Managed care ethics: an emergency?

abstract：:Leeches have been used as a medicinal remedy for years untold. Recently, there appears to have been a resurgence in the use of the medicinal leech, Hirudo medicinalis. Presented is the case of a patient who called the emergency department for advice concerning the management of a bleeding leech bite. We discuss briefl...

journal_title：Annals of emergency medicine

authors： Adams SL

更新日期：1989-03-01 00:00:00

abstract：:As the sciences of emergency medicine and acute care medicine develop, it becomes imperative for researchers in these fields to accurately and completely report the methodology of their investigations. It is only through complete reporting that other investigators can critically examine, replicate, or expand on the re...

journal_title：Annals of emergency medicine

authors： Brown CG,Kelen GD,Moser M,Moeschberger ML,Rund DA

更新日期：1985-10-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether the addition of a single aerosolized dose of glycopyrrolate leads to a greater improvement in pulmonary function than treatment with albuterol alone for patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). DESIGN:Prospective, randomized, blinded, cont...

journal_title：Annals of emergency medicine

authors： Cydulka RK,Emerman CL

更新日期：1995-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether emergency medical services (EMS) run reports adequately document vehicle damage when compared with vehicle photographs by using a traffic accident scoring system. DESIGN:A prospective study consisting of three phases: photographing motor vehicle collisions and collecting their resp...

journal_title：Annals of emergency medicine

authors： Hunt RC,Brown RL,Cline KA,Krohmer JR,McCabe JB,Whitley TW

更新日期：1993-04-01 00:00:00

abstract：:We describe a patient with a long history of rheumatoid arthritis who presented in full cardiopulmonary arrest. He was given intracardiac epinephrine. Fibroptic laryngoscopy determined the cause of the arrest to be upper airway obstruction from cricoarytenoid joint ankylosis, a complication of long-standing rheumatoid...

journal_title：Annals of emergency medicine

authors： Kandora TF,Gilmore IM,Sorber JA,Rose FB,Matta II

更新日期：1985-07-01 00:00:00

abstract：STUDY OBJECTIVES:To reappraise Boehler's angle and evaluate factors, including centering of the central beam, sex of subjects, and side of the body, that may affect angle measurement. DESIGN:Retrospective clinical review. SETTING:Emergency department, Level I trauma center. TYPE OF PARTICIPANTS:120 consecutive patie...

journal_title：Annals of emergency medicine

authors： Chen MY,Bohrer SP,Kelley TF

更新日期：1991-02-01 00:00:00

abstract：:Antiarrhythmic agents have been used to treat malignant ventricular arrhythmias in the setting of acute myocardial ischemia with proven efficacy for many years. Thus, it has been presumed that these agents would be efficacious for the treatment of cardiac arrest. Unfortunately, hard data supporting this contention are...

journal_title：Annals of emergency medicine

authors： Jaffe AS

更新日期：1993-02-01 00:00:00

abstract：:Autoerythrocyte sensitization syndrome is characterized by sudden and spontaneous painful bruising and swelling occurring in young female patients with psychiatric disorders. This syndrome may present with such severe swelling of involved areas that aspiration or excision may be needed to relieve pressure. The present...

journal_title：Annals of emergency medicine

authors： Tomec RJ,Walsh M,Garcia JC,Jordan PK

更新日期：1989-07-01 00:00:00

abstract：OBJECTIVE:We determine the feasibility and yield of universal opt-out HIV screening among adolescents and adults in a southeastern emergency department (ED) serving a semiurban-semirural population. METHODS:Individuals aged 13 to 64 years who visited the ED during specified hours received the OraQuick rapid HIV test (...

journal_title：Annals of emergency medicine

authors： Sattin RW,Wilde JA,Freeman AE,Miller KM,Dias JK

更新日期：2011-07-01 00:00:00

abstract：:Acoustic otoscopy detects middle ear pathology by measuring the ability of the tympanic membrane to reflect sound. Fluid or thickening of the tympanic membrane increases sound reflection. We conducted a study to compare acoustic otoscopy with pneumatic otoscopy in identifying middle ear pathology in 80 children (160 e...

