Emergency medicine in Switzerland.

abstract：:Ornithine transcarbamylase deficiency (OTCD) is an X-linked inherited disease and the most common inborn error in urea synthesis in human patients. In adult heterozygous patients, OTCD can be responsible for life-threatening hyperammonemic coma. We report the case of a 32-year-old woman admitted to our hospital with s...

journal_title：Annals of emergency medicine

authors： Gaspari R,Arcangeli A,Mensi S,Wismayer DS,Tartaglione T,Antuzzi D,Conti G,Proietti R

更新日期：2003-01-01 00:00:00

abstract：:The last 3 to 5 years have witnessed a tremendous change in direction for the academic health center. The major trends in this regard are increased importance of managed care, cost consciousness, development of a clinical system, pressure to downsize graduate medical education, and increased competition. ...

journal_title：Annals of emergency medicine

authors： McCabe JB

更新日期：1997-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether N-acetylcysteine (NAC reduces methemoglobin. METHODS:We carried out an in vitro laboratory experiment in which five healthy adult volunteers donated blood. Each sample was divided equally among three test tubes. Tube 1 served as a negative control. Sodium nitrite .18 mol/L with dex...

journal_title：Annals of emergency medicine

authors： Wright RO,Magnani B,Shannon MW,Woolf AD

更新日期：1996-11-01 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：:We present the case of a diver who experienced the acute onset of shoulder pain after a rapid ascent. It was determined that the patient had decompression sickness ("the bends") of the right shoulder and pulmonary barotrauma resulting in secondary pneumoperitoneum. He underwent decompression, with prompt resolution of...

journal_title：Annals of emergency medicine

authors： Schriger DL,Rosenberg G,Wilder RJ

更新日期：1987-11-01 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：STUDY OBJECTIVE:Machine-learning algorithms allow improved prediction of sepsis syndromes in the emergency department (ED), using data from electronic medical records. Transfer learning, a new subfield of machine learning, allows generalizability of an algorithm across clinical sites. We aim to validate the Artificial ...

journal_title：Annals of emergency medicine

authors： Wardi G,Carlile M,Holder A,Shashikumar S,Hayden SR,Nemati S

更新日期：2021-01-15 00:00:00

abstract：:A technique of direct mechanical ventricular assistance (DMVA) has been available since 1966. Ventricular assistance is provided by a glass cup lined with a Silastic diaphragm. It is held on the cardiac ventricles by suction. Alternating positive and negative pressure in the space between the cup and the diaphragm pro...

journal_title：Annals of emergency medicine

authors： McCabe JB,Ventriglia WJ,Anstadt GL,Nolan DJ

更新日期：1983-12-01 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

abstract：STUDY OBJECTIVE:The accurate diagnosis of influenza remains a diagnostic dilemma. We examine the performance of various strategies for diagnosing influenza infection in an unselected sample of adults during influenza season. METHODS:Consecutive adults presenting to a university emergency department or urgent care clin...

journal_title：Annals of emergency medicine

authors： Stein J,Louie J,Flanders S,Maselli J,Hacker JK,Drew WL,Gonzales R

更新日期：2005-11-01 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：STUDY OBJECTIVE:Annually, 38 million people are evaluated for trauma, the leading cause of death in persons younger than 45 years. The primary objective is to assess whether using a protocol inclusive of point-of-care, limited ultrasonography (PLUS), compared to usual care (control), among patients presenting to the em...

journal_title：Annals of emergency medicine

authors： Melniker LA,Leibner E,McKenney MG,Lopez P,Briggs WM,Mancuso CA

更新日期：2006-09-01 00:00:00

abstract：:Spontaneous rupture of utero-ovarian vessels during pregnancy is a rare cause of maternal and fetal loss. We report the case of a 30-year-old woman who presented to the emergency department in her third trimester with frank maternal shock. The prompt recognition of shock, correction of hypovolemia, and rapid surgical ...

journal_title：Annals of emergency medicine

authors： Bellucci MJ,Burke MC,Querusio L

更新日期：1994-02-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and w...

journal_title：Annals of emergency medicine

authors： Mittal MK,Shofer FS,Baren JM

更新日期：2009-10-01 00:00:00

abstract：STUDY OBJECTIVE:This study tests the effect of a brief intervention with emergency department (ED) patients to reduce at-risk drinking. METHODS:We enrolled patients aged 18 years or older who screened positive for at-risk drinking in an urban academic ED and used alternative allocation to assign them to control or int...

journal_title：Annals of emergency medicine

authors： Bazargan-Hejazi S,Bing E,Bazargan M,Der-Martirosian C,Hardin E,Bernstein J,Bernstein E

