abstract：:Pulmonary embolism, although uncommon in children, occurs in as many as 104 per 100,000 pediatric patients. Undiagnosed and untreated pulmonary embolism has a high mortality rate; thus, a high index of clinical suspicion and reliable diagnostic modalities are necessary to ensure prompt and accurate diagnosis. We repor...

journal_title：Annals of emergency medicine

authors： Hackbarth R,Kuhns L,Sarnaik A

更新日期：1991-01-01 00:00:00

abstract：STUDY OBJECTIVE:Buffered lidocaine was compared with plain lidocaine as a local anesthetic for simple lacerations. DESIGN:Randomized, double-blind, prospective clinical trial. SETTING:Urban emergency department. TYPE OF PARTICIPANTS:Ninety-one adult patients with simple linear lacerations were enrolled. Patients wit...

journal_title：Annals of emergency medicine

authors： Bartfield JM,Gennis P,Barbera J,Breuer B,Gallagher EJ

更新日期：1990-12-01 00:00:00

abstract：:A 24-year-old man was assaulted and sustained a stab wound to the left lower neck. When he arrived at the emergency department, he was hemodynamically stable. Although the wound had penetrated the platysma, on initial evaluation the patient did not appear to have sustained significant injury. Closer examination of the...

journal_title：Annals of emergency medicine

authors： Pollack CV Jr,Kolb JC,Griswold JA

更新日期：1990-12-01 00:00:00

abstract：:Survival rates for out-of-hospital cardiac arrest vary widely among locations. We surveyed the definitions used in published studies of out-of-hospital cardiac arrest. Data from 74 studies involving 36 communities showed survival rates ranging from 2% to 44%. There were five different case definitions and 11 different...

journal_title：Annals of emergency medicine

authors： Eisenberg MS,Cummins RO,Damon S,Larsen MP,Hearne TR

更新日期：1990-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether water or 0.9% saline should be used as diluent for endobronchial drug administration. PARTICIPANTS:Twelve adult patients. INTERVENTIONS:Patients were endobronchially administered 2 mg/kg lidocaine as marker substance in either 10 mL 0.9% saline or 10 mL distilled water during gene...

journal_title：Annals of emergency medicine

authors： Hähnel JH,Lindner KH,Schürmann C,Prengel A,Ahnefeld FW

更新日期：1990-11-01 00:00:00

abstract：STUDY OBJECTIVES:The syndrome of rhabdomyolysis associated with cocaine use has been recently described, but the incidence, severity, risk factors, and complications are unknown. This study sought to describe the spectrum of the syndrome and identify clinical features of patients at risk. DESIGN:Retrospective case ser...

journal_title：Annals of emergency medicine

authors： Brody SL,Wrenn KD,Wilber MM,Slovis CM

更新日期：1990-10-01 00:00:00

abstract：:In a traditional clinical trial, a fixed number of patients are evaluated before the data are analyzed. This has the disadvantage that more patients may be enrolled than are necessary to achieve a statistically significant result. Sequential statistical techniques provide a method for the analysis of clinical trials s...

journal_title：Annals of emergency medicine

authors： Lewis RJ,Bessen HA

更新日期：1990-09-01 00:00:00

abstract：:Increasing numbers of patients with diagnosed HIV infection are presenting to inner-city emergency departments. Unfortunately, there is little information available on the characteristics and emergency clinical problems of HIV-infected patients to guide physicians in patient care and strategies for resource use. Preli...

journal_title：Annals of emergency medicine

authors： Kelen GD,Johnson G,DiGiovanna TA,Loring K,Sivertson KT

更新日期：1990-09-01 00:00:00

abstract：:Ketamine produces rapid and consistent pediatric sedation with a predictable onset and recovery time. A wide margin of safety is afforded without the respiratory and cardiovascular depression commonly seen with alternative agents. The efficacy of ketamine is well established in anesthesia and dentistry and has extensi...

