Evaluation of pancreatic injury after blunt abdominal trauma.

abstract：:Ethanol disrupts the physical structure of cell membranes. The most fluid membranes, including those that are low in cholesterol, are the most easily disordered by ethanol. Although the membrane-disordering effect is small, there is pharmacological, temporal, and genetic evidence that it is important. Animals that are...

journal_title：Annals of emergency medicine

authors： Goldstein DB

更新日期：1986-09-01 00:00:00

abstract：:Life-threatening hypothermia can be treated by active and passive rewarming techniques, the treatment of choice being partial cardiopulmonary bypass. The use of closed thoracic cavity lavage has been evaluated in animals, but no formal presentations in human beings have been reported. We report two cases in which rapi...

journal_title：Annals of emergency medicine

authors： Hall KN,Syverud SA

更新日期：1990-02-01 00:00:00

abstract：:Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), is a propionic acid derivative that possesses analgesic and antipyretic properties through inhibition of prostaglandin synthesis. The propionic acids have been considered the least toxic of the NSAIDs, and one, ibuprofen, is currently available as an over-the-co...

journal_title：Annals of emergency medicine

authors： Martinez R,Smith DW,Frankel LR

更新日期：1989-10-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to compare triage designations derived from in-person and telephone interviews and systematically examine the effect of visual cues, vital signs, and complaint-based protocols on the triage process. METHODS:We conducted a 2-phase, prospective, observational study employing a randomized, cros...

journal_title：Annals of emergency medicine

authors： Salk ED,Schriger DL,Hubbell KA,Schwartz BL

更新日期：1998-12-01 00:00:00

abstract：:Significant evidence identifies point-of-care ultrasound (PoCUS) as an important diagnostic and therapeutic tool in resource-limited settings. Despite this evidence, local health care providers on the African continent continue to have limited access to and use of ultrasound, even in potentially high-impact fields suc...

journal_title：Annals of emergency medicine

authors： Salmon M,Landes M,Hunchak C,Paluku J,Malemo Kalisya L,Salmon C,Muller MM,Wachira B,Mangan J,Chhaganlal K,Kalanzi J,Azazh A,Berman S,Zied ES,Lamprecht H

更新日期：2017-02-01 00:00:00

abstract：STUDY OBJECTIVE:We describe the characteristics and outcomes of enrollee-health plan disputes over insurance coverage for emergency department (ED) services at 2 large health maintenance organizations (HMOs) that apply the prudent layperson standard. METHODS:We abstracted information from a stratified random sample of...

journal_title：Annals of emergency medicine

authors： Gresenz CR,Studdert DM

更新日期：2004-02-01 00:00:00

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

authors： Lilja GP,Clinton J,Mahoney B

更新日期：1984-09-01 00:00:00

abstract：:During a 3-month period, a 33-year-old man presented to the emergency department on 4 occasions with dyspnea, palpitations, and syncope. His initial presentation was accompanied by acute myocardial injury and ventricular fibrillation. An extensive evaluation spanned the 3 months and included echocardiography, cardiac ...

journal_title：Annals of emergency medicine

authors： Rohr SM,Rich MW,Silver KH

更新日期：2005-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effects of early fluid resuscitation on the rate, volume, and duration of hemorrhage using a sheep model of uncontrolled pulmonary vascular hemorrhage. METHODS:Sixteen adult sheep were anesthetized and fitted with catheters to measure systemic and pulmonary artery pressures. A branch o...

journal_title：Annals of emergency medicine

authors： Sakles JC,Sena MJ,Knight DA,Davis JM

更新日期：1997-03-01 00:00:00

abstract：:During the past 30 years, emergency medical services (EMS) in the United States have experienced explosive growth. The American health care system is now transforming, providing an opportune time to examine what we have learned over the past three decades in order to create a vision for the future of EMS. Over the cou...

journal_title：Annals of emergency medicine

authors： Delbridge TR,Bailey B,Chew JL Jr,Conn AK,Krakeel JJ,Manz D,Miller DR,O'Malley PJ,Ryan SD,Spaite DW,Stewart RD,Suter RE,Wilson EM

