Neutral cervical spine positioning in children.

abstract：:Patients who suffer an in-hospital cardiac arrest represent a neglected and underutilized resource for resuscitation research. There exists an unwritten, but widely held, belief among resuscitation researchers that the in-hospital arrest population is unsuitable for resuscitation research because it is composed mostly...

journal_title：Annals of emergency medicine

authors： Jastremski MS

更新日期：1993-01-01 00:00:00

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

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

更新日期：1989-10-01 00:00:00

abstract：STUDY OBJECTIVES:Emergency medical services (EMS) is an important part of the health care system. The effect of EMS on morbidity, mortality, and costs of illness is difficult to evaluate because hospital information is not available in out-of-hospital databases. We used probabilistic linkage to create such a database f...

journal_title：Annals of emergency medicine

authors： Dean JM,Vernon DD,Cook L,Nechodom P,Reading J,Suruda A

更新日期：2001-06-01 00:00:00

abstract：:Recent developments, such as the bombings of the World Trade Center in 1993 and the Alfred P. Murrah Federal Building in Oklahoma City in 1995, the sarin attacks in Tokyo and Matsumoto, Japan, and US Embassy bombings in Kenya and Tanzania in 1998, have heightened fears of terrorist attacks. Future terrorist activities...

journal_title：Annals of emergency medicine

authors： Richards CF,Burstein JL,Waeckerle JF,Hutson HR

更新日期：1999-08-01 00:00:00

abstract：:A double-blind prospective study of 98 patients was carried out, but 57 (58%) returned for follow-up and form the basis of this report. Wound irrigation and debridement were found to be important in reducing infection. Hand wounds were most likely to become infected; face and scalp wounds were at low risk. Puncture wo...

journal_title：Annals of emergency medicine

authors： Callaham M

更新日期：1980-08-01 00:00:00

abstract：STUDY OBJECTIVE:To assess whether bystander CPR (BCPR) on collapse affects initial rhythm and outcome in patients with witnessed, unmonitored out-of-hospital cardiac arrest (OHCA). DESIGN:Prospective cohort study. Student's t test, the chi 2 test, and logistic regression were used for analysis. SETTING:Suburban emerg...

journal_title：Annals of emergency medicine

authors： Swor RA,Jackson RE,Cynar M,Sadler E,Basse E,Boji B,Rivera-Rivera EJ,Maher A,Grubb W,Jacobson R

更新日期：1995-06-01 00:00:00

abstract：STUDY OBJECTIVE:We hypothesize that emergency department (ED) volume and increased patient complexity are associated with lower quality of care, as measured by time to antibiotics for patients being admitted with community-acquired pneumonia. METHODS:This was a cross-sectional study at a university tertiary care hospi...

journal_title：Annals of emergency medicine

authors： Fee C,Weber EJ,Maak CA,Bacchetti P

更新日期：2007-11-01 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

abstract：:Cardiac ultrasound quickly provides both anatomic and physiologic assessment of the heart at the bedside, permitting rapid diagnosis and triage of patients presenting to the emergency department with chest pain, hypotension, or dyspnea. The identification and quantification of left ventricular dysfunction by ultrasoun...

journal_title：Annals of emergency medicine

authors： Hauser AM

更新日期：1989-12-01 00:00:00

abstract：STUDY OBJECTIVE:We examine whether a specific educational effort reduces emergency department violence in the short term and quantify the amount of violence in the ED. METHODS:Cross-sectional prospective surveys were conducted at a tertiary referral center at baseline (1998) and at 3 and 6 months (1999) after the Prev...

journal_title：Annals of emergency medicine

authors： Fernandes CM,Raboud JM,Christenson JM,Bouthillette F,Bullock L,Ouellet L,Moore C,Violoence in the Emergency Department Study (VITES) Group.

更新日期：2002-01-01 00:00:00

abstract：:We present the case of a diver who experienced the acute onset of shoulder pain after a rapid ascent. It was determined that the patient had decompression sickness ("the bends") of the right shoulder and pulmonary barotrauma resulting in secondary pneumoperitoneum. He underwent decompression, with prompt resolution of...

journal_title：Annals of emergency medicine

authors： Schriger DL,Rosenberg G,Wilder RJ

更新日期：1987-11-01 00:00:00

abstract：STUDY OBJECTIVE:The study was designed to determine if open peritoneal lavage is superior to closed peritoneal lavage. DESIGN AND PARTICIPANTS:Patients who were admitted to a trauma center and needed peritoneal lavage were assigned to alternate trauma teams. Team 1 performed only open lavages one month and then switch...

journal_title：Annals of emergency medicine

authors： Troop B,Fabian T,Alsup B,Kudsk K

更新日期：1991-12-01 00:00:00

abstract：STUDY OBJECTIVE:The objective of this study is to derive a clinical decision instrument with a sensitivity of at least 95% (with upper and lower bounds of the 95% confidence intervals [CIs] within a 5% range) to identify adult emergency department patients with mild traumatic intracranial hemorrhage who are at low risk...

journal_title：Annals of emergency medicine

authors： Nishijima DK,Sena M,Galante JM,Shahlaie K,London J,Melnikow J,Holmes JF

更新日期：2014-04-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate the diagnostic accuracy of a high-sensitivity cardiac troponin T (hs-cTnT) level less than 5 ng/L or less than or equal to 14 ng/L at emergency department (ED) presentation, combined with the emergency physician's assessment of history and ECG, for ruling out major adverse cardiac events wit...

