New drugs of abuse.

abstract：:Despite recent advances, care of the post-cardiac arrest patient remains a challenge. In this article, the authors discuss an approach to the initial care of post-cardiac arrest patients with particular focus on targeted temperature management (TTM). The article starts with history, physiologic rationale, and the majo...

journal_title：Emergency medicine clinics of North America

authors： Walker AC,Johnson NJ

更新日期：2019-08-01 00:00:00

abstract：:Helium-oxygen ("heliox") mixtures have been used for decades in the treatment of various respiratory problems ranging from acute upper airway obstructions to lower airway derangements, such as asthma and exacerbations of chronic bronchitis. This review presents a brief history of helium and helium-oxygen mixtures and ...

journal_title：Emergency medicine clinics of North America

authors： McGarvey JM,Pollack CV

更新日期：2008-11-01 00:00:00

abstract：:This article discusses clinical presentations and diagnostic approaches to acute coronary syndrome in the emergency department. ...

journal_title：Emergency medicine clinics of North America

authors： Yiadom MY

更新日期：2011-11-01 00:00:00

abstract：:Ultrasonography has emerged as a primary imaging modality in the evaluation of the trauma victim. Both emergency physicians and surgeons have been proven capable of performing this rapid, noninvasive evaluation of the chest and abdomen. This article describes the trauma ultrasound examination and illustrates how bedsi...

journal_title：Emergency medicine clinics of North America

authors： Melanson SW,Heller M

更新日期：1998-02-01 00:00:00

abstract：:This article focuses on the use of hyperbaric oxygen therapy (HBOt) in the treatment of open fractures and crush injuries. Based on the clinical evidence and cost analysis, medical institutions that treat open fracture and crush injuries are justified in incorporating HBOt as a standard of care. Both Medicare and Unde...

journal_title：Emergency medicine clinics of North America

authors： Buettner MF,Wolkenhauer D

更新日期：2007-02-01 00:00:00

abstract：:Sepsis and septic shock remain all too frequent syndromes in modern medicine with unacceptably high mortality rates. Physicians must be aware of the many ways in which sepsis and septic shock may present and the multiple differential diagnoses. Early recognition and prompt institution of empiric therapy are of utmost ...

journal_title：Emergency medicine clinics of North America

authors： Ellrodt AG

更新日期：1986-11-01 00:00:00

abstract：:In recent years, health care providers have sounded the call that the US mental health system is in crisis. With decreases in funding and eroding access to care, the availability of psychiatric services has become increasingly limited, failing to meet growing needs. This article provides a brief history of mental heal...

journal_title：Emergency medicine clinics of North America

authors： Halmer TC,Beall RC,Shah AA,Dark C

更新日期：2015-11-01 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：:Stroke should not solely be considered a disease of the elderly, and racial disparities are most evident among young adults. Acute stroke can present at any age and it is important to be familiar with the evaluation and treatment of stroke to provide timely care. The National Institute of Health Stroke Scale helps phy...

journal_title：Emergency medicine clinics of North America

authors： Pare JR,Kahn JH

更新日期：2012-08-01 00:00:00

abstract：:Pediatric mechanical ventilation is first initiated by emergency physicians when performing active airway management in a critically ill or injured child. When initiating and adjusting mechanical ventilation, the child has unique anatomy and physiology to consider. The EP is the first to respond to ventilator alarm tr...

journal_title：Emergency medicine clinics of North America

authors： Pacheco GS,Mendelson J,Gaspers M

更新日期：2018-05-01 00:00:00

abstract：:Few presentations to the emergency department are as critical or dramatic as the patient in shock. Cardiovascular disasters that commonly present with shock include massive pulmonary embolism, cardiac tamponade, aortic dissection and aneurysm, and cardiogenic shock associated with acute myocardial infarction. Because ...

journal_title：Emergency medicine clinics of North America

authors： Rodgers KG

更新日期：1995-11-01 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

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：: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：:LSD is still readily available in the United States as a street drug of abuse. Emergency physicians may be called on to diagnose acute LSD intoxication in cases in which the history is unavailable. The typical LSD intoxication syndrome causes marked illusions of color and sound, along with a feeling of "cosmic awarene...

journal_title：Emergency medicine clinics of North America

authors： Kulig K

更新日期：1990-08-01 00:00:00

abstract：:The clinical spectrum of hyperthyroidism varies from asymptomatic,subclinical hyperthyroidism to the life-threatening "thyroid storm". Hyperthyroidism is a common form of thyroid disease that mimics many of the common complaints in the emergency department. The diagnosis of hyperthyroidism is often challenging due to ...

journal_title：Emergency medicine clinics of North America

authors： McKeown NJ,Tews MC,Gossain VV,Shah SM

更新日期：2005-08-01 00:00:00

abstract：:As the number of advanced practice providers has grown in emergency medicine, establishment of guidelines and policies governing their practice has become increasingly important. This article addresses the scope of practice of physician assistants and nurse practitioners working in the emergency department, including ...

