Vertex epidural hematoma: a diagnostic challenge.

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：:Ketamine produces rapid and consistent pediatric sedation with a predictable onset and recovery time. A wide margin of safety is afforded without the respiratory and cardiovascular depression commonly seen with alternative agents. The efficacy of ketamine is well established in anesthesia and dentistry and has extensi...

journal_title：Annals of emergency medicine

authors： Green SM,Johnson NE

更新日期：1990-09-01 00:00:00

abstract：:Randomized clinical trials, which aim to determine the efficacy and safety of drugs and medical devices, are a complex enterprise with myriad challenges, stakeholders, and traditions. Although the primary goal is scientific discovery, clinical trials must also fulfill regulatory, clinical, and ethical requirements. In...

journal_title：Annals of emergency medicine

authors： Meurer WJ,Lewis RJ,Tagle D,Fetters MD,Legocki L,Berry S,Connor J,Durkalski V,Elm J,Zhao W,Frederiksen S,Silbergleit R,Palesch Y,Berry DA,Barsan WG

更新日期：2012-10-01 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：STUDY OBJECTIVE:We describe current alcohol screening and brief intervention practices in emergency departments (EDs) at Level I and Level II trauma centers and characterize ED directors' attitudes and perceived barriers associated with these practices among injured patients in the ED. METHODS:ED directors at Level I ...

journal_title：Annals of emergency medicine

authors： Cunningham RM,Harrison SR,McKay MP,Mello MJ,Sochor M,Shandro JR,Walton MA,D'Onofrio G

更新日期：2010-06-01 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：:Glyburide, a second-generation sulfonylurea hypoglycemic agent, is metabolized by the P-450 hepatic enzyme system. Ciprofloxacin, a widely used quinolone antibiotic, is a recognized P-450 enzyme inhibitor. Conflicting data exist in the medical literature on the ability of quinolone antibiotics to inhibit glyburide hep...

journal_title：Annals of emergency medicine

authors： Roberge RJ,Kaplan R,Frank R,Fore C

更新日期：2000-08-01 00:00:00

abstract：STUDY OBJECTIVE:Peripheral intravenous catheters are the most common invasive device in health care yet have very high failure rates. We investigate whether the failure rate could be reduced by the addition of skin glue to standard peripheral intravenous catheter care. METHODS:We conducted a single-site, 2-arm, nonbli...

journal_title：Annals of emergency medicine

authors： Bugden S,Shean K,Scott M,Mihala G,Clark S,Johnstone C,Fraser JF,Rickard CM

更新日期：2016-08-01 00:00:00

abstract：:A profoundly hypothermic 5-hour-old infant in cardiac arrest was brought to the emergency department by paramedics. The infant was found wrapped in a garbage bag inside a freezer. She had been in the freezer for approximately four hours. Her initial rectal temperature was 16.2 degrees C. Active external and core warmi...

journal_title：Annals of emergency medicine

authors： Thompson DA,Anderson N

更新日期：1994-06-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the safety and efficacy of transcutaneous cardiac pacing using low-impedance defibrillation-type, self-adhesive polymer electrode pads positioned in the same anatomic sites typical of such pad placement in emergency defibrillation attempts. DESIGN:Prospective, randomized, single-blinded norm...

journal_title：Annals of emergency medicine

authors： Chapman PD,Stratbucker RA,Schlageter DP,Pruzina SP

更新日期：1992-12-01 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：:The prevalence of Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) in 232 sexual assault victims who presented for examinations between August 1, 1987, and July 31, 1988, was determined. Results are reported for cervical, rectal, and oropharyngeal NG cultures and for cervical and rectal CT smears. Results fro...

journal_title：Annals of emergency medicine

authors： Sturm JT,Carr ME,Luxenberg MG,Swoyer JK,Cicero JJ

更新日期：1990-05-01 00:00:00

abstract：STUDY OBJECTIVE:We estimate the test characteristics of nasogastric aspiration to diagnose upper gastrointestinal tract hemorrhage in patients without hematemesis. METHODS:In this retrospective cohort study, medical records from patients admitted to 2 urban hospitals between 1997 and 2002 for gastrointestinal tract bl...

journal_title：Annals of emergency medicine

authors： Witting MD,Magder L,Heins AE,Mattu A,Granja CA,Baumgarten M

更新日期：2004-04-01 00:00:00

abstract：:The ability of military anti-shock trousers (MAST) to increase central venous pressure and improve cardiac filling pressure suggests that they might be useful in the prehospital treatment of pericardial tamponade. This study utilizes a canine model to examine the hemodynamic effects of MAST inflation on experimentally...

journal_title：Annals of emergency medicine

authors： Davis JW,McKone TK,Cram AE

更新日期：1981-04-01 00:00:00

abstract：STUDY OBJECTIVE:Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the...

journal_title：Annals of emergency medicine

authors： Houry D,Kaslow NJ,Kemball RS,McNutt LA,Cerulli C,Straus H,Rosenberg E,Lu C,Rhodes KV

