Relative importance of initial clinical factors on prognosis in patients with esophageal variceal rupture : Chishiro T, Kitazawa Y, Yodozawa S, et al. Jpn J Acute Med 1987;11:355–359
DOI: http://dx.doi.org/10.1016/0735-6757(87)90402-5
The American Journal of Emergency Medicine , Vol. 5 , Issue 5 ,
Published in issue: September 1987
“Flaming Dr. Pepper”—another cause of recreational burn injury Andrew J.L Gear, Wyn D Nguyen, Harvey N Himel, Richard F Edlich
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90074-7
The American Journal of Emergency Medicine , Vol. 15 , Issue 1 ,
Published in issue: January 1997
The author's reply Antonio Boba
DOI: http://dx.doi.org/10.1016/S0735-6757(00)90072-X
The American Journal of Emergency Medicine , Vol. 18 , Issue 1 ,
Published in issue: January 2000
Simultaneous bilateral anterior and posterior shoulder dislocations Tom P. Aufderheide, Ralph J. Frascone, James J. Cicero
DOI: http://dx.doi.org/10.1016/0735-6757(85)90059-2
The American Journal of Emergency Medicine , Vol. 3 , Issue 4 ,
Published in issue: July 1985
Physical examination plus chest radiography in penetrating periclavicular trauma: The appropriate trigger for angiography: Gasparri MG, Lorelli DR, Kralovich KA, et al. J Trauma 2000;49:1029–1033.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80163-7
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Gunshot wounds below the popliteal fossa: A contemporary review: Grossman MD, Reilly P, McMahan D, et al. Am Surgeon 2000;66:360–365.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80164-9
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Fetal death after trauma in pregnancy: Theodorou DS, Velmahos GC, Souter I, et al. Am Surgeon 2000;66:809–812.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80165-0
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Impact of pediatric trauma centers on mortality in a statewide system: Potoka DA, Schall LC, Gardner MJ, et al. J Trauma 2000;49:237–245.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80166-2
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Characteristics of child passenger deaths and injuries involving drinking drivers: Quinlan KP, Brewer RD, Sleet DA, et al. JAMA,2000;283:2249–2252.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80168-6
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Medial pneumothorax: A radiographic sign that should not be overlooked on the supine view Lisa Chan
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90106-7
The American Journal of Emergency Medicine , Vol. 17 , Issue 4 ,
Published in issue: July 1999
Isopropanol ingestion: Case report with pharmacokinetic analysis Michael P. Gaudet, Gilles L. Fraser
DOI: http://dx.doi.org/10.1016/0735-6757(89)90174-5
The American Journal of Emergency Medicine , Vol. 7 , Issue 3 ,
Published in issue: May 1989
x An unusual case of acute isopropanol overdose which occurred within the confines of the emergency department is reported. Serial serum concentrations of isopropanol and its metabolite acetone were followed for 43 hours. Pharmacokinetic analysis is presented, as well as a brief literature review of diagnosis and management. CNS toxicity was related mainly to isopropanol concentrations. The calculated half-life of isopropanol was 7.3 hours. Because of the pharmacokinetic profile of isopropanol, management decisions regarding the use of hemodialysis should be made within one to two hours of patient presentation.
Changes in access to primary care for Medicaid beneficiaries and the uninsured: the emergency department perspective Robert A. Lowe, K. John McConnell, Rongwei Fu, Cody C. Weathers, Jill Boyer-Quick, Annette L. Adams, Beverly Bauman
DOI: http://dx.doi.org/10.1016/j.ajem.2005.06.009
The American Journal of Emergency Medicine , Vol. 24 , Issue 1 ,
Published in issue: January 2006
x Reductions in scope of benefits and stricter premium and co-payment policies in the Oregon Health Plan (OHP) led to a large drop in OHP enrollment. Outpatient psychiatric benefits were eliminated for approximately 25% of enrollees. One measure of access to care is ED use. We used administrative data from our ED from August 1, 2001, through June 30, 2004, comparing ED use before vs after the March 1, 2003, cutbacks. Before the cutbacks, 38% of ED visits were by OHP beneficiaries, falling to 32% afterward.
Rhabdomyolysis: a lesson on the perils of exercising and drinking Saurabh Chawla, Abdo Asmar, Christopher A. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2007.09.003
The American Journal of Emergency Medicine , Vol. 26 , Issue 4 ,
Published in issue: May 2008
x Acute abdomen is a common presentation to the emergency department (ED), accounting for 5% to 10% of ED visits. Of these, 10% require surgery, and 25% go undiagnosed. Usually, most of the cases of undiagnosed abdominal pain are in young women with pelvic etiologies, although occasionally, unusual causes of abdominal pain lead to diagnostic dilemmas and can have adverse clinical outcomes. We present an unusual etiology of abdominal pain in a young man, who presented with acute onset of right lower quadrant pain accompanied by nausea and vomiting.
