Standard-length catheters vs long catheters in ultrasound-guided peripheral vein cannulation Fabrizio Elia, Giovanni Ferrari, Paola Molino, Marcella Converso, Giovanna De Filippi, Alberto Milan, Franco Aprà
DOI: http://dx.doi.org/10.1016/j.ajem.2011.04.019
The American Journal of Emergency Medicine , Vol. 30 , Issue 5 ,
Published online: June 24 2011
x Ultrasound (US) is a useful tool for peripheral vein cannulation in patients with difficult venous access. However, few data about the survival of US-guided peripheral catheters in acute care setting exist. Some studies showed that the survival rate of standard-length catheters (SC) is poor especially in obese patients. The use of longer than normal catheters could provide a solution to low survival rate. The aim of the present study was to compare US-guided peripheral SCs vs US-guided peripheral long catheters inserted with Seldinger technique (LC) in acute hospitalized patients with difficult venous access.
Higher success rates and satisfaction in difficult venous access patients with a guide wire–associated peripheral venous catheter Gerardo Chiricolo, Andrew Balk, Christopher Raio, Wendy Wen, Athena Mihailos, Samuel Ayala
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.005
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 6 2015
x This study compares first pass success rates and patient and physician satisfaction scores of using a guide wire–associated peripheral venous catheter (GAPIV) vs a traditional peripheral venous catheter in difficult to obtain venous access patients.
Thrombophlebitis and pseudothrombophlebitis in the ED Michael Joseph Drescher, Alan Jon Smally
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90185-6
The American Journal of Emergency Medicine , Vol. 15 , Issue 7 ,
Published in issue: November 1997
x The patient presenting to the emergency department (ED) with a painful swollen lower extremity is considered to have deep venous thrombosis (DVT) until this diagnosis can be ruled out. This clinical presentation, however, is far from specific and the differential diagnosis includes symptomatic Baker's cyst, also known as pseudothrombophlebitis syndrome (PTP). This article presents two cases of PTP and reviews the literature relevant to diagnosis of DVT and PTP. Ultrasonography is now the diagnostic test of choice for both DVT and PTP, being safe, accurate, noninvasive, and rapid, and should ideally be available for use in the ED.
Outcomes of anticoagulated trauma patients Peter C Ferrera, Joel M Bartfield
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90050-5
The American Journal of Emergency Medicine , Vol. 17 , Issue 2 ,
Published in issue: March 1999
x Patients on warfarin are at high risk for potentially life-threatening hemorrhage even after relatively minor trauma. Outcomes of these patients and the potential complications of reversing the effects of anticoagulation have received little attention. This study was performed to determine the overall outcome of orally anticoagulated patients who sustained injury as well as to determine any untoward effects of reversing their anticoagulated states. A retrospective study of injured patients on warfarin was conducted on patients admitted to an urban, university, tertiary-referral, level I trauma center between 1/1/93 and 12/31/96.
Ruptured aortic aneurysm masquerading as phlegmasia cerulea Patrick O. Myers, Afksendiyos Kalangos, Sylvain Terraz
DOI: http://dx.doi.org/10.1016/j.ajem.2008.03.019
The American Journal of Emergency Medicine , Vol. 26 , Issue 9 ,
Published in issue: November 2008
x Phlegmasia cerulea dolens, characterized by the triad of limb swelling, cyanosis, and acute ischemic pain, usually arises because of acute massive thrombosis of major deep, collateral, and superficial veins of an extremity. We report a patient with an atypically presenting ruptured aortic aneurysm masquerading as phlegmasia cerulea dolens. A 68-year-old man with a history of hypertension, intermittent claudication, and smoking presented with asthenia, macrohematuria, and mild back pain, as well as edema and blue mottling of the lower limbs and abdomen for 24 hours.
