abstract：:The Prehospital Index (PHI) is a triage-oriented trauma severity scoring system comprising four components: systolic blood pressure, pulse, respiratory status, and level of consciousness, each scored 0 to 5. The PHI was developed after analysis of 313 cases to provide an objective prehospital scoring system for distin...

journal_title：Annals of emergency medicine

authors： Koehler JJ,Baer LJ,Malafa SA,Meindertsma MS,Navitskas NR,Huizenga JE

更新日期：1986-02-01 00:00:00

abstract：:One hundred forty-one medical schools were surveyed to determine the emergency medicine core content topics and skills being taught in the curricula. Responses were obtained from 96 schools through two mailings and a telephone followup. Most topics surveyed were offered in the vast majority of medical schools (greater...

journal_title：Annals of emergency medicine

authors： Sanders AB,Criss E,Witzke D

更新日期：1986-01-01 00:00:00

abstract：:We conducted a study to determine the number of items and successful response rate to questions specific to emergency medicine on the National Board of Medical Examiners Test, Part II (NBME-II). The 1979 and 1983 NBME-II examinations were reviewed by a subcommittee of the Society of Teachers of Emergency Medicine. Ite...

journal_title：Annals of emergency medicine

authors： Sanders AB,Burdick WP,Stair TO,Witzke D

更新日期：1986-01-01 00:00:00

abstract：:Sodium metabisulfite (MBS) is a commonly used food and drug preservative. We report the case of a 32-year-old man with a documented history of allergy to MBS who developed an anaphylactic reaction after ingestion of MBS-treated foods. The patient had a prolonged clinical course requiring two emergency department visit...

journal_title：Annals of emergency medicine

authors： Riggs BS,Harchelroad FP Jr,Poole C

更新日期：1986-01-01 00:00:00

abstract：:Neurologic injury is a significant source of morbidity and mortality in pediatric patients. In order to clarify the factors influencing outcome in pediatric patients with severe head injury, we studied 200 consecutive patients with Glasgow Coma Scale (GCS) scores of 8 or less. The following data were collected: age, G...

journal_title：Annals of emergency medicine

authors： Mayer TA,Walker ML

更新日期：1985-12-01 00:00:00

abstract：:The resuscitation of a patient with failure of a permanent artificial pacemaker is described. A mechanically inactive heart showed a variety of ineffective rhythms, and dissociation could not be overcome by drug therapy. The urgent need for artificial pacing presented problems that eventually were overcome. The time r...

journal_title：Annals of emergency medicine

authors： McNeil EL

更新日期：1985-12-01 00:00:00

abstract：:A comparison of several maneuvers that are believed to increase vagal tone was made by measuring the carotid sinus with an ultrasound device. For 20 healthy volunteers the mean carotid sinus diameter was 5.7 mm supine, 6.1 mm in the Trendelenberg position, 6.5 mm after supine medical antishock trousers (MAST) inflatio...

journal_title：Annals of emergency medicine

authors： Hauswald M,Tandberg D

更新日期：1985-11-01 00:00:00

abstract：:The case of a patient with apparent cocaine toxicity and drug-mediated hypertension and tachycardia is presented. IV propranolol was used as the initial treatment for his hyperadrenergic state, resulting in a decrease in heart rate but a paroxsymal increase in blood pressure. The patient required nitroprusside for con...

journal_title：Annals of emergency medicine

authors： Ramoska E,Sacchetti AD

更新日期：1985-11-01 00:00:00

abstract：:The Trauma Score (TS) is a physiologic measure of injury severity that correlates with patient outcome. Application of the TS has shown that it is useful for patient triage, for predicting patient outcome, and as a means of normalizing for case mix when comparing prehospital care and transport modalities. Our study ex...

journal_title：Annals of emergency medicine

authors： Moreau M,Gainer PS,Champion H,Sacco WJ

更新日期：1985-11-01 00:00:00

abstract：:Single-dose antibiotic therapy for urinary tract infections in which no underlying structural or neurologic lesions are present holds the promise of greater patient compliance and convenience. We present the results of a study comparing a single intramuscular dose of a long-acting, third-generation cephalosporin, ceft...

journal_title：Annals of emergency medicine

authors： Rosenberg JM,Levy RC,Cicmanec JF,Hedges JR,Burke BM

更新日期：1985-10-01 00:00:00

abstract：:As the sciences of emergency medicine and acute care medicine develop, it becomes imperative for researchers in these fields to accurately and completely report the methodology of their investigations. It is only through complete reporting that other investigators can critically examine, replicate, or expand on the re...

