abstract：:Glyburide, a second-generation sulfonylurea hypoglycemic agent, is metabolized by the P-450 hepatic enzyme system. Ciprofloxacin, a widely used quinolone antibiotic, is a recognized P-450 enzyme inhibitor. Conflicting data exist in the medical literature on the ability of quinolone antibiotics to inhibit glyburide hep...

journal_title：Annals of emergency medicine

authors： Roberge RJ,Kaplan R,Frank R,Fore C

更新日期：2000-08-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to develop and validate standardized clinical criteria to identify patients presenting to the emergency department whose care may be safely deferred to a later date in a nonemergency setting. METHODS:Using a modified Delphi process, a 17-member multidisciplinary physician panel developed expl...

journal_title：Annals of emergency medicine

authors： Washington DL,Stevens CD,Shekelle PG,Baker DW,Fink A,Brook RH

更新日期：2000-07-01 00:00:00

abstract：STUDY OBJECTIVE:Cost concerns may inhibit emergency medical services (EMS) use. Novel tax-based and subscription prepayment programs indemnify patients against the cost of EMS treatment and transport. We determine whether the presence of (or enrollment in) prepayment plans increase EMS use among patients with acute che...

journal_title：Annals of emergency medicine

authors： Siepmann DB,Mann NC,Hedges JR,Daya MR

更新日期：2000-06-01 00:00:00

abstract：STUDY OBJECTIVE:This study explored how a variety of demographic and illness-related factors were associated with telephone follow-up among patients visiting the emergency department for acute asthma. METHODS:We performed a prospective cohort study as part of the Multicenter Airway Research Collaboration (MARC). The s...

journal_title：Annals of emergency medicine

authors： Boudreaux ED,Clark S,Camargo CA Jr,MARC Investigators.

更新日期：2000-06-01 00:00:00

abstract：:The American Board of Emergency Medicine gathers extensive background information on emergency medicine residents and the programs in which they train. We present the third annual report on the status of US emergency medicine residency programs. [American Board of Emergency Medicine. Report of the Task Force on Reside...

journal_title：Annals of emergency medicine

authors： Hoffman GL,Bock BF,Gallagher EJ,Markovchick VJ,Ham HP,Munger BS

更新日期：2000-05-01 00:00:00

abstract：:This clinical policy focuses on critical issues in the evaluation and management of patients with acute myocardial infarction or unstable angina. A MEDLINE search for articles published between January 1993 and December 1998 was performed using combinations of the key words chest pain, acute myocardial infarction, uns...

journal_title：Annals of emergency medicine

authors：

更新日期：2000-05-01 00:00:00

abstract：STUDY OBJECTIVES:We assessed the validity and completeness of data in the past medical history (PMH) obtained electronically from parents and examined effects of the human-computer interface and sociodemographic variables on electronic parental report. METHODS:We compared parents' electronic report of PMH data with a ...

journal_title：Annals of emergency medicine

authors： Porter SC,Silvia MT,Fleisher GR,Kohane IS,Homer CJ,Mandl KD

更新日期：2000-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether pediatric patients with acute, mild to moderate acetaminophen exposures, treated with home monitoring alone, develop systemic signs of hepatic injury. METHODS:A prospective, observational study of calls to a regional poison center over a 25-month period was performed. Patients were...

journal_title：Annals of emergency medicine

authors： Mohler CR,Nordt SP,Williams SR,Manoguerra AS,Clark RF

更新日期：2000-03-01 00:00:00

abstract：:[Centers for Disease Control and Prevention. Use of pulsed-field gel electrophoresis for investigation of a cluster of invasive group A streptococcal illness-Spokane, Washington, 1999. MMWR Morb Mortal Wkly Rep. 1999;48:681-683.]. ...

journal_title：Annals of emergency medicine

authors：

更新日期：2000-03-01 00:00:00

abstract：STUDY OBJECTIVE:The Utstein guidelines recommend that emergency medical services (EMS)-witnessed cardiac arrests be considered separately from other out-of-hospital cardiac arrest cases. The objective of this study was to assess EMS-witnessed cardiac arrest and to determine predictors of survival in this group. METHOD...

journal_title：Annals of emergency medicine

authors： De Maio VJ,Stiell IG,Wells GA,Spaite DW,OPALS Study Group.

