abstract：:Cardiac arrest caused by massive pulmonary embolism is highly refractory to conventional resuscitation. Emergency surgical embolectomy has been considered the only effective intervention. We present the case of a 33-year-old woman who suffered a massive pulmonary embolism with circulatory arrest refractory to one half...

journal_title：Annals of emergency medicine

authors： Langdon RW,Swicegood WR,Schwartz DA

更新日期：1989-06-01 00:00:00

abstract：:Although a number of studies have described endotracheal intubation of adult patients in the prehospital setting, there are few studies on prehospital endotracheal intubation of pediatric patients. The purposes of our study were to determine how frequently prehospital endotracheal intubation was used in pediatric card...

journal_title：Annals of emergency medicine

authors： Aijian P,Tsai A,Knopp R,Kallsen GW

更新日期：1989-05-01 00:00:00

abstract：:An important aspect in the effective management of an emergency medical services system is the ability to monitor system performance. To provide this information on a timely basis, a comprehensive data collection system is required. We describe the design, implementation, use, and effect of a comprehensive, computeriz...

journal_title：Annals of emergency medicine

authors： Valenzuela TD,Keeley KT,Criss EA,Spaite DW,Meislin HW

更新日期：1989-05-01 00:00:00

abstract：:There are many infectious causes of fatigue, sore throat, and fever, including mononucleosis and toxoplasmosis. Toxoplasma antibody testing is rarely performed in most emergency departments; as a result, toxoplasmosis is diagnosed infrequently. We obtained Toxoplasma IgG IFA titers on ED patients who had mononucleosis...

journal_title：Annals of emergency medicine

authors： Sayre MR,Jehle D

更新日期：1989-04-01 00:00:00

abstract：:Acoustic otoscopy detects middle ear pathology by measuring the ability of the tympanic membrane to reflect sound. Fluid or thickening of the tympanic membrane increases sound reflection. We conducted a study to compare acoustic otoscopy with pneumatic otoscopy in identifying middle ear pathology in 80 children (160 e...

journal_title：Annals of emergency medicine

authors： Jehle D,Cottington E

更新日期：1989-04-01 00:00:00

abstract：:Early reports of "reperfusion arrhythmia" after experimental temporary coronary occlusion raised concern that these arrhythmias, particularly ventricular fibrillation and ventricular tachycardia, might occur in association with reperfusion of an occluded coronary vessel during thrombolysis. Such an occurrence could in...

journal_title：Annals of emergency medicine

authors： Burney RE,Walsh D,Kaplan LR,Fraser S,Tung B,Overmyer J

更新日期：1989-03-01 00:00:00

abstract：:Leeches have been used as a medicinal remedy for years untold. Recently, there appears to have been a resurgence in the use of the medicinal leech, Hirudo medicinalis. Presented is the case of a patient who called the emergency department for advice concerning the management of a bleeding leech bite. We discuss briefl...

journal_title：Annals of emergency medicine

authors： Adams SL

更新日期：1989-03-01 00:00:00

abstract：:Although ingestions of button batteries can have serious complications, the majority of these ingestions will be benign. Button batteries that lodge in the esophagus should be removed immediately by endoscopy. Other ingestions can be managed with observation at home unless symptoms develop. Weekly radiographic examina...

journal_title：Annals of emergency medicine

authors： Kuhns DW,Dire DJ

更新日期：1989-03-01 00:00:00

abstract：:We reviewed the patterns of injuries sustained by 12 consecutive fallers and jumpers in whom primary impact was onto the feet. The fall heights ranged from 20 to 100 ft. The 12 patients sustained 49 significant injuries. Skeletal injuries were most frequent and included 15 lower extremity fractures, four pelvic fractu...

journal_title：Annals of emergency medicine

authors： Lowenstein SR,Yaron M,Carrero R,Devereux D,Jacobs LM

更新日期：1989-02-01 00:00:00

abstract：:In more than 15 years of paramedic operation, fewer than 15 prehospital studies have been undertaken on the pharmacologic intervention by paramedics. Many of these studies suffer from inadequate sample size or deficient study design. There is no evidence that any medication given by the prehospital care provider is be...