journal_title：Annals of emergency medicine

authors： Green SM,Johnson NE

更新日期：1990-09-01 00:00:00

abstract：:Several clinical studies have yielded conflicting results in examining the effectiveness of bystander CPR (BCPR). The purpose of this pilot study was to determine the effectiveness of BCPR in an animal model of cardiac arrest and resuscitation. Ten swine were instrumented for hemodynamic and regional blood flow measur...

journal_title：Annals of emergency medicine

authors： Hoekstra JW,Rinnert K,Van Ligten P,Neumar R,Werman HA,Brown CG

更新日期：1990-08-01 00:00:00

abstract：:We present the case of a 6-year-old boy with reactive airway disease who developed cervical lung herniation resulting in compression of the trachea and audible stridor. This association has never been reported in the pediatric age group, and a review of the literature revealed that lung herniation is a rare condition ...

journal_title：Annals of emergency medicine

authors： Gonzalez del Rey J,Cunha C

更新日期：1990-08-01 00:00:00

abstract：:A major earthquake devastated the Armenian Republic of the Soviet Union on December 7, 1988, resulting in thousands of deaths and injuries. In a postearthquake investigation of three towns seriously affected by the earthquake, we studied earthquake-related injury patterns, made observations on rescue and medical effor...

journal_title：Annals of emergency medicine

authors： Noji EK,Kelen GD,Armenian HK,Oganessian A,Jones NP,Sivertson KT

更新日期：1990-08-01 00:00:00

abstract：:The treatment of dyspepsia in the emergency department often consists of antacid in combination with viscous lidocaine, even though the specific etiology of the pain is frequently unknown. The efficacy of lidocaine as a component of symptomatic therapy was evaluated in a randomized, patient-blinded protocol. Patients ...

journal_title：Annals of emergency medicine

authors： Welling LR,Watson WA

更新日期：1990-07-01 00:00:00

abstract：:Although we commonly assume that because residents spend a given number of months in the emergency department they achieve adequate exposure to all necessary clinical entities, this has never been shown. We suspect, rather, that great variability exists among residents in the number and variety of patients they see; a...

journal_title：Annals of emergency medicine

authors： Langdorf MI,Strange G,Macneil P

更新日期：1990-07-01 00:00:00

abstract：:A prospective study was conducted in the emergency departments of two community hospitals to assess the accuracy of Doppler ultrasonography performed by emergency physicians in the evaluation of patients with symptoms suggestive of deep-vein thrombosis. Seventy-eight extremities in 76 patients were evaluated by both D...

journal_title：Annals of emergency medicine

authors： Turnbull TL,Dymowski JJ,Zalut TE

更新日期：1990-06-01 00:00:00

abstract：:We report an unusual presentation of solvent abuse. A 17-year-old boy was brought to the emergency department after he inhaled fumes from a rag soaked with a carburetor cleaner containing toluene, methylene chloride, and methanol. Considered to be intoxicated from the acute effects of sniffing toluene or methylene chl...

journal_title：Annals of emergency medicine

authors： McCormick MJ,Mogabgab E,Adams SL

更新日期：1990-06-01 00:00:00

abstract：:It is common practice to soak acute traumatic wounds in dilute povidone-iodine solution before definitive wound cleaning and debridement. The effectiveness of soaking wounds is unknown. Using quantitative wound bacterial counts as a measure of efficacy, we compared wounds soaked in 1% povidone-iodine solution or in no...

journal_title：Annals of emergency medicine

authors： Lammers RL,Fourré M,Callaham ML,Boone T

更新日期：1990-06-01 00:00:00

abstract：:Patients evaluated by paramedics but not transported to the hospital account for 50% to 90% of emergency medical services lawsuits. We reviewed 2,698 consecutive paramedic run reports to examine documentation in these cases. Documentation criteria for prehospital patient release were history, physical examination, vit...

journal_title：Annals of emergency medicine

authors： Selden BS,Schnitzer PG,Nolan FX

更新日期：1990-05-01 00:00:00

abstract：:The prevalence of Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) in 232 sexual assault victims who presented for examinations between August 1, 1987, and July 31, 1988, was determined. Results are reported for cervical, rectal, and oropharyngeal NG cultures and for cervical and rectal CT smears. Results fro...

