Showing papers in "Annals of Emergency Medicine in 1990"

TL;DR: It is speculated that early CPR permits definitive procedures, including defibrillation, medications, and intubation, to be more effective and hence survival appears to be highest in double-response systems because CPR is started early.

TL;DR: Ketamine deserves increased use in the ED, and it is advocated that additional clinical investigation in this setting be conducted.

TL;DR: Pediatricians and emergency physicians are reluctant to use analgesics for children in pain and the data suggest that these physicians need additional education about management of acute pain.

TL;DR: Immunochemical determination of serial CK-MB levels provided a sensitive and specific method for detecting AMI in patients within three hours after ED presentation compared with standard electrophoresis, which may allow thrombolytic therapy to be given to patients with AMI not having diagnostic ECGs.

TL;DR: Ketamine can be effectively used by emergency physicians to facilitate procedural sedation, yet equipment and expertise for advanced airway management are mandatory due to the rare occurrence of laryngospasm.

TL;DR: Concern about AIDS appears to be adversely affecting the attitudes, beliefs, and self-reported behaviors of BCLS instructors in Virginia regarding the use of MTM ventilation on strangers.

TL;DR: The relationship between CO and ETCO2 is logarithmic and decreased presentation of CO2 to the lungs is the major, rate-limiting determinant of the ETCo2 during low flow.

TL;DR: The most satisfactory numerator for a survival rate seems to be survival to hospital discharge; the most appropriate denominator appears to be witnessed adult cardiac arrest of presumed heart disease etiology, with ventricular fibrillation as the initial identified rhythm.

TL;DR: In a postearthquake investigation of three towns seriously affected by the earthquake, earthquake-related injury patterns are studied, observations on rescue and medical efforts are made, and certain factors associated with increased morbidity and mortality are postulated.

TL;DR: The Trauma Triage Rule may significantly reduce overtriage while only minimally increasing undertriage and must be validated prospectively before it can be used in the prehospital setting.

TL;DR: Regular case review of short-term returns to the ED should be included in a comprehensive ED-based program of quality assurance.

TL;DR: IV metoclopramide as a single agent is effective and safe therapy for migraine in the ED.

TL;DR: Magnesium chloride produced dose-dependent relaxation of bronchial smooth muscle at rest and when stimulated by histamine, bethanechol, or electrical impulse, and these data support the hypothesis that magnesium relaxes smooth muscle and dilates Bronchial rings.

TL;DR: The relative effectiveness of these three antimigraine therapies appears to favor chloropromazine in measures of headache relief, incidence of headache rebound, and patient satisfaction with therapy.

TL;DR: There is not a significant difference in infection rates among sutured wounds irrigated with NS, PI, or SC, and the cost of NS was the lowest of the three treatments in the emergency department.

TL;DR: Improved survival rates were revealed when bystander CPR was initiated on victims of witnessed cardiac arrest in an EMS system with short response times.

TL;DR: It is concluded that a single oral dose of midazolam (0.2 mg/kg) is a safe and effective treatment for alleviating anxiety in children less than 6 years old during laceration repair in the ED.

TL;DR: The incidence of surgical disease is high in elderly patients with acute abdominal pain, and ED staff are able to diagnose and triage these patients accurately.

TL;DR: A retrospective study of the experience with prehospital defibrillation to define the relationship between rapid delivery of first countershock and survival, determine whether a relationship exists between the number of countershocks delivered and the save rate, and assist clinicians with general guidelines for termination of advanced life support efforts.

TL;DR: Recommendation for asymptomatic patients who have chewed one or more raw beans is emergency department evaluation, gastric decontamination, administration of activated charcoal, observation until four to six hours after ingestion, and discharge instructions to return if symptoms develop.

TL;DR: It is demonstrated that prehospital cricothyrotomy is being used chiefly in massively injured patients who are already beyond recovery, and it is thus difficult to assess whether the procedure is either safe or effective.

TL;DR: It is concluded that when used on properly selected wounds, Biobrane therapy can significantly decrease pain and total healing time without increasing the cost of outpatient burn care.

TL;DR: Specific statistical tests are used when the null hypothesis (H0) is to be tested using nonparametric nominal or ordinal data and specific details to guide the researcher in the proper selection of these tests are presented.

TL;DR: Analysis of pooled data and paired data revealed that infiltrating buffered lidocaine was significantly less painful than plain lidocane (P = .03 and P = .02), and there was no significant difference in the anesthetic effectiveness of the two agents during suturing.

TL;DR: There was no statistically significant difference in the frequency of hypotension, arrhythmias, or neurological symptoms in patients who overdosed with verapamil as compared with nifedipine (by Fisher's exact test), however, conduction system abnormalities were more common with verAPamil ingestion (P less than .05).

TL;DR: The ISS may not be completely correlated with the resource requirements of injured patients and should not be used as the sole means by which to define major injury.

TL;DR: Evaluation of misinterpretation rates as a quality assurance tool is necessary to determine the role of radiographic quality assurance in emergency medicine resident training, and educational activities should be directed toward radiographic studies with higher-than-average reported misinterpretations rates.

TL;DR: A retrospective study of 262 malpractice claims against emergency physicians insured in Massachusetts by the state-mandated insurance carrier found that from 22.26% to 46.4% of the $11,800,156 spent on the 262 claims could have been saved by the application of the MACEP clinical guidelines.