Traumatic thrombophlebitis of the superficial dorsal vein of the penis: An occupational hazard Vincent Bird, Svetlana Krasnokutsky, Huan-sue Zhou, Reza Jarrahy, S.Ali Khan
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90052-8
The American Journal of Emergency Medicine , Vol. 15 , Issue 1 ,
Published in issue: January 1997
x Several cases of thrombophlebitis of the superficial dorsal vein of the penis (TSDVP) have been reported in the literature. Etiologies may include any of the following: trauma associated with vigorous sexual intercourse; penile strangulation caused by a multitude of entities; penile injection; infection; neoplasm; or surgery. We report a rare case of traumatic TSDVP in a cab driver following repeated injury to the penis by a coin-filled pouch. We review the etiologies, mechanism, and treatment of traumatic TSDVP, and attempt to identify men who may be at similar occupational risk.
Hemoptysis caused by Hughes-Stovin syndrome Chu-Lin Tsai, Tsung-Chien Lu, Kuang-Chau Tsai, Wen-Jone Chen
DOI: http://dx.doi.org/10.1016/j.ajem.2004.05.009
The American Journal of Emergency Medicine , Vol. 23 , Issue 2 ,
Published in issue: March 2005
x Hemoptysis is a common complaint that emergency physicians encounter. Most cases are minor or self-limited; however, massive hemoptysis occasionally occurs and can be life-threatening. Patients with Hughes-Stovin syndrome can present with massive hemoptysis from pulmonary artery aneurysms and pulmonary embolisms, and specific treatments are required for this potentially lethal condition. Here we report a unique case and discuss the clinical implications for emergency physicians.
Spontaneous retroperitoneal hemorrhage presenting as asystolic arrest Peter C Ferrera, Scott H David, Joel M Bartfield
DOI: http://dx.doi.org/10.1016/0735-6757(95)90273-2
The American Journal of Emergency Medicine , Vol. 13 , Issue 1 ,
Published in issue: January 1995
Ultrasonography-guided peripheral intravenous catheter survival in ED patients with difficult access James M. Dargin, Casey M. Rebholz, Robert A. Lowenstein, Patricia M. Mitchell, James A. Feldman
DOI: http://dx.doi.org/10.1016/j.ajem.2008.09.001
The American Journal of Emergency Medicine , Vol. 28 , Issue 1 ,
Published online: October 26 2009
x We determined the survival and complications of ultrasonography-guided peripheral intravenous (IV) catheters in emergency department (ED) patients with difficult peripheral access.
Value of serum tricyclic antidepressant levels with massive nortriptyline overdose and persistent hypotension Bennett Lipper, Bruce D Gaynor
DOI: http://dx.doi.org/10.1016/0735-6757(95)90272-4
The American Journal of Emergency Medicine , Vol. 13 , Issue 1 ,
Published in issue: January 1995
Feasibility of short-term outpatient intravenous antibiotic therapy for the management of infectious conditions in pediatric patients Samuel Reid, William Bonadio
DOI: http://dx.doi.org/10.1016/j.ajem.2006.03.023
The American Journal of Emergency Medicine , Vol. 24 , Issue 7 ,
Published in issue: November 2006
x The objective of this study was to examine the feasibility of short-term outpatient peripheral intravenous (IV) antibiotic therapy for selected emergency department (ED) patients.
Cardiovascular collapse and pulseless idioventricular rhythm Daniel M. Goodenberger, Stanley Podlasek, J.Douglas White, Claude Cadoux
DOI: http://dx.doi.org/10.1016/0735-6757(83)90090-6
The American Journal of Emergency Medicine , Vol. 1 , Issue 2 ,
Published in issue: September 1983
Acute incarcerated inguinal hernia attributed to sexual intercourse Collette D Wyte, James Stowell
DOI: http://dx.doi.org/10.1016/0735-6757(95)90271-6
The American Journal of Emergency Medicine , Vol. 13 , Issue 1 ,
Published in issue: January 1995
The use of light reflection rheography to rule out deep venous thrombosis in emergency patients Phillip Brottman, Douglas Propp, Craig Goldstein
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90113-3
The American Journal of Emergency Medicine , Vol. 15 , Issue 2 ,
Published in issue: March 1997
Use of thrombolytic therapy in axillary-subclavian vein thrombosis Richard M. Novak, Jerrold B. Leikin, Bernardo Duarte
DOI: http://dx.doi.org/10.1016/0735-6757(88)90047-2
The American Journal of Emergency Medicine , Vol. 6 , Issue 2 ,
Published in issue: March 1988
x A case of axillary-subclavian vein thrombosis associated with effort is described (Paget-Schrötter syndrome). This patient was treated successfully with thrombolytic and anticoagulant therapy. Diagnosis and management of this rare clinical entity are discussed.