更新日期：2000-02-01 00:00:00

abstract：:[American College of Emergency Physicians. Hospital, medical staff, and payer responsibility for emergency department patients. Ann Emerg Med. February 2000;35:210-211.]. ...

journal_title：Annals of emergency medicine

authors：

更新日期：2000-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether the use of diclofenac ophthalmic solution is a safe and effective analgesic in the treatment of traumatic corneal abrasions in the emergency department. METHODS:We conducted a prospective, randomized, double-blinded, placebo-controlled clinical trial. Consenting consecutive patient...

journal_title：Annals of emergency medicine

authors： Szucs PA,Nashed AH,Allegra JR,Eskin B

更新日期：2000-02-01 00:00:00

abstract：:Exposure to blood and body fluids that may be contaminated with infectious agents is a common occupational hazard for health care workers. Health care workers in the emergency department or out-of-hospital setting are at especially high risk for exposure to blood or body fluids. Nonemergency health care workers are fr...

journal_title：Annals of emergency medicine

authors： Moran GJ

更新日期：2000-01-01 00:00:00

abstract：STUDY OBJECTIVE:Emergency department records are an important source of injury surveillance data. However, documentation regarding intentional assault has not been studied and may be suboptimal. The purpose of this study was to analyze physician documentation of assailant, site, and object used in intentional assault. ...

journal_title：Annals of emergency medicine

authors： Houry D,Feldhaus KM,Nyquist SR,Abbott J,Pons PT

更新日期：1999-12-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to describe the effects of continuous intravenous midazolam infusion as therapy for severe bark scorpion (Centruroides exilicauda) envenomation. METHODS:A retrospective chart review from July 1, 1993, through January 1, 1998, identified all patients treated at a university hospital with Inter...

journal_title：Annals of emergency medicine

authors： Gibly R,Williams M,Walter FG,McNally J,Conroy C,Berg RA

更新日期：1999-11-01 00:00:00

abstract：:This article is part of a regular series on emerging infections from the Centers for Disease Control and Prevention (CDC) and the EMERGEncy ID NET, an emergency department-based and CDC-collaborative surveillance network. Important infectious disease public health information with relevance to emergency physicians is ...

journal_title：Annals of emergency medicine

authors： Pollack CV Jr,Fuller J

更新日期：1999-11-01 00:00:00

abstract：STUDY OBJECTIVE:We sought to characterize the clinical manifestations, outcome, and etiology of inadvertent ketamine overdose in the emergency department. METHODS:We investigated cases of inadvertent ketamine overdose in children seen in the ED solicited through electronic mail subscription lists or reported to the In...

journal_title：Annals of emergency medicine

authors： Green SM,Clark R,Hostetler MA,Cohen M,Carlson D,Rothrock SG

更新日期：1999-10-01 00:00:00

abstract：STUDY OBJECTIVE:More than 1,000 patients experience sudden cardiac arrest each day. Treatment for this includes cardiopulmonary resuscitation (CPR_ and emergency medical services (EMS) that provide CPR-basic life support (BLS), BLS with defibrillation (BLS-D), or advanced life support (ALS). Our previous systematic rev...

journal_title：Annals of emergency medicine

authors： Nichol G,Stiell IG,Laupacis A,Pham B,Maio VJ,Wells GA

更新日期：1999-10-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the sensitivity and specificity of the urine ketone dip test as a screening test for ketonemia in hyperglycemic patients and to compare the performance of the urine ketone dip test with the anion gap and serum bicarbonate level. METHODS:This was a prospective study conducted in an urban, ...

journal_title：Annals of emergency medicine

authors： Schwab TM,Hendey GW,Soliz TC

更新日期：1999-09-01 00:00:00

abstract：:Recent developments, such as the bombings of the World Trade Center in 1993 and the Alfred P. Murrah Federal Building in Oklahoma City in 1995, the sarin attacks in Tokyo and Matsumoto, Japan, and US Embassy bombings in Kenya and Tanzania in 1998, have heightened fears of terrorist attacks. Future terrorist activities...

