Assessing capacity.

abstract：:Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This req...

journal_title：Emergency medicine clinics of North America

authors： McCabe JL,Grossman SJ,Joyce JM

更新日期：1991-11-01 00:00:00

abstract：:Headache continues to be a frequent cause of emergency department (ED) use, accounting for 2% of all visits. Most of these headaches prove to be benign but painful exacerbations of chronic headache disorders, such as migraine, tension-type, and cluster. The goal of ED management is to provide rapid and quick relief of...

journal_title：Emergency medicine clinics of North America

authors： Friedman BW,Grosberg BM

更新日期：2009-02-01 00:00:00

abstract：:Pulmonary edema is differentiated into two categories--cardiogenic and noncardiogenic. Noncardiogenic pulmonary edema is due to changes in permeability of the pulmonary capillary membrane as a result of either a direct or an indirect pathologic process. It is a spectrum of illness ranging from the less severe form of ...

journal_title：Emergency medicine clinics of North America

authors： Perina DG

更新日期：2003-05-01 00:00:00

abstract：:Ultrasound has rapidly become an essential tool in the emergency department, specifically in procedural guidance. Its use has been demonstrated to improve the success rate of procedures, while decreasing complications. In this article, we explore some of these specific procedures involving needle guidance and structur...

journal_title：Emergency medicine clinics of North America

authors： Tirado A,Nagdev A,Henningsen C,Breckon P,Chiles K

更新日期：2013-02-01 00:00:00

abstract：:Elderly trauma patients present unique challenges and face more significant obstacles to recovery than younger patients. Despite overall higher mortality, longer length of stay, increased resource use, and higher rates of discharge to rehabilitation, most elderly trauma patients return to independent or preinjury func...

journal_title：Emergency medicine clinics of North America

authors： Callaway DW,Wolfe R

更新日期：2007-08-01 00:00:00

abstract：:Earache, a common emergency department presentation, may be caused by a variety of conditions, some distant from the ear. This article discusses the diagnosis and treatment of acute otitis media, otitis media with effusion, otitis externa, otitis media with ruptured tympanic membrane or tympanostomy tubes, malignant o...

journal_title：Emergency medicine clinics of North America

authors： Conover K

更新日期：2013-05-01 00:00:00

abstract：:The endpoints of sedation and analgesia have been more difficult than traditional physiologic parameters to measure adequately. Several clinical scoring systems have been developed in an attempt to provide more consistent and objective assessments of sedation, but the few that have been validated are cumbersome to use...

journal_title：Emergency medicine clinics of North America

authors： Blackburn P,Vissers R

更新日期：2000-11-01 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

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：:UTIs are common, potentially severe infections that the emergency physician must manage efficiently and effectively. In most cases, this entity is well recognized, and the clinician will be confident of the correct course. However, in certain populations, complications are common, and the best therapy has yet to be pr...

journal_title：Emergency medicine clinics of North America

authors： Miller O 2nd,Hemphill RR

更新日期：2001-08-01 00:00:00

abstract：:The emergency physician should be familiar with the four general categories of TP complications: malfunctions, infections and dermatitis, vascular complications, and psychiatric complications (Table 2). Each category of complication can be readily evaluated and initially managed based on a few simple steps. ...

journal_title：Emergency medicine clinics of North America

authors： Coppola M,Yealy DM

更新日期：1994-08-01 00:00:00

abstract：:Nonenhanced CT scan remains the most valuable and available neuroimaging study available in the ED. Nonenhanced CT scans are excellent for identifying acute hemorrhage, mass lesions, hydrocephalus, and cerebral edema. It is of limited value in identifying old blood, small abscesses and tumors, arteriovenous malformati...

journal_title：Emergency medicine clinics of North America

authors： Araiza J,Araiza B

更新日期：1997-08-01 00:00:00

abstract：:The transition of biphasic waveforms from ICDs to external defibrillators constitutes a significant technological advances for transthoracic defibrillation. Impedance compensation has enabled the delivery of defibrillating current adapted to each patient and each shock in the same patient. Optimally designed biphasic ...

journal_title：Emergency medicine clinics of North America

authors： White RD

更新日期：2002-11-01 00:00:00

abstract：:Epigastric pain is an extremely common complaint in the emergency department and has an associated broad differential diagnosis. In the differential it is important to consider cardiac causes that may be mistaken for gastrointestinal disorders as well as various serious intra-abdominal causes. This article highlights ...

journal_title：Emergency medicine clinics of North America

authors： Robinson P,Perkins JC Jr

更新日期：2016-05-01 00:00:00

abstract：:Diseases do not always show the usual or "classic" signs and symptoms in the elderly. Physiologic changes over the years of a long life seem to be responsible for impairment of regulation or function of many organ systems. Since function often is measured in clinical medicine by laboratory testing, physicians frequent...

journal_title：Emergency medicine clinics of North America

authors： Kelso T

更新日期：1990-05-01 00:00:00

abstract：:This issue of the Emergency Medicine Clinics of North America focuses on the spectrum of public health issues that significantly impact the practice of emergency medicine and which are faced by practicing emergency physicians on daily basis. Topics include public health research in the emergency department; respirator...

