Abstract:
:Heat-related illness represents a continuum of disorders from minor syndromes such as heat cramps, heat syncope, and heat exhaustion to the severely life-threatening disorder known as heat stroke. It represents an important cause of wilderness-related morbidity and mortality.
journal_name
Emerg Med Clin North Amjournal_title
Emergency medicine clinics of North Americaauthors
Lugo-Amador NM,Rothenhaus T,Moyer Pdoi
10.1016/j.emc.2004.01.004subject
Has Abstractpub_date
2004-05-01 00:00:00pages
315-27, viiiissue
2eissn
0733-8627issn
1558-0539pii
S0733862704000057journal_volume
22pub_type
杂志文章,评审abstract::Adverse cardiovascular events comprise a large portion of the morbidity and mortality in drug overdose emergencies. Adverse cardiovascular events encountered by emergency physicians treating poisoned patients include myocardial injury, hemodynamic compromise with shock, tachydysrhythmias, and cardiac arrest. Early sig...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2013.10.003
更新日期:2014-02-01 00:00:00
abstract::Despite the improvement of medical treatment for acute coronary syndromes throughout the 20th century, the authors believe that many cases of life-threatening coronary events could be avoided through early detection of CAD and the use of preventive strategies. Establishing chest pain units that are linked to the ED is...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70195-4
更新日期:2001-05-01 00:00:00
abstract::Because of the altered physiology of the elderly population, either as a result of aging or as a result of other disease processes, many illnesses may present with features that are either atypical or nonspecific in nature. Difficult and nonspecific complaints such as weakness in an elderly patient must be handled in ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70056-0
更新日期:1999-02-01 00:00:00
abstract::Prehospital management of musculoskeletal injuries in the traumatized patient is based on the application of a few basic principles in an orderly but expeditious manner. The patient must be assessed for immediate life-threatening conditions involving airway, respiratory, and circulatory functions while the cervical sp...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1984-05-01 00:00:00
abstract::General management of the patient who has ingested an overdose of psychoactive medication is emphasized, since the suicidal patient has almost invariably taken multiple substances and often alcohol as well. The drug groups considered in detail include the sedative hypnotics, tricyclic antidepressants, phenothiazines, ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章
doi:
更新日期:1984-02-01 00:00:00
abstract::A rapid controlled induction of anesthesia is useful to facilitate emergency intubation and to reduce the complications of intubation in pediatric patients. A protocol for rapid sequence intubation and suggestions for optimizing airway management in the Emergency Department are described. The use of end tidal carbon d...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1991-08-01 00:00:00
abstract::The threat of a BT event has catalyzed serious reflection on the troublesome issues that come with event management and triage. Such reflection has had the effect of multiplying the efforts to find solutions to what could become a catastrophic public health disaster. Management options are becoming more robust, as are...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(01)00008-6
更新日期:2002-05-01 00:00:00
abstract::Critically ill patients with pulmonary hypertension (PH) often seem well, but they can decompensate dramatically in a short time. PH has several causes, classes, and complications; but the natural progression eventually leads to right ventricular failure, which can be extraordinarily difficult to manage. The purpose o...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2015.04.012
更新日期:2015-08-01 00:00:00
abstract::Injury to the chest accounts directly or indirectly for up to 50 per cent of deaths secondary to trauma. Eighty-five per cent of patients with chest injury may be managed by minor procedures available to the emergency physician. The indications for surgery in the remaining 15 per cent of patients with chest injury mus...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章
doi:
更新日期:1984-11-01 00:00:00
abstract::Essentially, emergency medicine encompasses the efficient application of limited resources to provide timely care to patients in health crisis. The appropriate triage, management, and disposition of patients with orofacial complaints requires systematic evaluation with attention to the ABCs. The first priority is to s...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70134-6
更新日期:2000-08-01 00:00:00
abstract::Although emergency departments (ED's) vary in shape, size, and technology, similarities in responsibilities exist. The primary responsibility is to provide quality health care to the communities served. The (ED) constitutes a substantial business in any hospital. Because of changing acuity levels, patient volume, and ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/S0733-8627(03)00099-3
更新日期:2004-02-01 00:00:00
abstract::Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitat...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2019.04.004
更新日期:2019-08-01 00:00:00
abstract::Soft tissue disorders of the mouth encompass a wide expanse of pathophysiology. This article focuses on the identification, etiology, management, and complications of common infectious processes (candidiasis, dental caries, and herpes labialis), inflammatory lesions (sialolithiasis, oral lichen planus, and aphthous ul...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2018.09.006
更新日期:2019-02-01 00:00:00
abstract::The pathophysiology of esophageal and gastric disorders is complicated and broad and includes iatrogenic, structural, inflammatory, neuromuscular, neoplastic, and infectious causes. Symptoms can be nonspecific and are often initially attributed to cardiac or respiratory causes. These disorders have both acute and chro...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2011.01.007
更新日期:2011-05-01 00:00:00