journal_title：Annals of emergency medicine

authors： Shuster M,Chong J

更新日期：1989-02-01 00:00:00

abstract：:A retrospective study of the charts of all critically ill patients visiting our pediatric emergency department over an 18-month period was conducted to determine age, diagnosis, time of presentation to the pediatric ED, Physiologic Stability Index (PSI) and Therapeutic Intervention Scoring System (TISS) score, and eve...

journal_title：Annals of emergency medicine

authors： Kissoon N,Walia MS

更新日期：1989-01-01 00:00:00

abstract：:In an effort to assess the reliability of patient history in excluding pregnancy, we studied the correlation between specific historical factors and the presence of a positive qualitative serum beta-human chorionic gonadotropin assay. Two hundred eight patients were studied, and information was collected prospectively...

journal_title：Annals of emergency medicine

authors： Ramoska EA,Sacchetti AD,Nepp M

更新日期：1989-01-01 00:00:00

abstract：:Venomous bites and stings are numerous but severe local tissue damage is uncommon. Venoms may be simple substances or complex mixtures of many poorly characterized components whose interactions are still not fully understood. The best studied example of a dermonecrotic venom is that produced by the brown recluse spide...

journal_title：Annals of emergency medicine

authors： Wasserman GS

更新日期：1988-12-01 00:00:00

abstract：:Pulmonary embolism is diagnosed 120,000 times yearly in the United States and contributes to 30,000 deaths. This probably represents an underestimate of incidence because massive acute pulmonary embolism may often result in rapid and therefore unexplained death in the absence of autopsy confirmation. The innovative an...

journal_title：Annals of emergency medicine

authors： Kessler CM,Druy E,Goldhaber SZ

更新日期：1988-11-01 00:00:00

abstract：:The goal of thrombolytic treatment in acute myocardial infarction is to reestablish permanent blood flow, salvage ischemic myocardium, and reduce mortality. If patency is achieved sufficiently early and is maintained, left ventricular function is preserved and mortality decreases. The recent experience with tissue pla...

journal_title：Annals of emergency medicine

authors： Heras M,Chesebro JH,Gersh BG,Holmes DR,Mock MB,Fuster V

更新日期：1988-11-01 00:00:00

abstract：:Early experience with the use of tissue plasminogen activator (tPA) in acute myocardial infarction is reviewed, including comparisons with other thrombolytic agents, a summary of hemorrhagic complications associated with its use, and the rationale for adjunctive therapeutic strategies. The use of tPA has been associat...

journal_title：Annals of emergency medicine

authors： Califf RM,Mantell S,Westawski C,Bride W,Honan MB,Bellinger RL,Wall TC

更新日期：1988-11-01 00:00:00

abstract：:Test strips recently have become available to measure theophylline levels. One such test strip (AccuLevel) had not been tested in an actual clinical situation with nontechnician personnel. We prospectively evaluated the test strip on consecutive emergency department patients, comparing it with the agglutination inhibi...

journal_title：Annals of emergency medicine

authors： Hurley WT,Saglio SD,Henley CE,Gatrell CB

更新日期：1988-10-01 00:00:00

abstract：:A 24-year-old woman had a clinically occult injury of the carotid artery from the shoulder seat belt restraint in a motor vehicle accident. Acute thromboembolism and hemiplegia occurred two hours after her admission to the emergency department. There were contusions of the neck and chest (seat belt sign) but no associ...

journal_title：Annals of emergency medicine

authors： Ernst A,Robertson HJ,Bercier ML,Kline DG

更新日期：1988-10-01 00:00:00

abstract：:In a prospective investigation of isolated simple pneumothorax, the treatment of 35 patients with a total of 37 pneumothoraces was studied. A standardized sequential treatment approach was followed for evacuation of the pneumothorax and maintenance of lung reexpansion. The protocol involved catheter placement using a ...