journal_title：Annals of emergency medicine

authors： Richards CF,Burstein JL,Waeckerle JF,Hutson HR

更新日期：1999-08-01 00:00:00

abstract：:The Advanced Trauma Life Support (ATLS) course is sponsored by the American College of Surgeons Committee on Trauma. This course was developed to provide a consistent method of care for the resuscitation and evaluation of the injured patient. The ATLS course provides an easily remembered method for evaluating and trea...

journal_title：Annals of emergency medicine

authors： Bell RM,Krantz BE,Weigelt JA

更新日期：1999-08-01 00:00:00

abstract：STUDY OBJECTIVE:Anecdotal concerns suggest that health management organization (HMO) membership instructions may deter members from calling 911 or going to an emergency department for a perceived emergency. This study examines such instructions, specifically in regard to their definition of an emergency condition and a...

journal_title：Annals of emergency medicine

authors： Neely KW,Norton RL

更新日期：1999-07-01 00:00:00

abstract：STUDY OBJECTIVE:To compare patient and practitioner assessments of pain associated with commonly performed emergency department procedures and use of anesthetics before these procedures. METHODS:This was a prospective, observational, cross-sectional study conducted at a university-based ED with a convenience sample of...

journal_title：Annals of emergency medicine

authors： Singer AJ,Richman PB,Kowalska A,Thode HC Jr

更新日期：1999-06-01 00:00:00

abstract：:The management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

journal_title：Annals of emergency medicine

authors： Hovanessian HC

更新日期：1999-05-01 00:00:00

abstract：STUDY OBJECTIVES:To test the feasibility of using handheld, battery-operated chemical analyzers by EMS personnel in a wilderness environment to aid in the diagnosis and management of heat illness. METHODS:During the summer of 1996, 3 portable clinical analyzers (i-STAT Corp, Princeton, NJ) were kept at different locat...

journal_title：Annals of emergency medicine

authors： Backer HD,Collins S

更新日期：1999-04-01 00:00:00

abstract：:Ultrasonography in the emergency department is being used for many purposes, including the evaluation of patients with cardiac arrest. Ultrasound testing has been shown to be useful in such patients in determining the presence of true electromechanical dissociation and pericardial effusions. We report a case of ventri...

journal_title：Annals of emergency medicine

authors： Amaya SC,Langsam A

更新日期：1999-03-01 00:00:00

abstract：:This article summarizes the current requirements for a waiver of informed consent for emergency research and analyzes ethical issues that are involved. Researchers who intend to apply for a waiver of informed consent for emergency research must understand that they are asking for the major protector of human subjects,...

journal_title：Annals of emergency medicine

authors： Adams JG,Wegener J

更新日期：1999-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine antibody titers to hepatitis B surface antigen (anti-HBsAg) among previously vaccinated emergency physicians and to assess the degree of compliance with Centers for Disease Control and Prevention (CDC) postvaccination guidelines. METHODS:A descriptive analysis was performed of anti-HBsAg t...

journal_title：Annals of emergency medicine

authors： Goldberg R,Thomas H,Kuhn G,Moradzadeh D,Mody T,Boss RW,Goodman E

更新日期：1999-02-01 00:00:00

abstract：:The ingestion of iron-containing products is a potential toxicologic emergency. The total iron binding capacity (TIBC) has been used widely as a predictor of end-organ toxicity and a guide to the need for deferoxamine therapy. When the TIBC is greater than the serum iron concentration (SIC), it is held that no free ir...

journal_title：Annals of emergency medicine

authors： Siff JE,Meldon SW,Tomassoni AJ

更新日期：1999-01-01 00:00:00

abstract：STUDY OBJECTIVE:To document prehospital and inhospital time intervals from stroke onset to emergency department evaluation and to identify factors associated with presentation to the ED within 3 hours of symptom onset, the current time window for thrombolytic therapy. METHODS:Patients admitted through the ED with a di...

