Showing papers in "Annals of Emergency Medicine in 2006"

TL;DR: There is no universal agreement on the definition of anaphylaxis or the criteria for diagnosis, so representatives from 16 different organizations or government bodies, including representatives from North America, Europe, and Australia, to continue working toward a universally accepted definition.

TL;DR: The majority of adults who use the ED frequently have insurance and a usual source of care but are more likely than less frequent users to be in poor health and require medical attention, and additional support systems and better access to alternative sites of care may help to reduce ED use.

TL;DR: Recommendations are provided for therapies that have been shown to improve outcomes, including early goal-directed therapy, early and appropriate antimicrobials, source control, recombinant human activated protein C, corticosteroids, and low tidal volume mechanical ventilation.

TL;DR: Ulasonographically guided internal jugular vein catheterization in the ED setting was associated with a higher successful insertion rate and a lower complications rate.

TL;DR: A PLUS-inclusive protocol significantly decreased time to operative care in patients with suspected torso trauma, with improved resource use and lower charges.

TL;DR: The current status and limitations of disaster research are discussed, and potential interventions to response problems are offered that may be of help to planners and practitioners and that may serve as hypotheses for future research.

TL;DR: The San Francisco Syncope Rule performed with high sensitivity and specificity in this validation cohort and is a valuable tool to help risk stratify patients and help with physician decisionmaking and improve the use of hospital admission for syncope.

TL;DR: The survival rates described are poor but comparable with (or better than) published survival rates for out-of-hospital cardiac arrest of any cause; patients who arrest after hypoxic insults and those who undergo out- of-hospital thoracotomy after penetrating trauma have a higher chance of survival.

TL;DR: Uninsured individuals are no more likely than publicly insured individuals to be ED frequent users and compose only 15% of them, but most use the ED at high rates temporarily and visit the ED less frequently or not at all the following year.

TL;DR: In this article, the epidemiology of frequent users of emergency departments (EDs), using a statewide dataset derived from linked ED, observation stay, and inpatient hospital discharge databases, was described.

TL;DR: Describing current use of ED ambulance transports and likelihood of diversions should help policymakers plan for demographic changes in the population during the next 15 years.

TL;DR: Clinicians should not rule out heart failure in patients with no radiographic signs of congestion in patients found to have disease and the potential contribution of negative findings to a diagnosis discordant with heart failure by an emergency physician is determined.

TL;DR: The TIMI risk score failed to stratify these patients into discrete groups according to risk score, and should not be used in isolation to determine disposition of ED chest pain patients, but does correlate with outcome among ED patients with chest pain.

TL;DR: Immediate identification of acute organ dysfunction in ED patients with suspected infection may help select patients at increased short- and long-term mortality risk, as well as assess the inhospital and 1-year survival associated with organ dysfunctions.

TL;DR: From the American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department.

TL;DR: A nap at 3 AM improved performance and subjective report in physicians and nurses at 7:30 AM compared to a no-nap condition, and memory temporarily worsened after the nap.

TL;DR: After progesterone or allopregnanolone treatment, stained sections revealed a significant reduction in cortical, caudate-putamen, and hemispheric infarct volumes compared with vehicle-injected controls, suggesting that both neurosteroids should be examined for safety and efficacy in a clinical trial for ischemic stroke.

TL;DR: An overview of current data evaluating the overall effectiveness, safety, and feasibility of paramedic out-of-hospital endotracheal intubation and the need for new strategies to improve airway support in the out- of-hospital setting is provided.

TL;DR: Lower-volume emergency departments have up to 2-fold higher odds of missed acute myocardial infarction compared with highest-volume ones after controlling for patient factors, and hospital characteristics partially explained the volume effect.

TL;DR: A clinical prediction rule applicable within 2 hours of ED arrival that would miss fewer than 2% of acute coronary syndrome patients and allow discharge within 2 to 3 hours for at least 30% of patients without acute coronary Syndrome is developed.

TL;DR: The results suggest that noninvasive ventilation with standard medical Therapy is advantageous over standard medical therapy alone in ED patients with acute cardiogenic pulmonary edema.

TL;DR: Community ED directors continue to report barriers to obtaining ultrasonography from consultants, especially in off hours, and a majority of community ED directors support residency training in emergency physician-performed ultrasonographic.

TL;DR: In contrast to data from hospital discharges, ED visits for sepsis demonstrated no increase and was more likely to be elderly, non-Hispanic, and publicly insured and to arrive by ambulance compared with nonsepsis patients.

TL;DR: A unique description of undifferentiated ED chest pain patients with suspected acute coronary syndrome is provided to improve understanding of the complex relationships between presentation, treatment, testing, intervention and outcomes.

TL;DR: There is no difference in onset of adequate sedation of agitated patients using midazolam or droperidol in a double-blind, randomized, clinical trial set in the emergency department of a university teaching hospital.

TL;DR: In California emergency departments (EDs), regional solutions to emergency and nonemergency mental health problems are needed, including improved access to mental health personnel for ED evaluation, disposition, and follow-up of suicidal patients and community mental health resources for patient referrals.

TL;DR: Application of this simple, highly sensitive rule may facilitate assessment in the ED and help to focus psychiatric resources on patients at higher risk of repetition or suicide.

TL;DR: Using a cadaver model, bimanual laryngoscopy improved the view compared to cricoid pressure, BURP, and no manipulation, and should be considered when teaching emergency airway management.

TL;DR: The United States should consider classifying EDs, as it does trauma centers, to clarify the type of care available in this heterogeneous clinical setting and the distribution of different types of EDs.

TL;DR: A combination of morphine and ketorolac offered pain relief superior to either drug alone and was associated with a decreased requirement for rescue analgesia.