journal_title：Annals of emergency medicine

authors： Brown CG,Kelen GD,Moser M,Moeschberger ML,Rund DA

更新日期：1985-10-01 00:00:00

abstract：:To assess the relationship between conjunctival pH (pHcj), arterial pH (pHa), and cardiorespiratory variables during normal and low-flow conditions, hemorrhagic hypotension was induced in eight dogs. Conjunctival pH became significantly less than control values after a hemorrhage volume of 15 mL/kg (P less than .05); ...

journal_title：Annals of emergency medicine

authors： Abraham E,Fink SE,Markle DR,Pinholster G,Tsang M

更新日期：1985-09-01 00:00:00

abstract：:As we mark the 25th anniversary of the clinical application of closed-chest cardiopulmonary resuscitation (SCPR), it is time to look back and analyze the progress we have made in the resuscitation of sudden death syndrome. Recent studies of SCPR's effectiveness have yielded mixed results, in comparison to early studie...

journal_title：Annals of emergency medicine

authors： Thompson BM,Stueven HA,Mateer JR,Aprahamian CC,Tucker JF,Darin JC

更新日期：1985-08-01 00:00:00

abstract：:Presented is a rationale for use of a new class of drugs, the iron chelating agents, in advanced cardiac life support (ACLS) to prevent late deaths and brain damage following successful cardiopulmonary resuscitation. The relevant biochemical hypothesis states that free iron ions, liberated from bound intracellular sto...

journal_title：Annals of emergency medicine

authors： Babbs CF

更新日期：1985-08-01 00:00:00

abstract：:Ten healthy male volunteers were studied to compare the effects of simultaneous versus sequential inflation of antishock trousers (AST) and simultaneous inflation pressures of 20, 40, and 100 mm Hg on blood volume displacement centrally. Radioisotope scans were used to determine the change in blood volume distribution...

journal_title：Annals of emergency medicine

authors： Hanke BK,Bivins HG,Knopp R,dos Santos PA

更新日期：1985-07-01 00:00:00

abstract：:We describe a patient with a long history of rheumatoid arthritis who presented in full cardiopulmonary arrest. He was given intracardiac epinephrine. Fibroptic laryngoscopy determined the cause of the arrest to be upper airway obstruction from cricoarytenoid joint ankylosis, a complication of long-standing rheumatoid...

journal_title：Annals of emergency medicine

authors： Kandora TF,Gilmore IM,Sorber JA,Rose FB,Matta II

更新日期：1985-07-01 00:00:00

abstract：:Activated charcoal is a safe, effective, inexpensive adjunct in the management of most toxic ingestions. It has the ability to adsorb a wide variety of drugs and chemicals, one of which is acetaminophen. N-acetylcysteine (NAC) is the specific antidote available for serious overdoses of acetaminophen. Current managemen...

journal_title：Annals of emergency medicine

authors： Renzi FP,Donovan JW,Martin TG,Morgan L,Harrison EF

更新日期：1985-06-01 00:00:00

abstract：:We present the cases of three patients with skin blisters following carbon monoxide (CO) poisoning. Their blisters appeared to be related to the severity of the poisoning (HbCO levels of more than 40%). Two of the three patients died despite aggressive initial 100% surface oxygen followed by hyperbaric oxygen therapy....

journal_title：Annals of emergency medicine

authors： Myers RA,Snyder SK,Majerus TC

更新日期：1985-06-01 00:00:00

abstract：:Intravenous (IV) fibrinolytic therapy, a recent area of research, has a great deal of applicability in emergency medicine. We report our experience with 30 patients treated with this method. Thirty consecutive patients in the early stages of acute evolving myocardial infarction (AMI) were assigned to receive high-dose...

journal_title：Annals of emergency medicine

authors： Mayer G,Story WE,Seco JE,Nocero MA Jr,Shaskey DJ,Black MA

更新日期：1985-05-01 00:00:00

abstract：:Nine dogs were hemorrhaged to approximately 40% of their blood volume and then were resuscitated with a crystalloid solution (Normosol) at various flow rates. Three study groups with three dogs in each group were resuscitated at 15 mL/min/kg (Group 1), 6 mL/min/kg (Group 2), and 4 mL/min/kg (Group 3). Central venous p...

