abstract：:EMS quality assurance programs can help guarantee that the provision of prehospital care is medically accountable. The establishment and management of such a program, although time consuming, are critically important. It is essential that the medical director or a designee responsible for quality assurance activities ...

journal_title：Emergency medicine clinics of North America

authors： Polsky SS,Weigand JV

更新日期：1990-02-01 00:00:00

abstract：:Mass casualty incident involves the use of limited resources for multiple casualties. The emergency physician must be familiar with both prehospital and hospital plans for mass casualty care in order to facilitate optimal care and to maintain the continuum from field care to definitive treatment. It is essential that ...

journal_title：Emergency medicine clinics of North America

authors： Doyle CJ

更新日期：1990-02-01 00:00:00

abstract：:The recognition of hypothyroidism may not always be easy in the emergency department setting. Laboratory evaluations of thyroid function are not usually performed on a 24-hour basis, and therefore the emergency physician, although suspecting the presence of hypothyroidism, may be unable to confirm the diagnosis while ...

journal_title：Emergency medicine clinics of North America

authors： Mitchell JM

更新日期：1989-11-01 00:00:00

abstract：:Blunt abdominal trauma results in potentially life-threatening injuries that require organized rapid evaluation and treatment. Resuscitation of hemodynamically unstable patients should be completed in the operating room if retroperitoneal hemorrhage is not strongly suspected. DPL and abdominal CT scans are methods of ...

journal_title：Emergency medicine clinics of North America

authors： Smedira N,Schecter WP

更新日期：1989-08-01 00:00:00

abstract：:Pneumonia is a common disease seen in Emergency Department patients and is caused by a wide range of pathogens. The clinical and laboratory data that help to provide a specific etiologic diagnosis of the pneumonia are reviewed. In addition, current recommendations for the treatment and hospitalization of patients with...

journal_title：Emergency medicine clinics of North America

authors： Carden DL,Smith JK

更新日期：1989-05-01 00:00:00

abstract：:Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical ...

journal_title：Emergency medicine clinics of North America

authors： Klokkevold P

更新日期：1989-02-01 00:00:00

abstract：:PTV is an adjunct to airway management that can prove helpful in selected cases. Its speed and ease of performance are offset by the need for specialized equipment to accomplish it. This difficulty, combined with infrequent indications, makes PTV a rarely performed procedure. Nevertheless, it remains a viable airway m...

journal_title：Emergency medicine clinics of North America

authors： Jorden RC

更新日期：1988-11-01 00:00:00

abstract：:The management of the patient presenting to the Emergency Department with nephrolithiasis or renal colic should include evaluation of the patient for concurrent diseases, risk factors for stone formation, and possible etiologies for stones. Suspicion of ureterolithiasis is based on a cogent history and physical examin...

journal_title：Emergency medicine clinics of North America

authors： Stewart C

更新日期：1988-08-01 00:00:00

abstract：:Acute urinary retention is a common emergency genitourinary symptom. The etiology of acute retention includes obstructive, neurogenic, pharmacologic, and psychogenic causes. The emergency management of acute urinary retention is bladder decompression, which is usually accomplished with a Foley catheter. ...

journal_title：Emergency medicine clinics of North America

authors： Fontanarosa PB,Roush WR

更新日期：1988-08-01 00:00:00

abstract：:Defibrillation has emerged as the single most effective intervention for resuscitation of patients from cardiac arrest. This article reviews the electrophysiologic basis of defibrillation, and ways to increase the effectiveness of counter-shocks, particularly for refractory ventricular fibrillation. Automatic implanta...

journal_title：Emergency medicine clinics of North America

authors： Cummins RO

更新日期：1988-05-01 00:00:00

abstract：:The patient with severe head injury is a therapeutic challenge and demands all of the skills of the emergency medical specialist to manage traumatic injuries to the head, chest, abdomen, and limbs, as well as the specialized problems associated with respiratory care in a patient with raised ICP. The initial treatment ...

journal_title：Emergency medicine clinics of North America

authors： Fink ME

更新日期：1987-11-01 00:00:00

abstract：:There are several significant problems encountered in treating the assault victim in the Emergency Department setting. In a busy Emergency Department, the patient who has been assaulted may be prioritized behind other patients with more significant life-threatening illnesses or injuries. The delay in treatment that en...