An unusual case of dipropylene glycol toxicity Jamie Nelsen, Jeanna M. Marraffa, Christine M. Stork, Michael Hodgman, Michael G. Holland
DOI: http://dx.doi.org/10.1016/j.ajem.2008.09.008
The American Journal of Emergency Medicine , Vol. 27 , Issue 1 ,
Published in issue: January 2009
x The recent case report published by LoVecchio et al describing renal failure with cortical necrosis and polyneuropathy after the ingestion of a dipropylene glycol (DPG) containing product highlights several of the clinically relevant limitations to timely diagnosis of the toxic alcohol-poisoned patient. This is particularly apparent when patients present late in the course of illness. Unfortunately, most health care facilities have limited, if any, capabilities to measure the toxic alcohol and their respective acid metabolites.
Thirteen-week cornual ectopic pregnancy Karen Gaber-Patel, Michael D. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2008.11.005
The American Journal of Emergency Medicine , Vol. 27 , Issue 7 ,
Published in issue: September 2009
x We present the unusual case of a 13-week cornual ectopic pregnancy with fetal movement. The patient presented with a protuberant abdomen, intoxicated with cocaine and alcohol, and in hemodynamic compromise. Bedside emergency ultrasonography led to rapid diagnosis and treatment.
Ethanol elimination rates in an ED population Daniel F Brennan, Scott Betzelos, Rhett Reed, Jay L Falk
DOI: http://dx.doi.org/10.1016/0735-6757(95)90199-X
The American Journal of Emergency Medicine , Vol. 13 , Issue 3 ,
Published in issue: May 1995
x Knowledge of the rate of ethanol elimination is essential in the assessment of the intoxicated patient. Surprisingly little literature is available regarding ethanol elimination rates in emergency department (ED) patients; prior studies almost exclusively examined populations of alcoholics or normal controls. Consequently, this prospective observational study was undertaken to assess the rate of ethanol elimination in an ED population. Twenty-four consecutive adult ED patients clinically suspected of intoxication who had serum ethanol determinations drawn were enrolled.
Opioid toxicity as a cause of spontaneous urinary bladder rupture John G. Galbraith, Joseph S. Butler, Gerard T. McGreal
DOI: http://dx.doi.org/10.1016/j.ajem.2010.02.015
The American Journal of Emergency Medicine , Vol. 29 , Issue 2 ,
Published online: May 3 2010
x Spontaneous rupture of the urinary bladder is defined as rupture of the bladder into the peritoneal cavity, or pelvic cellular tissue, in the absence of trauma. It is a rare but important cause of generalized peritonitis. It produces a set of nonspecific symptoms and signs that mimic more common causes of peritonitis such as acute appendicitis. This often translates into a delay in establishing a diagnosis. Substance abuse, predominantly alcohol, is a recognized etiology of spontaneous bladder rupture.
Squamous cell carcinoma of the tonsil masquerading as a peritonsillar abscess Matthew M. Fort, Rob Gathings, Mark C. Domanski
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.015
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: May 13 2013
x A 58-year-old man presented to the emergency department with a persistent left-sided sore throat of 2-month duration. The sore throat had not responded to antibiotic therapy. Over the past week, the soreness had increased and was aggravated by opening the mouth. He denied fever but admitted to a 10-lb weight loss. His social history was significant for alcohol and tobacco use. Physical examination revealed a bulging and erythematous left soft palate with a deviated uvula. Areas of the tonsil were noted to be ulcerating through the soft palate.
Ethylene glycol causing mesenteric ischemia? Fermin Barrueto Jr, Lewis S. Nelson
DOI: http://dx.doi.org/10.1016/S0735-6757(02)70001-6
The American Journal of Emergency Medicine , Vol. 20 , Issue 3 ,
Published in issue: May 2002
x —The diagnosis of ethylene glycol poisoning is fraught with difficulty simply because the timely and accurate measurements of this toxic alcohol is not typically available. For this reason surrogate laboratory tests, such as osmol gaps, urinary fluorescence, and urinary microscopy for crystals are used despite their limitations.1,2 The diagnostic difficulty is particularly noticeable in patients in whom the history is vague or the diagnosis is made empirically. These issues are highlighted by the letter to the editor by Singh M, Murtaza M, D'souza N, and Gnanasekaran I, “Abdominal Pain and Lactic Acidosis With Ethylene Glycol Poisoning,” Am J Emerg Med, October 2001;19:529-530.
Emergency ultrasound in nontraumatic cardiac arrest—2 practical remarks: Letter regarding Giovanni Volpicelli's recent article “Usefulness of emergency ultrasound in nontraumatic cardiac arrest” Rainer Gatz
DOI: http://dx.doi.org/10.1016/j.ajem.2010.03.001
The American Journal of Emergency Medicine , Vol. 28 , Issue 4 ,
Published in issue: May 2010
x The recent article by Volpicell [1], as indeed others published by him earlier, are of great interest and practical utility to all who practice bedside echography on their emergency and intensive care patients, like I have been doing for some 15 years now. Do allow me to add just 2 practical suggestions to Volpicelli's article, with which I otherwise fully agree.