Surgical emergencies in the intravenous drug user.

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

authors： Blackburn P,Vissers R

更新日期：2000-11-01 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

authors： Burkle FM Jr

更新日期：2002-05-01 00:00:00

abstract：:Patients presenting to the emergency department with certain traumatic conditions can be managed in observation units. The evidence base supporting the use of observation units to manage injured patients is smaller than the evidence base supporting the management of medical conditions in observation units. The conditi...

journal_title：Emergency medicine clinics of North America

authors： Caspers CG

更新日期：2017-08-01 00:00:00

abstract：:Patients presenting to the emergency department (ED) with behavioral disturbances account for approximately 6% of all ED visits. Emergency physicians are often responsible for the initial assessment of these patients' psychiatric complaints, which might include homicidal and suicidal behavior and acute psychosis. The ...

journal_title：Emergency medicine clinics of North America

authors： Sood TR,Mcstay CM

更新日期：2009-11-01 00:00:00

abstract：:Neurologic complications are unfortunately common in oncology patients, with many presenting to the emergency department for diagnosis and management. This case-based review provides a brief overview of the key points in pathophysiology, diagnosis, and management of 2 oncologic central nervous system emergencies: mali...

journal_title：Emergency medicine clinics of North America

authors： Dubbs SB,Honasoge AP

更新日期：2018-08-01 00:00:00

abstract：:Acute stroke care is a multidisciplinary effort. It crosses the boundaries of traditional hospital-based medicine, relying heavily on prehospital providers to obtain a significant amount of clinical information. Currently, modifications of existing EMS systems are underway to support the idea that "time is brain." Dis...

journal_title：Emergency medicine clinics of North America

authors： Suyama J,Crocco T

更新日期：2002-08-01 00:00:00

abstract：:Emergency medical services for children require the integration of many community resources to operate optimally. In both urban and rural areas, the abilities of the receiving hospitals and medical staffs must be defined to develop a system that considers severity of injury and illness as well as transport times. ...

journal_title：Emergency medicine clinics of North America

authors： Seidel J

更新日期：1995-05-01 00:00:00

abstract：:Clearly, a multitude of potential consent problems can exist for the emergency physician. It is difficult at times to balance the concepts of patient autonomy with the desire to provide optimal medical care. Experienced emergency physicians should be able to individualize the type of consent needed in a particular sit...

journal_title：Emergency medicine clinics of North America

authors： Siegel DM

更新日期：1993-11-01 00:00:00

abstract：:Pediatric medical complaints and differential diagnoses often vary from adults, requiring a specialized knowledge base and behavioral skill set. This article addresses a variety of congenital and acquired pediatric genitourinary disorders. Genitourinary emergencies include paraphismosis, priapism, serious infection, s...

journal_title：Emergency medicine clinics of North America

authors： McGrath NA,Howell JM,Davis JE

更新日期：2011-08-01 00:00:00

abstract：:Testing for HIV infection is not generally required for the appropriate treatment of medical emergencies. Current standard HIV tests rely on the detection of antibodies to the HIV virus and are among the most sensitive and specific tests used in medicine. Standard HIV tests can be unreliable for detecting infection in...

journal_title：Emergency medicine clinics of North America

authors： Hansen KN

更新日期：1995-02-01 00:00:00

abstract：:The formulary for dermatologic use in the emergency department must not only encompass drugs that are essential for advanced cardiac and trauma life support, but must have specific drugs that are indicated for common dermatologic conditions that are evaluated in the emergency department. First and foremost is the sele...

journal_title：Emergency medicine clinics of North America

authors： Drake LA

更新日期：1985-11-01 00:00:00

abstract：:Health care professionals often encounter patients who refuse a recommended treatment plan. Overriding a patient's right to autonomy has ethical, legal, and moral consequences. Incapacity is the determination by a physician that a patient lacks the ability to make informed decisions about his or her health care. The f...

journal_title：Emergency medicine clinics of North America

authors： Miller SS,Marin DB

更新日期：2000-05-01 00:00:00

abstract：:Medical planning requires the expedition physician to draw from many aspects of the knowledge base of wilderness and environmental medicine and to learn and use lessons from those that have gone before. The medical plan is dependent on parameters of the expedition objective, scope, and resources and is developed coope...

journal_title：Emergency medicine clinics of North America

authors： Tek D

更新日期：1992-05-01 00:00:00

abstract：:Pain, swelling, and limited range of motion of a joint are extremely common complaints in the emergency department. In assessing joint complaints it is helpful for the emergency physician to keep in mind the major categories of diagnostic possibilities; it is also useful to distinguish between chronic and acute proble...

journal_title：Emergency medicine clinics of North America

authors： Preslar AJ 3rd,Heckman JD

更新日期：1984-05-01 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

authors： Stewart RD

更新日期：1987-02-01 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

authors： Dire DJ

更新日期：1992-11-01 00:00:00

abstract：:Although useful to emergency physicians in determining and following up treatment, the microbiology department can be a source of frustration and erroneous results due to improper or inconsistent methodology, ordering, and interpretation. This article will review the principles of microbiologic specimen collection, ha...