journal_title：Emergency medicine clinics of North America

authors： Hochbaum SR

更新日期：1987-08-01 00:00:00

abstract：:Gynecologic malignancies are the third most common cancer among women in the United States. Because of often subtle early findings, the diagnosis may not be made before the widespread dissemination of the disease. The Emergency Department physician will commonly encounter a woman with vaginal bleeding, pelvic pain, or...

journal_title：Emergency medicine clinics of North America

authors： Harwood-Nuss AL,Benrubi GI,Nuss RC

更新日期：1987-08-01 00:00:00

abstract：:Vaginal bleeding is one of the most common gynecologic symptoms for which the patient will come to the Emergency Department. It is usually associated with psychologic distress and can be frightening to the patient. Vaginal bleeding can be the first sign of life-threatening medical disorders such as carcinoma, bleeding...

journal_title：Emergency medicine clinics of North America

authors： Hochbaum SR

更新日期：1987-08-01 00:00:00

abstract：:This article is designed to review proper procedure by an emergency or primary care physician when evaluating a patient with decreased hearing. It will cover the anatomy and physiology of hearing, as well as the evaluation and initial management of conductive and sensorineural hearing loss. ...

journal_title：Emergency medicine clinics of North America

authors： Lawrence LJ,Brown CG

更新日期：1987-05-01 00:00:00

abstract：:The past two decades has seen the development of sophisticated systems of prehospital care. The task now is to intensify the input of well-trained physicians into all aspects of EMS systems. This article tracks the history of EMS in this country and provides some suggested answers to the difficult questions facing thi...

journal_title：Emergency medicine clinics of North America

authors： Stewart RD

更新日期：1987-02-01 00:00:00

abstract：:Sepsis and septic shock remain all too frequent syndromes in modern medicine with unacceptably high mortality rates. Physicians must be aware of the many ways in which sepsis and septic shock may present and the multiple differential diagnoses. Early recognition and prompt institution of empiric therapy are of utmost ...

journal_title：Emergency medicine clinics of North America

authors： Ellrodt AG

更新日期：1986-11-01 00:00:00

abstract：:Emergency thoracotomy is a valuable therapeutic modality for the moribund patient when trauma is the cause of the shock state. It is a procedure that requires an understanding of the technique and indications and should be instituted based on the indications listed above. There is probably no reason to do this procedu...

journal_title：Emergency medicine clinics of North America

authors： Krome RL,Dalbec DL

更新日期：1986-08-01 00:00:00

abstract：:Although useful to emergency physicians in determining and following up treatment, the microbiology department can be a source of frustration and erroneous results due to improper or inconsistent methodology, ordering, and interpretation. This article will review the principles of microbiologic specimen collection, ha...

journal_title：Emergency medicine clinics of North America

authors： Pancoast P,McCabe JB

更新日期：1986-05-01 00:00:00

abstract：:Although the clinical manifestations of an abnormal serum sodium concentration are uncommon, imbalances in sodium and water occur frequently. The major indications for the determination of the serum sodium are those situations in which the signs and symptoms of hyponatremia or hypernatremia are likely. In other situat...

journal_title：Emergency medicine clinics of North America

authors： Janz T

更新日期：1986-02-01 00:00:00

abstract：:The formulary for dermatologic use in the emergency department must not only encompass drugs that are essential for advanced cardiac and trauma life support, but must have specific drugs that are indicated for common dermatologic conditions that are evaluated in the emergency department. First and foremost is the sele...

journal_title：Emergency medicine clinics of North America

authors： Drake LA

更新日期：1985-11-01 00:00:00

abstract：:Abdominal injuries are an important cause of morbidity and mortality. In the face of more obvious traumatic lesions, life-threatening intra-abdominal injuries may be initially overlooked. Plain abdominal and chest radiographs may prove diagnostic for specific injuries. However, normal or equivocal studies should not e...

