abstract：:Because of the altered physiology of the elderly population, either as a result of aging or as a result of other disease processes, many illnesses may present with features that are either atypical or nonspecific in nature. Difficult and nonspecific complaints such as weakness in an elderly patient must be handled in ...

journal_title：Emergency medicine clinics of North America

authors： Chew WM,Birnbaumer DM

更新日期：1999-02-01 00:00:00

abstract：:The patient who has sustained blunt trauma to the chest can present a diagnostic challenge to the emergency physician. There are several diagnostic modalities available for treating life-threatening injuries to these patients. The authors review published studies to support the use of these tests in diagnosing injurie...

journal_title：Emergency medicine clinics of North America

authors： Greenberg MD,Rosen CL

更新日期：1999-02-01 00:00:00

abstract：:The diagnosis of acute scrotal pain can be difficult. The most common causes include torsion of a testicular appendage, epididymitis, and testicular torsion, which account for 85% to 90% of all cases. These entities may be clinically indistinguishable because characteristic symptoms and signs for each overlap, whereas...

journal_title：Emergency medicine clinics of North America

authors： Burgher SW

更新日期：1998-11-01 00:00:00

abstract：:Sudden cardiac death is one of the leading causes of death and a major public health problem that particularly affects the elderly. Sudden cardiac death may be a terminal event after a prolonged debilitating and painful illness, or it may occur following many years of symptoms related to a cardiac disorder; however, i...

journal_title：Emergency medicine clinics of North America

authors： Tresch DD,Thakur RK

更新日期：1998-08-01 00:00:00

abstract：:Cardiac arrhythmias may result from poisoning by a variety of agents. Although some cardiac disturbances are of limited concern, others occur because of the specific cardiac properties of the ingested drugs, and require specific antidotes. Clinicians must understand the resultant pathophysiology so that therapy is app...

journal_title：Emergency medicine clinics of North America

authors： Miller MB

更新日期：1998-05-01 00:00:00

abstract：:Ultrasonography has emerged as a primary imaging modality in the evaluation of the trauma victim. Both emergency physicians and surgeons have been proven capable of performing this rapid, noninvasive evaluation of the chest and abdomen. This article describes the trauma ultrasound examination and illustrates how bedsi...

journal_title：Emergency medicine clinics of North America

authors： Melanson SW,Heller M

更新日期：1998-02-01 00:00:00

abstract：:Dissections of the carotid and vertebral arteries are a common cause of stroke in young adults. The diagnosis may be missed because the typical signs and symptoms are often delayed in onset, or easily confused with other more commonly encountered entities. Dissections of the carotid and vertebral arteries may occur sp...

journal_title：Emergency medicine clinics of North America

authors： Stahmer SA,Raps EC,Mines DI

更新日期：1997-08-01 00:00:00

abstract：:Nonenhanced CT scan remains the most valuable and available neuroimaging study available in the ED. Nonenhanced CT scans are excellent for identifying acute hemorrhage, mass lesions, hydrocephalus, and cerebral edema. It is of limited value in identifying old blood, small abscesses and tumors, arteriovenous malformati...

journal_title：Emergency medicine clinics of North America

authors： Araiza J,Araiza B

更新日期：1997-08-01 00:00:00

abstract：:This article reviews the pearls and pitfalls of obstetric and gynecologic emergencies occurring in women presenting to the emergency department. Some pitfalls include failure to screen for ectopic pregnancy, tachycardia as an unreliable indicator of a ruptured ectopic pregnancy, and the use of serum hCG as a testing p...

journal_title：Emergency medicine clinics of North America

authors： Nadel E,Talbot-Stern J

更新日期：1997-05-01 00:00:00

abstract：:This article reviews some common illnesses and conditions that prompt traveling patients to seek medical care in the emergency department in the United States. It also presents an emergency department approach to the initial diagnosis and treatment of travelers who are experiencing adverse side effects from pretravel ...

journal_title：Emergency medicine clinics of North America

authors： Jong EC,McMullen R

更新日期：1997-02-01 00:00:00

abstract：:Determining the appropriate immunizations for international travelers is a complex, multifaceted process. This article proposes a stepwise and systematic approach to the immunization needs of the traveler-patient. Vaccines for routine health maintenance as well as special issues of the elderly, pregnant, immunocomprom...

journal_title：Emergency medicine clinics of North America

authors： Thanassi WT,Weiss EL

更新日期：1997-02-01 00:00:00

abstract：:This article discusses the management of clinical problems encountered particularly in disasters. These include the principles of multiple-casualty triage, and field and hospital management of blast injury, crush syndrome, compartment syndrome, particulate inhalation, and traumatic asphyxiation. The indications for ex...

journal_title：Emergency medicine clinics of North America

authors： Gans L,Kennedy T

更新日期：1996-05-01 00:00:00

abstract：:Disruption of cerebral blood flow may influence brain energy metabolism to produce reversible or irreversible neurologic deficits. The emergency physician is in a unique position to provide timely treatment during the first few hours of an acute stroke. He or she must be facile with unique pharmacologic and non-pharma...