journal_title：Annals of emergency medicine

authors： Vallee P,Sullivan M,Richardson H,Bivins B,Tomlanovich M

更新日期：1988-09-01 00:00:00

abstract：:Right ventricular infarction due to ischemic heart disease can be diagnosed by a right precordial electrogram or by first-pass radionuclide angiography (FPRNA). Prior FPRNA studies have shown that cardiac dysfunction after blunt chest trauma (myocardial contusion) is most often due to right ventricular dysfunction. We...

journal_title：Annals of emergency medicine

authors： Mooney R,Niemann JT,Bessen HA,Mena I,French S,Laks MM

更新日期：1988-09-01 00:00:00

abstract：:A 39-year-old woman presented to the emergency department with symptoms of acute knifelike chest pain and was discharged with a diagnosis of musculoskeletal pain syndrome. One day later, she returned with a complaint of persistent chest pain. Physical examination disclosed meningismus, this led to a lumbar puncture an...

journal_title：Annals of emergency medicine

authors： Barton CW

更新日期：1988-09-01 00:00:00

abstract：:This double-blind study compared the analgesic effects of morphine with those of butorphanol in patients who presented with pain because of sickle cell crisis. Patients were placed at bed rest, administered IV hydration, and randomly assigned on each visit to receive either 2 mg IM butorphanol or 6 mg IM morphine ever...

journal_title：Annals of emergency medicine

authors： Gonzalez ER,Ornato JP,Ware D,Bull D,Evens RP

更新日期：1988-08-01 00:00:00

abstract：:We present the case of a 21-year-old man who presented to the emergency department with an episode of profound weakness due to thyrotoxic periodic paralysis, a syndrome of muscular weakness occurring in patients with hyperthyroidism. Prior to the diagnosis, the patient was treated with a parenteral tranquilizer. When ...

journal_title：Annals of emergency medicine

authors： Bergeron L,Sternbach GL

更新日期：1988-08-01 00:00:00

abstract：:The use of the emergency IV contrast-enhanced abdominal computed tomography (CT) scanning was evaluated in 90 pediatric patients sustaining blunt abdominal trauma. Medical records, CT scans, and operative and postmortem reports, when applicable, were reviewed retrospectively. By identifying the organs of injury, CT sc...

journal_title：Annals of emergency medicine

authors： Haftel AJ,Lev R,Mahour GH,Senac M,Akhtar Shah SI

更新日期：1988-07-01 00:00:00

abstract：:Hemodynamically unstable patients will benefit from therapy to control their blood pressure only if this pressure can be determined with accuracy. We compared the accuracy of arterial blood pressure measurements taken aboard helicopters by palpation with a Doppler device and with an oscillometric device. Twenty critic...

journal_title：Annals of emergency medicine

authors： Low RB,Martin D

更新日期：1988-06-01 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：:To evaluate the hypothesis that all victims of severe blunt trauma require a pelvic radiograph, we prospectively studied all such patients admitted to the Southern New Jersey Regional Trauma Center during a seven-month period. All patients were classified as unconscious; impaired; awake, alert, and symptomatic; or ale...

journal_title：Annals of emergency medicine

authors： Civil ID,Ross SE,Botehlo G,Schwab CW

更新日期：1988-05-01 00:00:00

abstract：:We present a case of delay in diagnosis of diaphragmatic rupture and herniation in a pregnant 25-year-old woman. The diaphragmatic rupture was secondary to trauma sustained five months prior to presentation. Subsequent to her accident, she was provided medical care on multiple occasions for symptoms of intractable nau...

journal_title：Annals of emergency medicine

authors： Henzler M,Martin ML,Young J

更新日期：1988-04-01 00:00:00

abstract：:TSS is a recently described acute febrile illness characterized by hypotension, rash, desquamation, and multisystemic involvement. While most common in menstruating women, TSS also occurs in men and non-menstruating women. It is now known that the disease is caused by one or more toxins produced by the S aureus organi...

journal_title：Annals of emergency medicine

authors： Wright SW,Trott AT

更新日期：1988-03-01 00:00:00

abstract：:A team of missionary doctors from Ecuador recently described striking success in the treatment of venomous snakebites with a series of brief, high-voltage, low-current electric shocks applied to the bit site. We designed a randomized, controlled, blinded test of their methods in laboratory rats. Venom of the fer-de-la...