journal_title：Emergency medicine clinics of North America

authors： Hirshon JM,Morris DM

更新日期：2006-11-01 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：:Because of the altered physiology of the elderly population, either as a result of aging or as a result of other disease processes, many illnesses may present with features that are either atypical or nonspecific in nature. Difficult and nonspecific complaints such as weakness in an elderly patient must be handled in ...

journal_title：Emergency medicine clinics of North America

authors： Chew WM,Birnbaumer DM

更新日期：1999-02-01 00:00:00

abstract：:Academic emergency departments (EDs) play a vital role in provision of emergency care and contribute to training of resident physicians. Academic EDs also generate innovations and discoveries through clinical research within academic medical centers. However, academic EDs face challenges when initiating operational pr...

journal_title：Emergency medicine clinics of North America

authors： Vinton D,Sanchez LD

更新日期：2020-08-01 00:00:00

abstract：:Although laryngotracheobronchitis is the most common upper respiratory tract disorder in pediatrics, several other diseases are potentially life-threatening. The emergency physician must recognize both the obvious and subtle distinctions among upper airway diseases. The status of the patient's airway remains the prima...

journal_title：Emergency medicine clinics of North America

authors： Bank DE,Krug SE

更新日期：1995-05-01 00:00:00

abstract：:Essential aspects of emergency department assessment and initial treatment of patients with traumatic amputations are outlined. Pitfalls of early treatment and indications for replantation are discussed. The dogmatic approach is avoided. ...

journal_title：Emergency medicine clinics of North America

authors： Schlenker JD,Koulis CP

更新日期：1993-08-01 00:00:00

abstract：:The management of the patient presenting to the Emergency Department with nephrolithiasis or renal colic should include evaluation of the patient for concurrent diseases, risk factors for stone formation, and possible etiologies for stones. Suspicion of ureterolithiasis is based on a cogent history and physical examin...

journal_title：Emergency medicine clinics of North America

authors： Stewart C

更新日期：1988-08-01 00:00:00

abstract：:Heat-related illness represents a continuum of disorders from minor syndromes such as heat cramps, heat syncope, and heat exhaustion to the severely life-threatening disorder known as heat stroke. It represents an important cause of wilderness-related morbidity and mortality. ...

journal_title：Emergency medicine clinics of North America

authors： Lugo-Amador NM,Rothenhaus T,Moyer P

更新日期：2004-05-01 00:00:00

abstract：:The definition of a transient ischemic attack (TIA) has evolved over the past decade from a clinical diagnosis to a tissue-based definition based on neuroimaging results. TIA shares the same pathophysiology as stroke, which occurs in up to 5% of patients within 48 hours of the TIA and 10% within 90 days. This rate is ...

journal_title：Emergency medicine clinics of North America

authors： Duca A,Jagoda A

更新日期：2016-11-01 00:00:00

abstract：:Cardiogenic pulmonary edema (CPE) is a life-threatening condition that is frequently encountered in standard emergency medicine practice. Traditionally, diagnosis was based on physical assessment and chest radiography and treatment focused on the use of morphine sulfate and diuretics. Numerous advances in diagnosis an...

journal_title：Emergency medicine clinics of North America

authors： Mattu A,Martinez JP,Kelly BS

更新日期：2005-11-01 00:00:00

abstract：:Neurologic and myopathic complications of alcoholism are multiple and diverse, affecting both the central and peripheral nervous systems. In the ED, initial concern is for diagnosing readily reversible causes and ruling out possible life- or limb-threatening etiologies. A rapid assessment of the ABCs, a fingerstick bl...

journal_title：Emergency medicine clinics of North America

authors： Wrenn KD,Slovis CM

更新日期：1990-11-01 00:00:00

abstract：:Sepsis is recognized by the presence of physiologic and laboratory changes that reflect the inflammatory response to infection on cellular and systemic levels. Comorbid conditions, such as cirrhosis, end-stage renal disease, and obesity, alter patients' susceptibility to infection and their response to it once present...

journal_title：Emergency medicine clinics of North America

authors： Borloz MP,Hamden KE

更新日期：2017-02-01 00:00:00

abstract：:Emergency medicine physicians are uniquely positioned to detect manifestations of human immunodeficiency virus (HIV) disease in the head and neck region. Awareness of the myriad of opportunistic infections and malignancies that involve the head, neck, and eyes is paramount to their diagnosis and treatment. On occasion...

journal_title：Emergency medicine clinics of North America

authors： Moayedi S

更新日期：2010-05-01 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：:The porphyrias are a group of disorders involving enzymatic defects in heme synthesis. The porphyrias classically manifest neuro-visceral or photocutaneous symptoms based on which enzyme in the heme metabolic pathway is deficient. Although rare, the porphyrias would most likely be encountered in the emergency departme...

journal_title：Emergency medicine clinics of North America

authors： Dombeck TA,Satonik RC

更新日期：2005-08-01 00:00:00