journal_title：Annals of emergency medicine

authors： Dula DJ,Lutz P,Vogel MF,Weaver BN

更新日期：1985-04-01 00:00:00

abstract：:The catatonic syndrome has a wide differential diagnosis that includes both psychiatric and organic disorders. We present the cases of two patients with catatonia seen acutely in the emergency department. In these cases, the striking clinical picture proved to be secondary to psychiatric disturbances, and were accompa...

journal_title：Annals of emergency medicine

authors： Valenstein M,Maltbie A,Kaplan P

更新日期：1985-04-01 00:00:00

abstract：:We report the cases of three patients with residual symptoms from diving decompression sickness, each of whom presented to a recompression chamber three to seven days following original exposure. All three had complete resolution of symptomatology despite the delayed treatment. The late resolution of symptoms is evide...

journal_title：Annals of emergency medicine

authors： Myers RA,Bray P

更新日期：1985-03-01 00:00:00

abstract：:A patient with a 70% hydrofluoric acid burn developed systemic dissemination of fluoride ion from a 9% to 10% body surface area exposure on the lower extremities. Severe hypocalcemia and intractable ventricular arrhythmias resulted. This case is the second documented occurrence of hypocalcemia from hydrofluoric acid b...

journal_title：Annals of emergency medicine

authors： Mayer TG,Gross PL

更新日期：1985-02-01 00:00:00

abstract：:In order to develop a rapid, simple test to differentiate toxic naphthalene from the less toxic mothball ingredient paradichlorobenzene, both types of mothballs were dissolved in isopropyl alcohol, ethanol, methanol, and turpentine. Twenty-five naphthalene and 25 paradichlorobenzene mothballs were weighed, randomly gr...

journal_title：Annals of emergency medicine

authors： Winkler JV,Kulig K,Rumack BH

更新日期：1985-01-01 00:00:00

abstract：:First-responding emergency medical technicians (EMTs) trained to defibrillate have been shown to increase survival from prehospital ventricular fibrillation (VF) almost fourfold in Washington's King County. Using Nebraska ambulance rescue run data from 1982 and published information relating ambulance response time to...

journal_title：Annals of emergency medicine

authors： Ornato JP,McNeill SE,Craren EJ,Nelson NM

更新日期：1984-12-01 00:00:00

abstract：:While advanced cardiac life support (ACLS) and advanced trauma life support (ATLS) courses have become accepted standards for physicians who care for the critically ill and injured patient, only recently have pediatric advanced life support (PALS) courses been developed. The American Academy of Pediatrics has shown re...

journal_title：Annals of emergency medicine

authors： Thompson BM,Rice T,Jaffe J,Aprahamian C,Horwitz L,Torphy D

更新日期：1984-11-01 00:00:00

abstract：:The records of 50 patients with traumatic aortic rupture (Group I) and 50 patients with blunt chest trauma but negative aortograms (Group II) were reviewed retrospectively. Symptoms and signs referable to the chest and thoracic aorta were recorded and compared in Group I and Group II patients. Each patient's chart was...

journal_title：Annals of emergency medicine

authors： Sturm JT,Perry JF Jr,Olson FR,Cicero JJ

更新日期：1984-10-01 00:00:00

abstract：:Two case reports of patients with anion gap metabolic lactic acidosis and hypoglycemia are presented. Both patients subsequently died of acute liver failure secondary to acetaminophen hepatotoxicity. The development of type B lactic acidosis with hypoglycemia might have been caused by a deficit in gluconeogenesis seco...

journal_title：Annals of emergency medicine

authors： Zabrodski RM,Schnurr LP

更新日期：1984-10-01 00:00:00

abstract：:Transthoracic cardiac pacing historically has been relegated to the role of the technique of last resort in treating cardiac arrest. Recent studies have shown that this technique has a high rate of successful electrical capture, but often without mechanical activity. Survival rates have been shown to be dismal when th...

journal_title：Annals of emergency medicine

authors： Hedges JR,Syverud SA,Dalsey WC

更新日期：1984-09-01 00:00:00

abstract：:Maintaining an unobstructed airway and providing adequate oxygenation and CO2 elimination, by artificial means if necessary, are among the highest priorities in all life-threatening circumstances. How this goal can best be met in the prehospital setting has become a controversial issue. The esophageal obturator airway...