journal_title：Annals of emergency medicine

authors： Sturm JT,Carr ME,Luxenberg MG,Swoyer JK,Cicero JJ

更新日期：1990-05-01 00:00:00

abstract：:We conducted a retrospective chart review to determine whether the treatment of uncomplicated convulsions in emergency department patients with a history of epilepsy complied with a clinical standard and whether the degree of compliance with the standard was related to the treating physician's specialty or postgraduat...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Schriger DL,Starkman S

更新日期：1990-04-01 00:00:00

abstract：:A prospective study was conducted to determine the usefulness of clinical findings and 25-degree pronation and supination radiologic views to diagnose carpal navicular fractures. All patients presenting to the emergency department during a two-year period who fell on their outstretched hand and had pain and/or swellin...

journal_title：Annals of emergency medicine

authors： Mehta M,Brautigan MW

更新日期：1990-03-01 00:00:00

abstract：:The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology. One patient ingested 20.5 mg alprazolam before crashing his truck into parked automobiles. The patient was awakened by flumazenil administration, and the severity of his injuries was evaluated reliably. A sec...

journal_title：Annals of emergency medicine

authors： Burkhart KK,Kulig KW

更新日期：1990-03-01 00:00:00

abstract：:Descriptive statistics include measures of central tendency and variability. Measures of central tendency include mean, median, and mode. The mean is the arithmetic average of data from interval or ratio scales. The median reflects the 50th percentile score. The mode is the most frequently occurring value of a data di...

journal_title：Annals of emergency medicine

authors： Gaddis GM,Gaddis ML

更新日期：1990-03-01 00:00:00

abstract：:A prospective study of emergency physician whole body and extremity exposure to ionizing radiation during trauma resuscitation over a three-month period was conducted. Radiation film badges and thermoluminescent dosimeter finger rings were permanently attached to leaded aprons worn by emergency medicine residents duri...

journal_title：Annals of emergency medicine

authors： Weiss EL,Singer CM,Benedict SH,Baraff LJ

更新日期：1990-02-01 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：:Acute asthma exacerbations are common complaints in patients who present to the emergency department. A prospective, double-blinded study was designed to evaluate how frequency of dosing of an inhaled beta-agonist, metaproterenol (Alupent inhalation solution) would affect patient response, length of stay in the ED, an...

journal_title：Annals of emergency medicine

authors： Nelson MS,Hofstadter A,Parker J,Hargis C

更新日期：1990-01-01 00:00:00

abstract：:A prospective, randomized, blinded study was conducted to evaluate the efficacy of standard compared with high-dose epinephrine in cardiac arrest in dogs. Twenty-five mongrel dogs were anesthetized and monitored by central venous catheter, intra-arterial catheter, and ECG. A left lateral thoracotomy was performed, and...

journal_title：Annals of emergency medicine

authors： Brunette DD,Jameson SJ

更新日期：1990-01-01 00:00:00

abstract：:Thrombolytic therapy offers the promise of major therapeutic intervention in many areas as well as in the treatment of patients with acute myocardial infarction who present to the emergency department. Infusion of tissue-type plasminogen activator (tPA) during field transport has been proven safe, but optimal methods ...

journal_title：Annals of emergency medicine

authors： Bresler MJ

更新日期：1989-12-01 00:00:00

abstract：:There is general agreement that physical examination alone is inadequate for abdominal evaluation in the multiply injured blunt trauma patient; but controversy exists regarding the preferred method of detecting intraabdominal injuries requiring celiotomy. Both peritoneal lavage and the newer computed tomography imagin...

journal_title：Annals of emergency medicine

authors： Kearney PA

更新日期：1989-12-01 00:00:00

abstract：:Cardiac ultrasound quickly provides both anatomic and physiologic assessment of the heart at the bedside, permitting rapid diagnosis and triage of patients presenting to the emergency department with chest pain, hypotension, or dyspnea. The identification and quantification of left ventricular dysfunction by ultrasoun...