journal_title：Annals of emergency medicine

authors： Mokhtari A,Lindahl B,Smith JG,Holzmann MJ,Khoshnood A,Ekelund U

更新日期：2016-12-01 00:00:00

abstract：STUDY OBJECTIVE:We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS:This was a retrospective observational study using data from an institution-wide system to measure patient sati...

journal_title：Annals of emergency medicine

authors： Byczkowski TL,Fitzgerald M,Kennebeck S,Vaughn L,Myers K,Kachelmeyer A,Timm N

更新日期：2013-10-01 00:00:00

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

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

更新日期：1986-02-01 00:00:00

abstract：:The application of molecular biology to microbiology has led to a surge of new information about most infectious microorganisms, the pathogenesis of the infections they cause, and the specific microbial antigens involved in the immune response to these infections. The simultaneous application of the same techniques to...

journal_title：Annals of emergency medicine

authors： Engleberg NC

更新日期：1994-09-01 00:00:00

abstract：:Cardiac arrest caused by massive pulmonary embolism is highly refractory to conventional resuscitation. Emergency surgical embolectomy has been considered the only effective intervention. We present the case of a 33-year-old woman who suffered a massive pulmonary embolism with circulatory arrest refractory to one half...

journal_title：Annals of emergency medicine

authors： Langdon RW,Swicegood WR,Schwartz DA

更新日期：1989-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if intramedullary aspirate from intraosseous needle placement can be used as a source for evaluating blood compatibility. DESIGN:A prospective, nonrandomized, crossover study. SETTING/PARTICIPANTS:Patients admitted to the hematology/oncology service undergoing bone marrow aspiration for m...

journal_title：Annals of emergency medicine

authors： Brickman KR,Krupp K,Rega P,Alexander J,Guinness M

更新日期：1992-04-01 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：:Communication at discharge is an important part of high-quality emergency department (ED) care. This review describes the existing literature on patient understanding and implementation of discharge instructions, discusses previous interventions aimed at improving the discharge process, and recommends best practices a...

journal_title：Annals of emergency medicine

authors： Samuels-Kalow ME,Stack AM,Porter SC

更新日期：2012-08-01 00:00:00

abstract：:The deleterious effects of night shift work are discussed in relation to emergency physicians. Much of the early research is drawn from heavy industry sources and must be extrapolated to medical work. Disruption of circadian rhythms and Zeitgebers, caused by adherence to contemporary social schedules, causes recurrent...

journal_title：Annals of emergency medicine

authors： Michaels HE

更新日期：1984-03-01 00:00:00

abstract：:[American College of Emergency Physicians. Hospital, medical staff, and payer responsibility for emergency department patients. Ann Emerg Med. February 2000;35:210-211.]. ...

journal_title：Annals of emergency medicine

authors：

更新日期：2000-02-01 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：:A patient with primary axillary vein thrombosis was treated successfully in the emergency department with a single IV bolus of anistrepalase followed by continuous IV heparin. The patient's symptoms resolved quickly, and a repeat venogram 16 hours later showed near-complete resolution of the venous obstruction. We dis...

journal_title：Annals of emergency medicine

authors： Pires LA,Jay G

更新日期：1993-04-01 00:00:00

abstract：:Although most clinical trials comparing therapies are analyzed using classical hypothesis testing and P values, such methods do not yield the information most useful to the clinician, that is, the probability that one treatment is more efficacious than another. Bayesian inference can yield this probability but only if...

journal_title：Annals of emergency medicine

authors： Lewis RJ,Wears RL

更新日期：1993-08-01 00:00:00

abstract：:As administrators evaluate potential approaches to improve cost, quality, and throughput efficiencies in the emergency department (ED), "front-end" operations become an important area of focus. Interventions such as immediate bedding, bedside registration, advanced triage (triage-based care) protocols, physician/pract...

journal_title：Annals of emergency medicine

authors： Wiler JL,Gentle C,Halfpenny JM,Heins A,Mehrotra A,Mikhail MG,Fite D

更新日期：2010-02-01 00:00:00

abstract：STUDY OBJECTIVES:To develop a practical procedure for producing a nomogram describing the relationship between the osmolality gap and serum ethanol concentrations that is appropriate for the formulas and analytical methodologies in use at any laboratory. DESIGN:Retrospective review of serum sodium, glucose, urea nitro...

journal_title：Annals of emergency medicine

authors： Galvan LA,Watts MT

更新日期：1992-11-01 00:00:00

abstract：:Presented is the case of a motor vehicle accident (MVA) victim with hypotension and evisceration of small intestine. Vigorous resuscitation in the emergency department was required, after which a portion of small bowel was resected at laparotomy. Evisceration secondary to trauma in an MVA is a rare injury. Significant...

journal_title：Annals of emergency medicine

authors： Majernick TG,West JC,Snover W,Brotman S

更新日期：1984-08-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of different doses of the vasopressor angiotensin II on aortic diastolic and coronary perfusion pressures in a swine model of cardiac arrest. DESIGN:Immature swine were anesthetized and hemodynamically monitored. Ventricular fibrillation was induced; CPR was begun after ten minut...

journal_title：Annals of emergency medicine

authors： Little CM,Hobson JL,Brown CG

更新日期：1993-02-01 00:00:00