journal_title：Annals of emergency medicine

authors： Howe NR,Meisenheimer JL Jr

更新日期：1988-03-01 00:00:00

abstract：:A prospective study was conducted to test the reliability of at-home observation of head trauma victims in the rural South among a population of low educational level. During a four-month period, 99 patients entered and 90 patients finished the study. In all cases, an individual was identified as willing to accept the...

journal_title：Annals of emergency medicine

authors： Cline DM,Whitley TW

更新日期：1988-02-01 00:00:00

abstract：:A characteristic case of overwhelming postsplenectomy infection in a previously healthy, 25-year-old man is presented. The patient progressed from influenza-like symptoms to irreversible septic shock and death within 24 hours. His spleen had been removed nine years earlier because of abdominal trauma. Aggressive thera...

journal_title：Annals of emergency medicine

authors： Stryker RM,Orton DW

更新日期：1988-02-01 00:00:00

abstract：:Little has been reported in the literature on the characteristics of existing and planned emergency medicine fellowships. To help answer important questions about fellowships, a 28-question survey was developed by representatives from the University Association for Emergency Medicine education and fellowship committee...

journal_title：Annals of emergency medicine

authors： Podolsky SM,Woodburn JD,Murphy J,Stair T

更新日期：1988-01-01 00:00:00

abstract：:Axial (in-line) traction is recommended as a stabilizing maneuver during orotracheal intubation of a trauma victim with a potential cervical spine injury. There are no published data demonstrating the safety of this technique in trauma patients with an unstable cervical spine. In our study, 17 victims of blunt traumat...

journal_title：Annals of emergency medicine

authors： Bivins HG,Ford S,Bezmalinovic Z,Price HM,Williams JL

更新日期：1988-01-01 00:00:00

abstract：:A seven-year-old boy ingested 3,000 mg (125 mg/kg) of isoniazid. Initial blood levels of isoniazid were 250 micrograms/mL approximately six hours after ingestion. Despite IV treatment in the emergency department with 3,000 mg pyridoxine and a repeat of the same antidote one hour later in the intensive care unit, the h...

journal_title：Annals of emergency medicine

authors： Orlowski JP,Paganini EP,Pippenger CE

更新日期：1988-01-01 00:00:00

abstract：:Survival after out-of-hospital cardiac arrest is intimately related to the time from cardiovascular collapse to the initiation of CPR, or downtime. Furthermore, the reperfusion technique that optimizes coronary and cerebral blood flow after cardiac arrest may also be dependent on downtime. Peak blood lactate levels ha...

journal_title：Annals of emergency medicine

authors： Carden DL,Martin GB,Nowak RM,Foreback CC,Tomlanovich MC

更新日期：1987-12-01 00:00:00

abstract：:In rescue medicine, a suction apparatus must function in a variety of environmental conditions. To find an appropriate device for the Swedish Air Force air rescue service the Laerdal suction device 790,000 was selected for further testing according to international standards for aviation safety. Tests showed that vibr...

journal_title：Annals of emergency medicine

authors： Dahlgren BE,Nilsson H,Bjorn P,Skedevik C

更新日期：1987-12-01 00:00:00

abstract：:A young woman presented with acute abdominal pain, anemia, and a positive pregnancy test. At surgery a large retroperitoneal hematoma secondary to a ruptured right kidney was found. Pathological examination revealed a hematogenic necrosis of a choriocarcinoma of the kidney. The patient tolerated subsequent chemotherap...

journal_title：Annals of emergency medicine

authors： Plaus WJ

更新日期：1987-12-01 00:00:00

abstract：:A study was undertaken to compare warm gastric (Group 1) and closed thoracic cavity (Group 2) lavage for rewarming severely hypothermic dogs. Adult mongrel dogs were monitored by intra-arterial catheter, central venous catheter, and ECG, and by central venous, esophageal, and rectal temperature probes. Animals were ex...

journal_title：Annals of emergency medicine

authors： Brunette DD,Sterner S,Robinson EP,Ruiz E

更新日期：1987-11-01 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