abstract：STUDY OBJECTIVE:To investigate the ability of laypeople to apply basic CPR techniques after recent training. DESIGN:Cross-sectional assessment of practical CPR skills. TYPE OF PARTICIPANTS:151 laypeople who were trained twice in the preceding 20 to 24 months. MEASUREMENTS AND MAIN RESULTS:Practical skills were teste...

journal_title：Annals of emergency medicine

authors： Berden HJ,Bierens JJ,Willems FF,Hendrick JM,Pijls NH,Knape JT

更新日期：1994-05-01 00:00:00

abstract：STUDY OBJECTIVE:To characterize the role of emergency medicine residency programs in determining emergency medicine career choice among medical students. DESIGN:Observational, cross-sectional, descriptive study. Information on student career choice was obtained through a targeted query of the National Resident Matchin...

journal_title：Annals of emergency medicine

authors： Gallagher EJ,Goldfrank LR,Anderson GV Jr,Barsan WG,Levy RC,Sanders AB,Strange GR,Trott AT

更新日期：1994-05-01 00:00:00

abstract：:Garter snake bites are generally innocuous to human beings. We report a case of human envenomation from the Wandering Garter snake (Thamnophis elegans vagrans). The patient, who was bitten on his right third fingertip, rapidly developed local edema, ecchymosis, and hemorrhagic vesicles. Systemic signs and symptoms did...

journal_title：Annals of emergency medicine

authors： Gomez HF,Davis M,Phillips S,McKinney P,Brent J

更新日期：1994-05-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the public health impact of a hurricane on an inland area. DESIGN:Descriptive study. SETTING:Seven hospital emergency departments. PARTICIPANTS:Patients who were treated from September 22 to October 6, 1989, for an injury or illness related to Hurricane Hugo. INTERVENTION:None. MEASUREM...

journal_title：Annals of emergency medicine

authors： Brewer RD,Morris PD,Cole TB

更新日期：1994-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the relationship between spinal injuries and helmet use in motorcycle trauma. DESIGN:Retrospective case series. SETTING:Twenty-eight hospitals in four midwestern states--Illinois, Iowa, Nebraska and Wisconsin--representing urban, suburban, and rural settings. PATIENTS AND OTHER PARTICIPA...

journal_title：Annals of emergency medicine

authors： Orsay EM,Muelleman RL,Peterson TD,Jurisic DH,Kosasih JB,Levy P

更新日期：1994-04-01 00:00:00

abstract：STUDY OBJECTIVE:To gather preliminary data on the safety and efficacy of IV magnesium in a rat model of hydrofluoric acid burns. MODEL:Forty-seven anesthetized male rats (200 to 300 g) received a standardized burn with 52% hydrofluoric acid. INTERVENTIONS:Animals were anesthetized with 30 to 50 mg/kg ketamine IM and ...

journal_title：Annals of emergency medicine

authors： Williams JM,Hammad A,Cottington EC,Harchelroad FC

更新日期：1994-03-01 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：:A 19-year-old man who attempted suicide by ingesting approximately 600 mg fluoxetine (Prozac) and 140 mg loxapine (Loxitane) had two episodes of atrial flutter shortly thereafter. Admission serum fluoxetine, norfluoxetine, and loxapine levels were 1,053 ng/mL, 702 ng/mL, and 40 ng/mL, respectively. This case of atrial...

journal_title：Annals of emergency medicine

authors： Roberge RJ,Martin TG

更新日期：1994-03-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the height of back elevation required to place the cervical spine of children less than 8 years old in neutral position and whether agreement on the height required for neutral position could be reached by two independent observers. STUDY DESIGN:Prospective. SETTING:Pediatric emergency d...

journal_title：Annals of emergency medicine

authors： Nypaver M,Treloar D

更新日期：1994-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether a set of published triage guidelines identifies patients who can safely be refused emergency department care. DESIGN:Historical cohort study. SETTING:A public hospital ED. TYPE OF PARTICIPANTS:All patients triaged during a one-week period who were not in the most acute triage cat...

journal_title：Annals of emergency medicine

authors： Lowe RA,Bindman AB,Ulrich SK,Norman G,Scaletta TA,Keane D,Washington D,Grumbach K

更新日期：1994-02-01 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:To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest. DESIGN:A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program. SE...

journal_title：Annals of emergency medicine

authors： Sanders AB,Berg RA,Burress M,Genova RT,Kern KB,Ewy GA

更新日期：1994-01-01 00:00:00

abstract：:Risperidone is an investigational antipsychotic agent currently being tested in an international multicenter drug trial. We report the first case of a risperidone overdose in an apparent suicide attempt. This was without serious clinical side effects and manifested mainly as ECG abnormalities. ...

