{"title":"Standards for graduate training in emergency medicine.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 10","pages":"432-3"},"PeriodicalIF":0.0,"publicationDate":"1979-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11696934","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}
{"title":"Emergency department thoracotomy.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 10","pages":"441-3"},"PeriodicalIF":0.0,"publicationDate":"1979-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11696937","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 : 1979-10-01DOI: 10.1016/S0361-1124(79)80402-5
MD Kenneth T. Larsen Jr , MD Dennis F. Koziol
A retrospective analysis of 75 patients admitted with the diagnosis of skull fracture to two community hospitals revealed that 48% of these patients would not have been diagnosed if the high yield criteria recently proposed by the Food and Drug Administration had been adhered to in selecting patients for skull radiography. This included four patients with depressed skull fractures and 32 with linear fractures. The remaining 39 patients had at least one high yield criterion, the most common being loss of consciousness (21.3%).
{"title":"High yield criteria and emergency department skull radiography: Two community hospitals' experience","authors":"MD Kenneth T. Larsen Jr , MD Dennis F. Koziol","doi":"10.1016/S0361-1124(79)80402-5","DOIUrl":"10.1016/S0361-1124(79)80402-5","url":null,"abstract":"<div><p>A retrospective analysis of 75 patients admitted with the diagnosis of skull fracture to two community hospitals revealed that 48% of these patients would not have been diagnosed if the high yield criteria recently proposed by the Food and Drug Administration had been adhered to in selecting patients for skull radiography. This included four patients with depressed skull fractures and 32 with linear fractures. The remaining 39 patients had at least one high yield criterion, the most common being loss of consciousness (21.3%).</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 10","pages":"Pages 393-395"},"PeriodicalIF":0.0,"publicationDate":"1979-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80402-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11696929","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 : 1979-10-01DOI: 10.1016/S0361-1124(79)80403-7
MD Mark M. Levinson, MD Phillip E. Scuderi, MD Robert L. Gibson, MD Paul B. Comer
Ventilation through a percutaneous needle catheter inserted into the trachea has been advocated for resuscitation in acute upper airway obstruction. However, the customized, prefabricated equipment proposed by others for that use is not always available. We describe a device for percutaneous transtracheal ventilation (PTV) that can be rapidly assembled using available, inexpensive hospital supplies. With this device, moderate inflation pressures and flow rates of oxygen resulted in arterial PaO2 of greater than 300 torr and PaCO2 values of approximately 40 torr in dogs. PTV may be used as a life-saving measure in cases of acute upper airway obstruction when conventional airway management is unsuccessful.
{"title":"Emergency percutaneous transtracheal ventilation (PTV)","authors":"MD Mark M. Levinson, MD Phillip E. Scuderi, MD Robert L. Gibson, MD Paul B. Comer","doi":"10.1016/S0361-1124(79)80403-7","DOIUrl":"10.1016/S0361-1124(79)80403-7","url":null,"abstract":"<div><p>Ventilation through a percutaneous needle catheter inserted into the trachea has been advocated for resuscitation in acute upper airway obstruction. However, the customized, prefabricated equipment proposed by others for that use is not always available. We describe a device for percutaneous transtracheal ventilation (PTV) that can be rapidly assembled using available, inexpensive hospital supplies. With this device, moderate inflation pressures and flow rates of oxygen resulted in arterial PaO<sub>2</sub> of greater than 300 torr and PaCO<sub>2</sub> values of approximately 40 torr in dogs. PTV may be used as a life-saving measure in cases of acute upper airway obstruction when conventional airway management is unsuccessful.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 10","pages":"Pages 396-400"},"PeriodicalIF":0.0,"publicationDate":"1979-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80403-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11696930","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 : 1979-09-01DOI: 10.1016/S0361-1124(79)80262-2
MD Walter W. Silberman
If the index sesamoid bone is clearly seen in the joint following significant injury to the index metacarpophalangeal joint on radiographic examination, there is the probability of incarceration of the volar plate. In almost all cases, an open reduction will be necessary to re-establish the normal relationship between the second metacarpal and the proximal phalanx. In a case of irreducible dislocation of the index metacarpophalangeal joint, attempted reduction caused the injury to appear as a subluxation.
{"title":"Clear view of the index sesamoid: A sign of irreducible metacarpophalangeal joint dislocation","authors":"MD Walter W. Silberman","doi":"10.1016/S0361-1124(79)80262-2","DOIUrl":"10.1016/S0361-1124(79)80262-2","url":null,"abstract":"<div><p>If the index sesamoid bone is clearly seen in the joint following significant injury to the index metacarpophalangeal joint on radiographic examination, there is the probability of incarceration of the volar plate. In almost all cases, an open reduction will be necessary to re-establish the normal relationship between the second metacarpal and the proximal phalanx. In a case of irreducible dislocation of the index metacarpophalangeal joint, attempted reduction caused the injury to appear as a subluxation.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 9","pages":"Pages 371-373"},"PeriodicalIF":0.0,"publicationDate":"1979-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80262-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11675871","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}
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