Utility of activated charcoal administered at 120 min. after aspirin administration in man : Arai K, Yamashita M, Sato S, et al. Jpn J Acute Med 1989;13:1001–1005
DOI: http://dx.doi.org/10.1016/0735-6757(90)90205-E
The American Journal of Emergency Medicine , Vol. 8 , Issue 2 ,
Published in issue: March 1990
Experimental CPR models: The issue of utility Nicholas Bircher, Norman S. Abramson
DOI: http://dx.doi.org/10.1016/0735-6757(84)90176-1
The American Journal of Emergency Medicine , Vol. 2 , Issue 4 ,
Published in issue: July 1984
The utility of flow-limited automated mechanical ventilation during airborne hoist rescue missions Ophir Lavon, Dan Hershko, Erez Barenboim
DOI: http://dx.doi.org/10.1016/j.ajem.2010.02.001
The American Journal of Emergency Medicine , Vol. 28 , Issue 4 ,
Published in issue: May 2010
x Prehospital rescue operations are often challenging events demanding highly trained professional personnel and proper equipment [1]. These events may be complicated by the setting of geographically inaccessible areas that demand airborne hoist rescue, in particular for patients requiring continuous mechanical ventilation. The only operational aeromedical program in Israel compatible with hoist rescue missions is the Air Force Rescue and Aeromedical Evacuation Unit (RAEU). Each RAEU team consists of a flight surgeon and a flight paramedic joined by 3 rescue operators.
Utility of myoglobin in the evaluation of chest pain in the ED Andrew Bushnell, Jannie Woo, Robert Sunheimer, John B McCabe
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90072-4
The American Journal of Emergency Medicine , Vol. 17 , Issue 2 ,
Published in issue: March 1999
Old wine in new bottle: utility of contrast-enhanced point-of-care echocardiogram in the ED Shu Zhang, Da Zhu, Wan Zhi, Yu Cao
DOI: http://dx.doi.org/10.1016/j.ajem.2013.05.038
The American Journal of Emergency Medicine , Vol. 31 , Issue 8 ,
Published online: June 28 2013
x Point-of-care (POC) echocardiography performed by specialized trained emergency physician using a miniaturized and portable echocardiographic platform is a newly emerged technique, which could largely facilitate the detection of important emergency cardiovascular pathology such as pericardial effusions, cardiac tamponade, massive pulmonary embolism, heart failure, and compromised cardiac function as well as volume deficit [1]. However, because of unique anatomical feature of the heart and its adjacent structure, in a significant proportion of patients, echocardiography fails to produce diagnostically useful images.
Clinical utility of cardiovascular magnetic resonance imaging after out-of-hospital cardiac arrest Edward T.D. Hoey, Jun K. Teoh, Vijayabhaskar Pakala, Helen Simpson, Richard W. Watkin
DOI: http://dx.doi.org/10.1016/j.ajem.2013.04.014
The American Journal of Emergency Medicine , Vol. 31 , Issue 8 ,
Published online: May 22 2013
x Cardiovascular magnetic resonance imaging (MRI) is the reference technique for assessment of structural heart disease including cardiomyopathies and cardiac masses. It has a number of advantages over echocardiography including an unrestricted field of view and excellent soft tissue resolution, which enables accurate identification of myocardial based pathology. We present a case in which cardiovascular MRI was integral to establishing the cause of out-of-hospital cardiac arrest secondary to an intramyocardial metastasis.
Utility of gum-elastic bougie for tracheal intubation during chest compressions in a manikin: a randomized crossover trial Nobuyasu Komasawa, Takashi Cho, Ryosuke Mihara, Toshiaki Minami
DOI: http://dx.doi.org/10.1016/j.ajem.2015.09.016
The American Journal of Emergency Medicine , Vol. 34 , Issue 1 ,
Published online: September 19 2015
x The utility of the gum-elastic bougie (GEB) as an assistive device for tracheal intubation during chest compressions has not been sufficiently validated. This study aimed to compare the utility of the GEB during chest compressions on an adult manikin.
