Managed care organizations: a link in the chain of survival?

abstract：STUDY OBJECTIVE:Data on poisoning with MCPA (4-chloro-2-methyl-phenoxyacetic acid) are limited to 6 case reports. Our objective is to describe outcomes from intentional self-poisoning with MCPA in a prospective case series of 181 patients presenting to hospitals in Sri Lanka. METHODS:Patient information was collected ...

journal_title：Annals of emergency medicine

authors： Roberts DM,Seneviratne R,Mohammed F,Patel R,Senarathna L,Hittarage A,Buckley NA,Dawson AH,Eddleston M

更新日期：2005-09-01 00:00:00

abstract：:In experimental animal studies, opiate receptor antagonists (such as naloxone) and physiological opiate antagonists (thyrotropin-releasing hormone [TRH] have been used with some success to improve outcome and physiological variables following traumatic shock associated with hypovolemia, spinal cord trauma, and head in...

journal_title：Annals of emergency medicine

authors： McIntosh TK,Faden AI

更新日期：1986-12-01 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：:Randomized clinical trials, which aim to determine the efficacy and safety of drugs and medical devices, are a complex enterprise with myriad challenges, stakeholders, and traditions. Although the primary goal is scientific discovery, clinical trials must also fulfill regulatory, clinical, and ethical requirements. In...

journal_title：Annals of emergency medicine

authors： Meurer WJ,Lewis RJ,Tagle D,Fetters MD,Legocki L,Berry S,Connor J,Durkalski V,Elm J,Zhao W,Frederiksen S,Silbergleit R,Palesch Y,Berry DA,Barsan WG

更新日期：2012-10-01 00:00:00

abstract：:A prospective, randomized, blinded study was conducted to evaluate the efficacy of standard compared with high-dose epinephrine in cardiac arrest in dogs. Twenty-five mongrel dogs were anesthetized and monitored by central venous catheter, intra-arterial catheter, and ECG. A left lateral thoracotomy was performed, and...

journal_title：Annals of emergency medicine

authors： Brunette DD,Jameson SJ

更新日期：1990-01-01 00:00:00

abstract：:Many patients seeking care in the modern emergency center are capable of participating in treatment decision making. In the traditional emergency center consent process, the patient or a surrogate is asked to sign a general consent form purporting to authorize any treatment the emergency physician deems necessary. We ...

journal_title：Annals of emergency medicine

authors： Boisaubin EV,Dresser R

更新日期：1987-01-01 00:00:00

abstract：:Experimental data have suggested that pneumatic external counterpressure improves outcome in intra-abdominal hemorrhage by either a tamponade effect and/or elevation in central systemic blood pressure. As a result, the empiric use of the pneumatic antishock garment (PASG) has become a standard of care, even to the poi...

journal_title：Annals of emergency medicine

authors： Bickell WH,Pepe PE,Bailey ML,Wyatt CH,Mattox KL

更新日期：1987-06-01 00:00:00

abstract：:Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

journal_title：Annals of emergency medicine

authors： McCarty M,Jagoda A,Fairweather P

更新日期：1998-07-01 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：STUDY OBJECTIVES:To survey faculty attrition in emergency medicine and compare it with faculty attrition in the specialties of orthopedic surgery and cardiology. DESIGN:Chairmen of the three departments were surveyed regarding faculty attrition, work hours, and motivation for leaving. Those emergency physicians having...

journal_title：Annals of emergency medicine

authors： Thomas H Jr,Moorhead J,Magnusson AR,Schwartz E

更新日期：1991-01-01 00:00:00

abstract：STUDY OBJECTIVE:Anecdotal concerns suggest that health management organization (HMO) membership instructions may deter members from calling 911 or going to an emergency department for a perceived emergency. This study examines such instructions, specifically in regard to their definition of an emergency condition and a...

journal_title：Annals of emergency medicine

authors： Neely KW,Norton RL

更新日期：1999-07-01 00:00:00

abstract：:In an effort to assess the reliability of patient history in excluding pregnancy, we studied the correlation between specific historical factors and the presence of a positive qualitative serum beta-human chorionic gonadotropin assay. Two hundred eight patients were studied, and information was collected prospectively...

journal_title：Annals of emergency medicine

authors： Ramoska EA,Sacchetti AD,Nepp M

更新日期：1989-01-01 00:00:00

abstract：STUDY OBJECTIVE:We derive a prediction rule to identify children at very low risk for intra-abdominal injuries undergoing acute intervention and for whom computed tomography (CT) could be obviated. METHODS:We prospectively enrolled children with blunt torso trauma in 20 emergency departments. We used binary recursive ...

journal_title：Annals of emergency medicine

authors： Holmes JF,Lillis K,Monroe D,Borgialli D,Kerrey BT,Mahajan P,Adelgais K,Ellison AM,Yen K,Atabaki S,Menaker J,Bonsu B,Quayle KS,Garcia M,Rogers A,Blumberg S,Lee L,Tunik M,Kooistra J,Kwok M,Cook LJ,Dean JM,Sokolo

更新日期：2013-08-01 00:00:00

abstract：:Older patients account for up to a quarter of all emergency department (ED) visits. Atypical clinical presentation of illness, a high prevalence of cognitive disorders, and the presence of multiple comorbidities complicate their evaluation and management. Increased frailty, delayed diagnosis, and greater illness sever...

journal_title：Annals of emergency medicine

authors： Samaras N,Chevalley T,Samaras D,Gold G

更新日期：2010-09-01 00:00:00

abstract：:This clinical policy focuses on critical issues concerning the management of patients presenting to the emergency department (ED) with acetaminophen overdose. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: 1. What are the indications for N-acetylcysteine (...

journal_title：Annals of emergency medicine

authors： Wolf SJ,Heard K,Sloan EP,Jagoda AS,American College of Emergency Physicians.

