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BCLS instruction 名指令
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80307-X
Leonard G. Gomella, Raleigh O. Jones
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引用次数: 0
Annals of Emergency Medicine 急诊医学年鉴
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80306-8
MD Ronald L. Krome (Editor)
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引用次数: 0
Author's reply 作者的回复
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80311-1
MD Kenneth W. Kizer
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引用次数: 0
Altered blood flow and secondary injury in experimental spinal cord trauma 实验性脊髓损伤的血流改变和继发性损伤
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80317-2
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引用次数: 0
Emergency medical technician (EMT-A) instruction of medical students 医学生急诊医疗技术员(EMT-A)教学
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80297-X
BA Robert R. Harrison (REMT) , MD Kimball I. Maull (FACS) , MD C. Paul Boyan

In 1977 the Department of Anesthesiology of the Medical College of Virginia coordinated a compulsory 72-hour course for first-year medical students fulfilling all requirements of the Department of Transportation and leading to eligibility for certification of the medical student as an Emergency Medical Technician (EMT-A). We describe the methodology and content of this course, as well as problems encountered and lessons learned. This sound foundation in emergency care concepts will enable the medical student to develop greater competence in critical skills during the clinical years.

1977年,弗吉尼亚医学院麻醉系为一年级医学生协调了一门72小时的必修课程,以满足运输部的所有要求,并使医学生有资格获得急诊医疗技术员(EMT-A)的认证。我们描述了本课程的方法和内容,以及遇到的问题和吸取的教训。急救护理概念的良好基础将使医学生在临床工作中发展出更强的关键技能能力。
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引用次数: 10
External rotation method of shoulder dislocation reduction 肩关节脱位的外旋复位法
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80302-0
MD Mark J. Mirick, MD Joseph E. Clinton, MD Ernest Ruiz

We used the external rotation method for reducing anterior shoulder dislocations on 85 consecutive patients seen in our emergency department during a one-year period. In relatively inexperienced hands, the external rotation method was successful on first attempt in 80% of cases. There were no complications attributable to the technique itself. We feel that it is a successful, easy, and atraumatic method of achieving reduction in both first occurrence and recurrent anterior shoulder dislocations.

我们使用外旋法治疗一年内在急诊科连续就诊的85例患者的前肩脱位。在相对缺乏经验的患者中,80%的病例首次尝试外旋法成功。没有可归因于技术本身的并发症。我们认为这是一种成功、简单、无创伤的方法,可以减少首次发生和复发的肩关节前脱位。
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引用次数: 54
Ideas, promises and deadlines 想法、承诺和最后期限
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80305-6
MD Kenneth L. Mattox (President)
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引用次数: 0
The observation-holding area: A prospective study 观察区:前瞻性研究
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80296-8
MD William F. Bobzien III

Although emergency department observation-holding units have been shown to be effective in limiting hospitalizations and improving the accuracy of disposition, the possibility of adverse outcome following discharge from such units has not been addressed. To establish the safety of the unit, a five-month prospective study of all patients admitted to this area was carried out and included long-term follow-up. There were 442 patients admitted. Of these, 78% were discharged improved. Complications in the unit were minimal and there were no deaths. Long-term follow-up revealed four deaths (1%) and four patients (1%) who had complicated hospitalizations. Diagnosis, age, patient condition, and time of admission to the unit were predictive of the need for inpatient hospitalization. We conclude that the observation-holding unit, with appropriate supervision, represents a safe alternative disposition for selected emergency patients.

虽然急诊部观察收容单位已被证明在限制住院和提高处置的准确性方面是有效的,但从这些单位出院后出现不良后果的可能性尚未得到解决。为了建立该单元的安全性,对该区域所有住院患者进行了为期五个月的前瞻性研究,并包括长期随访。共有442名患者入院。其中,78%的患者出院后病情好转。该病房的并发症很少,没有人死亡。长期随访发现4例死亡(1%)和4例合并住院治疗的患者(1%)。诊断、年龄、患者病情和入院时间可预测是否需要住院治疗。我们的结论是,在适当的监督下,观察拘留单元是对选定的急诊患者的一种安全的替代处置。
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引用次数: 29
Pulmonary embolism: 1979 肺栓塞:1979年
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80303-2
MD Thomas J. McGlynn Jr , MD Robert W. Hamilton, MD Ronald Moore
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引用次数: 1
Trauma lab skills 创伤实验室技能
Pub Date : 1979-12-01 DOI: 10.1016/S0361-1124(79)80308-1
MD Douglas Lindsey, MD Jane Orient, MD Peter J. Whitney
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引用次数: 0
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