abstract：STUDY OBJECTIVE:To determine emergency department patients' behaviors during informed consent for an intimate partner violence survey. METHODS:We conducted a cross-sectional study during administration of informed consent. Research assistants recorded whether informed consent was read, time spent reading it, whether q...

journal_title：Annals of emergency medicine

authors： Baren J,Campbell CF,Schears RM,Shofer FS,Datner EM,Hollander JE

更新日期：2010-01-01 00:00:00

abstract：STUDY OBJECTIVE:News media are used for community education and notification in exception from informed consent clinical trials, yet their effectiveness as an added safeguard in such research remains unknown. We assessed the number of callers requesting opt-out bracelets after each local media report and described the ...

journal_title：Annals of emergency medicine

authors： Nelson MJ,DeIorio NM,Schmidt T,Griffiths D,Daya M,Haywood L,Zive D,Newgard CD

更新日期：2010-01-01 00:00:00

abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Previous out-of-hospital studies indicate that selective spinal immobilization may miss patients with cervical injury. WHAT QUESTION THIS STUDY ADDRESSED: Can paramedics apply the Canadian C-Spine Rule in alert, stable, cooperative, blunt-trauma patients to reserve spinal immobiliz...

journal_title：Annals of emergency medicine

authors： Barrett TW,Schriger DL

更新日期：2009-11-01 00:00:00

abstract：:Despite 3 decades of scientific progress, rates of survival from out-of-hospital cardiac arrest remain low. The Cardiac Arrest Registry to Enhance Survival (CARES) was created to provide communities with a means to identify cases of out-of-hospital cardiac arrest, measure how well emergency medical services (EMS) perf...

journal_title：Annals of emergency medicine

authors： McNally B,Stokes A,Crouch A,Kellermann AL,CARES Surveillance Group.

更新日期：2009-11-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and w...

journal_title：Annals of emergency medicine

authors： Mittal MK,Shofer FS,Baren JM

更新日期：2009-10-01 00:00:00

abstract：STUDY OBJECTIVES:This study measures the effect of meeting emergency department (ED) patients' expectations for diagnostic and therapeutic interventions on patient satisfaction. METHODS:This was a cross-sectional study of consecutive patients during block enrollment periods surveyed at the beginning and end of their E...

journal_title：Annals of emergency medicine

authors： Toma G,Triner W,McNutt LA

更新日期：2009-09-01 00:00:00

abstract：STUDY OBJECTIVE:Immobility predisposes to venous thromboembolism, but this risk may vary, depending on the underlying cause of immobility. METHODS:This was a prospective, longitudinal outcome study of self-presenting emergency department (ED) patients who were from 12 hospitals and had suspected venous thromboembolism...

journal_title：Annals of emergency medicine

authors： Beam DM,Courtney DM,Kabrhel C,Moore CL,Richman PB,Kline JA

更新日期：2009-08-01 00:00:00

abstract：STUDY OBJECTIVE:We determine the sensitivity, specificity, and clinical utility of the Gram's stain of peritoneal fluid in patients undergoing paracentesis. METHODS:We conducted a retrospective chart review of all peritoneal fluid analyses in a 3-year period in an urban 3-hospital system. Peritoneal dialysis and diagn...

journal_title：Annals of emergency medicine

authors： Chinnock B,Fox C,Hendey GW

更新日期：2009-07-01 00:00:00

abstract：:Prothrombin complex concentrates are frequently used to rapidly reverse anticoagulation with vitamin K antagonists associated with life-threatening bleeding. We report a patient receiving warfarin who presented to the emergency department with an international normalization ratio greater than 12.8 in cardiac tamponade...

journal_title：Annals of emergency medicine

authors： Warren O,Simon B

更新日期：2009-06-01 00:00:00

abstract：STUDY OBJECTIVE:We identify, describe, and categorize vulnerabilities in emergency department (ED) to internal medicine patient transfers. METHODS:We surveyed all emergency medicine house staff, emergency physician assistants, internal medicine house staff and hospitalists at an urban, academic medical center. Respond...

journal_title：Annals of emergency medicine

authors： Horwitz LI,Meredith T,Schuur JD,Shah NR,Kulkarni RG,Jenq GY

更新日期：2009-06-01 00:00:00

abstract：STUDY OBJECTIVE:The use of nonprescription cough and cold medicines is widespread, but their use has been sporadically associated with severe toxicity and death. We evaluate the role of these medications in pediatric fatalities and identified factors that contributed to the death. METHODS:Fatalities that involved a ch...

journal_title：Annals of emergency medicine

authors： Dart RC,Paul IM,Bond GR,Winston DC,Manoguerra AS,Palmer RB,Kauffman RE,Banner W,Green JL,Rumack BH

