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 OBJECTIVES:To assess the timing of key decisions and clinical events in the treatment of acute myocardial infarction with thrombolytic therapy. DESIGN:Prospective study of emergency department patients. SETTING:EDs in 11 urban and two rural hospitals. TYPES OF PARTICIPANTS:Patients with presumed acute myocardi...

journal_title：Annals of emergency medicine

authors： Gonzalez ER,Jones LA,Ornato JP,Bleecker GC,Strauss MJ

更新日期：1992-10-01 00:00:00

abstract：:As the only medical specialists who routinely provide continuous 24-hour daily coverage, emergency physicians are all too familiar with the demands of shift work. Although shift work has a pervasive effect on the practice of emergency medicine and is regarded as a major stressor, it has received little attention per s...

journal_title：Annals of emergency medicine

authors： Whitehead DC,Thomas H Jr,Slapper DR

更新日期：1992-10-01 00:00:00

abstract：STUDY OBJECTIVE:The purpose of this study was to observe, measure, and describe the changes in central venous oxygen saturation during CPR and immediately after return of spontaneous circulation. It also was to examine the clinical utility of continuous central venous oxygen saturation monitoring as a indicator of retu...

journal_title：Annals of emergency medicine

authors： Rivers EP,Martin GB,Smithline H,Rady MY,Schultz CH,Goetting MG,Appleton TJ,Nowak RM

更新日期：1992-09-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the feasibility of Pap screening and follow-up of urban emergency department patients and the prevalence of cervical dysplasia and carcinoma in this group. DESIGN:During a four-month period, Pap smears were added to pelvic examinations performed in the ED. Follow-up, including repeat Pap ...

journal_title：Annals of emergency medicine

authors： Hogness CG,Engelstad LP,Linck LM,Schorr KA

更新日期：1992-08-01 00:00:00

abstract：STUDY OBJECTIVES:The health care needs of the elderly population are significantly different from those of younger patients and require special knowledge and skills on the part of emergency physicians. The purpose of this study was to identify the nature and extent of geriatric training currently provided to emergency ...

journal_title：Annals of emergency medicine

authors： Jones JS,Rousseau EW,Schropp MA,Sanders AB

更新日期：1992-07-01 00:00:00

abstract：:Abruptio placentae is a complication of pregnancy associated with significant morbidity and mortality for both fetus and mother. The presence of uterine pain and tenderness traditionally has been considered a useful criterion for distinguishing abruptio placentae from other causes of bleeding in pregnancy. We report t...

journal_title：Annals of emergency medicine

authors： Mechem CC,Knopp RK,Feldman D

更新日期：1992-07-01 00:00:00

abstract：STUDY OBJECTIVE:To examine community changes in self-reported CPR training and use from 1980-82 to 1985-87 using data obtained from the Minnesota Heart Survey. A comparative investigation of CPR training among blacks and whites in 1985-86 also was completed. DESIGN:Data were obtained in 1980-81, 1981-82, 1985-86, and ...

journal_title：Annals of emergency medicine

authors： Naughton MJ,Luepker RV,Sprafka JM,McGovern PG,Burke GL

更新日期：1992-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the concordance of emergency physicians' and cardiologists' interpretations of abnormal ECGs. DESIGN:Retrospective cohort study. SETTING:An urban teaching hospital emergency department. TYPE OF PARTICIPANTS:Patients with an abnormal ED ECG that was interpreted by both an emergency physic...

journal_title：Annals of emergency medicine

authors： Westdrop EJ,Gratton MC,Watson WA

更新日期：1992-05-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the clinical efficacy and safety of IV adenosine administration in the field for the treatment of paroxysmal supraventricular tachycardia (PSVT). DESIGN:Prospective, consecutive case series. SETTING:An urban emergency medical services system. PARTICIPANTS:Thirty-seven adult patients in w...

journal_title：Annals of emergency medicine

authors： McCabe JL,Adhar GC,Menegazzi JJ,Paris PM

更新日期：1992-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if intramedullary aspirate from intraosseous needle placement can be used as a source for evaluating blood compatibility. DESIGN:A prospective, nonrandomized, crossover study. SETTING/PARTICIPANTS:Patients admitted to the hematology/oncology service undergoing bone marrow aspiration for m...