更新日期：2008-04-01 00:00:00

abstract：:Garter snake bites are generally innocuous to human beings. We report a case of human envenomation from the Wandering Garter snake (Thamnophis elegans vagrans). The patient, who was bitten on his right third fingertip, rapidly developed local edema, ecchymosis, and hemorrhagic vesicles. Systemic signs and symptoms did...

journal_title：Annals of emergency medicine

authors： Gomez HF,Davis M,Phillips S,McKinney P,Brent J

更新日期：1994-05-01 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：STUDY OBJECTIVE:To compare patient and practitioner assessments of pain associated with commonly performed emergency department procedures and use of anesthetics before these procedures. METHODS:This was a prospective, observational, cross-sectional study conducted at a university-based ED with a convenience sample of...

journal_title：Annals of emergency medicine

authors： Singer AJ,Richman PB,Kowalska A,Thode HC Jr

更新日期：1999-06-01 00:00:00

abstract：:Traumatic rupture of the tracheobronchial tree is an increasingly occurring complication of blunt chest trauma. Early detection and surgical repair are important for definitive and successful reconstruction. Bronchoscopy is the most reliable diagnostic procedure. Use of a rigid bronchoscope is difficult and traumatic ...

journal_title：Annals of emergency medicine

authors： Lee TS,Wright BD

更新日期：1980-05-01 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：:We developed a cardiopulmonary resuscitation (CPR) message that can be given via telephone by emergency dispatchers directly to an individual reporting a cardiac arrest. The message was developed and evaluated on the basis of empirical observation of CPR performance of 203 community volunteers during simulated cardiac...

journal_title：Annals of emergency medicine

authors： Carter WB,Eisenberg MS,Hallstrom AP,Schaeffer S

更新日期：1984-09-01 00:00:00

abstract：:The case of a patient who developed severe acute respiratory failure during therapy for salicylate intoxication is described. The individual with aspirin overdose is at risk for this complication because of the potential for treatment modalities to cause or worsen lung edema initiated by the effects of salicylates on ...

journal_title：Annals of emergency medicine

authors： Zimmerman GA,Clemmer TP

更新日期：1981-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine antibody titers to hepatitis B surface antigen (anti-HBsAg) among previously vaccinated emergency physicians and to assess the degree of compliance with Centers for Disease Control and Prevention (CDC) postvaccination guidelines. METHODS:A descriptive analysis was performed of anti-HBsAg t...

journal_title：Annals of emergency medicine

authors： Goldberg R,Thomas H,Kuhn G,Moradzadeh D,Mody T,Boss RW,Goodman E

更新日期：1999-02-01 00:00:00

abstract：:The Advanced Trauma Life Support (ATLS) course is sponsored by the American College of Surgeons Committee on Trauma. This course was developed to provide a consistent method of care for the resuscitation and evaluation of the injured patient. The ATLS course provides an easily remembered method for evaluating and trea...

journal_title：Annals of emergency medicine

authors： Bell RM,Krantz BE,Weigelt JA

更新日期：1999-08-01 00:00:00

abstract：:An important aspect in the effective management of an emergency medical services system is the ability to monitor system performance. To provide this information on a timely basis, a comprehensive data collection system is required. We describe the design, implementation, use, and effect of a comprehensive, computeriz...

journal_title：Annals of emergency medicine

authors： Valenzuela TD,Keeley KT,Criss EA,Spaite DW,Meislin HW

更新日期：1989-05-01 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：:We present a case of delay in diagnosis of diaphragmatic rupture and herniation in a pregnant 25-year-old woman. The diaphragmatic rupture was secondary to trauma sustained five months prior to presentation. Subsequent to her accident, she was provided medical care on multiple occasions for symptoms of intractable nau...

journal_title：Annals of emergency medicine

authors： Henzler M,Martin ML,Young J

更新日期：1988-04-01 00:00:00

abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Procalcitonin is a biomarker that appears to correlate with bacterial infection. WHAT QUESTION THIS STUDY ADDRESSED: Does a procalcitonin level add prognostic information for pneumonia patients in conjunction with scoring systems such as the Pneumonia Severity Index or CURB-65? WHA...

journal_title：Annals of emergency medicine

authors： Menchine MD,Barrett TW,Schriger DL

更新日期：2008-07-01 00:00:00

abstract：:We investigated the compliance of emergency department health care workers with barrier precaution policies adapted from the Centers for Disease Control's "Recommendations for Prevention of HIV Transmission in Health-Care Settings." One hundred sixty-nine health care worker encounters with 97 patients were observed. O...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Talan DA

更新日期：1989-06-01 00:00:00

abstract：STUDY OBJECTIVE:To identify the arterial and mixed venous blood gas changes caused by different ventilatory strategies during resuscitation from ventricular fibrillation in a pig model of closed-chest cardiac compression. METHODS:A prospective randomized animal study was performed using 27 domestic pigs (body weight, ...

journal_title：Annals of emergency medicine

authors： Whitehurst ME,Blount AD,Austin PE,Carroll RG

更新日期：1998-05-01 00:00:00