journal_title：Annals of emergency medicine

authors： Brown K,Levy H,Brenner C,Leffler S,Hamburg EL

更新日期：1993-12-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the availability and use of premixed activated charcoal in sorbitol preparations during multiple-dose activated charcoal therapy in the emergency department. DESIGN AND SETTING:A prospective telephone survey of all 911 receiving hospitals within the catchment area of one poison center. T...

journal_title：Annals of emergency medicine

authors： Wax PM,Wang RY,Hoffman RS,Mercurio M,Howland MA,Goldfrank LR

更新日期：1993-12-01 00:00:00

abstract：:Post-dural-puncture headache is a common complication after both diagnostic and therapeutic procedures. Prompt recognition of the clinical syndrome, followed by supportive and corrective actions, can decrease the morbidity in those afflicted. The most useful preventive measure during dural puncture in adult patients i...

journal_title：Annals of emergency medicine

authors： Leibold RA,Yealy DM,Coppola M,Cantees KK

更新日期：1993-12-01 00:00:00

abstract：:Many of the approximately 400,000 deaths that occur outside of hospitals or chronic care facilities each year in the United States are not only expected but also welcomed as relief from terminal disease. However, patients who lack decision-making capacity cannot communicate to emergency medical services system and eme...

journal_title：Annals of emergency medicine

authors： Iserson KV

更新日期：1993-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if there is a significant prevalence of drug or alcohol use among adolescents evaluated for significant acute trauma. DESIGN:A prospective, age-matched controlled study over a 20-month period. SETTING:Urban pediatric emergency department in a Level I pediatric trauma center. PARTICIPANTS...

journal_title：Annals of emergency medicine

authors： Loiselle JM,Baker MD,Templeton JM Jr,Schwartz G,Drott H

更新日期：1993-10-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effectiveness of magnetic resonance imaging in detecting early myocardial infarction in vivo after coronary artery occlusion. DESIGN:A prospective, controlled canine study using a left anterior descending coronary artery ligation model. INTERVENTIONS:After thiopental anesthesia, nine ...

journal_title：Annals of emergency medicine

authors： Angelos MG,Katz-Stein A,Leasure JE

更新日期：1993-09-01 00:00:00

abstract：STUDY OBJECTIVES:For many foodborne outbreaks, the pathogen and food vehicle never are identified. Delayed collection of epidemiologic and microbiologic information may contribute to this. We postulated that collection of this information from ill persons as they presented to the emergency department during a recent ou...

journal_title：Annals of emergency medicine

authors： Goodman LJ,Lisowski JM,Harris AA,Kerns EA,Weaver DC,Pannaralla K,Langkop CW,Biek RW

更新日期：1993-08-01 00:00:00

abstract：:Although most clinical trials comparing therapies are analyzed using classical hypothesis testing and P values, such methods do not yield the information most useful to the clinician, that is, the probability that one treatment is more efficacious than another. Bayesian inference can yield this probability but only if...

journal_title：Annals of emergency medicine

authors： Lewis RJ,Wears RL

更新日期：1993-08-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the ability of emergency medical technician-paramedic (EMT-P) units to become and remain proficient in the performance of the intraosseous infusion procedure. DESIGN AND SETTING:Descriptive nonrandomized trial open to all patients meeting protocol criteria over a five-year period; prehospit...

journal_title：Annals of emergency medicine

authors： Glaeser PW,Hellmich TR,Szewczuga D,Losek JD,Smith DS

更新日期：1993-07-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the usefulness of the alveolar-arterial oxygen gradient for detecting pulmonary embolism in elderly patients presenting to the emergency department. DESIGN:Retrospective cohort analysis. SETTING:Two university-affiliated community hospitals. TYPE OF PARTICIPANTS:Consecutive patients more...

journal_title：Annals of emergency medicine

authors： Jones JS,VanDeelen N,White L,Dougherty J

更新日期：1993-07-01 00:00:00

abstract：:The hypotension and myocardial depression that result from calcium channel blocker ingestion often are refractory to standard therapeutic modalities. Anecdotal reports on the use of glucagon have failed to show significant hemodynamic improvement. We report the first case of calcium channel blocker overdose that respo...

journal_title：Annals of emergency medicine

authors： Doyon S,Roberts JR

更新日期：1993-07-01 00:00:00

abstract：:Elevated intracranial pressure commonly is associated with severe head injury. Emergency airway management technique in the patient who has sustained severe head injury must optimize conditions for intubation, minimize the adverse effects of intubation, and permit rapid and effective management of the elevated intracr...

journal_title：Annals of emergency medicine

authors： Walls RM

更新日期：1993-06-01 00:00:00

abstract：STUDY OBJECTIVE:To demonstrate that a complete and rapid clinical history can be obtained using a self-administered, bilingual questionnaire. DESIGN:A post-test experimental design was used to evaluate time spent obtaining the history and information completeness for the two groups. SETTING:Urban county emergency dep...