更新日期：2007-09-01 00:00:00

abstract：STUDY OBJECTIVE:Radiology-performed transabdominal pelvic ultrasound, used to evaluate female patients with suspected pelvic pathology in the pediatric emergency department (ED), is often delayed by the need to fill the bladder. We seek to determine whether point-of-care ultrasound assessment of bladder fullness can pr...

journal_title：Annals of emergency medicine

authors： Dessie A,Steele D,Liu AR,Amanullah S,Constantine E

更新日期：2018-11-01 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：:A profoundly hypothermic 5-hour-old infant in cardiac arrest was brought to the emergency department by paramedics. The infant was found wrapped in a garbage bag inside a freezer. She had been in the freezer for approximately four hours. Her initial rectal temperature was 16.2 degrees C. Active external and core warmi...

journal_title：Annals of emergency medicine

authors： Thompson DA,Anderson N

更新日期：1994-06-01 00:00:00

abstract：STUDY OBJECTIVE:I test the hypothesis that having a gun in the home is a risk factor for adults to be killed (homicide) or to commit suicide. METHODS:Two case-control analyses were based on national samples of subjects 18 years of age or older. Homicide and suicide case subjects were drawn from the 1993 National Morta...

journal_title：Annals of emergency medicine

authors： Wiebe DJ

更新日期：2003-06-01 00:00:00

abstract：STUDY OBJECTIVE:Urinary catheters are often placed in the emergency department (ED) and are associated with an increased safety risk for hospitalized patients. We evaluate the effect of an intervention to reduce unnecessary placement of urinary catheters in the ED. METHODS:Eighteen EDs from 1 health system underwent t...

journal_title：Annals of emergency medicine

authors： Fakih MG,Heavens M,Grotemeyer J,Szpunar SM,Groves C,Hendrich A

更新日期：2014-06-01 00:00:00

abstract：:Hemodynamically unstable patients will benefit from therapy to control their blood pressure only if this pressure can be determined with accuracy. We compared the accuracy of arterial blood pressure measurements taken aboard helicopters by palpation with a Doppler device and with an oscillometric device. Twenty critic...

journal_title：Annals of emergency medicine

authors： Low RB,Martin D

更新日期：1988-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effect of the institution of out-of-hospital albuterol treatments for acute asthma on out-of-hospital time intervals emergency department (ED) morbidity. DESIGN:Retrospective chart and ambulance run report review. PARTICIPANTS:All patients who presented with a diagnosis of asthma on t...

journal_title：Annals of emergency medicine

authors： Weiss SJ,Anand P,Ernst AA,Orgeron D,May WL

更新日期：1994-11-01 00:00:00

abstract：STUDY OBJECTIVE:Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the...

journal_title：Annals of emergency medicine

authors： Houry D,Kaslow NJ,Kemball RS,McNutt LA,Cerulli C,Straus H,Rosenberg E,Lu C,Rhodes KV

更新日期：2008-04-01 00:00:00

abstract：:Stellate ganglion blockade has been previously suggested as a treatment option for intractable ventricular arrhythmia; however, its use in emergency department management of pulseless arrest with shockable rhythm has not been described. We report the case of a 65-year-old man brought in by ambulance who complained of ...

journal_title：Annals of emergency medicine

authors： Margus C,Correa A,Cheung W,Blaikie E,Kuo K,Hockensmith A,Kinas D,She T

更新日期：2020-02-01 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：:TSS is a recently described acute febrile illness characterized by hypotension, rash, desquamation, and multisystemic involvement. While most common in menstruating women, TSS also occurs in men and non-menstruating women. It is now known that the disease is caused by one or more toxins produced by the S aureus organi...

journal_title：Annals of emergency medicine

authors： Wright SW,Trott AT

更新日期：1988-03-01 00:00:00

abstract：:There is general agreement that physical examination alone is inadequate for abdominal evaluation in the multiply injured blunt trauma patient; but controversy exists regarding the preferred method of detecting intraabdominal injuries requiring celiotomy. Both peritoneal lavage and the newer computed tomography imagin...

journal_title：Annals of emergency medicine

authors： Kearney PA

更新日期：1989-12-01 00:00:00

abstract：STUDY OBJECTIVES:This study measures the effect of meeting emergency department (ED) patients' expectations for diagnostic and therapeutic interventions on patient satisfaction. METHODS:This was a cross-sectional study of consecutive patients during block enrollment periods surveyed at the beginning and end of their E...

journal_title：Annals of emergency medicine

authors： Toma G,Triner W,McNutt LA

更新日期：2009-09-01 00:00:00

abstract：:Colchicine overdose is an uncommon but serious problem that may be missed or ignored unless the physician is aware of the significant potential for, and the various stages of, toxicity. We report two fatal cases in which the potential for lethal complications was not initially realized. Both patients developed multipl...

journal_title：Annals of emergency medicine

authors： Stapczynski JS,Rothstein RJ,Gaye WA,Niemann JT

更新日期：1981-07-01 00:00:00

abstract：:Gastrointestinal obstruction is a rare complication of multiple-dose administration of activated charcoal. Previous reports deal only with obstruction after ingestion of drugs that impair gastrointestinal motility. This patient developed a small-bowel obstruction associated with the administration of multiple doses of...

journal_title：Annals of emergency medicine

authors： Goulbourne KB,Cisek JE

更新日期：1994-07-01 00:00:00