journal_title：Emergency medicine clinics of North America

authors： Clark A,Amanti C,Sheng AY

更新日期：2020-05-01 00:00:00

abstract：:Stroke is rare in children but leads to significant morbidity and mortality. Emergency department physicians are likely to be the first to evaluate children suffering strokes and it is, therefore, important for them to recognize common presenting features and risk factors for pediatric stroke. This review describes th...

journal_title：Emergency medicine clinics of North America

authors： Freundlich CL,Cervantes-Arslanian AM,Dorfman DH

更新日期：2012-08-01 00:00:00

abstract：:The pathophysiology of esophageal and gastric disorders is complicated and broad and includes iatrogenic, structural, inflammatory, neuromuscular, neoplastic, and infectious causes. Symptoms can be nonspecific and are often initially attributed to cardiac or respiratory causes. These disorders have both acute and chro...

journal_title：Emergency medicine clinics of North America

authors： Mangili A

更新日期：2011-05-01 00:00:00

abstract：:Defibrillation has emerged as the single most effective intervention for resuscitation of patients from cardiac arrest. This article reviews the electrophysiologic basis of defibrillation, and ways to increase the effectiveness of counter-shocks, particularly for refractory ventricular fibrillation. Automatic implanta...

journal_title：Emergency medicine clinics of North America

authors： Cummins RO

更新日期：1988-05-01 00:00:00

abstract：:This article discusses the management of clinical problems encountered particularly in disasters. These include the principles of multiple-casualty triage, and field and hospital management of blast injury, crush syndrome, compartment syndrome, particulate inhalation, and traumatic asphyxiation. The indications for ex...

journal_title：Emergency medicine clinics of North America

authors： Gans L,Kennedy T

更新日期：1996-05-01 00:00:00

abstract：:Pediatric cardiac arrest is a relatively rare but devastating presentation in infants and children. In contrast to adult patients, in whom a primary cardiac dysrhythmia is the most likely cause of cardiac arrest, pediatric patients experience cardiovascular collapse most frequently after an initial respiratory arrest....

journal_title：Emergency medicine clinics of North America

authors： Mick NW,Williams RJ

更新日期：2020-11-01 00:00:00

abstract：:Patients with complications of chemotherapy, either acute or chronic, are frequently encountered in the emergency department (ED). Some patients present with complaints immediately after chemotherapy administration, whereas others may show subtle, secondary signs or may have no signs or symptoms of chemotoxicity. An i...

journal_title：Emergency medicine clinics of North America

authors： Young JS,Simmons JW

更新日期：2014-08-01 00:00:00

abstract：:Determining the appropriate immunizations for international travelers is a complex, multifaceted process. This article proposes a stepwise and systematic approach to the immunization needs of the traveler-patient. Vaccines for routine health maintenance as well as special issues of the elderly, pregnant, immunocomprom...

journal_title：Emergency medicine clinics of North America

authors： Thanassi WT,Weiss EL

更新日期：1997-02-01 00:00:00

abstract：:Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitat...

journal_title：Emergency medicine clinics of North America

authors： Noel C,Mallemat H

更新日期：2019-08-01 00:00:00

abstract：:Acute human immunodeficiency virus (HIV) infection, also known as primary HIV infection, is the initial phase of infection, spanning from inoculation to the establishment of CD4 count and viral load set points. This phase is marked by dynamic changes in viral replication and host immune responses and contains 2 import...

journal_title：Emergency medicine clinics of North America

authors： Self WH

更新日期：2010-05-01 00:00:00

abstract：:Acute dyspnea in older patients is a common presentation to the emergency department. Acute dyspnea in older adults is often the consequence of multiple overlapping disorders, such as pneumonia precipitating acute heart failure. Emergency physicians must be comfortable managing patients with acute dyspnea of uncertain...

journal_title：Emergency medicine clinics of North America

authors： Tyler K,Stevenson D

更新日期：2016-02-01 00:00:00

abstract：:Blunt abdominal trauma results in potentially life-threatening injuries that require organized rapid evaluation and treatment. Resuscitation of hemodynamically unstable patients should be completed in the operating room if retroperitoneal hemorrhage is not strongly suspected. DPL and abdominal CT scans are methods of ...

journal_title：Emergency medicine clinics of North America

authors： Smedira N,Schecter WP

更新日期：1989-08-01 00:00:00

abstract：:US is the imaging modality of choice in many situations encountered in the Emergency Department. It is particularly useful in evaluating renal colic, pain or vaginal bleeding in the pregnant patient, and pelvic pain in the nonpregnant woman; and in diagnosing gallbladder disease, appendicitis, proximal lower extremity...

journal_title：Emergency medicine clinics of North America

authors： Chang TS,Lepanto L

更新日期：1992-02-01 00:00:00

abstract：:General management of the patient who has ingested an overdose of psychoactive medication is emphasized, since the suicidal patient has almost invariably taken multiple substances and often alcohol as well. The drug groups considered in detail include the sedative hypnotics, tricyclic antidepressants, phenothiazines, ...

journal_title：Emergency medicine clinics of North America

authors： Goldfrank L,Flomenbaum N,Weisman R

更新日期：1984-02-01 00:00:00