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：:Experimental ischemia by the classic frostbite rabbit ear model clearly defined the role of thromboxane as a mediator of progressive dermal ischemia in frostbite injuries. The therapeutic groups consisted of the antiprostanoids, methylprednisolone, and aspirin combined with anti-thromboxane agents Aloe vera and methim...

journal_title：Annals of emergency medicine

authors： Heggers JP,Robson MC,Manavalen K,Weingarten MD,Carethers JM,Boertman JA,Smith DJ Jr,Sachs RJ

更新日期：1987-09-01 00:00:00

abstract：:Management of snake venom poisoning with antivenin has been the time-proven and medically accepted standard in virtually every country, including the United States. All antivenins are equine in source, and administration to patients exposes them to all the adverse effects of heterologous antisera. The purity and speci...

journal_title：Annals of emergency medicine

authors： Sullivan JB Jr

更新日期：1987-09-01 00:00:00

abstract：:A 57-year-old woman presented in severe respiratory distress 30 minutes after ingesting hydrochlorothiazide. Pulmonary edema was evident clinically and radiographically. A noncardiogenic etiology was suggested by the lack of jugular venous distention, S3 gallop, or pedal edema, and the presence of a normal cardiac sil...

journal_title：Annals of emergency medicine

authors： Klein MD

更新日期：1987-08-01 00:00:00

abstract：:The case of a 28-year-old multiparous woman with an incarcerated gravid uterus is presented. This largely unknown entity invariably results in spontaneous abortion if untreated. Patients present with a characteristic and readily recognizable sign and symptom complex and ultrasonographic findings. Early diagnosis is em...

journal_title：Annals of emergency medicine

authors： Edminster SC,Raabe RD,Kates RB

更新日期：1987-08-01 00:00:00

abstract：:We examined the hemodynamic effects of congesting cuffs (rotating tourniquets) in 12 patients with first acute myocardial infarction and new onset of congestive heart failure 24 to 48 hours after admission. Congesting cuffs were applied for two periods of 15 minutes each, 15 minutes apart, and inflated to 30 mm Hg and...

journal_title：Annals of emergency medicine

authors： Roth A,Hochenberg M,Keren G,Terdiman R,Laniado S

更新日期：1987-07-01 00:00:00

abstract：:We describe the case of a 41-year-old man who suffered a bite to the tongue from the Western Diamondback rattlesnake (C atrox). Life-threatening obstruction of his upper airway secondary to massive edema of the tongue and other soft tissue structures quickly followed envenomation. Nasotracheal intubation, IV antivenin...

journal_title：Annals of emergency medicine

authors： Gerkin R,Sergent KC,Curry SC,Vance M,Nielsen DR,Kazan A

更新日期：1987-07-01 00:00:00

abstract：:A survey completed by 265 emergency medical technicians (EMTs) who provide emergency prehospital care in a rural area included a stress inventory for health professionals and a job satisfaction scale. Logistic regression indicated that the 118 paid EMTs were more likely to be dissatisfied with the freedom they have on...

journal_title：Annals of emergency medicine

authors： Allison EJ Jr,Whitley TW,Revicki DA,Landis SS

更新日期：1987-06-01 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：:A 27-year-old man was admitted to the emergency department with a fluphenazine decanoate-induced dystonia. He was treated with 125 mg diphenhydramine IV in four doses and 2 mg benztropine IM. A fluctuating response was observed before continued remission of the dystonia. Possible reasons for variable patient responses...

journal_title：Annals of emergency medicine

authors： Bailie GR,Nelson MV,Krenzelok EP,Lesar T

更新日期：1987-06-01 00:00:00

abstract：:Massive hemoptysis is an uncommon but life-threatening emergency. The loss of at least 600 mL of blood within a 48-hour period has been associated with a high mortality rate. Initial stabilization including airway and ventilation management, IV fluids, oxygen, and laboratory and radiographic studies should be done in ...

