Pub Date : 1979-12-01DOI: 10.1016/S0361-1124(79)80300-7
MD Roy A.M. Myers, MD John S. Britten, MD R Adams Cowley
Quantitative aspects of various methods of warming are presented comparing the peripheral method of warm bath immersion to the central method of ventilation with heated water-saturated air, infusion of warmed intravenous solutions, peritoneal lavage with warmed solutions, and hemodialysis or cardiopulmonary bypass. The need to convert arterial blood gas results for body temperature is emphasized. Two cases demonstrate combined use of peripheral warming using warming mattress and blankets and central warming with ventilation and infusion.
{"title":"Hypothermia: Quantitative aspects of therapy","authors":"MD Roy A.M. Myers, MD John S. Britten, MD R Adams Cowley","doi":"10.1016/S0361-1124(79)80300-7","DOIUrl":"10.1016/S0361-1124(79)80300-7","url":null,"abstract":"<div><p>Quantitative aspects of various methods of warming are presented comparing the peripheral method of warm bath immersion to the central method of ventilation with heated water-saturated air, infusion of warmed intravenous solutions, peritoneal lavage with warmed solutions, and hemodialysis or cardiopulmonary bypass. The need to convert arterial blood gas results for body temperature is emphasized. Two cases demonstrate combined use of peripheral warming using warming mattress and blankets and central warming with ventilation and infusion.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 12","pages":"Pages 523-527"},"PeriodicalIF":0.0,"publicationDate":"1979-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80300-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11717312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-12-01DOI: 10.1016/S0361-1124(79)80294-4
MD Michael I. Greenberg, MD James R. Roberts, PhD John C. Krusz, PharmD, PhD, FCP Steven I. Baskin
This study was undertaken to determine if epinephrine administered endotracheally is as effective in treating anaphylactic shock as is intravenously administered epinephrine. An animal model of anaphylactic shock was produced in anesthetized dogs by the intravenous administration of histamine phosphate. Both the endotracheal and intravenous routes of epinephrine administration resulted in efficient and effective reversal of histamine-induced hypotension. At the doses employed, the intravenous administration of epinephrine resulted in the production of significantly (p < 0.05) greater numbers of ventricular cardiac arrhythmias than did the endotracheal route of administration.
{"title":"Endotracheal epinephrine in a canine anaphylactic shock model","authors":"MD Michael I. Greenberg, MD James R. Roberts, PhD John C. Krusz, PharmD, PhD, FCP Steven I. Baskin","doi":"10.1016/S0361-1124(79)80294-4","DOIUrl":"10.1016/S0361-1124(79)80294-4","url":null,"abstract":"<div><p>This study was undertaken to determine if epinephrine administered endotracheally is as effective in treating anaphylactic shock as is intravenously administered epinephrine. An animal model of anaphylactic shock was produced in anesthetized dogs by the intravenous administration of histamine phosphate. Both the endotracheal and intravenous routes of epinephrine administration resulted in efficient and effective reversal of histamine-induced hypotension. At the doses employed, the intravenous administration of epinephrine resulted in the production of significantly (p < 0.05) greater numbers of ventricular cardiac arrhythmias than did the endotracheal route of administration.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 12","pages":"Pages 500-503"},"PeriodicalIF":0.0,"publicationDate":"1979-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80294-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11717480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-12-01DOI: 10.1016/S0361-1124(79)80314-7
{"title":"Corticosteroids in patients with a high risk of fat embolism syndrome","authors":"","doi":"10.1016/S0361-1124(79)80314-7","DOIUrl":"10.1016/S0361-1124(79)80314-7","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 12","pages":"Page 547"},"PeriodicalIF":0.0,"publicationDate":"1979-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80314-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56617989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-12-01DOI: 10.1016/S0361-1124(79)80318-4
{"title":"Xeroradiography in evaluation of cervical spine injuries","authors":"","doi":"10.1016/S0361-1124(79)80318-4","DOIUrl":"https://doi.org/10.1016/S0361-1124(79)80318-4","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 12","pages":"Page 548"},"PeriodicalIF":0.0,"publicationDate":"1979-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80318-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137217523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-12-01DOI: 10.1016/S0361-1124(79)80299-3
MD Antonio M. Gordon Jr, PhD David W. Richards
Strychnine intoxication is manifested by agitation, muscle spasms, and convulsions. We report a case in which intractable convulsions led to severe lactic acidosis which secondarily resulted in visceral (lung, heart, kidney, liver, and brain) collapse and death. Aggressive therapy instituted in the emergency department and aimed at control of seizure activity and lactic acidosis may be lifesaving.
{"title":"Strychnine intoxication","authors":"MD Antonio M. Gordon Jr, PhD David W. Richards","doi":"10.1016/S0361-1124(79)80299-3","DOIUrl":"10.1016/S0361-1124(79)80299-3","url":null,"abstract":"<div><p>Strychnine intoxication is manifested by agitation, muscle spasms, and convulsions. We report a case in which intractable convulsions led to severe lactic acidosis which secondarily resulted in visceral (lung, heart, kidney, liver, and brain) collapse and death. Aggressive therapy instituted in the emergency department and aimed at control of seizure activity and lactic acidosis may be lifesaving.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 12","pages":"Pages 520-522"},"PeriodicalIF":0.0,"publicationDate":"1979-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80299-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11717311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}