journal_title：Annals of emergency medicine

authors： Jehle D,Cottington E

更新日期：1989-04-01 00:00:00

abstract：:We report the cases of three patients with residual symptoms from diving decompression sickness, each of whom presented to a recompression chamber three to seven days following original exposure. All three had complete resolution of symptomatology despite the delayed treatment. The late resolution of symptoms is evide...

journal_title：Annals of emergency medicine

authors： Myers RA,Bray P

更新日期：1985-03-01 00:00:00

abstract：:We present the case of a 27-year-old man who sustained a minor head injury and presented with complaints of headache and vomiting. The diagnosis of vertex epidural hematoma is discussed. ...

journal_title：Annals of emergency medicine

authors： Plotkin FR,Burke TF

更新日期：1994-08-01 00:00:00

abstract：STUDY OBJECTIVES:The health care needs of the elderly population are significantly different from those of younger patients and require special knowledge and skills on the part of emergency physicians. The purpose of this study was to identify the nature and extent of geriatric training currently provided to emergency ...

journal_title：Annals of emergency medicine

authors： Jones JS,Rousseau EW,Schropp MA,Sanders AB

更新日期：1992-07-01 00:00:00

abstract：:A seven-year-old boy ingested 3,000 mg (125 mg/kg) of isoniazid. Initial blood levels of isoniazid were 250 micrograms/mL approximately six hours after ingestion. Despite IV treatment in the emergency department with 3,000 mg pyridoxine and a repeat of the same antidote one hour later in the intensive care unit, the h...

journal_title：Annals of emergency medicine

authors： Orlowski JP,Paganini EP,Pippenger CE

更新日期：1988-01-01 00:00:00

abstract：:The situational crisis is a period of acute disorganization of affective cognitive and behavioral function precipitated by a traumatic life experience. We review the clinical features of a situational crisis and the four phases of the crisis sequence. Special emphasis is placed on the practical principles of treatment...

journal_title：Annals of emergency medicine

authors： Rabin PL,Hussain G

更新日期：1983-05-01 00:00:00

abstract：:Methemoglobinemia must be considered in the differential diagnosis of the cyanotic patient. Methemoglobin cannot carry oxygen or carbon dioxide. Methemoglobinemia can result from exposure to a wide variety of chemicals, including many commonly prescribed drugs, usually in an overdose situation. Most cases require only...

journal_title：Annals of emergency medicine

authors： Curry S

更新日期：1982-04-01 00:00:00

abstract：STUDY OBJECTIVE:Throughout the coronavirus disease 2019 pandemic, many emergency departments have been using passive protective enclosures ("intubation boxes") during intubation. The effectiveness of these enclosures remains uncertain. We sought to quantify their ability to contain aerosols using industry standard test...

journal_title：Annals of emergency medicine

authors： Turer DM,Good CH,Schilling BK,Turer RW,Karlowsky NR,Dvoracek LA,Ban H,Chang JS,Rubin JP

更新日期：2021-01-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the speed of IV access and the rate of infusion for saphenous venous cutdown and percutaneous femoral catheterization. DESIGN:Prospective, randomized, multicentered trial. Patient enrollment occurred from September 1990 through September 1991. SETTING:Patients were enrolled at three urban L...

journal_title：Annals of emergency medicine

authors： Westfall MD,Price KR,Lambert M,Himmelman R,Kacey D,Dorevitch S,Mathews J

更新日期：1994-03-01 00:00:00

abstract：STUDY OBJECTIVE:The presence of leukocyte esterase by urine dipstick and microscopic pyuria are both indicators of possible urinary tract infection. The effect of urine concentration on the diagnostic performance of the urinalysis for pediatric urinary tract infection has not been studied. Our objective is to determine...

journal_title：Annals of emergency medicine

authors： Chaudhari PP,Monuteaux MC,Shah P,Bachur RG

更新日期：2017-07-01 00:00:00

abstract：:Mechanical interventions in acute ischemic stroke promise to provide emergency physicians with tools to treat patients in whom conventional thrombolysis might be ineffective or contraindicated, including most patients with stroke who arrive at the emergency department beyond the 3-hour time window for intravenous tiss...

journal_title：Annals of emergency medicine

authors： Leary MC,Saver JL,Gobin YP,Jahan R,Duckwiler GR,Vinuela F,Kidwell CS,Frazee J,Starkman S

