Antibiotic prophylaxis for ED patients with simple hand lacerations: a feasibility randomized controlled trial Nicole Berwald, Feras Khan, Shahriar Zehtabchi
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.043
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: April 4 2014
x The benefit of antibiotic prophylaxis for simple hand lacerations (lacerations that do not involve special structures) has not been adequately studied.
Case report: pig attack with successful postexposure prophylaxis management A. Brad Hall, David Smith, Jillian Palmer
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.028
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: November 25 2013
x The domesticated pig or boar is ubiquitous to agriculture around the world and is an important food product in most countries. The males that are able to grow tusks that can approach 5 in are the primary contributor to morbidity and mortality from boar attacks. Literature surrounding domesticated boar attacks is sparse. There are no published cases of domesticated boar attacks that describe successful bacterial postexposure prophylaxis. We present a case report of an attack on an adult female by a domesticated boar.
Patterns and factors associated with intensive use of ED services: implications for allocating resources Jennifer Prah Ruger, Lawrence M. Lewis, Christopher J. Richter
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.001
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: July 16 2012
x This study aims to better understand the patterns and factors associated with the use of emergency department (ED) services on high-volume and intensive (defined by high volume and high-patient severity) days to improve resource allocation and reduce ED overcrowding.
Pneumothorax secondary to a dog bite Frantz Melio, Tracy Conrad
DOI: http://dx.doi.org/10.1016/0735-6757(93)90037-C
The American Journal of Emergency Medicine , Vol. 11 , Issue 6 ,
Published in issue: November 1993
Dog bites: The controversy continues Charles G. Brown, James J. Ashton
DOI: http://dx.doi.org/10.1016/0735-6757(85)90022-1
The American Journal of Emergency Medicine , Vol. 3 , Issue 1 ,
Published in issue: January 1985
Dog bites in children Gabor D. Kelen, Charles G. Brown
DOI: http://dx.doi.org/10.1016/0735-6757(84)90120-7
The American Journal of Emergency Medicine , Vol. 2 , Issue 1 ,
Published in issue: January 1984
Dog bites in children: Epidemiology, microbiology, and penicillin prophylactic therapy Douglas A. Boenning, Gary R. Fleisher, Joseph M. Campos
DOI: http://dx.doi.org/10.1016/0735-6757(83)90032-3
The American Journal of Emergency Medicine , Vol. 1 , Issue 1 ,
Published in issue: July 1983
x Fifty-five children with nonfacial dog bites were prospectively studied. Patients were assigned to an experimental group receiving oral penicillin or a control group receiving local wound care only. Wounds were cultured for anaerobic and aerobic flora prior to cleansing. Results showed that most children were bitten on an extremity by a familiar dog, sustained simple injuries, and sought prompt medical attention. The overall infection rate was 3.6%, with one patient in each group developing an infection.
The use of antibiotics in the initial management of recent dog-bite wounds Robert A. Rosen
DOI: http://dx.doi.org/10.1016/0735-6757(85)90005-1
The American Journal of Emergency Medicine , Vol. 3 , Issue 1 ,
Published in issue: January 1985
x The use of antibiotics in the initial management of dog-bite wounds presented within eight hours of injury was studied. Of 211 wounds occurring in 150 patients seen during the study period, 66 wounds occurring in 33 patients comprised the study sample. All wounds were managed according to a strict protocol that included cleaning, debridement, and pressure irrigation. The wounds studied were randomly assigned to either an antibiotics (penicillinase-resistant penicillin or erythromycin) or placebo group.
Negative pressure wound therapy for serious dog bites of extremities: a prospective randomized trial Chen Rui-feng, Huang Li-song, Zheng Ji-bo, Jia Yi-qing, Liu Yu-jie, Shan Yi
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.043
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 20 2016
x The objectives were to investigate the emergency treatment of serious dog bite lacerations on limbs and to identify whether negative pressure wound therapy (NPWT) was beneficial in these instances.
Precipitous hypotension in the emergency department caused by Capnocytophaga canimorsus sp nov sepsis John M. Howell, George R. Woodward
DOI: http://dx.doi.org/10.1016/0735-6757(90)90082-B
The American Journal of Emergency Medicine , Vol. 8 , Issue 4 ,
Published in issue: July 1990
x A 20-year-old man presented to the emergency department (ED) with an injured right hand, fever, and a history of dog exposure. This splenectomized individual developed hypotension less than 90 minutes after arriving in the ED with normal vital signs. He later developed overwhelming sepsis, gangrene, disseminated intravascular coagulation (DIC), respiratory insufficiency, retroperitoneal hematoma, and renal insufficiency. Blood cultures grew Capnocytophaga canimorsus sp nov (formerly Dysgonic Fermenter-2).