journal_title：Annals of emergency medicine

authors： Rudzinski JP,delCastillo J

更新日期：1987-05-01 00:00:00

abstract：:Admixture of erythrocytes (packed red blood cells) with heated saline solutions may provide a faster and safer method of bloodwarming and infusion than is currently available. We developed and tested such a system for ease and efficacy. One-day-old aliquots of erythrocytes (6 to 10 C) were combined with equal amounts ...

journal_title：Annals of emergency medicine

authors： Wilson EB,Iserson KV

更新日期：1987-04-01 00:00:00

abstract：:To define a subset of injured children for whom emergency cervical spine radiography may be unnecessary, we performed a retrospective chart and radiologic review. Two entry methods were used: All injured children, from birth through 16 years, who had received cervical spine radiographs at The Children's Memorial Hospi...

journal_title：Annals of emergency medicine

authors： Jaffe DM,Binns H,Radkowski MA,Barthel MJ,Engelhard HH 3rd

更新日期：1987-03-01 00:00:00

abstract：:We investigated prospectively the radiopacity of 312 pills found on a university hospital formulary by first radiographing them through 15 and 25 cm of water to duplicate the radiodensity of the human body. The pills that were radiodense through water were studied in a human cadaver model, and their densities were qua...

journal_title：Annals of emergency medicine

authors： Savitt DL,Hawkins HH,Roberts JR

更新日期：1987-03-01 00:00:00

abstract：:A prospective, randomized study of 500 consecutive emergency department patients with traumatic lacerations requiring sutures was performed comparing use of topical 1% povidone-iodine (Betadine) and scrubbing with wound management by irrigation with normal saline without scrubbing. A 60-second wound irrigation and scr...

journal_title：Annals of emergency medicine

authors： Gravett A,Sterner S,Clinton JE,Ruiz E

更新日期：1987-02-01 00:00:00

abstract：:Organophosphate insecticides have become increasingly popular for agricultural, industrial, and home use and represent a significant potential health risk. We have reviewed the history, pathophysiology, clinical presentation, laboratory findings, differential diagnosis, therapy, and complications of toxic exposure to ...

journal_title：Annals of emergency medicine

authors： Tafuri J,Roberts J

更新日期：1987-02-01 00:00:00

abstract：:Traumatic dislocation of the hip joint is relatively uncommon in children. The trauma required to produce a dislocation can vary from minimal to severe, high-energy force. We report a case of posterior hip dislocation in a 9-year-old boy who received relatively minor trauma to his leg but who did not seek medical atte...

journal_title：Annals of emergency medicine

authors： McGoff JP,Ramoska EA

更新日期：1987-01-01 00:00:00

abstract：:Many patients seeking care in the modern emergency center are capable of participating in treatment decision making. In the traditional emergency center consent process, the patient or a surrogate is asked to sign a general consent form purporting to authorize any treatment the emergency physician deems necessary. We ...

journal_title：Annals of emergency medicine

authors： Boisaubin EV,Dresser R

更新日期：1987-01-01 00:00:00

abstract：:In experimental animal studies, opiate receptor antagonists (such as naloxone) and physiological opiate antagonists (thyrotropin-releasing hormone [TRH] have been used with some success to improve outcome and physiological variables following traumatic shock associated with hypovolemia, spinal cord trauma, and head in...

journal_title：Annals of emergency medicine

authors： McIntosh TK,Faden AI

更新日期：1986-12-01 00:00:00

abstract：:Recent interest in civilian trauma as a public health problem dates from the National Academy of Sciences white paper in 1966. Civilian trauma patterns vary depending on locale--blunt trauma predominates in rural and smaller urban areas (65% to 80% of hospital admissions); penetrating trauma in larger urban areas outw...

journal_title：Annals of emergency medicine

authors： Baker CC

更新日期：1986-12-01 00:00:00

abstract：:Numerous interventions have been used to protect organ systems and cellular viability from the lethal injury accompanying hypoperfusion and ischemia. Some measures have been directed toward improving perfusion, while others have attempted to enhance the metabolic processes. Our work has focused for the most part on au...