更新日期：2003-06-01 00:00:00

abstract：:Early experience with the use of tissue plasminogen activator (tPA) in acute myocardial infarction is reviewed, including comparisons with other thrombolytic agents, a summary of hemorrhagic complications associated with its use, and the rationale for adjunctive therapeutic strategies. The use of tPA has been associat...

journal_title：Annals of emergency medicine

authors： Califf RM,Mantell S,Westawski C,Bride W,Honan MB,Bellinger RL,Wall TC

更新日期：1988-11-01 00:00:00

abstract：:A survey completed by 265 emergency medical technicians (EMTs) who provide emergency prehospital care in a rural area included a stress inventory for health professionals and a job satisfaction scale. Logistic regression indicated that the 118 paid EMTs were more likely to be dissatisfied with the freedom they have on...

journal_title：Annals of emergency medicine

authors： Allison EJ Jr,Whitley TW,Revicki DA,Landis SS

更新日期：1987-06-01 00:00:00

abstract：:Presented is a rationale for use of a new class of drugs, the iron chelating agents, in advanced cardiac life support (ACLS) to prevent late deaths and brain damage following successful cardiopulmonary resuscitation. The relevant biochemical hypothesis states that free iron ions, liberated from bound intracellular sto...

journal_title：Annals of emergency medicine

authors： Babbs CF

更新日期：1985-08-01 00:00:00

abstract：:Exposure to blood and body fluids that may be contaminated with infectious agents is a common occupational hazard for health care workers. Health care workers in the emergency department or out-of-hospital setting are at especially high risk for exposure to blood or body fluids. Nonemergency health care workers are fr...

journal_title：Annals of emergency medicine

authors： Moran GJ

更新日期：2000-01-01 00:00:00

abstract：:The 1982 US Festival, a three-day outdoor rock music festival, attracted close to 410,000 people. Through a private contractor, a group of physicians participated in the design, administration, and implementation of medical care for this event. Basic ambulatory care was provided by a multitiered approach, using emerge...

journal_title：Annals of emergency medicine

authors： Ounanian LL,Salinas C,Shear CL,Rodney WM

更新日期：1986-05-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to characterize the clinical manifestations, outcome, and etiology of inadvertent ketamine overdose in the emergency department. METHODS:We investigated cases of inadvertent ketamine overdose in children seen in the ED solicited through electronic mail subscription lists or reported to the In...

journal_title：Annals of emergency medicine

authors： Green SM,Clark R,Hostetler MA,Cohen M,Carlson D,Rothrock SG

更新日期：1999-10-01 00:00:00

abstract：STUDY OBJECTIVE:Postoverdose interventions that deploy peer recovery support specialists to emergency departments (EDs) are a promising response to opioid overdoses among patients presenting in EDs. The objective of this study was to elicit patients' perspectives regarding the feasibility and acceptability of such an i...

journal_title：Annals of emergency medicine

authors： Wagner KD,Mittal ML,Harding RW,Smith KP,Dawkins AD,Wei X,Woodard S,Roget NA,Oman RF

更新日期：2020-12-01 00:00:00

abstract：STUDY PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with spontaneous paroxysmal supraventricular tachycardia (PSVT). DESIGN:An eight-month prospective outcome study. POPULATION:Patients 16 or more years old with PSVT by surface ECG criteria. Patients were excluded if ...

journal_title：Annals of emergency medicine

authors： Cairns CB,Niemann JT

更新日期：1991-07-01 00:00:00

abstract：:Recent investigations suggest that increased intrathoracic pressure causing compression of the heart and great vessels in the thorax plays an important role in providing blood flow during cardiopulmonary resuscitation. This communication reports the case of a four-year-old asphyxiated girl found to have a small amount...

journal_title：Annals of emergency medicine

authors： Forney J,Ornato JP

更新日期：1980-12-01 00:00:00

abstract：:Maprotiline, a new tetracyclic antidepressant, has a pattern of toxicity that is different from that of tricyclics. Maprotiline overdosage appears more likely to cause seizures but less likely to cause the peripheral autonomic and cardiac manifestations seen with tricyclics. Two cases of maprotiline overdose resulting...

journal_title：Annals of emergency medicine

authors： Northup L,Reed G,McAnalley B,Anderson RJ

更新日期：1984-06-01 00:00:00