journal_title：Annals of emergency medicine

authors： Kothari R,Jauch E,Broderick J,Brott T,Sauerbeck L,Khoury J,Liu T

更新日期：1999-01-01 00:00:00

abstract：:Latex allergy, an IgE-mediated reaction to proteins retained in finished natural rubber latex products, has become one of the most pervasive problems in medicine. Latex allergy has resulted in death, progressive asthma, severe food allergy from cross-reactivity, and disability of health care professionals with the acc...

journal_title：Annals of emergency medicine

authors： Kelly KJ,Walsh-Kelly CM

更新日期：1998-12-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to compare triage designations derived from in-person and telephone interviews and systematically examine the effect of visual cues, vital signs, and complaint-based protocols on the triage process. METHODS:We conducted a 2-phase, prospective, observational study employing a randomized, cros...

journal_title：Annals of emergency medicine

authors： Salk ED,Schriger DL,Hubbell KA,Schwartz BL

更新日期：1998-12-01 00:00:00

abstract：:A fatal case of ascending tonic-clonic seizure (ATCS) syndrome resulted from the inadvertent, unrecognized use of a hyperosmolar ionic contrast agent during myelography. The patient presented with lower-extremity myoclonic jerking, agitation, hyperthermia, rhabdomyolysis, and disseminated intravascular coagulation. Em...

journal_title：Annals of emergency medicine

authors： Dunford J

更新日期：1998-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the timeliness of response of consultants called to evaluate patients in the emergency department of a community hospital. METHODS:Consultation requests from an ED located in a medium-sized community hospital were studied for a 1-month period. Data collected included name and specialty of ...

journal_title：Annals of emergency medicine

authors： Vosk A

更新日期：1998-11-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the clinical characteristics of endotracheal intubation in the French emergency prehospital medical system and compare these data with those of other systems. METHODS:This study was performed in lle de France (Paris Region) in mobile ICUs staffed by physicians. This prospective, descriptiv...

journal_title：Annals of emergency medicine

authors： Adnet F,Jouriles NJ,Le Toumelin P,Hennequin B,Taillandier C,Rayeh F,Couvreur J,Nougière B,Nadiras P,Ladka A,Fleury M

更新日期：1998-10-01 00:00:00

abstract：STUDY OBJECTIVE:This study investigated the hypothesis that modern computed tomographic (CT) imaging is sufficient to exclude subarachnoid hemorrhage (SAH) in patients with severe headache. METHODS:All 38,730 adult patients who presented to Hermann Hospital in Houston, Texas, during a 16-month period were prospectivel...

journal_title：Annals of emergency medicine

authors： Morgenstern LB,Luna-Gonzales H,Huber JC Jr,Wong SS,Uthman MO,Gurian JH,Castillo PR,Shaw SG,Frankowski RF,Grotta JC

更新日期：1998-09-01 00:00:00

abstract：STUDY OBJECTIVES:To compare three different methods of teaching CPR to parents of infants at high risk for sudden cardiopulmonary arrest and to identify characteristics that predict difficulty in learning CPR. METHODS:We conducted a prospective, multicenter clinical trial of 480 parents and other infant caretakers. Su...

journal_title：Annals of emergency medicine

authors： Dracup K,Moser DK,Doering LV,Guzy PM

更新日期：1998-08-01 00:00:00

abstract：:Situated in the heart of Europe, Switzerland's 7 million inhabitants, including 1 million foreigners, live in an area of 41,000 km2. German, French, Italian, and Rhaeto-Romanic are the official languages. The Swiss health service stands out because of the high quality and efficiency of its ambulatory and hospitalized ...

journal_title：Annals of emergency medicine

authors： Osterwalder JJ

更新日期：1998-08-01 00:00:00

abstract：STUDY OBJECTIVES:To examine trends in legal handgun purchases from federally licensed dealers and specifically to describe recent changes in age and gender of purchaser and caliber of handguns purchased. METHODS:A cohort study was performed of the adult population of Washington state from 1950 through 1992 using a sta...

journal_title：Annals of emergency medicine

authors： Dowd MD,Grossman DC,Cummings P,Britt J

更新日期：1998-07-01 00:00:00

abstract：:Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia pre...

journal_title：Annals of emergency medicine

authors： McCarty M,Jagoda A,Fairweather P

更新日期：1998-07-01 00:00:00