更新日期：1998-02-01 00:00:00

abstract：:Nine dogs were hemorrhaged to approximately 40% of their blood volume and then were resuscitated with a crystalloid solution (Normosol) at various flow rates. Three study groups with three dogs in each group were resuscitated at 15 mL/min/kg (Group 1), 6 mL/min/kg (Group 2), and 4 mL/min/kg (Group 3). Central venous p...

journal_title：Annals of emergency medicine

authors： Dula DJ,Lutz P,Vogel MF,Weaver BN

更新日期：1985-04-01 00:00:00

abstract：:Neurologic injury is a significant source of morbidity and mortality in pediatric patients. In order to clarify the factors influencing outcome in pediatric patients with severe head injury, we studied 200 consecutive patients with Glasgow Coma Scale (GCS) scores of 8 or less. The following data were collected: age, G...

journal_title：Annals of emergency medicine

authors： Mayer TA,Walker ML

更新日期：1985-12-01 00:00:00

abstract：STUDY OBJECTIVE:To develop clinical rules for the safe and effective use of flumazenil in suspected benzodiazepine overdose. METHODS:We assembled a retrospective series of 35 consecutive comatose patients admitted between October 1992 and July 1993 to a toxicologic ICU with the presumptive diagnosis of drug overdose. ...

journal_title：Annals of emergency medicine

authors： Gueye PN,Hoffman JR,Taboulet P,Vicaut E,Baud FJ

更新日期：1996-06-01 00:00:00

abstract：:A double-blind, randomized study was performed to determine the occurrence of ventricular arrhythmias in acute asthma patients treated with epinephrine, aminophylline, or both in combination. Sixty patients were studied with Holter monitoring during the 90-minute study period. There was no statistical difference among...

journal_title：Annals of emergency medicine

authors： Emerman CL,Crafford WA,Vrobel TR

更新日期：1986-06-01 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：: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

authors： Komara JS,Kottamasu L,Kottamasu SR

更新日期：1986-05-01 00:00:00

abstract：STUDY OBJECTIVE:We aim to evaluate the accuracy of the broad-range 16S polymerase chain reaction test in the diagnosis of bacterial meningitis through a systematic review and meta-analysis. METHODS:We searched MEDLINE, EMBASE, and the Cochrane Controlled Trials Registry, using the Medical Subject Headings terms "polym...

journal_title：Annals of emergency medicine

authors： Srinivasan L,Pisapia JM,Shah SS,Halpern CH,Harris MC

更新日期：2012-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether physicians blinded to the serum potassium level can predict hyperkalemia (potassium concentration of more than 5.0 mmol/L) from the ECG. DESIGN:ECGs of patients at high risk for hyperkalemia were interpreted retrospectively by two physicians blinded not only to the specific clinica...

journal_title：Annals of emergency medicine

authors： Wrenn KD,Slovis CM,Slovis BS

更新日期：1991-11-01 00:00:00

abstract：STUDY OBJECTIVE:This study investigated the hypothesis that modern computed tomographic (CT) imaging is sufficient to exclude subarachnoid hemorrhage (SAH) in patients with severe headache. METHODS:All 38,730 adult patients who presented to Hermann Hospital in Houston, Texas, during a 16-month period were prospectivel...

journal_title：Annals of emergency medicine

authors： Morgenstern LB,Luna-Gonzales H,Huber JC Jr,Wong SS,Uthman MO,Gurian JH,Castillo PR,Shaw SG,Frankowski RF,Grotta JC

更新日期：1998-09-01 00:00:00

abstract：:Although we commonly assume that because residents spend a given number of months in the emergency department they achieve adequate exposure to all necessary clinical entities, this has never been shown. We suspect, rather, that great variability exists among residents in the number and variety of patients they see; a...

journal_title：Annals of emergency medicine

authors： Langdorf MI,Strange G,Macneil P

更新日期：1990-07-01 00:00:00

abstract：:Under normal conditions a linear relationship exists between venous and arterial pH values. However, with severe metabolic and hemodynamic stress this correlation has not been established. To evaluate this relationship, nine dogs were subjected to 60 minutes of hemorrhagic shock at a mean arterial pressure of 30 mm Hg...