Catastrophic complications of intravenous promethazine Richard Paula, Brad Peckler, Mai Nguyen, David Orban, Tara Butler
DOI: http://dx.doi.org/10.1016/j.ajem.2009.04.013
The American Journal of Emergency Medicine , Vol. 28 , Issue 4 ,
Published online: February 26 2010
x Promethazine is a commonly used drug in emergency departments to treat headaches and nausea. It is generally considered safe, but after thoroughly reviewing the literature, multiple instances of tissue toxicity were documented. We describe a cluster of 3 cases of promethazine-related tissue toxicity in our community. Two patients experienced extensive complications related to local necrosis, one leading to gangrene requiring amputation, and the other developing chronic pain and hypersensitivity, with a permanent decrease range of motion.
Retropharyngeal space infections in a community hospital Jeremy D. Gradon, Larry I. Lutwick
DOI: http://dx.doi.org/10.1016/0735-6757(91)90023-D
The American Journal of Emergency Medicine , Vol. 9 , Issue 1 ,
Published in issue: January 1991
x The emergency physician often has to deal with infectious disease emergencies. The authors have seen four cases of retropharyngeal infection of potentially life-threatening severity in less than 1 year, all were admitted through the emergency department (ED). Reporting these cases is important to increase awareness among emergency physicians of this classic disease entity. The characteristics of the patients are discussed including initial diagnostic approaches and the use of computed tomography (CT) scanning of the neck and mediastinum.
Herniated cervical disk presenting as ischemic chest pain Linda C. Mitchell, Robert W. Schafermeyer
DOI: http://dx.doi.org/10.1016/0735-6757(91)90054-N
The American Journal of Emergency Medicine , Vol. 9 , Issue 4 ,
Published in issue: July 1991
x Myocardial ischemia must be the first concern of every emergency physician in evaluating chest pain in the adult patient. Any suspicion of myocardial ischemia must be promptly evaluated and admitted. The American College of Emergency Physicians has recently published a standards document on the care of chest pain in the adult patient. The emergency physician must be familiar with this document. Once myocardial ischemia and other life-threatening causes are ruled out, one can consider that cervical disk disease may be the cause of chest pain.
Rapid venous access using saphenous vein cutdown at the ankle Kenneth J. Rhee, Robert W. Derlet, Sandra L. Beal
DOI: http://dx.doi.org/10.1016/0735-6757(89)90166-6
The American Journal of Emergency Medicine , Vol. 7 , Issue 3 ,
Published in issue: May 1989
x Injured adults can usually be treated adequately with peripheral intravenous lines. However, in hypotensive patients, alternative techniques such as venous cutdown may be necessary. There are no adult studies that document the success rate or time required to complete this procedure in the emergent situation. During a 1-year period, 73 cutdowns were attempted on 56 patients. Sixty-two of these attempts resulted in venous cannulation with a free flow of fluid (84.9%). The average time required for placement was 4.9 minutes.
Herniated cervical disk presenting as ischemic chest pain Linda C. Mitchell, Robert W. Schafermeyer
DOI: http://dx.doi.org/10.1016/0735-6757(91)90215-6
The American Journal of Emergency Medicine , Vol. 9 , Issue 5 ,
Published in issue: September 1991
x Myocardial ischemia must be the first concern of every emergency physician in evaluating chest pain in the adult patient. Any suspicion of myocardial ischemia must be promptly evaluated and admitted. The American College of Emergency Physicians has recently published a standards document on the care of chest pain in the adult patient. The emergency physician must be familiar with this document. Once myocardial ischemia and other life-threatening causes are ruled out, one can consider that cervical disk disease may be the cause of chest pain.