journal_title：Annals of emergency medicine

authors： Markov AK

更新日期：1986-12-01 00:00:00

abstract：:Injury severity determination serves multiple purposes in trauma care systems by aiding prehospital triage, assisting clinical management, and facilitating outcome evaluation. Numerous authors have described methods for quantifying injury severity, most of which use physiologic status or anatomic injury. For prehospit...

journal_title：Annals of emergency medicine

authors： Cales RH

更新日期：1986-12-01 00:00:00

abstract：:Four hundred twenty patients with open dog bite wounds on initial presentation to the emergency department had Gram stains, aerobic and anaerobic cultures, and antibiotic sensitivities of the bacterial isolates of each wound. Forty-eight percent of the wounds evidenced no bacterial growth. Staphylococcus epidermidis w...

journal_title：Annals of emergency medicine

authors： Ordog GJ

更新日期：1986-11-01 00:00:00

abstract：:We assessed the ability of 64 emergency medical technicians (EMTs) to ventilate a resuscitation manikin with a bag valve mask and with a pocket face mask to determine if their skill levels met the American Heart Association standard of 12 ventilations per minute, each with a tidal volume of 800 mL or more. All ventila...

journal_title：Annals of emergency medicine

authors： Cummins RO,Austin D,Graves JR,Litwin PE,Pierce J

更新日期：1986-10-01 00:00:00

abstract：:The cases of three patients with spinal cord compression who presented with acute urinary retention are discussed. Two patients had previously diagnosed carcinoma; in one, acute urinary retention was the first sign of metastatic renal cell carcinoma. Two patients had a history compatible with prostatic hypertrophy. Al...

journal_title：Annals of emergency medicine

authors： Tintinalli JE

更新日期：1986-10-01 00:00:00

abstract：:A 45-year-old man ate the liver of the toxic pufferfish (Diodron hystrix) and developed mild tetrodotoxication consisting of hyperemesis, bradycardia, hypotension, generalized numbness, and a generalized paresis. He was treated with atropine, normal saline IV infusions, nasogastric suction, and oxygen, and he recovere...

journal_title：Annals of emergency medicine

authors： Sims JK,Ostman DC

更新日期：1986-09-01 00:00:00

abstract：:Ethanol disrupts the physical structure of cell membranes. The most fluid membranes, including those that are low in cholesterol, are the most easily disordered by ethanol. Although the membrane-disordering effect is small, there is pharmacological, temporal, and genetic evidence that it is important. Animals that are...

journal_title：Annals of emergency medicine

authors： Goldstein DB

更新日期：1986-09-01 00:00:00

abstract：:Varicella (Chicken pox) is a contagious disease common in childhood but uncommon in adulthood. Pneumonia, however, is a relatively common complication of the disease in adults. Recognition of the potential for this complication in adult patients with varicella is essential for the emergency physician. Three cases of v...

journal_title：Annals of emergency medicine

authors： Hockberger RS,Rothstein RJ

更新日期：1986-08-01 00:00:00

abstract：:One hundred twenty-five pediatric emergency department patients were studied prospectively to determine whether any findings on the physical examination were predictive of abnormalities seen on chest radiograph. We attempted to find possible correlations between such clinical examination findings, recorded prior to ra...

journal_title：Annals of emergency medicine

authors： Zukin DD,Hoffman JR,Cleveland RH,Kushner DC,Herman TE

更新日期：1986-07-01 00:00:00

abstract：:We followed serial plasma baclofen concentrations in a woman who ingested more than 2 g of baclofen in a suicide attempt, the largest ingestion of baclofen reported to date. The plasma clearance of baclofen was characterized by first-order elimination kinetics with a half-life of 8.6 hours. The persistent central nerv...

journal_title：Annals of emergency medicine

authors： Gerkin R,Curry SC,Vance MV,Sankowski PW,Meinhart RD

更新日期：1986-07-01 00:00:00

abstract：:A double-blind, randomized study was performed to determine the occurrence of ventricular arrhythmias in acute asthma patients treated with epinephrine, aminophylline, or both in combination. Sixty patients were studied with Holter monitoring during the 90-minute study period. There was no statistical difference among...