journal_title：Annals of emergency medicine

authors： Brickman KR,Krupp K,Rega P,Alexander J,Guinness M

更新日期：1992-04-01 00:00:00

abstract：STUDY OBJECTIVE:To test the hypothesis that residency-trained emergency physicians who left the practice of emergency medicine do not differ significantly from those who continue to practice. DESIGN:A retrospective cohort study using a mailed questionnaire. TYPE OF PARTICIPANTS:Eight hundred fifty-eight emergency med...

journal_title：Annals of emergency medicine

authors： Hall KN,Wakeman MA,Levy RC,Khoury J

更新日期：1992-03-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. DESIGN:After surgical preparation, swine were euhydrated or dehydrated for 24 or 48 hours. Animals were bled 25 mL/kg over 60 minutes and treated with HSD. SETTING:Laboratory. PARTICIPA...

journal_title：Annals of emergency medicine

authors： Wade CE,Tillman FJ,Loveday JA,Blackmon A,Potanko E,Hunt MM,Hannon JP

更新日期：1992-02-01 00:00:00

abstract：STUDY HYPOTHESIS:The clinical features of children treated with oral antibiotics before the diagnosis of bacterial meningitis differ from those who receive no antibiotics. DESIGN:Retrospective case series. SETTING:University medical center. PARTICIPANTS:Two hundred fifty-eight children 24 months old or younger with ...

journal_title：Annals of emergency medicine

authors： Rothrock SG,Green SM,Wren J,Letai D,Daniel-Underwood L,Pillar E

更新日期：1992-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the potential usefulness of external cardiac pacing for the termination of sustained ventricular tachycardia in the emergency department setting. TYPE OF PARTICIPANTS:Five men and one woman (mean age, 57 years) who presented to the ED with a wide-complex, hemodynamically stable tachycardia...

journal_title：Annals of emergency medicine

authors： Grubb BP,Temesy-Armos P,Hahn H,Elliott L

更新日期：1992-02-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the incidence of needlestick injury among paramedics working in Florida during 1987, to describe the circumstances surrounding such injuries, and to assess the hepatitis B vaccination status of this group. DESIGN:Survey of a systematic random sample of paramedics using a self-administered...

journal_title：Annals of emergency medicine

authors： Klontz KC,Gunn RA,Caldwell JS

更新日期：1991-12-01 00:00:00

abstract：STUDY OBJECTIVE:The study was designed to determine if open peritoneal lavage is superior to closed peritoneal lavage. DESIGN AND PARTICIPANTS:Patients who were admitted to a trauma center and needed peritoneal lavage were assigned to alternate trauma teams. Team 1 performed only open lavages one month and then switch...

journal_title：Annals of emergency medicine

authors： Troop B,Fabian T,Alsup B,Kudsk K

更新日期：1991-12-01 00:00:00

abstract：:Sound scientific information with which to determine the true efficacy of zidovudine for prophylaxis will probably not be available soon. Physicians should educate themselves thoroughly on the issues. It is highly recommended that thoughtful discussions of the issue of transmission of HIV from health personnel to pati...

journal_title：Annals of emergency medicine

authors： Callaham ML

更新日期：1991-12-01 00:00:00

abstract：:As the AIDS epidemic progresses, the number of ED patients with HIV-related illness will continue to increase. As reviewed in this article, much of the existing clinical research in HIV-related illness has an impact on the diagnostic and management issues that arise in the ED. Many of the patterns of disease, subtleti...

journal_title：Annals of emergency medicine

authors： Talan DA,Kennedy CA

更新日期：1991-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether physicians blinded to the serum potassium level can predict hyperkalemia (potassium concentration of more than 5.0 mmol/L) from the ECG. DESIGN:ECGs of patients at high risk for hyperkalemia were interpreted retrospectively by two physicians blinded not only to the specific clinica...