journal_title：Annals of emergency medicine

authors： Hauser AM

更新日期：1989-12-01 00:00:00

abstract：:Excessive brain lactate, as may develop in cerebral ischemia, has been implicated as a major cause of irreversible cell damage. With an experimental model that produces cerebral ischemia by bilateral carotid ligation combined with systemic hypotension, previous studies have shown that treatment with 25 mg/kg sodium di...

journal_title：Annals of emergency medicine

authors： Dimlich RV,Timerding BL,Kaplan J,Cammenga R,Van Ligten PF

更新日期：1989-11-01 00:00:00

abstract：:We conducted a study to assess the efficacy of the dipstick leukocyte esterase test (LET) in the detection of cerebrospinal fluid (CSF) leukocytosis as a quick screen for bacterial meningitis. Nine hundred forty-two CSF samples were collected from 800 patients. The LET was compared in a double-blinded fashion with rou...

journal_title：Annals of emergency medicine

authors： DeLozier JS,Auerbach PS

更新日期：1989-11-01 00:00:00

abstract：:We compared the abilities of the Trauma Score (TS), the Revised Trauma Score (RTS), and the Pediatric Trauma Score (PTS) to retrospectively identify severely injured children. TS, RTS, and PTS were computed on admission for 1,334 consecutive blunt and penetrating trauma victims 0 to 14 years old. Injury Severity Score...

journal_title：Annals of emergency medicine

authors： Eichelberger MR,Gotschall CS,Sacco WJ,Bowman LM,Mangubat EA,Lowenstein AD

更新日期：1989-10-01 00:00:00

abstract：:Because of discontinuation of base hospital participation, paramedics in a large urban zone of a California emergency medical services (EMS) system serving 1.1 million persons went on emergency standing orders for nearly all calls requiring advanced life support. Subsequently, the base hospital resumed medical control...

journal_title：Annals of emergency medicine

authors： Pointer JE,Osur MA

更新日期：1989-10-01 00:00:00

abstract：:Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), is a propionic acid derivative that possesses analgesic and antipyretic properties through inhibition of prostaglandin synthesis. The propionic acids have been considered the least toxic of the NSAIDs, and one, ibuprofen, is currently available as an over-the-co...

journal_title：Annals of emergency medicine

authors： Martinez R,Smith DW,Frankel LR

更新日期：1989-10-01 00:00:00

abstract：:We examined the performance of a hospital-based mobile coronary care unit staffed by emergency physicians, coronary care nurses, and ambulance personnel in a metropolitan setting (Brisbane, Australia). Our unit attended 2,260 calls during 18 months of operation. Standard dispatched ambulances arrived first to 78% of t...

journal_title：Annals of emergency medicine

authors： Bett JH

更新日期：1989-09-01 00:00:00

abstract：:We surveyed all patients admitted to nine community hospital coronary care units to determine what proportion could be candidates for thrombolytic therapy. During the 12-month study period, there were 4,115 admissions for possible acute myocardial infarction, and 1,076 (26%) had a discharge diagnosis of myocardial inf...

journal_title：Annals of emergency medicine

authors： Eisenberg MS,Ho MT,Schaeffer S,Litwin P,Larsen MP,Hallstrom AP,Weaver DW

更新日期：1989-08-01 00:00:00

abstract：:From October 1985 to April 1988, 297 patients with presumed unstable angina, acute myocardial infarction, or permanent pacemaker failure were transferred by helicopter from community hospitals to our medical center for tertiary care. Fifty-six patients (19%) experienced treatable bradycardia (heart rate of less than 5...

journal_title：Annals of emergency medicine

authors： Vukov LF,Johnson DQ

更新日期：1989-07-01 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：:We investigated the compliance of emergency department health care workers with barrier precaution policies adapted from the Centers for Disease Control's "Recommendations for Prevention of HIV Transmission in Health-Care Settings." One hundred sixty-nine health care worker encounters with 97 patients were observed. O...

journal_title：Annals of emergency medicine

authors： Baraff LJ,Talan DA

更新日期：1989-06-01 00:00:00