journal_title：Annals of emergency medicine

authors： Emerman CL,Crafford WA,Vrobel TR

更新日期：1986-06-01 00:00:00

abstract：:A treatment protocol for patients with acute bronchospasm was introduced to an adult emergency department in an attempt to decrease treatment time and potentially decrease need for admission. The charts of all patients seen in a control year (before any protocol was in place) and the first three years of the protocol ...

journal_title：Annals of emergency medicine

authors： Schneider SM

更新日期：1986-06-01 00:00:00

abstract：:A 43-year-old woman presented to the emergency department with acute agitation, confusion, and tonic seizures. She had a history of drug abuse, most notably beer, which constituted her major dietary intake. The patient's seizures were at first thought to be factitious in association with an acute psychosis; however, h...

journal_title：Annals of emergency medicine

authors： Joyce SM,Potter R

更新日期：1986-06-01 00:00:00

abstract：:The 1982 US Festival, a three-day outdoor rock music festival, attracted close to 410,000 people. Through a private contractor, a group of physicians participated in the design, administration, and implementation of medical care for this event. Basic ambulatory care was provided by a multitiered approach, using emerge...

journal_title：Annals of emergency medicine

authors： Ounanian LL,Salinas C,Shear CL,Rodney WM

更新日期：1986-05-01 00:00:00

abstract：:We report the cases of two children with acute plastic fractures of the long bones following trauma. Bowing deformity was evident clinically and radiographically in both cases. The unique radiologic features consisted of absence of fracture lines and of periosteal new bone formation during the healing phase. The mecha...

journal_title：Annals of emergency medicine

authors： Komara JS,Kottamasu L,Kottamasu SR

更新日期：1986-05-01 00:00:00

abstract：:Little is known about the efficacy of CPR in the setting of hypothermia-induced cardiac arrest. We measured organ blood flow produced by conventional closed-chest CPR in eight swine following normothermic KCl-induced cardiac arrest and in seven swine surface-cooled until cardiac arrest occurred. Radiomicrospheres were...

journal_title：Annals of emergency medicine

authors： Maningas PA,DeGuzman LR,Hollenbach SJ,Volk KA,Bellamy RF

更新日期：1986-04-01 00:00:00

abstract：:Many studies of prehospital resuscitation report on selected populations. We examined a series of 445 unselected nontraumatic cardiac arrests. Emergency cardiac care (ECC) was not initiated in 126 (28%). ECC was begun in 319 (78%), but was terminated in 132 (33%). Ninety-four (21%) were admitted to the hospital with p...

journal_title：Annals of emergency medicine

authors： Aprahamian C,Thompson BM,Gruchow HW,Mateer JR,Tucker JF,Stueven HA,Darin JC

更新日期：1986-04-01 00:00:00

abstract：:Electrolytes, BUN, and creatinine are some of the most frequently ordered laboratory tests. The use of these tests in emergency practice has not been studied critically, and few investigations of their use in other disciplines have been performed. A review of the available literature and an analysis of medical problem...

journal_title：Annals of emergency medicine

authors： Checchio LM,Como AJ

更新日期：1986-03-01 00:00:00

abstract：:The traditional use of the throat culture to guide treatment of potential streptococcal pharyngitis recently has been questioned because of the following facts: antibiotic therapy within the first 48 hours of illness reduces the severity and symptoms of streptococcal pharyngitis; more rapid treatment of streptococcal ...

journal_title：Annals of emergency medicine

authors： Hedges JR,Lowe RA

更新日期：1986-03-01 00:00:00

abstract：:To help establish a rational approach to the initial management of Clinitest tablet ingestion, we investigated the effect of number of tablets, volume of diluent, and type of diluent on dissolution time (TD), temperature generation (delta T), and pH. Dissolution time was independent of the number of tablets and the vo...

journal_title：Annals of emergency medicine

authors： Lacouture PG,Gaudreault P,Lovejoy FH Jr

更新日期：1986-02-01 00:00:00