journal_title：Annals of emergency medicine

authors： Wrenn KD,Slovis CM,Slovis BS

更新日期：1991-11-01 00:00:00

abstract：STUDY OBJECTIVES:To determine if the use of verapamil in patients with contraindications is associated with adverse sequelae, thereby assessing whether process measures of the quality of care are correlated with patient outcomes. DESIGN:Retrospective chart review comparing the incidence of adverse outcomes and drug fa...

journal_title：Annals of emergency medicine

authors： Kuhn M,Schriger DL

更新日期：1991-10-01 00:00:00

abstract：:Barium is a divalent alkaline earth metal used as the insoluble sulfate salt in contrast radiography and soluble acid salts in industry. Barium poisoning results from ingestion or inhalation of the acid salts; the most common poisoning occurs after ingestion of the rodenticide barium carbonate (BaCO3). We report seven...

journal_title：Annals of emergency medicine

authors： Johnson CH,VanTassell VJ

更新日期：1991-10-01 00:00:00

abstract：:During the evaluation of a victim of a motor vehicle accident, routine radiographs of the patient's cervical spine, chest, and pelvis revealed multiple radiopaque foreign bodies along his posterior neck, chest, abdomen, and pelvis. Repeat examination of the patient disclosed no evidence of foreign bodies. Further ques...

journal_title：Annals of emergency medicine

authors： Hollander JE,Dewitz A,Bowers S

更新日期：1991-09-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the sensitivity, specificity, and predictive values of a new rapid creatine kinase-MB (R-CK-MB) assay compared with a standard CK-MB (S-CK-MB) assay and to determine its potential use in the evaluation of emergency department patients with possible myocardial infarction. DESIGN:Retrospect...

journal_title：Annals of emergency medicine

authors： Green GB,Hansen KN,Chan DW,Guerci AD,Fleetwood DH,Sivertson KT,Kelen GD

更新日期：1991-09-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of helicopter transport of acute myocardial infarction (AMI) patients after initiation of thrombolysis on bleeding complications through hospital discharge. DESIGN:Prospectively identified incidence (cohort) study. SETTING:Air medical service of tertiary-care teaching hospital. ...

journal_title：Annals of emergency medicine

authors： Fromm RE Jr,Hoskins E,Cronin L,Pratt CM,Spencer WH 3rd,Roberts R

更新日期：1991-08-01 00:00:00

abstract：:Fentanyl is an attractive agent for analgesia in the emergency department. Its use in this setting has been limited to IV bolus administration. We report successful sedation, muscle relaxation, and analgesia of a multiple trauma patient with fentanyl IV bolus and continuous infusion in the ED. ...

journal_title：Annals of emergency medicine

authors： Walsh M,Smith GA,Yount RA,Ferlic FJ,Wieschhaus MF

更新日期：1991-08-01 00:00:00

abstract：STUDY PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with spontaneous paroxysmal supraventricular tachycardia (PSVT). DESIGN:An eight-month prospective outcome study. POPULATION:Patients 16 or more years old with PSVT by surface ECG criteria. Patients were excluded if ...

journal_title：Annals of emergency medicine

authors： Cairns CB,Niemann JT

更新日期：1991-07-01 00:00:00

abstract：STUDY HYPOTHESIS:To determine the prevalence of antibody to human immunodeficiency virus (HIV) in trauma and nontrauma patients not identified as having known HIV infection in a noninner-city university teaching hospital emergency department, and to determine the frequency with which treating emergency physicians are k...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Talan DA,Torres M

更新日期：1991-07-01 00:00:00

abstract：:Presented is the case of a man who had localized depigmentation after local injection of triamcinolone diacetate. Search of the literature indicates that this is a rare complication of such therapy. Localized depigmentation may have important cultural implications for dark-skinned patients. There is some experimental ...

journal_title：Annals of emergency medicine

authors： Stapczynski JS

更新日期：1991-07-01 00:00:00

abstract：STUDY OBJECTIVE:Studies of travel-related mortality and morbidity have been limited to nonfatal events. Causes of travel-related mortality may differ significantly from morbidity and thus have different prevention strategies. DESIGN:We examined the overseas fatalities of US citizen travelers for the years 1975 and 198...

