Reliability of data sources for poisoning deaths in Massachusetts Arnold R. Soslow, Alan D. Woolf
DOI: http://dx.doi.org/10.1016/0735-6757(92)90043-W
The American Journal of Emergency Medicine , Vol. 10 , Issue 2 ,
Published in issue: March 1992
x The authors analyzed poisoning-related deaths in Massachusetts from 1986 and 1987 recorded in three datasets: poison center records, death certificates, and state medical examiner's office records. While 714 such deaths were found, 551 of these were prehospital deaths recorded within the medical examiner's office but not by the poison center. The poison center was not consulted in over 47% of the poisoning deaths occurring in Massachusetts hospitals. Conversely, 15% of deaths were reported to the poison center but were not found either in death certificate or medical examiner records.
Softball injuries treated in US EDs, 1994 to 2010 John C. Birchak, Lynne M. Rochette, Gary A. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.039
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: April 19 2013
x Softball is a popular participant sport in the United States. This study investigated the epidemiology of softball injuries with comparisons between children and adults.
Comparison of sexual assaults by strangers versus known assailants in a community-based population Jeffrey S. Jones, Barbara N. Wynn, Boyd Kroeze, Chris Dunnuck, Linda Rossman
DOI: http://dx.doi.org/10.1016/j.ajem.2004.07.020
The American Journal of Emergency Medicine , Vol. 22 , Issue 6 ,
Published in issue: October 2004
x The medical literature has generally supported the view that sexual assaults by strangers are more serious and more violent than assaults by people known to the victims. This retrospective study was conducted to compare characteristics of sexual assaults by strangers and those by people known to the victims in a community-based population of women. Study patients were consecutive female patients, age 13 years or older, presenting to a sexual assault clinic during a 40-month study period. The clinic is associated with a university-affiliated emergency medicine residency program and is staffed by forensic nurses trained to perform medical-legal examinations using colposcopy with nuclear staining.
Microwave oven-related injuries treated in hospital EDs in the United States, 1990 to 2010 Dana F. Thambiraj, Thiphalak Chounthirath, Gary A. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2013.03.023
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: April 22 2013
x The widespread availability of microwave ovens has sparked interest in injuries resulting from their use.
Medical aspects of commercial air travel Robert Shesser
DOI: http://dx.doi.org/10.1016/0735-6757(89)90142-3
The American Journal of Emergency Medicine , Vol. 7 , Issue 2 ,
Published in issue: March 1989
x Commercial airline travel is so fast and easy that it attracts many people with significant underlying chronic disease. Although most airlines claim no ill effects from the stresses of air travel, airlines that fly longer routes tend to report a higher incidence of in-flight emergencies and sudden deaths than those that fly shorter routes. Reasons for these differences are discussed. The Federal Aviation Administration has recently upgraded the first aid kits carried by the airlines. Airlines must now report all untoward medical incidents to the government; this policy will permit the collection of better data concerning the true incidence of in-flight emergencies.
Assaults from penetrating trauma in the State of Illinois John L Zautcke, Ralph W Morris, Max Koenigsberg, Tom Carmody, Leslie Stein-Spencer, Timothy B Erickson
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90216-9
The American Journal of Emergency Medicine , Vol. 16 , Issue 6 ,
Published in issue: October 1998
x This study was undertaken to evaluate the incidence, epidemiology, and temporal relationships of assaults in the State of Illinois from penetrating trauma presenting to Level I and Level II trauma centers, and to project the impact of these variables on hospital staffing. A retrospective analysis was performed on 4 months of data (7/1/92 to 10/31/92) provided by the Illinois Department of Public Health describing consecutive assaults with firearms or knives presenting to all Level I and Level II trauma facilities in the State of Illinois.
Prognostic determinants of community-acquired bloodstream infection in type 2 diabetic patients in ED Chia-Hung Yo, Meng-Tse Gabriel Lee, Weng-Tein Gi, Shy-Shin Chang, Kuang-Chau Tsai, Shyr-Chyr Chen, Chien-Chang Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.071
The American Journal of Emergency Medicine , Vol. 32 , Issue 12 ,
Published online: August 29 2014
x The objective of the study is to describe the epidemiology and outcome of community-acquired bloodstream infection (BSI) in type 2 diabetic patients in emergency department (ED).