journal_title：Annals of emergency medicine

authors： White RD

更新日期：1984-09-01 00:00:00

abstract：:The medical antishock trouser (MAST) has been advocated as potentially beneficial in the resuscitation of patients in cardiac arrest. Currently available data indicate that the MAST will increase the blood pressure generated by external cardiopulmonary resuscitation. In addition, there may be an increased survival of ...

journal_title：Annals of emergency medicine

authors： Lilja GP,Clinton J,Mahoney B

更新日期：1984-09-01 00:00:00

abstract：:We developed a cardiopulmonary resuscitation (CPR) message that can be given via telephone by emergency dispatchers directly to an individual reporting a cardiac arrest. The message was developed and evaluated on the basis of empirical observation of CPR performance of 203 community volunteers during simulated cardiac...

journal_title：Annals of emergency medicine

authors： Carter WB,Eisenberg MS,Hallstrom AP,Schaeffer S

更新日期：1984-09-01 00:00:00

abstract：:Patients frequently arrive in the emergency department under the influence of alcohol after exposure to extreme conditions of heat or cold. While ethanol ingestion and ambient heat are recognized to have vasodilatory action, previous studies of their interactive effect are limited and guidelines for patient care are v...

journal_title：Annals of emergency medicine

authors： Hughes JH,Henry RE,Daly MJ

更新日期：1984-08-01 00:00:00

abstract：:Presented is the case of a motor vehicle accident (MVA) victim with hypotension and evisceration of small intestine. Vigorous resuscitation in the emergency department was required, after which a portion of small bowel was resected at laparotomy. Evisceration secondary to trauma in an MVA is a rare injury. Significant...

journal_title：Annals of emergency medicine

authors： Majernick TG,West JC,Snover W,Brotman S

更新日期：1984-08-01 00:00:00

abstract：:Presented is a case of syncope as the initial sign of a painless aortic dissection. The patient was stabilized by percutaneous drainage of a hemopericardium, and then underwent angiography and successful operative repair. Although uncommon, painless aortic dissection should be included in the differential diagnosis of...

journal_title：Annals of emergency medicine

authors： Kuhlmann TP,Powers RD

更新日期：1984-07-01 00:00:00

abstract：:Maprotiline, a new tetracyclic antidepressant, has a pattern of toxicity that is different from that of tricyclics. Maprotiline overdosage appears more likely to cause seizures but less likely to cause the peripheral autonomic and cardiac manifestations seen with tricyclics. Two cases of maprotiline overdose resulting...

journal_title：Annals of emergency medicine

authors： Northup L,Reed G,McAnalley B,Anderson RJ

更新日期：1984-06-01 00:00:00

abstract：:To simulate the effect of sublingual injections on pediatric patients, open-chested kid goats were injected sublingually or peripherally with Cardio-Green while being supported by internal cardiac massage. Our study demonstrates that there is statistically a ten-fold lower central blood level after sublingual injectio...

journal_title：Annals of emergency medicine

authors： Ordog GJ,Wasserberger J,Jones J,Rouzier R,Elstin D,Balasubramaniam S

更新日期：1984-06-01 00:00:00

abstract：:A study was undertaken to assess the efficacy and safety of femoral venous catheterization for resuscitation of critically ill patients in the emergency department setting. From May 1982 to April 1983, 100 attempts were made at percutaneous insertion of a large-bore catheter into the femoral veins of patients presenti...

journal_title：Annals of emergency medicine

authors： Swanson RS,Uhlig PN,Gross PL,McCabe CJ

更新日期：1984-04-01 00:00:00

abstract：:The deleterious effects of night shift work are discussed in relation to emergency physicians. Much of the early research is drawn from heavy industry sources and must be extrapolated to medical work. Disruption of circadian rhythms and Zeitgebers, caused by adherence to contemporary social schedules, causes recurrent...

journal_title：Annals of emergency medicine

authors： Michaels HE

更新日期：1984-03-01 00:00:00

abstract：:Twenty cases of shaken baby syndrome are reviewed to determine important signs, symptoms, physical findings, laboratory parameters, and prognosis. The signs and symptoms of this form of head trauma are nonspecific. The findings may mimic infection, intoxication, or metabolic abnormalities. Diagnosis depends on a high ...

journal_title：Annals of emergency medicine

authors： Ludwig S,Warman M

更新日期：1984-02-01 00:00:00