Topical ethyl chloride to reduce pain associated with venous catheterization: a randomized crossover trial Kurt Fossum, Sue L. Love, Michael D. April
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.039
The American Journal of Emergency Medicine , Vol. 34 , Issue 5 ,
Published online: February 12 2016
x To compare pain associated with venous catheterization after administration of topical ethyl chloride vs placebo among emergency department health care providers.
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.
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.
Nosocomial and community-acquired infection rates of patients treated by prehospital advanced life support compared with other admitted patients Scott M. Alter, Mark A. Merlin
DOI: http://dx.doi.org/10.1016/j.ajem.2009.07.020
The American Journal of Emergency Medicine , Vol. 29 , Issue 1 ,
Published online: March 10 2010
x Nosocomial infections are a large burden to both patients and health care organizations, causing hospitals to take measures in an attempt to reduce microorganism transmission. Patients treated by emergency medical services are one population that has not been studied regarding infection rates. This study examines admitted patients treated by advanced life support (ALS) and their likelihood of having community-acquired and nosocomial infections.
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.
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.
Ultrasound-guidance vs. standard technique in difficult vascular access patients by ED technicians Michael Bauman, Darren Braude, Cameron Crandall
DOI: http://dx.doi.org/10.1016/j.ajem.2008.02.005
The American Journal of Emergency Medicine , Vol. 27 , Issue 2 ,
Published in issue: February 2009
x We evaluated the efficacy and safety of emergency department technicians' (EDT) use of ultrasound (US) guided peripheral intravenous (PIV) access compared to the traditional approach on a subset of patients with difficult IV access.
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.
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.
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.
Rate and prediction of infection in children with diabetic ketoacidosis Robert G. Flood, Vincent W. Chiang
DOI: http://dx.doi.org/10.1053/ajem.2001.24473
The American Journal of Emergency Medicine , Vol. 19 , Issue 4 ,
Published in issue: July 2001
x The purpose of this retrospective cohort study was to determine the rate and prediction of infection in children, ≤ 21 years, with diabetic ketoacidosis (DKA). Over a 6-year period, 247 admissions were identified. There were 171 (69%) with no infection, 44 (17.8%) with presumed viral infection, and 32 (12.9%) with bacterial infection. The mean WBC for all patients was 17,519 ( ± 9,582). 118 (50%) had leukocytosis as defined by a WBC ≥15,000/mm3. WBC, differential, leukocytosis, as well as sex, temperature and new onset diabetes, were not significant predictors (P >.05) of bacterial infection.
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.
Dalteparin in emergency patients to prevent admission prior to investigation for venous thromboembolism Dawn L Bauld, Michael J Kovacs
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90004-9
The American Journal of Emergency Medicine , Vol. 17 , Issue 1 ,
Published in issue: January 1999
x A 15-month prospective cohort study of emergency department (ED) patients with suspected venous thromboembolism was conducted to assess the role of low molecular weight heparin (dalteparin) in an emergency setting in suspected venous thromboembolism prior to diagnostic confirmation. Patients were given a therapeutic dose of dalteparin and were discharged home; they then returned the next day for diagnostic testing. All patients were followed for 3 months. Of 128 patients, 44 had positive test results and 84 had negative test results.
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.
Index to volume 15
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90192-3
The American Journal of Emergency Medicine , Vol. 15 , Issue 7 ,
Published in issue: November 1997
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
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.
Etomidate use during emergency intubation of trauma patients Michael C Plewa, Randall King, David Johnson, Douglas Adams, Milo Engoren
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90066-8
The American Journal of Emergency Medicine , Vol. 15 , Issue 1 ,
Published in issue: January 1997
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
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