Ophthalmic diagnoses in the ED: herpes zoster ophthalmicus William P. Carter III, Carl A. Germann, Michael R. Baumann
DOI: http://dx.doi.org/10.1016/j.ajem.2007.08.013
The American Journal of Emergency Medicine , Vol. 26 , Issue 5 ,
Published in issue: June 2008
x The epidemiology, pathophysiology, and clinical presentation of herpes zoster ophthalmicus in the emergency department is discussed with an emphasis on the identification of the numerous potential ocular complications. Emergency physicians need to be able to recognize the clinical features of herpes zoster ophthalmicus and initiate appropriate therapy and referral.
Prehospital opiate emergencies in Vienna D Seidler, C Woisetschlaeger, A Schmeiser-Rieder, M.M Hirschl, A Kaff, A.N Laggner
DOI: http://dx.doi.org/10.1016/S0735-6757(96)90069-8
The American Journal of Emergency Medicine , Vol. 14 , Issue 4 ,
Published in issue: July 1996
x To establish baseline data on prehospital emergencies caused by opiates during a 4-month period, a retrospective analysis of run records of the Emergency Medical System in Vienna, the capital of Austria, was conducted. During the study period, there were 308 opioid emergencies involving 240 persons, an average of 2.5 overdoses per day. Severely compromised patients were treated in 67.8% of the 308 emergencies, and 79.3% of emergencies were transported to hospital; 52.5% of the involved persons were younger than 22 years of age.
Effect of season, age, and gender on renal colic incidence Veena Chauhan, Barnet Eskin, John R. Allegra, Dennis G. Cochrane
DOI: http://dx.doi.org/10.1016/j.ajem.2004.08.016
The American Journal of Emergency Medicine , Vol. 22 , Issue 7 ,
Published in issue: November 2004
x Our objective was to examine the effect of ambient temperature, age, and gender on the incidence of emergency department (ED) renal colic visits. We retrospectively analyzed a database of 15 New Jersey EDs from January 1, 1996 to December 31, 2002. We analyzed the number of renal colic visits as a fraction of total visits in monthly intervals. We used the Chi-squared test and Pearson’s correlation coefficient, with P <.05 taken as statistically significant. Of the 3.5 million patient visits in the database, 30,358 (0.9%) had renal colic.
ED visits by males with hemophilia Rachelle Nuss, Richard Hoffman, Lucinda Hammond
DOI: http://dx.doi.org/10.1053/ajem.2002.30098
The American Journal of Emergency Medicine , Vol. 20 , Issue 2 ,
Published in issue: March 2002
x Hemophilia is a rare disorder affecting 1 in 5,000 males. Because hemophilia-associated hemorrhage may occur at anytime, affected males frequently seek care in the ED. We studied the epidemiology of ED visits by males with hemophilia. The medical records of all identified Coloradan males with hemophilia who sought care in Colorado EDs in 1998 were reviewed. Fifty-one males with hemophilia had a total of 125 ED visits; hemorrhage accounted for 64.8% of visits (95% CI[equals]55.6, 73.1). On 13.0% (95% CI[equals]6.4, 22.6) of visits for hemorrhage, treatment was warranted, but not given.
The high prevalence of pain in emergency medical care William H. Cordell, Kelly K. Keene, Beverly K. Giles, James B. Jones, James H. Jones, Edward J. Brizendine
DOI: http://dx.doi.org/10.1053/ajem.2002.32643
The American Journal of Emergency Medicine , Vol. 20 , Issue 3 ,
Published in issue: May 2002
x Although there is a widely held belief that pain is the number 1 complaint in emergency medical care, few studies have actually assessed the prevalence of pain in the emergency department (ED). We conducted an analysis of secondary data by using explicit data abstraction rules to determine the prevalence of pain in the ED and to classify the location, origin, and duration of the pain. This retrospective cross-sectional study was conducted at an urban teaching hospital in Indianapolis, IN. Charts from 1,665 consecutive ED visits during a 7-day period were reviewed.