更新日期：2009-04-01 00:00:00

abstract：STUDY OBJECTIVE:To be able to adhere to discharge instructions after a visit to the emergency department (ED), patients should understand both the care that they received and their discharge instructions. The objective of this study is to assess, at discharge, patients' comprehension of their ED care and instructions a...

journal_title：Annals of emergency medicine

authors： Engel KG,Heisler M,Smith DM,Robinson CH,Forman JH,Ubel PA

更新日期：2009-04-01 00:00:00

abstract：:After Hurricane Katrina hit the Gulf Coast on August 29, 2005, thousands of ill and injured evacuees were transported to Houston, TX. Houston's regional disaster plan was quickly implemented, leading to the activation of the Regional Hospital Preparedness Council's Catastrophic Medical Operations Center and the rapid ...

journal_title：Annals of emergency medicine

authors： Hamilton DR,Gavagan TF,Smart KT,Upton LA,Havron DA,Weller NF,Shah UA,Fishkind A,Persse D,Shank P,Mattox K

更新日期：2009-04-01 00:00:00

abstract：STUDY OBJECTIVE:Coronary computed tomographic (CT) angiography has excellent performance characteristics relative to coronary angiography and exercise or pharmacologic stress testing. We hypothesize that coronary CT angiography can identify a cohort of emergency department (ED) patients with a potential acute coronary ...

journal_title：Annals of emergency medicine

authors： Hollander JE,Chang AM,Shofer FS,McCusker CM,Baxt WG,Litt HI

更新日期：2009-03-01 00:00:00

abstract：:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casua...

journal_title：Annals of emergency medicine

authors： Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD

更新日期：2009-02-01 00:00:00

abstract：STUDY OBJECTIVE:Severe myocardial ischemia is the leading cause of arrhythmic sudden cardiac death. It is unclear, however, in which percentage of patients sudden cardiac death is triggered by ST-elevation myocardial infarction (STEMI) and whether the diagnosis of STEMI can be reliably established immediately after res...

journal_title：Annals of emergency medicine

authors： Müller D,Schnitzer L,Brandt J,Arntz HR

更新日期：2008-12-01 00:00:00

abstract：STUDY OBJECTIVE:Continuous positive airway pressure ventilation (CPAP) in appropriately selected patients with acute respiratory failure has been shown to reduce the need for tracheal intubation in hospital. Despite several case series, the effectiveness of out-of-hospital CPAP has not been rigorously studied. We perfo...

journal_title：Annals of emergency medicine

authors： Thompson J,Petrie DA,Ackroyd-Stolarz S,Bardua DJ

更新日期：2008-09-01 00:00:00

abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Procalcitonin is a biomarker that appears to correlate with bacterial infection. WHAT QUESTION THIS STUDY ADDRESSED: Does a procalcitonin level add prognostic information for pneumonia patients in conjunction with scoring systems such as the Pneumonia Severity Index or CURB-65? WHA...

journal_title：Annals of emergency medicine

authors： Menchine MD,Barrett TW,Schriger DL

更新日期：2008-07-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the efficacy of emergency practitioner-performed brief intervention for hazardous/harmful drinkers in reducing alcohol consumption and negative consequences in an emergency department (ED) setting. METHODS:A randomized clinical trial (Project ED Health) was conducted in an urban ED from Ma...

journal_title：Annals of emergency medicine

authors： D'Onofrio G,Pantalon MV,Degutis LC,Fiellin DA,Busch SH,Chawarski MC,Owens PH,O'Connor PG

更新日期：2008-06-01 00:00:00

abstract：STUDY OBJECTIVE:Availability of timely follow-up care is essential in emergency medicine. We describe nonprice barriers to care experienced by callers reporting to be emergency department (ED) patients in need of follow-up care. METHODS:This was a secondary analysis of data collected during a survey of ambulatory clin...

journal_title：Annals of emergency medicine

authors： Vieth TL,Rhodes KV

更新日期：2008-05-01 00:00:00

abstract：STUDY OBJECTIVE:The potential of infectious disease spread in diseases such as tuberculosis, infectious disease epidemic such as avian flu and the threat of terrorism with agents capable of airborne transmission have focused attention on the need for increased surge capacity for patient isolation. Total negative pressu...

journal_title：Annals of emergency medicine

authors： Davis MA,Landesman R,Tadmor B,Hopmeier M,Shenhar G,Barker T,Pozner CN,Binstadt ES,Nelson S,Look R,Shubina M,Walls RM