journal_title：Emergency medicine clinics of North America

authors： Evers K,DeGaeta LR

更新日期：1985-08-01 00:00:00

abstract：:Although discussed much less than flexor tendon injuries, achievement of satisfactory function is difficult with these injuries. Under proper circumstances in clean wounds, and in a well equipped emergency department, they can be primarily repaired if the examining physician has the experience. If these conditions are...

journal_title：Emergency medicine clinics of North America

authors： Herndon JH

更新日期：1985-05-01 00:00:00

abstract：:One of the most common problems facing the emergency department physician is the management of bite wounds. Therapy for these common injuries is ill-defined and often controversial. This article outlines treatment guidelines for the emergency physician for dog bites, cat bites, rabies, snake bites, and human bites. ...

journal_title：Emergency medicine clinics of North America

authors： Rest JG,Goldstein EJ

更新日期：1985-02-01 00:00:00

abstract：:Injury to the chest accounts directly or indirectly for up to 50 per cent of deaths secondary to trauma. Eighty-five per cent of patients with chest injury may be managed by minor procedures available to the emergency physician. The indications for surgery in the remaining 15 per cent of patients with chest injury mus...

journal_title：Emergency medicine clinics of North America

authors： Mattox KL,Allen MK

更新日期：1984-11-01 00:00:00

abstract：:Altitude illness is a group of synergistic physiologic disturbances, each of which may occur alone but which more commonly occur together, with one dominating the clinical picture. Treated promptly, altitude illness is readily reversible with full recovery; procrastination may lead to death or disability. Descent shou...

journal_title：Emergency medicine clinics of North America

authors： Houston CS

更新日期：1984-08-01 00:00:00

abstract：:Pain, swelling, and limited range of motion of a joint are extremely common complaints in the emergency department. In assessing joint complaints it is helpful for the emergency physician to keep in mind the major categories of diagnostic possibilities; it is also useful to distinguish between chronic and acute proble...

journal_title：Emergency medicine clinics of North America

authors： Preslar AJ 3rd,Heckman JD

更新日期：1984-05-01 00:00:00

abstract：:Prehospital management of musculoskeletal injuries in the traumatized patient is based on the application of a few basic principles in an orderly but expeditious manner. The patient must be assessed for immediate life-threatening conditions involving airway, respiratory, and circulatory functions while the cervical sp...

journal_title：Emergency medicine clinics of North America

authors： Worsing RA Jr

更新日期：1984-05-01 00:00:00

abstract：:General management of the patient who has ingested an overdose of psychoactive medication is emphasized, since the suicidal patient has almost invariably taken multiple substances and often alcohol as well. The drug groups considered in detail include the sedative hypnotics, tricyclic antidepressants, phenothiazines, ...

journal_title：Emergency medicine clinics of North America

authors： Goldfrank L,Flomenbaum N,Weisman R

更新日期：1984-02-01 00:00:00

abstract：:The history, effectiveness, and services of regional poison control centers are reviewed. In addition, the American Association of Poison Control Centers criteria for designation as a regional poison control center are presented. ...

journal_title：Emergency medicine clinics of North America

authors： Manoguerra AS,Temple AR

更新日期：1984-02-01 00:00:00

abstract：:Although there are complications associated with cardioversion, they are relatively infrequent and usually of small magnitude compared with the primary disease. Cardioversion is an invaluable part of the emergency physician's armamentarium. ...

journal_title：Emergency medicine clinics of North America

authors： Pancoast P,Hamilton GC

更新日期：1983-12-01 00:00:00

abstract：:The general concepts of defibrillation are reviewed. Research continues in the area of implanted defibrillators, new circuiting, and more effective current transfer. ...

journal_title：Emergency medicine clinics of North America

authors： Ventriglia WJ,Hamilton GC

更新日期：1983-12-01 00:00:00

abstract：:The mechanism of injury, diagnosis, and treatment of maxillofacial, laryngeal, tracheal, and bronchial trauma are considered. Also discussed is pulmonary barotrauma. ...

journal_title：Emergency medicine clinics of North America

authors： Meislin HW,Iserson KV,Kaback KR,Kobernick M,Sanders AB,Seifert S

更新日期：1983-08-01 00:00:00