A preliminary epidemiological study of the patient population visiting an urban ED in the Republic of China Yu Liu, Bo Zhang, Wen Fu, Jiguang Li, Bonnie Singal, Glenn C. Hamilton
DOI: http://dx.doi.org/10.1016/0735-6757(94)90252-6
The American Journal of Emergency Medicine , Vol. 12 , Issue 2 ,
Published in issue: March 1994
x The objective of this study was to evaluate the characteristics of the patient population of an urban emergency department (ED) in The People's Republic of China. A prospective observational study was conducted at a university-affiliated hospital adult ED medical unit and included all patients visiting the medical unit of the ED during a 2-week period. A data collection log was designed and placed in the ED. Data were recorded by the attending ED physician for all patients presenting during the study period.
Erratum
DOI: http://dx.doi.org/10.1016/0735-6757(87)90174-4
The American Journal of Emergency Medicine , Vol. 5 , Issue 6 ,
Published in issue: November 1987
Survival following extreme carboxyhemoglobin elevation Neil B. Hampson
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.035
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 16 2016
x I read with great interest the article by Kaya and co-workers, “Carboxyhemoglobin levels predict the long-term development of acute myocardial infarction in carbon monoxide poisoning” [1]. They observed that 100 of 1013 consecutive patients presenting to their emergency department in Turkey with carbon monoxide (CO) poisoning experienced acute myocardial infarction (AMI) during an average follow-up of fifty-six months after the event. While I am unable to explain their observation, I was struck by the degree of carboxyhemoglobin (COHb) elevation described in their patients.
Traumatic brain injuries and computed tomography use in pediatric sports participants Todd Glass, Richard M. Ruddy, Elizabeth R. Alpern, Marc Gorelick, James Callahan, Lois Lee, Mike Gerardi, Kraig Melville, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.069
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 6 2015
x Childhood sports-related head trauma is common, frequently leading to emergency department (ED) visits. We describe the spectrum of these injuries and trends in computed tomography (CT) use in the Pediatric Emergency Care Applied Research Network.
Emergency medicine procedures manual: Thomas C. Kravis, Carmen G. Warner, and Lentworth M. Jacobs, Jr., editors. Raven Press, 1994 Michael Gerardi
DOI: http://dx.doi.org/10.1016/0735-6757(95)90257-0
The American Journal of Emergency Medicine , Vol. 13 , Issue 1 ,
Published in issue: January 1995
Syncope prevalence in the ED compared to general practice and population: a strong selection process Louise R.A. Olde Nordkamp, Nynke van Dijk, Karin S. Ganzeboom, Johannes B. Reitsma, Jan S.K. Luitse, Lukas R.C. Dekker, Win-Kuang Shen, Wouter Wieling
DOI: http://dx.doi.org/10.1016/j.ajem.2008.02.022
The American Journal of Emergency Medicine , Vol. 27 , Issue 3 ,
Published in issue: March 2009
x We assessed the prevalence and distribution of the different causes of transient loss of consciousness (TLOC) in the emergency department (ED) and chest pain unit (CPU) and estimated the proportion of persons with syncope in the general population who seek medical attention from either their general practitioner or the ED/CPU.
Right lower quadrant pain in an adult woman Ashley C. Mull, Timothy R. Hurtado
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.039
The American Journal of Emergency Medicine , Vol. 29 , Issue 1 ,
Published online: April 28 2010
x Lower abdominal pain is a common complaint among women presenting to the emergency department. We discuss the unusual case of a 41-year-old female nurse with right lower quadrant pain ultimately found to be caused by an incarcerated spigelian hernia. Several other possible etiologies were entertained, including ectopic pregnancy, pelvic inflammatory disease, ovarian torsion, and appendicitis. The case report covers the epidemiology, clinical features, diagnosis, and complications of spigelian hernia with a view to assisting emergency physicians in the timely recognition and management of this rare but potentially life-threatening condition.
“Irreducible” nursemaid's elbow Jeffrey Jones, Brian Cote
DOI: http://dx.doi.org/10.1016/0735-6757(95)90152-3
The American Journal of Emergency Medicine , Vol. 13 , Issue 4 ,
Published in issue: July 1995