journal_title：Annals of emergency medicine

authors： Hargarten SW,Baker TD,Guptill K

更新日期：1991-06-01 00:00:00

abstract：:There are currently 20 autonomous departments of emergency medicine in United States medical schools. EDs seeking autonomous status should institute a faculty development program to channel faculty energy into worthwhile research projects; establish protected time for clinical faculty to increase research productivity...

journal_title：Annals of emergency medicine

authors： Rusnak RA,Hamilton GC,Allison EJ Jr

更新日期：1991-06-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the potential for cardiovascular toxicity from severe oral phenytoin overdose. STUDY POPULATION:Fifty-seven patients admitted during a two-year period to an inner-city hospital for severe oral phenytoin overdose, which is defined as a peak level of 40 micrograms/mL or more. METHODS:Case re...

journal_title：Annals of emergency medicine

authors： Wyte CD,Berk WA

更新日期：1991-05-01 00:00:00

abstract：STUDY OBJECTIVES:To determine whether music significantly reduces the pain and anxiety associated with laceration repair in the emergency department. PARTICIPANTS AND SETTING:Adult patients presenting to the ED at an urban teaching hospital for laceration repair. Exclusion criteria included patients less than 18 years...

journal_title：Annals of emergency medicine

authors： Menegazzi JJ,Paris PM,Kersteen CH,Flynn B,Trautman DE

更新日期：1991-04-01 00:00:00

abstract：:Clinical presentations and pathogeneses of endocarditis and aspects of its diagnosis and management relevant to emergency department practice are reviewed. Guidelines for admission, laboratory evaluation, and decisions regarding the initiation of therapy in the ED are offered. Also discussed are the role of the emerge...

journal_title：Annals of emergency medicine

authors： Delaney KA

更新日期：1991-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the feasibility of managing patients with acute pyelonephritis as outpatients after initial treatment with IV antibiotics in an emergency department observation unit. DESIGN:Prospective and uncontrolled. SETTING:ED observation unit. TYPE OF PARTICIPANTS:Nonpregnant female patients 14 yea...

journal_title：Annals of emergency medicine

authors： Ward G,Jorden RC,Severance HW

更新日期：1991-03-01 00:00:00

abstract：:A 19-year-old pedestrian who was the victim of a motor vehicle accident had a left pneumothorax with a large air leak. Despite a well-placed chest tube, a chest radiograph showed that the left lung had fallen down and away from the mediastinum and that no hilar structures were visible. This "fallen lung with an absent...

journal_title：Annals of emergency medicine

authors： Endress C,Guyot DR,Engels JA

更新日期：1991-03-01 00:00:00

abstract：STUDY OBJECTIVES:To reappraise Boehler's angle and evaluate factors, including centering of the central beam, sex of subjects, and side of the body, that may affect angle measurement. DESIGN:Retrospective clinical review. SETTING:Emergency department, Level I trauma center. TYPE OF PARTICIPANTS:120 consecutive patie...

journal_title：Annals of emergency medicine

authors： Chen MY,Bohrer SP,Kelley TF

更新日期：1991-02-01 00:00:00

abstract：:Cocaine use and abuse continue to overwhelm urban economic, social, and health care systems. Patients frequently present to the emergency department with life-threatening manifestations of cocaine use, including trauma, acquired immune deficiency syndrome, psychomotor agitation, and cardiovascular collapse. Adequate t...

journal_title：Annals of emergency medicine

authors： Goldfrank LR,Hoffman RS

更新日期：1991-02-01 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 HYPOTHESIS:Risk factors associated with unintentional gunshot fatalities among children include gender and race of the decedent, type of firearm used, and whether loaded guns are stored within the home. STUDY POPULATION:All New Mexico children 0 to 14 years old unintentionally killed by a firearm between 1984 an...

journal_title：Annals of emergency medicine

authors： Martin JR,Sklar DP,McFeeley P

更新日期：1991-01-01 00:00:00