journal_title：Annals of emergency medicine

authors： Nasr I,Cordero M,Houmes B,Fagan J,Rydman R,Green C

更新日期：1993-05-01 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 PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with unstable paroxysmal supraventricular tachycardia (PSVT). DESIGN:A retrospective chart review conducted over two years. SETTING:A university-affiliated hospital ED. PARTICIPANTS:Patients with unstable PSVT (syst...

journal_title：Annals of emergency medicine

authors： Melio FR,Mallon WK,Newton E

更新日期：1993-04-01 00:00:00

abstract：:A patient with primary axillary vein thrombosis was treated successfully in the emergency department with a single IV bolus of anistrepalase followed by continuous IV heparin. The patient's symptoms resolved quickly, and a repeat venogram 16 hours later showed near-complete resolution of the venous obstruction. We dis...

journal_title：Annals of emergency medicine

authors： Pires LA,Jay G

更新日期：1993-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the accuracy of four methods of endotracheal tube size selection in the pediatric population. STUDY DESIGN:Prospective, blinded comparison. SETTING:The Children's Hospital of Philadelphia. PARTICIPANTS:Two hundred thirty-seven children aged 1 month to 9 years old undergoing elective surg...

journal_title：Annals of emergency medicine

authors： King BR,Baker MD,Braitman LE,Seidl-Friedman J,Schreiner MS

更新日期：1993-03-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the relative importance of variables correlated with patient satisfaction with emergency department care and service. DESIGN:Retrospective telephone survey targeting all patients who visited the Panorama City Kaiser Permanente ED from April 4 to April 17, 1991. Patients were contacted with...

journal_title：Annals of emergency medicine

authors： Bursch B,Beezy J,Shaw R

更新日期：1993-03-01 00:00:00

abstract：STUDY OBJECTIVES:By evaluating the efficacy of metoclopramide alone and in combination with ibuprofen versus placebos, this study was designed to both evaluate the efficacy of metoclopramide and elucidate its mechanism of action in the treatment of migraine headache. DESIGN:The study was conducted over a two-year peri...

journal_title：Annals of emergency medicine

authors： Ellis GL,Delaney J,DeHart DA,Owens A

更新日期：1993-02-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of different doses of the vasopressor angiotensin II on aortic diastolic and coronary perfusion pressures in a swine model of cardiac arrest. DESIGN:Immature swine were anesthetized and hemodynamically monitored. Ventricular fibrillation was induced; CPR was begun after ten minut...

journal_title：Annals of emergency medicine

authors： Little CM,Hobson JL,Brown CG

更新日期：1993-02-01 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：:Acid-base changes occurring during cardiac arrest and subsequent CPR are related to a complex low-perfusion state characterized clinically by venous and tissue hypercarbic and metabolic (lactic) acidosis. This low-flow state is a dynamic process dependent on the time intervals between onset of arrest, initiation of CP...

journal_title：Annals of emergency medicine

authors： von Planta M,Bar-Joseph G,Wiklund L,Bircher NG,Falk JL,Abramson NS

更新日期：1993-02-01 00:00:00

abstract：:Curricula in pediatric resuscitation must be based on adult learning principles. The Pediatric Basic and Advanced Life Support Courses (PBLS, PALS) should use educational strategies fostering positive interactions between the instructor and learners and should take into consideration the learner's motivation for takin...

journal_title：Annals of emergency medicine

authors： Seidel JS,Henderson DP,Spencer PE

更新日期：1993-02-01 00:00:00

abstract：:Patients who suffer an in-hospital cardiac arrest represent a neglected and underutilized resource for resuscitation research. There exists an unwritten, but widely held, belief among resuscitation researchers that the in-hospital arrest population is unsuitable for resuscitation research because it is composed mostly...

journal_title：Annals of emergency medicine

authors： Jastremski MS

更新日期：1993-01-01 00:00:00

abstract：:When the abdomen is compressed manually in counterpoint to the rhythm of chest compression, in the performance of interposed abdominal compression-CPR, artificial circulation is approximately doubled in animal experiments and in electronic models of the circulatory system. These studies suggest that external manual co...

journal_title：Annals of emergency medicine

authors： Babbs CF

更新日期：1993-01-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the safety and efficacy of transcutaneous cardiac pacing using low-impedance defibrillation-type, self-adhesive polymer electrode pads positioned in the same anatomic sites typical of such pad placement in emergency defibrillation attempts. DESIGN:Prospective, randomized, single-blinded norm...

journal_title：Annals of emergency medicine

authors： Chapman PD,Stratbucker RA,Schlageter DP,Pruzina SP

更新日期：1992-12-01 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：STUDY OBJECTIVES:To develop a practical procedure for producing a nomogram describing the relationship between the osmolality gap and serum ethanol concentrations that is appropriate for the formulas and analytical methodologies in use at any laboratory. DESIGN:Retrospective review of serum sodium, glucose, urea nitro...

journal_title：Annals of emergency medicine

authors： Galvan LA,Watts MT

更新日期：1992-11-01 00:00:00