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVE:This study measures the degree to which parents of patients, in the course of evaluation and treatment in a pediatric emergency department (ED), could report what they were waiting for. METHODS:Brief in-person interviews were conducted with parents of nonemergency patients during an ED visit. After the...

journal_title：Annals of emergency medicine

authors： Cramm KJ,Dowd MD

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVE:Recent systematic reviews have noted a lack of evidence that screening for intimate partner violence does more good than harm. We assess whether patients screened for intimate partner violence on a computer kiosk in the emergency department (ED) experienced any adverse events during or subsequent to the...

journal_title：Annals of emergency medicine

authors： Houry D,Kaslow NJ,Kemball RS,McNutt LA,Cerulli C,Straus H,Rosenberg E,Lu C,Rhodes KV

更新日期：2008-04-01 00:00:00

abstract：STUDY OBJECTIVE:We describe cases referred for physician review because of concern about quality of patient care and identify factors that contributed to patient care management problems. METHODS:We performed a retrospective review of 636 cases investigated by an emergency department physician review committee at an u...

journal_title：Annals of emergency medicine

authors： Cosby KS,Roberts R,Palivos L,Ross C,Schaider J,Sherman S,Nasr I,Couture E,Lee M,Schabowski S,Ahmad I,Scott RD 2nd

更新日期：2008-03-01 00:00:00

abstract：:Profound hypothermia is associated with high mortality and morbidity. Optimal outcomes have been reported with invasive extracorporeal warming techniques not readily available in most hospitals. Endovascular warming devices may provide a less invasive alternative. A 68-year-old woman developed profound hypothermia aft...

journal_title：Annals of emergency medicine

authors： Laniewicz M,Lyn-Kew K,Silbergleit R

更新日期：2008-02-01 00:00:00

abstract：STUDY OBJECTIVE:The benefit of epinephrine in cardiac arrest is controversial and has not been conclusively shown in any human clinical study. We seek to assess the effect of introducing intravenous epinephrine on the survival outcomes of out-of-hospital cardiac arrest patients in an emergency medical services (EMS) sy...

journal_title：Annals of emergency medicine

authors： Ong ME,Tan EH,Ng FS,Panchalingham A,Lim SH,Manning PG,Ong VY,Lim SH,Yap S,Tham LP,Ng KS,Venkataraman A,Cardiac Arrest and Resuscitation Epidemiology Study Group.

更新日期：2007-12-01 00:00:00

abstract：STUDY OBJECTIVE:We hypothesize that emergency department (ED) volume and increased patient complexity are associated with lower quality of care, as measured by time to antibiotics for patients being admitted with community-acquired pneumonia. METHODS:This was a cross-sectional study at a university tertiary care hospi...

journal_title：Annals of emergency medicine

authors： Fee C,Weber EJ,Maak CA,Bacchetti P

更新日期：2007-11-01 00:00:00

abstract：:Niacin (vitamin B3) is promoted for rapidly clearing the body of drugs of abuse, such as cocaine and cannabis, and is alleged to interfere with urine drug screening. We present 4 cases of such novel use associated with significant adverse effects. Two cases had isolated skin manifestations, whereas the other 2 present...

journal_title：Annals of emergency medicine

authors： Mittal MK,Florin T,Perrone J,Delgado JH,Osterhoudt KC

更新日期：2007-11-01 00:00:00

abstract：STUDY OBJECTIVE:Physicians often prescribe antibiotics to patients even when there is no clear indication for their use. Previous studies examining antibiotic use in acute bronchitis and upper respiratory infections have been conducted in primary care settings. We evaluate the factors that physicians in the emergency d...

journal_title：Annals of emergency medicine

authors： Ong S,Nakase J,Moran GJ,Karras DJ,Kuehnert MJ,Talan DA,EMERGEncy ID NET Study Group.

更新日期：2007-09-01 00:00:00

abstract：:This clinical policy focuses on critical issues concerning the management of patients presenting to the emergency department (ED) with acetaminophen overdose. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: 1. What are the indications for N-acetylcysteine (...

journal_title：Annals of emergency medicine

authors： Wolf SJ,Heard K,Sloan EP,Jagoda AS,American College of Emergency Physicians.