Diagnostic utility of echocardiography in patients with suspected pulmonary embolism Carlo Bova, Francesco Greco, Gianfranco Misuraca, Oscar Serafini, Francesco Crocco, Antonio Greco, Alfonso Noto
DOI: http://dx.doi.org/10.1016/S0735-6757(02)42257-7
The American Journal of Emergency Medicine , Vol. 21 , Issue 3 ,
Published in issue: May 2003
x The aim of this study was to investigate the clinical utility of echocardiography in the diagnosis of pulmonary embolism (PE). For this, we enrolled 162 patients with suspected PE in a prospective study. We evaluated the sensitivity and specificity of right ventricular dilatation, the Doppler evidence of pulmonary hypertension, and their possible associations. We also calculated the number of lung-scan angiography procedures avoided and the number of patients unnecessarily treated when echocardiography was included in the diagnostic work-up.
Alvarado score: can it reduce unnecessary CT scans for evaluation of acute appendicitis? Piyaporn Apisarnthanarak, Voraparee Suvannarerg, Poompis Pattaranutaporn, Aphinya Charoensak, Steven S. Raman, Anucha Apisarnthanarak
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.056
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: December 3 2014
x The objective of the study is to assess the utility of Alvarado score in the diagnosis of acute appendicitis and the utility of computed tomographic (CT) scan for evaluation of acute appendicitis when stratified by Alvarado scores.
Cost effectiveness of an accurate and rapid assay for serum human chorionic gonadotropin in suspected ectopic pregnancy Paul Gennis, E.John Gallagher, Frank Andersen, Leslie Hain
DOI: http://dx.doi.org/10.1016/0735-6757(88)90194-5
The American Journal of Emergency Medicine , Vol. 6 , Issue 1 ,
Published in issue: January 1988
x The cost effectiveness and clinical utility of a simple, rapid, and accurate pregnancy test in the evaluation of suspected ectopic gestation were studied. The introduction of this qualitative serum assay for human chorionic gonadotropin into our outpatient department during a 1-month period was associated with a significant decrease in culdocenteses (p < 0.001), ultrasound examinations (p < 0.025), and hospital admissions (p < 0.01), with a net projected institutional reduction in health care costs of $123,000 annually.
Utility of the digital rectal examination in the evaluation of undifferentiated abdominal pain Joshua Quaas, Michael Lanigan, David Newman, Jennifer McOsker, Revekka Babayev, Chilembwe Mason
DOI: http://dx.doi.org/10.1016/j.ajem.2008.08.027
The American Journal of Emergency Medicine , Vol. 27 , Issue 9 ,
Published in issue: November 2009
x The digital rectal examination (DRE) is commonly recommended in the evaluation of individuals with undifferentiated abdominal pain (UAP) despite negligible evidence. We aimed to determine its clinical utility.
Emergent precordial percussion revisited – pacing the heart in asystole Peter P. Monteleone, Kostas Alibertis, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.030
The American Journal of Emergency Medicine , Vol. 29 , Issue 5 ,
Published online: May 3 2010
x Precordial percussion is a technique by which a manual force is applied repeatedly to the chest of a patient experiencing an unstable bradycardic or asystolic rhythm. The force is used not to defibrillate the myocardium as is the case with the “precordial thump” in pulseless ventricular tachycardia/ventricular fibrillation but rather to initiate a current through the myocardium in the form of an essentially mechanically paced beat. In this review, we discuss the physiology and utility of precordial percussion, or precordial thump, in the emergency setting as a very temporary bridge to more effective and permanent pacing techniques.
Low back pain: Review of diagnosis and therapy Rade B. Vukmir
DOI: http://dx.doi.org/10.1016/0735-6757(91)90052-L
The American Journal of Emergency Medicine , Vol. 9 , Issue 4 ,
Published in issue: July 1991
x Low back pain is a patient complaint frequently encountered in the emergency department setting. The disease entity is often a diagnostic challenge with a subtle presentation, but can be accompanied by significant neurovascular complications. Current topics of controversy include the utility of radiologic evaluation, pharmacologic and holistic treatment strategies, as well as guidelines for urgent referral of patients with lumbar pain.
Value of computed tomography in the evaluation of retroperitoneal organ injury in blunt abdominal trauma John M Porter, Yuvraj Singh
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90088-2
The American Journal of Emergency Medicine , Vol. 16 , Issue 3 ,
Published in issue: May 1998
x Computed tomography (CT) is widely used in the evaluation of blunt abdominal trauma. One of its purported advantages is in the evaluation of the retroperitoneum. This study was undertaken to determine the utility of CT in diagnosing retroperitoneal organ injury. A retrospective chart review of 466 stable patients with blunt abdominal trauma who received abdominal CT was conducted. Twelve percent of the patients had CT scans showing retroperitoneal organ injury. There were 58 total injuries, with the kidney being the most frequently injured organ.