Low risk of infection in selected human bites treated without antibiotics Joshua Broder, David Jerrard, Jonathan Olshaker, Michael Witting
DOI: http://dx.doi.org/10.1016/j.ajem.2003.09.004
The American Journal of Emergency Medicine , Vol. 22 , Issue 1 ,
Published in issue: January 2004
x To assess the need for antibiotics in low-risk human bite wounds, a prospective, double-blind, placebo-controlled study involving 127 patients presenting with low-risk human bite wounds over 2 years to a 40,000 visit per year major academic ED was performed. Low-risk bites penetrated only the epidermis and did not involve hands, feet, skin, overlying joints, or cartilaginous structures. Exclusion criteria included age less than 18 years, puncture wounds, immunocompromise, allergy to penicillin or related compound, or bites greater than 24 hours old.
The authors reply Douglas A. Boenning, Gary R. Fleisher, Joseph M. Campos
DOI: http://dx.doi.org/10.1016/0735-6757(84)90121-9
The American Journal of Emergency Medicine , Vol. 2 , Issue 1 ,
Published in issue: January 1984
Anaphylactic reaction after a laboratory rat bite Thomas J Rankin, Robert J Hill, David Overton
DOI: http://dx.doi.org/10.1016/j.ajem.2007.02.025
The American Journal of Emergency Medicine , Vol. 25 , Issue 8 ,
Published in issue: October 2007
x A 50-year-old laboratory technician developed an anaphylactic reaction after a bite from a rat involved in pharmaceutical testing. A severe reaction to laboratory rat bite has only been reported once, but never in an individual without previous rat allergy.
Tap water for irrigation of lacerations Beatrix Chandra Bansal, Robert A. Wiebe, Sebrina D. Perkins, Thomas J. Abramo
DOI: http://dx.doi.org/10.1053/ajem.2002.35501
The American Journal of Emergency Medicine , Vol. 20 , Issue 5 ,
Published in issue: September 2002
x This study was designed to compare the infection rates of simple lacerations irrigated with tap water versus sterile normal saline before repair. Patients with simple lacerations to an extremity that were less than 8 hours from injury were prospectively enrolled. Exclusions from the study were: dog bites, hand lacerations, immunocompromised patients, and those on antibiotics at the time of injury. Patients who qualified were randomized to receive tap water or normal saline for wound irrigation. Before and after irrigation, wound cultures were obtained.
Subcutaneous gasoline injection Vinita Bindlish
DOI: http://dx.doi.org/10.1016/0735-6757(93)90036-B
The American Journal of Emergency Medicine , Vol. 11 , Issue 6 ,
Published in issue: November 1993
Rabies Frederic H. Kauffman, Bonnie J. Goldmann
DOI: http://dx.doi.org/10.1016/S0735-6757(86)80011-0
The American Journal of Emergency Medicine , Vol. 4 , Issue 6 ,
Published in issue: November 1986
x Medical science has evolved tremendously from the days when local cauterization was used to treat victims of rabies exposure. Indeed, with appropriate wound care and vaccination procedures, human rabies is a preventable disease. Despite these advances, physicians treating the uncommon but very dramatic cases of human rabies have not been so successful. As research in this field continues, our hope must be that not only will rabies be preventable and curable but that other mystifying central nervous system disorders will become better understood as well.
Gun control: A simple answer to the wrong question Gary R. Batok, James F. Scott
DOI: http://dx.doi.org/10.1016/0735-6757(93)90038-D
The American Journal of Emergency Medicine , Vol. 11 , Issue 6 ,
Published in issue: November 1993
Calcium blockers after cardiac arrest: History repeats itself Norman Abramson
DOI: http://dx.doi.org/10.1016/0735-6757(85)90021-X
The American Journal of Emergency Medicine , Vol. 3 , Issue 1 ,
Published in issue: January 1985
A call to study improved cardiac life support Charles F. Babbs, Blaine C. White
DOI: http://dx.doi.org/10.1016/0735-6757(85)90023-3
The American Journal of Emergency Medicine , Vol. 3 , Issue 1 ,
Published in issue: January 1985
Index to volume 1
DOI: http://dx.doi.org/10.1016/0735-6757(83)90130-4
The American Journal of Emergency Medicine , Vol. 1 , Issue 3 ,
Published in issue: November 1983