更新日期：2005-07-01 00:00:00

abstract：STUDY OBJECTIVE:This study was conducted to compare the clinical and spirometric effects of continuous and intermittent nebulization of salbutamol in acute severe asthma. METHODS:Forty-two consecutive patients presenting to the emergency department for acute severe asthma (peak expiratory flow [PEF] mean+/-SD, 24%+/-1...

journal_title：Annals of emergency medicine

authors： Besbes-Ouanes L,Nouira S,Elatrous S,Knani J,Boussarsar M,Abroug F

更新日期：2000-09-01 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：:The ingestion of the mushroom Amanita phalloides is associated with hepatic necrosis appearing clinically two to three days after ingestion. The mechanism of this toxicity is unknown, and no reliable antidote is available. Because of the similarity of Amanita poisoning to other toxins affecting cytochrome P450, we inv...

journal_title：Annals of emergency medicine

authors： Schneider SM,Borochovitz D,Krenzelok EP

更新日期：1987-10-01 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：: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：STUDY OBJECTIVE:The necessity for rapid administration of intravenous thrombolysis in patients with acute ischemic stroke may lead to treatment of patients with conditions mimicking stroke. We analyze stroke patients treated with intravenous thrombolysis in our center to characterize cases classified as stroke mimics. ...

journal_title：Annals of emergency medicine

authors： Artto V,Putaala J,Strbian D,Meretoja A,Piironen K,Liebkind R,Silvennoinen H,Atula S,Häppölä O,Helsinki Stroke Thrombolysis Registry Group.

更新日期：2012-01-01 00:00:00

abstract：:Intravenous bolus adenosine was given to four pediatric patients aged 1 month to 8 years who had paroxysmal supraventricular tachycardia that had not responded to conventional medical therapy. Adenosine (one to three doses) was successful in converting the arrhythmia to normal sinus rhythm in all four cases, and no si...

journal_title：Annals of emergency medicine

authors： Reyes G,Stanton R,Galvis AG

更新日期：1992-12-01 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：STUDY OBJECTIVE:Stress is an emergent occupational problem in modern societies. Among workers, medical practitioners are particularly exposed. However, data objectifying stress levels during work time are scarce. The aim of this study was to establish diurnal salivary cortisol levels in a highly stressful work environm...

journal_title：Annals of emergency medicine

authors： Weibel L,Gabrion I,Aussedat M,Kreutz G

更新日期：2003-04-01 00:00:00

abstract：:We present a case of lethal ingestion of pyrimidifen, a new insecticide with an unclear mode of action. The primary manifestations were coma and circulatory shock, leading to irreversible multiorgan failure. Pyrimidifen was detected in the patient's blood, urine, brain tissue, and gastric content samples. Minimal stru...

journal_title：Annals of emergency medicine

authors： Eisinger M,Almog Y

更新日期：2003-08-01 00:00:00

abstract：:Prothrombin complex concentrates are frequently used to rapidly reverse anticoagulation with vitamin K antagonists associated with life-threatening bleeding. We report a patient receiving warfarin who presented to the emergency department with an international normalization ratio greater than 12.8 in cardiac tamponade...

journal_title：Annals of emergency medicine

authors： Warren O,Simon B

更新日期：2009-06-01 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：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine residency programs and the residents training in those programs. We present the 2016 annual report on the status of US emergency medicine training programs. ...

journal_title：Annals of emergency medicine

authors： Marco CA,Baren JM,Beeson MS,Carius ML,Counselman FL,Gausche-Hill M,Goyal DG,Kowalenko T,Muelleman RL,Nelson LS,Wahl RP,Joldersma KB,Research Committee, American Board of Emergency Medicine.

更新日期：2016-05-01 00:00:00

abstract：:Sodium dichloroacetate (DCA) has been shown to lower elevated serum lactate levels produced by hypoxia, exercise, and phenformin. We conducted a study to investigate the effect of DCA treatment on lactic acidosis following resuscitation from asphyxial cardiac arrest. Conditioned dogs were anesthetized with pentobarbit...

journal_title：Annals of emergency medicine

authors： Gin-Shaw SL,Barsan WG,Eymer V,Hedges J

更新日期：1988-05-01 00:00:00

abstract：:Drinking increases motor vehicle crash likelihood starting at blood alcohol levels as low as .02 mmol/L. Clinical experience tells us that drunken drivers "cycle through" the system many times, presenting opportunities for intervention. We describe the drunken driver's risk of occurrence at each juncture in the cycle ...

journal_title：Annals of emergency medicine

authors： Madden C,Cole TB

更新日期：1995-08-01 00:00:00