Neonatal fever: Utility of the Rochester criteria in determining low risk for serious bacterial infections Peter C Ferrera, Joel M Bartfield, Howard S Snyder
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90020-6
The American Journal of Emergency Medicine , Vol. 15 , Issue 3 ,
Published in issue: May 1997
x The purpose of this study was to test the utility of the Rochester criteria in determining which febrile neonates are at low risk for serious bacterial infections (SBI). This was a retrospective study over a 5-year period of 134 patients younger than 29 days old with fever without a source evaluated in the emergency department. Results of urinalysis, lumbar puncture, peripheral white blood cell count, and cultures of blood, urine, cerebrospinal fluid, and stool were recorded. Of the 134 neonates, 71 were high-risk, 48 low-risk, and 15 were not classifiable by the available data.
The syringe aspiration technique to verify endotracheal tube position William A. Jenkins, Vincent P. Verdile, Paul M. Paris
DOI: http://dx.doi.org/10.1016/0735-6757(94)90050-7
The American Journal of Emergency Medicine , Vol. 12 , Issue 4 ,
Published in issue: July 1994
x This prospective, clinical study was performed to determine the utility of the syringe aspiration technique (SAT) to verify endotracheal tube (ETT) position. Ninety consecutive patients requiring urgent intubation in the emergency department or prehospital setting were enrolled in the study. The SAT correctly identified intratracheal ETT placement in 88 patients and esophageal misplacement in 2 patients. Ultimately, standard detection techniques were used to confirm ETT placement. The SAT was an accurate means of verifying ETT placement.
Utility of comprehensive toxicologic screens in children Martin G Belson, Harold K Simon
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90109-2
The American Journal of Emergency Medicine , Vol. 17 , Issue 3 ,
Published in issue: May 1999
x This study was undertaken to evaluate the clinical utility and cost-effectiveness of the limited component versus the high performance liquid chromatography (HPLC) component of comprehensive toxicologic screens in children. A retrospective patient series was studied at the emergency department (ED) of Hughes Spalding Children's Hospital, an urban, tertiary-care ED, consisting of all patients younger than 19 years of age who had a comprehensive toxicologic screen between January 1994 and July 1995.
Painless intussusception and altered mental status Robert Birkhahn, Melissa Fiorini, Theodore J Gaeta
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90082-7
The American Journal of Emergency Medicine , Vol. 17 , Issue 4 ,
Published in issue: July 1999
x A 7-month-old child presented to the emergency department (ED) with 2 hours of painless, nonprojectile emesis and a normal mental status. Over a 3-hour period in the ED, the child remained pain-free, but developed hematemesis, hematochezia, and lethargy, progressing to unresponsiveness. The patient was evaluated for toxic ingestion, intracranial bleed, sepsis/meningitis, and intraabdominal pathology. The diagnosis was made by an abdominal ultrasound, which demonstrated an ileal-cecal intussusception that ultimately required surgical reduction.
Inpatient utilization of blood cultures drawn in an urban ED Pedro Roque, Brian Oliver, Leigh Anderson, Mary Mulrow, Dave Drachman, Stephan Stapczynski, Frank LoVecchio
DOI: http://dx.doi.org/10.1016/j.ajem.2010.10.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: December 3 2010
x Bloodstream infections are now ranked as the 10th leading cause of death in the United States. Given the severity of bacteremia, physicians routinely order multiple sets of blood cultures in the emergency department. This is a retrospective chart review on 1124 patients admitted to the hospital for suspected bacteremia during calendar year 2004. The aims of the present investigation were to investigate the overall utility of blood cultures by the admitting services and to identify patient factors that might influence culture yield.
Computed tomography–guided pericardiocentesis: utility in the management of malignant pericardial effusion Edward T.D. Hoey, Kshitij Mankad
DOI: http://dx.doi.org/10.1016/j.ajem.2009.07.015
The American Journal of Emergency Medicine , Vol. 28 , Issue 3 ,
Published in issue: March 2010
x Transthoracic echocardiography is an established means of diagnosing a pericardial effusion and has become the reference guidance modality for drainage of symptomatic collections. However, echocardiographic drainage is not feasible in all patients for a variety of technical and patient-related factors. Computed tomography (CT)–directed pericardiocentesis using a standard Seldinger technique is an alternative means of draining pericardial effusions and overcomes many of the limitations associated with echocardiography.