journal_title：Annals of emergency medicine

authors： Moore EE,Good JT

更新日期：1982-06-01 00:00:00

abstract：STUDY OBJECTIVE:In patients presenting to the emergency department (ED) with an initial diagnostic impression of noncardiac chest pain, we determine the 30-day incidence of adverse cardiac events and characteristics associated with those events. METHODS:The multicenter, prospectively collected Internet Tracking Regist...

journal_title：Annals of emergency medicine

authors： Miller CD,Lindsell CJ,Khandelwal S,Chandra A,Pollack CV,Tiffany BR,Hollander JE,Gibler WB,Hoekstra JW

更新日期：2004-12-01 00:00:00

abstract：:Verapamil is considered by many investigators to be the drug of choice for the acute management of uncomplicated PSVT. Several clinical investigators have demonstrated termination of PSVT in more than 90% of their patients within minutes following IV drug administration. The incidence of reported severe adverse reacti...

journal_title：Annals of emergency medicine

authors： Kuhn M

更新日期：1981-10-01 00:00:00

abstract：:A mathematical model for tissue thermodilution was developed to study cerebral cortical perfusion before and after controlled perfusion arrest. Cerebral cortical perfusion rates are readily determined by this method. A thermistor was introduced into the subdural space and secured in direct contact with the frontal cor...

journal_title：Annals of emergency medicine

authors： Hoehner PJ,Krause GS,White BC,Gadzinski DS

更新日期：1983-01-01 00:00:00

abstract：STUDY OBJECTIVES:To determine whether music significantly reduces the pain and anxiety associated with laceration repair in the emergency department. PARTICIPANTS AND SETTING:Adult patients presenting to the ED at an urban teaching hospital for laceration repair. Exclusion criteria included patients less than 18 years...

journal_title：Annals of emergency medicine

authors： Menegazzi JJ,Paris PM,Kersteen CH,Flynn B,Trautman DE

更新日期：1991-04-01 00:00:00

abstract：:The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology. One patient ingested 20.5 mg alprazolam before crashing his truck into parked automobiles. The patient was awakened by flumazenil administration, and the severity of his injuries was evaluated reliably. A sec...

journal_title：Annals of emergency medicine

authors： Burkhart KK,Kulig KW

更新日期：1990-03-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the sensitivity, specificity, and predictive values of a new rapid creatine kinase-MB (R-CK-MB) assay compared with a standard CK-MB (S-CK-MB) assay and to determine its potential use in the evaluation of emergency department patients with possible myocardial infarction. DESIGN:Retrospect...

journal_title：Annals of emergency medicine

authors： Green GB,Hansen KN,Chan DW,Guerci AD,Fleetwood DH,Sivertson KT,Kelen GD

更新日期：1991-09-01 00:00:00

abstract：:Two case reports of patients with anion gap metabolic lactic acidosis and hypoglycemia are presented. Both patients subsequently died of acute liver failure secondary to acetaminophen hepatotoxicity. The development of type B lactic acidosis with hypoglycemia might have been caused by a deficit in gluconeogenesis seco...

journal_title：Annals of emergency medicine

authors： Zabrodski RM,Schnurr LP

更新日期：1984-10-01 00:00:00

abstract：:Three children who presented with localized vesicular rash in the diaper area were found to have primary varicella-zoster infections. Primary varicella can closely mimic genital herpes simplex virus (HSV 1 or 2), which may be an indicator of sexual abuse. To avoid unfounded investigation for sexual abuse, primary vari...

journal_title：Annals of emergency medicine

authors： Simon HK,Steele DW

更新日期：1995-01-01 00:00:00

abstract：:Systemic toxicity after significant dermal exposure to hydrofluoric acid includes rapid development of hypocalcemia and hyperkalemia, leading to ventricular fibrillation. Similar dysrhythmias have occurred in patients after ingestion of sodium fluoride-containing compounds. Ingestion of hydrofluoric acid could induce ...

journal_title：Annals of emergency medicine

authors： Stremski ES,Grande GA,Ling LJ

更新日期：1992-11-01 00:00:00