abstract::Pulmonary edema is differentiated into two categories--cardiogenic and noncardiogenic. Noncardiogenic pulmonary edema is due to changes in permeability of the pulmonary capillary membrane as a result of either a direct or an indirect pathologic process. It is a spectrum of illness ranging from the less severe form of ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(03)00020-8
更新日期:2003-05-01 00:00:00
abstract::Sudden cardiac death is one of the leading causes of death and a major public health problem that particularly affects the elderly. Sudden cardiac death may be a terminal event after a prolonged debilitating and painful illness, or it may occur following many years of symptoms related to a cardiac disorder; however, i...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70023-7
更新日期:1998-08-01 00:00:00
abstract::Bleeding in late-term pregnancy can present as an innocuous start to parturition or a catastrophic maternal-fetal hemorrhage masked by the physiologic adaptations of pregnancy. The emergency management of late-term bleeding can be challenging, especially when providing stabilizing care in a limited-resource environmen...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2019.01.006
更新日期:2019-05-01 00:00:00
abstract::Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-02-01 00:00:00
abstract::As the number of advanced practice providers has grown in emergency medicine, establishment of guidelines and policies governing their practice has become increasingly important. This article addresses the scope of practice of physician assistants and nurse practitioners working in the emergency department, including ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2020.02.007
更新日期:2020-05-01 00:00:00
abstract::Pediatric patients often present to the emergency department with orthopedic pathology that can challenge the emergency department physician. This article focuses on key diagnoses that are frequently mismanaged. These diagnoses require specific knowledge to execute appropriate treatment. Pediatric fractures, compartme...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2009.09.008
更新日期:2010-02-01 00:00:00
abstract::The endpoints of sedation and analgesia have been more difficult than traditional physiologic parameters to measure adequately. Several clinical scoring systems have been developed in an attempt to provide more consistent and objective assessments of sedation, but the few that have been validated are cumbersome to use...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70160-7
更新日期:2000-11-01 00:00:00
abstract::Prompt recognition of actual or impending aortic emergencies is essential to the effective practice of emergency medicine. Understanding the pathophysiologic principles and awareness of the potential subtleties in the clinical presentations of aortic dissection, aneurysm, and occlusive disease are prerequisites to thi...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(03)00063-4
更新日期:2003-11-01 00:00:00
abstract::Rapid response systems (RRS) are both intuitive and supported by data, but the institution of an RRS is not a panacea for in-hospital cardiac arrest or unexpected deaths. RRS implementation should be one component of an institution-wide effort to improve patient safety that includes adequate nursing education and staf...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2011.09.012
更新日期:2012-02-01 00:00:00
abstract::The treatment of acute ischemic stroke is one of the most rapidly evolving areas in medicine. Like all ischemic vascular emergencies, the priority is reperfusion before irreversible infarction. The central nervous system is sensitive to brief periods of hypoperfusion, making stroke a golden hour diagnosis. Although th...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2020.09.014
更新日期:2021-02-01 00:00:00
abstract::Most dog and cat bite injuries are minor wounds that require only local wound care as well a patient evaluation for tetanus and rabies postexposure immunoprophylaxis. For larger wounds, primary or delayed primary closure can be performed safely where indicated. When antimicrobial agents are necessary, inexpensive peni...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract::Cardiac arrhythmias may result from poisoning by a variety of agents. Although some cardiac disturbances are of limited concern, others occur because of the specific cardiac properties of the ingested drugs, and require specific antidotes. Clinicians must understand the resultant pathophysiology so that therapy is app...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0733-8627(05)70009-2
更新日期:1998-05-01 00:00:00
abstract::One of the most common problems facing the emergency department physician is the management of bite wounds. Therapy for these common injuries is ill-defined and often controversial. This article outlines treatment guidelines for the emergency physician for dog bites, cat bites, rabies, snake bites, and human bites. ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1985-02-01 00:00:00
abstract::The past two decades has seen the development of sophisticated systems of prehospital care. The task now is to intensify the input of well-trained physicians into all aspects of EMS systems. This article tracks the history of EMS in this country and provides some suggested answers to the difficult questions facing thi...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::Mass casualty incident involves the use of limited resources for multiple casualties. The emergency physician must be familiar with both prehospital and hospital plans for mass casualty care in order to facilitate optimal care and to maintain the continuum from field care to definitive treatment. It is essential that ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-02-01 00:00:00
abstract::Epigastric pain is an extremely common complaint in the emergency department and has an associated broad differential diagnosis. In the differential it is important to consider cardiac causes that may be mistaken for gastrointestinal disorders as well as various serious intra-abdominal causes. This article highlights ...
journal_title:Emergency medicine clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.emc.2015.12.012
更新日期:2016-05-01 00:00:00