journal_title：Emergency medicine clinics of North America

authors： Pancoast P,McCabe JB

更新日期：1986-05-01 00:00:00

abstract：:Ethical issues in emergency medicine often are accompanied by legal issues. Although the legal aspects of an ethical problem are important factors to take into consideration, the law may not directly address the problem, and following the law does not always ensure an ethical outcome. Emergency physicians should have ...

journal_title：Emergency medicine clinics of North America

authors： Derse AR

更新日期：1999-05-01 00:00:00

abstract：:The knee is one of the most commonly injured joints in the human body, and, largely because of athletic injuries, they are increasing in frequency in the United States. This article provides a brief overview of knee anatomy, examines radiographic imaging techniques and arthrocentesis of the knee, and discusses injurie...

journal_title：Emergency medicine clinics of North America

authors： Roberts DM,Stallard TC

更新日期：2000-02-01 00:00:00

abstract：:Vaginal bleeding is one of the most common gynecologic symptoms for which the patient will come to the Emergency Department. It is usually associated with psychologic distress and can be frightening to the patient. Vaginal bleeding can be the first sign of life-threatening medical disorders such as carcinoma, bleeding...

journal_title：Emergency medicine clinics of North America

authors： Hochbaum SR

更新日期：1987-08-01 00:00:00

abstract：:The scope of gynecologic infections presenting to the emergency department is quite diverse. This article presents an update on the current literature for vaginitis, cervicitis, pelvic inflammatory disease, tubo-ovarian abscesses, the Fitz-Hugh-Curtis syndrome, herpes, and syphilis. Inadequate identification or treatm...

journal_title：Emergency medicine clinics of North America

authors： Zeger W,Holt K

更新日期：2003-08-01 00:00:00

abstract：:Patients who present to the Emergency Department with a behavioral or cognitive disorder should be treated in an organized fashion. The most important element of their care is determining the etiology of their abnormality, whether organic or functional. The history and physical examination, along with laboratory and a...

journal_title：Emergency medicine clinics of North America

authors： Bauer J,Roberts MR,Reisdorff EJ

更新日期：1991-02-01 00:00:00

abstract：:The acute exacerbation of HF can be treated successfully in the OU. There are significant benefits, such as admission avoidance, decreased 90-day readmissions, and decreased costs. HF requires a comprehensive management program with extensive involvement from a multidisciplinary team committed to improving care for th...

journal_title：Emergency medicine clinics of North America

authors： Peacock WF 4th,Albert NM

更新日期：2001-02-01 00:00:00

abstract：:Despite the broad technologic advancements of medicine, screening for illness in infants is highly reliant on a complete physical exam. For this reason it is critical that the examining physician not only have a thorough understanding of abnormal findings but also the normal findings and their variants. The vast major...

journal_title：Emergency medicine clinics of North America

authors： Lowe MC Jr,Woolridge DP

更新日期：2007-11-01 00:00:00

abstract：:Earache, a common emergency department presentation, may be caused by a variety of conditions, some distant from the ear. This article discusses the diagnosis and treatment of acute otitis media, otitis media with effusion, otitis externa, otitis media with ruptured tympanic membrane or tympanostomy tubes, malignant o...

journal_title：Emergency medicine clinics of North America

authors： Conover K

更新日期：2013-05-01 00:00:00

abstract：:Acute urinary retention is a common emergency genitourinary symptom. The etiology of acute retention includes obstructive, neurogenic, pharmacologic, and psychogenic causes. The emergency management of acute urinary retention is bladder decompression, which is usually accomplished with a Foley catheter. ...

journal_title：Emergency medicine clinics of North America

authors： Fontanarosa PB,Roush WR

更新日期：1988-08-01 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

authors： Young JS,White LM

更新日期：2019-05-01 00:00:00

abstract：:Knowledge of the basics of pediatric ECG interpretation is helpful in differentiating normal from abnormal findings. These basics include familiarity with the age-related normal findings in heart rate, intervals, axis, and waveform morphologies; an understand-ing of cardiac physiologic changes associated with age and ...

journal_title：Emergency medicine clinics of North America

authors： Sharieff GQ,Rao SO

更新日期：2006-02-01 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

authors： Mattox KL,Allen MK

更新日期：1984-11-01 00:00:00

abstract：:Acid-base disorders should be considered a process with the goal being to treat the patient and the underlying condition, not the numbers. A good understanding of the normal acid-base regulation in the body, as well as the most common derangements can prepare the emergency physician for this very common disorder that ...

journal_title：Emergency medicine clinics of North America

authors： Rice M,Ismail B,Pillow MT

更新日期：2014-05-01 00:00:00