journal_title：Emergency medicine clinics of North America

authors： Naradzay JF,Gaasch WR

更新日期：1996-02-01 00:00:00

abstract：:Few presentations to the emergency department are as critical or dramatic as the patient in shock. Cardiovascular disasters that commonly present with shock include massive pulmonary embolism, cardiac tamponade, aortic dissection and aneurysm, and cardiogenic shock associated with acute myocardial infarction. Because ...

journal_title：Emergency medicine clinics of North America

authors： Rodgers KG

更新日期：1995-11-01 00:00:00

abstract：:Although laryngotracheobronchitis is the most common upper respiratory tract disorder in pediatrics, several other diseases are potentially life-threatening. The emergency physician must recognize both the obvious and subtle distinctions among upper airway diseases. The status of the patient's airway remains the prima...

journal_title：Emergency medicine clinics of North America

authors： Bank DE,Krug SE

更新日期：1995-05-01 00:00:00

abstract：:Emergency medical services for children require the integration of many community resources to operate optimally. In both urban and rural areas, the abilities of the receiving hospitals and medical staffs must be defined to develop a system that considers severity of injury and illness as well as transport times. ...

journal_title：Emergency medicine clinics of North America

authors： Seidel J

更新日期：1995-05-01 00:00:00

abstract：:Testing for HIV infection is not generally required for the appropriate treatment of medical emergencies. Current standard HIV tests rely on the detection of antibodies to the HIV virus and are among the most sensitive and specific tests used in medicine. Standard HIV tests can be unreliable for detecting infection in...

journal_title：Emergency medicine clinics of North America

authors： Hansen KN

更新日期：1995-02-01 00:00:00

abstract：:Epilepsy is a chronic disorder characterized by recurrent unprovoked epileptic seizures. Not all epileptic seizures indicate the existence of an epileptic disorder; many represent a natural response of the normal brain to transient noxious insults that are not likely to be repeated (reactive seizures). Not only is it ...

journal_title：Emergency medicine clinics of North America

authors： Engel J Jr,Starkman S

更新日期：1994-11-01 00:00:00

abstract：:The evaluation of hydrocephalic shunts is a common problem seen in emergency departments. The emergency medicine practitioner must be aware of the various types of apparatus, the functional considerations of the shunt, and the potential complications of obstruction. Shunt malfunction, either from obstruction or infect...

journal_title：Emergency medicine clinics of North America

authors： Jordan KT

更新日期：1994-08-01 00:00:00

abstract：:The emergency physician should be familiar with the four general categories of TP complications: malfunctions, infections and dermatitis, vascular complications, and psychiatric complications (Table 2). Each category of complication can be readily evaluated and initially managed based on a few simple steps. ...

journal_title：Emergency medicine clinics of North America

authors： Coppola M,Yealy DM

更新日期：1994-08-01 00:00:00

abstract：:Acute iron poisoning continues to be one of the most common and deadly poisonings seen by emergency physicians. There are many potential pitfalls in the assessment, diagnosis, and treatment of iron-poisoned patients. This article reviews the pathophysiology of acute iron poisoning and describes a comprehensive managem...

journal_title：Emergency medicine clinics of North America

authors： Mills KC,Curry SC

更新日期：1994-05-01 00:00:00

abstract：:Sexually transmitted diseases comprise one of the most common medical complications of pregnancy. Prompt treatment is essential to minimize the risk of fetal and neonatal adverse consequences. At this time, however, no pharmacologic therapy is routinely employed for the viral STDs during pregnancy, including HIV, HSV,...

journal_title：Emergency medicine clinics of North America

authors： Martens KA

更新日期：1994-02-01 00:00:00

abstract：:Some degree of abdominal pain is virtually physiologic in pregnancy, for which reason these women will commonly present to the emergency physician for clinical evaluation. Appendicitis is the commonest nonobstetric surgical malady complicating pregnancy; however, its clinical presentation may resemble several other su...

journal_title：Emergency medicine clinics of North America

authors： Epstein FB

更新日期：1994-02-01 00:00:00

abstract：:Clearly, a multitude of potential consent problems can exist for the emergency physician. It is difficult at times to balance the concepts of patient autonomy with the desire to provide optimal medical care. Experienced emergency physicians should be able to individualize the type of consent needed in a particular sit...

journal_title：Emergency medicine clinics of North America

authors： Siegel DM

更新日期：1993-11-01 00:00:00

abstract：:Essential aspects of emergency department assessment and initial treatment of patients with traumatic amputations are outlined. Pitfalls of early treatment and indications for replantation are discussed. The dogmatic approach is avoided. ...

journal_title：Emergency medicine clinics of North America

authors： Schlenker JD,Koulis CP

更新日期：1993-08-01 00:00:00

abstract：:The diagnosis of malignancy in childhood is challenging. Signs and symptoms are generally nonspecific, and children with an underlying malignancy rarely are seriously ill at the time of initial presentation. A thorough history and physical examination are the most important components of the emergency physician's asse...