更新日期：2007-09-01 00:00:00

abstract：STUDY OBJECTIVE:The foraging of wild mushrooms can be complicated by toxicity from several mushroom types. Amatoxin, a peptide contained in several mushroom species, accounts for the majority of severe mushroom poisonings by binding to RNA polymerase II irreversibly, leading to severe hepatonecrosis. There is no effect...

journal_title：Annals of emergency medicine

authors： Tong TC,Hernandez M,Richardson WH 3rd,Betten DP,Favata M,Riffenburgh RH,Clark RF,Tanen DA

更新日期：2007-09-01 00:00:00

abstract：STUDY OBJECTIVE:The aim of this study is to characterize hospital and patient characteristics associated with administration of thrombolysis in acute ischemic stroke patients in the United States. METHODS:This retrospective, observational, cohort study used data from the Nationwide Inpatient Sample, an administrative ...

journal_title：Annals of emergency medicine

authors： Schumacher HC,Bateman BT,Boden-Albala B,Berman MF,Mohr JP,Sacco RL,Pile-Spellman J

更新日期：2007-08-01 00:00:00

abstract：STUDY OBJECTIVE:We assess the prognostic role of initial glucose levels in patients with a first acute myocardial infarction in the emergency department (ED). METHODS:We conducted a 3-year retrospective cohort study. Patients with a first acute myocardial infarction were recruited from the ED of a tertiary hospital fr...

journal_title：Annals of emergency medicine

authors： Hsu CW,Chen HH,Sheu WH,Chu SJ,Shen YS,Wu CP,Chien KL

更新日期：2007-05-01 00:00:00

abstract：STUDY OBJECTIVE:Intraosseous access is widely used in pediatric and adult resuscitations when vascular access cannot be promptly established. Confirmation of intraosseous needle placement has traditionally relied on the ability to aspirate blood or marrow or infuse crystalloid easily. This study's aim is to determine t...

journal_title：Annals of emergency medicine

authors： Stone MB,Teismann NA,Wang R

更新日期：2007-04-01 00:00:00

abstract：STUDY OBJECTIVE:We compare the efficacy of intranasal fentanyl versus intravenous morphine in a pediatric population presenting to an emergency department (ED) with acute long-bone fractures. METHODS:We conducted a prospective, randomized, double-blind, placebo-controlled, clinical trial in a tertiary pediatric ED bet...

journal_title：Annals of emergency medicine

authors： Borland M,Jacobs I,King B,O'Brien D

更新日期：2007-03-01 00:00:00

abstract：STUDY OBJECTIVE:There is little information about sexual violence cases treated in emergency departments (EDs). This study describes ED visits associated with sexual violence and considers the associated health care burden. METHODS:A descriptive analysis was conducted using nationally representative data on nonfatal i...

journal_title：Annals of emergency medicine

authors： Saltzman LE,Basile KC,Mahendra RR,Steenkamp M,Ingram E,Ikeda R

更新日期：2007-02-01 00:00:00

abstract：STUDY OBJECTIVE:To study early microcirculatory perfusion indices in patients with severe sepsis/septic shock, compare early microcirculatory indices in sepsis survivors versus nonsurvivors, and identify systemic hemodynamic/oxygen transport variables that correlate with early microcirculatory perfusion indices. METHO...

journal_title：Annals of emergency medicine

authors： Trzeciak S,Dellinger RP,Parrillo JE,Guglielmi M,Bajaj J,Abate NL,Arnold RC,Colilla S,Zanotti S,Hollenberg SM,Microcirculatory Alterations in Resuscitation and Shock Investigators.

更新日期：2007-01-01 00:00:00

abstract：STUDY OBJECTIVE:We characterize the quantity and quality of data tables and figures in reports of randomized controlled trials (RCTs) submitted to the British Medical Journal (BMJ) and published in peer-reviewed journals. We investigate how the peer review process affected table and figure quality. METHODS:We reviewed...

journal_title：Annals of emergency medicine

authors： Schriger DL,Sinha R,Schroter S,Liu PY,Altman DG

更新日期：2006-12-01 00:00:00

abstract：STUDY OBJECTIVE:We evaluate associations between pairs of discordant cardiac biomarkers (positive MB band of creatine kinase [CKMB] with negative creatine kinase, positive CKMB with negative cardiac troponin, and positive troponin with negative CKMB) and the presence of acute coronary syndromes in emergency department ...

journal_title：Annals of emergency medicine

authors： Storrow AB,Lindsell CJ,Han JH,Slovis CM,Miller KF,Gibler WB,Hoekstra JW,Peacock WF,Hollander JE,Pollack CV Jr,EMCREG-i*trACS Investigators.

更新日期：2006-12-01 00:00:00

abstract：:Gifts to physicians by the pharmaceutical industry pose numerous ethical questions. Although individual patients and physicians may benefit financially and educationally from certain gifts, the risk of bias resulting from such gifts makes them ethically challenging. After a brief description of the nature and scope of...

journal_title：Annals of emergency medicine

authors： Marco CA,Moskop JC,Solomon RC,Geiderman JM,Larkin GL

更新日期：2006-11-01 00:00:00