William A. Watson, Toby L. Litovitz, George C. Rodgers Jr., Wendy Klein-Schwartz, Nicole Reid, Jessica Youniss, Anne Flanagan, Kathleen M. Wruk
DOI: http://dx.doi.org/10.1016/j.ajem.2005.05.001
Published in issue: September 2005
xToxic Exposure Surveillance System (TESS) data are compiled by the American Association of Poison Control Centers (AAPCC) on behalf of the US poison centers. These data are used to identify hazards early, focus prevention education, guide clinical research, direct training, and detect chemical/bioterrorism incidents. TESS data have prompted product reformulations, repackaging, recalls, and bans; are used to support regulatory actions; and form the basis of postmarketing surveillance of newly released drugs and products.
Charles J. McCabe, Ralph L. Warren
DOI: http://dx.doi.org/10.1016/j.ajem.2005.03.001
Published in issue: September 2005
xStockinger ZT, McSwain NE. Additional evidence in support of withholding or terminating cardiopulmonary resuscitation for trauma patients in the field. J Am Coll Surg 2004;198:227-231.
Lisa Romagnuolo, Vivek Tayal, Christian Tomaszewski, Timothy Saunders, H. James Norton
DOI: http://dx.doi.org/10.1016/j.ajem.2004.11.004
Published in issue: September 2005
xOptic nerve sheath diameter (ONSD) has been proposed as a marker for increased intracranial pressure. Trendelenburg's position is often used in hypotensive patients and reverse Trendelenburg's position (30° head up) is often used in head injury patients. We asked if there would be any change in OSND in healthy human adults between the supine, Trendelenburg's, and reverse Trendelenburg's positions.
Bruce A. Levy, Michael P. Zlowodzki, Matt Graves, Peter A. Cole
DOI: http://dx.doi.org/10.1016/j.ajem.2004.12.013
Published in issue: September 2005
xCertain extremity injuries presenting to the ED or Trauma Unit warrant increased suspicion for underlying arterial trauma. Such injuries include knee dislocations, displaced medial tibial plateau fractures and other displaced bicondylar fractures around the knee, open or segmental distal femoral shaft fractures, floating joints, gunshot wounds in proximity to neurovascular structures, or mangled extremities. Once the diagnosis of arterial trauma is made, a multi-disciplinary approach is warranted.
Amal Mattu, Joyce Petrini, Sharon Swencki, Chirag Chaudhari, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2004.12.012
Published in issue: September 2005
xSystemic lupus erythematosus (SLE) is a vasculitic disorder with potential for multisystem organ dysfunction. Among the organ systems affected is the cardiovascular system. Patients with SLE are prone to premature atherosclerosis; this premature atherosclerosis places the patient at risk for myocardial infarction with onset at a relatively young age. We present 4 patients with SLE who experienced myocardial infarction; these patients also experienced diagnostic and treatment delays because of their relatively young age at presentation.
Heather M. Prendergast, John Graneto, Gregory D. Kelley
DOI: http://dx.doi.org/10.1016/j.ajem.2005.03.003
Published in issue: September 2005
xEmergency departments (EDs) provide an opportunity to initiate preventive services for both children and adults [1]. Pediatric immunization deficiencies are a public health concern [1-6]. There have been studies both in favor of administering deficient immunizations in the ED and against such practices [2,7-9]. In previous years, there were a number of epidemic measles outbreaks in various cities within the United States [3,10,11].
Robert Partridge, Iván Justo Roll
DOI: http://dx.doi.org/10.1016/j.ajem.2005.03.006
Published in issue: September 2005
xLike all health care programs, the Cuban health system has its advantages and disadvantages. The Cuban health system was transformed after the revolution led by Fidel Castro in 1959. It is a sophisticated system under tight central control. The Ministry of Health oversees an extensive system of research and tertiary care centers, provincial and regional hospitals, and multiservice clinics, called polyclinics. This system provides free care to 11 million Cubans in 15 provinces. Major indicators of the health of a population, including average life expectancy (75.0 years for males, 79.3 years for females) [1], infant mortality (5.8 per 1000 live births [2004]), and percentage of children surviving to age 5 years (992 per 1000), are similar to those of developed nations, although maternal mortality (29.2 deaths per 100000 live births) is higher.
Giuseppe Famularo, Giovanni Minisola, Claudio De Simone
DOI: http://dx.doi.org/10.1016/j.ajem.2005.05.002
Published in issue: September 2005
xDr Jabr [1] indirectly raises in his interesting report the problem of patients with large pericardial effusion who present with atypical clinical or hemodynamic features. This may represent a cause of delayed or missed diagnosis even under the life-threatening circumstances of cardiac tamponade.
DOI: http://dx.doi.org/10.1016/S0735-6757(05)00239-1
Published in issue: September 2005
xExamination Date: November 16, 2006.
DOI: http://dx.doi.org/10.1016/j.ajem.2005.08.006
Published in issue: September 2005
xRegarding the article “The value of protocol-driven CT scanning in stab wounds to the head,” which appeared in Am J Emerg Med 2002 Jul;20(4):295-7 by Exadaktylos AK, Stettbacher A, Bautz PC:
DOI: http://dx.doi.org/10.1016/S0735-6757(05)00233-0
Published in issue: September 2005
DOI: http://dx.doi.org/10.1016/S0735-6757(05)00234-2
Published in issue: September 2005
DOI: http://dx.doi.org/10.1016/S0735-6757(05)00235-4
Published in issue: September 2005
DOI: http://dx.doi.org/10.1016/S0735-6757(05)00236-6
Published in issue: September 2005
