trauma victims.

    abstract::The Prehospital Index (PHI) is a triage-oriented trauma severity scoring system comprising four components: systolic blood pressure, pulse, respiratory status, and level of consciousness, each scored 0 to 5. The PHI was developed after analysis of 313 cases to provide an objective prehospital scoring system for distin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Koehler JJ,Baer LJ,Malafa SA,Meindertsma MS,Navitskas NR,Huizenga JE

    更新日期:1986-02-01 00:00:00

  • Managed care and emergency medicine: conflicts, federal law, and California legislation.

    abstract::The traditional use of the American ED, one of unrestricted access by patients and payment for services by insurers, is being questioned in this era of health care reform. Both primary care physicians and managed care organizations have questioned the use of the ED by patients without obvious problems of an emergency ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Derlet RW,Young GP

    更新日期:1997-09-01 00:00:00

  • CARES: Cardiac Arrest Registry to Enhance Survival.

    abstract::Despite 3 decades of scientific progress, rates of survival from out-of-hospital cardiac arrest remain low. The Cardiac Arrest Registry to Enhance Survival (CARES) was created to provide communities with a means to identify cases of out-of-hospital cardiac arrest, measure how well emergency medical services (EMS) perf...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: McNally B,Stokes A,Crouch A,Kellermann AL,CARES Surveillance Group.

    更新日期:2009-11-01 00:00:00

  • Intravenous magnesium in the treatment of hydrofluoric acid burns in rats.

    abstract:STUDY OBJECTIVE:To gather preliminary data on the safety and efficacy of IV magnesium in a rat model of hydrofluoric acid burns. MODEL:Forty-seven anesthetized male rats (200 to 300 g) received a standardized burn with 52% hydrofluoric acid. INTERVENTIONS:Animals were anesthetized with 30 to 50 mg/kg ketamine IM and ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Williams JM,Hammad A,Cottington EC,Harchelroad FC

    更新日期:1994-03-01 00:00:00

  • A randomized trial on subject tolerance and the adverse effects associated with higher- versus lower-flow oxygen through a standard nasal cannula.

    abstract:STUDY OBJECTIVE:Experts advocate the use of a standard nasal cannula to provide oxygen at flow rates of up to 15 L/minute during emergency intubation. However, because of concerns about potential patient discomfort, some providers avoid providing nasal cannula oxygen at flow rates greater than 6 L/minute. This trial is...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验


    authors: Brainard A,Chuang D,Zeng I,Larkin GL

    更新日期:2015-04-01 00:00:00

  • Effects of dichloroacetate following canine asphyxial arrest.

    abstract::Sodium dichloroacetate (DCA) has been shown to lower elevated serum lactate levels produced by hypoxia, exercise, and phenformin. We conducted a study to investigate the effect of DCA treatment on lactic acidosis following resuscitation from asphyxial cardiac arrest. Conditioned dogs were anesthetized with pentobarbit...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Gin-Shaw SL,Barsan WG,Eymer V,Hedges J

    更新日期:1988-05-01 00:00:00

  • Improved outcomes in patients with acute allergic syndromes who are treated with combined H1 and H2 antagonists.

    abstract:STUDY OBJECTIVE:Although the addition of H(2) blockers to H(1) antagonists has been promoted for use in anaphylaxis, there have been no large studies establishing the advantage of this approach in treating acute allergic syndromes. In this study we tested the hypothesis that combined H(1) and H(2) blockage results in i...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lin RY,Curry A,Pesola GR,Knight RJ,Lee HS,Bakalchuk L,Tenenbaum C,Westfal RE

    更新日期:2000-11-01 00:00:00

  • "Patients who can't get an appointment go to the ER": access to specialty care for publicly insured children.

    abstract:STUDY OBJECTIVE:Emergency departments (EDs) frequently refer patients for needed outpatient specialty care, but little is known about the dynamics of these referrals when patients are publicly insured. Hence, we explored factors, including the role of ED referrals, associated with specialists' willingness to accept pat...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Rhodes KV,Bisgaier J,Lawson CC,Soglin D,Krug S,Van Haitsma M

    更新日期:2013-04-01 00:00:00

  • A comparison of the trauma score, the revised trauma score, and the pediatric trauma score.

    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

    pub_type: 杂志文章


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

    更新日期:1989-10-01 00:00:00

  • Acute plastic bowing fractures in children.

    abstract::We report the cases of two children with acute plastic fractures of the long bones following trauma. Bowing deformity was evident clinically and radiographically in both cases. The unique radiologic features consisted of absence of fracture lines and of periosteal new bone formation during the healing phase. The mecha...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Komara JS,Kottamasu L,Kottamasu SR

    更新日期:1986-05-01 00:00:00