journal_title：Emergency medicine clinics of North America

authors： Pollack ES

更新日期：1993-05-01 00:00:00

abstract：:Hemophilia and von Willebrand's disease are the most common hereditary bleeding disorders. A variety of treatment modalities of these disorders are discussed. Common organ system bleeding and its treatment and disposition are outlined. Finally, potential complications of both the disease and treatment are reviewed. ...

journal_title：Emergency medicine clinics of North America

authors： Pfaff JA,Geninatti M

更新日期：1993-05-01 00:00:00

abstract：:Pregnancy produces unique physical and physiologic changes. These changes alter, sometimes significantly, the presentation of trauma pathology. This article examines some of the unusual findings and controversies surrounding injury during pregnancy. ...

journal_title：Emergency medicine clinics of North America

authors： Neufeld JD

更新日期：1993-02-01 00:00:00

abstract：:Most dog and cat bite injuries are minor wounds that require only local wound care as well a patient evaluation for tetanus and rabies postexposure immunoprophylaxis. For larger wounds, primary or delayed primary closure can be performed safely where indicated. When antimicrobial agents are necessary, inexpensive peni...

journal_title：Emergency medicine clinics of North America

authors： Dire DJ

更新日期：1992-11-01 00:00:00

abstract：:Patient satisfaction is an integral component of the measurement of health care quality. Proper attention to patient complaints is one part of a patient satisfaction management strategy aimed at revealing and alleviating the causes of patient dissatisfaction. ...

journal_title：Emergency medicine clinics of North America

authors： Schwartz LR,Overton DT

更新日期：1992-08-01 00:00:00

abstract：:Medical planning requires the expedition physician to draw from many aspects of the knowledge base of wilderness and environmental medicine and to learn and use lessons from those that have gone before. The medical plan is dependent on parameters of the expedition objective, scope, and resources and is developed coope...

journal_title：Emergency medicine clinics of North America

authors： Tek D

更新日期：1992-05-01 00:00:00

abstract：:Heat stroke is reviewed in detail. Particular attention is paid to diagnosis and current emergency department treatment, and a brief overview of pathophysiology is included. Early complications, with recommendations for prevention and management, are described. Minor heat related syndromes are also mentioned. ...

journal_title：Emergency medicine clinics of North America

authors： Tek D,Olshaker JS

更新日期：1992-05-01 00:00:00

abstract：:US is the imaging modality of choice in many situations encountered in the Emergency Department. It is particularly useful in evaluating renal colic, pain or vaginal bleeding in the pregnant patient, and pelvic pain in the nonpregnant woman; and in diagnosing gallbladder disease, appendicitis, proximal lower extremity...

journal_title：Emergency medicine clinics of North America

authors： Chang TS,Lepanto L

更新日期：1992-02-01 00:00:00

abstract：:Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This req...

journal_title：Emergency medicine clinics of North America

authors： McCabe JL,Grossman SJ,Joyce JM

更新日期：1991-11-01 00:00:00

abstract：:A rapid controlled induction of anesthesia is useful to facilitate emergency intubation and to reduce the complications of intubation in pediatric patients. A protocol for rapid sequence intubation and suggestions for optimizing airway management in the Emergency Department are described. The use of end tidal carbon d...

journal_title：Emergency medicine clinics of North America

authors： Yamamoto LG

更新日期：1991-08-01 00:00:00

abstract：:Patients who present to the Emergency Department with a behavioral or cognitive disorder should be treated in an organized fashion. The most important element of their care is determining the etiology of their abnormality, whether organic or functional. The history and physical examination, along with laboratory and a...

journal_title：Emergency medicine clinics of North America

authors： Bauer J,Roberts MR,Reisdorff EJ

更新日期：1991-02-01 00:00:00

abstract：:Neurologic and myopathic complications of alcoholism are multiple and diverse, affecting both the central and peripheral nervous systems. In the ED, initial concern is for diagnosing readily reversible causes and ruling out possible life- or limb-threatening etiologies. A rapid assessment of the ABCs, a fingerstick bl...

journal_title：Emergency medicine clinics of North America

authors： Wrenn KD,Slovis CM

更新日期：1990-11-01 00:00:00

abstract：:LSD is still readily available in the United States as a street drug of abuse. Emergency physicians may be called on to diagnose acute LSD intoxication in cases in which the history is unavailable. The typical LSD intoxication syndrome causes marked illusions of color and sound, along with a feeling of "cosmic awarene...

journal_title：Emergency medicine clinics of North America

authors： Kulig K

更新日期：1990-08-01 00:00:00

abstract：:The elderly patient is likely to suffer severer immediate effects and more long-term complications from equivalent forces of injury. However, with an aggressive approach to evaluation, monitoring, and treatment, there is hope for successful recovery in the majority of cases. ...

journal_title：Emergency medicine clinics of North America

authors： Martin RE,Teberian G

更新日期：1990-05-01 00:00:00

abstract：:Diseases do not always show the usual or "classic" signs and symptoms in the elderly. Physiologic changes over the years of a long life seem to be responsible for impairment of regulation or function of many organ systems. Since function often is measured in clinical medicine by laboratory testing, physicians frequent...

journal_title：Emergency medicine clinics of North America

authors： Kelso T

更新日期：1990-05-01 00:00:00