排序方式: 共有35条查询结果,搜索用时 0 毫秒
1.
2.
Mathew Nelson DO FACEP Amin Abdi MD Srikar Adhikari MD MS Michael Boniface MD Robert M. Bramante MD FACEP Daniel J. Egan MD J. Matthew Fields MD Megan M. Leo MD Andrew S. Liteplo MD FACEP Rachel Liu MD FACEP FAAEM Jason T. Nomura MD FACEP FACP David C. Pigott MD RDMS FACEP Christopher C. Raio MD MBA FACEP Jennifer Ruskis MD Robert Strony DO Chris Thom MD Resa E. Lewiss MD 《Academic emergency medicine》2016,23(11):1274-1279
3.
Background
Patellar dislocations are a commonly treated injury in the Emergency Department (ED), with a majority of cases involving lateral subluxation of the patella outside of the joint space. Intra-condylar dislocations of the patella are rare. Of the two types of axis rotation, vertical and horizontal, the vertical occurs five times less frequently. These injuries most often undergo open reduction or, at best, closed reduction under general anesthesia.Objectives
To remind Emergency Physicians to consider this injury in any patient with severe knee pain and limited mobility, even with a history that is lacking significant trauma.Case Report
We present a case of intra-condylar patellar dislocation with vertical axis rotation.Conclusion
This injury is no longer primarily attributed to the young and, barring fracture, closed reduction in the ED should be considered. 相似文献4.
5.
Assessment of gross motor skills of at-risk infants: predictive validity of the Alberta Infant Motor Scale 总被引:3,自引:1,他引:2
Johanna Darrah PhD PT Martha Piper PhD Man-Joe Watt MB BS FRCP FAAEM 《Developmental medicine and child neurology》1998,40(7):485-491
The Alberta Infant Motor Scale (AIMS) is a norm-referenced measure of infant gross motor development. The objectives of this study were: (1) to establish the best cut-off scores on the AIMS for predictive purposes, and (2) to compare the predictive abilities of the AIMS with those of the Movement Assessment of Infants (MAI) and the Peabody Developmental'Gross Motor Scale (PDGMS). One hundred and sixty-four infants were assessed at 4 and 8 months adjusted ages on the three measures. A pediatrician assessed each infant's gross motor development at 18 months as normal, suspicious, or abnormal. For the AIMS, two different cut-off points were identified: the 10th centile at 4 months and the 5th centile at 8 months. The MAI provided the best specificity rates at 4 months while the AIMS was superior in specificity at 8 months. Sensitivity rates were comparable between the two tests. The PDGMS in general demonstrated poor predictive abilities. 相似文献
6.
7.
Samantha Wood MD Michael E. Winters MD FAAEM FACEP 《The Journal of emergency medicine》2011,40(4):419-427
Background: Emergency physicians perform tracheal intubation and initiate mechanical ventilation for critically ill patients on a daily basis. With the current national challenges of intensive care unit bed availability, intubated patients now often remain in the emergency department (ED) for exceedingly long periods of time. As a result, care of the intubated patient falls to the emergency physician (EP). Given the potential for significant morbidity and mortality, it is crucial for the EP to possess the most current, up-to-date information pertaining to the care of intubated patients. Discussion: This article discusses critical aspects in the ED management of intubated and mechanically ventilated patients. Specifically, emphasis is placed on providing adequate sedation and analgesia, limiting the use of neuromuscular blocking agents, correctly setting and adjusting the mechanical ventilator, utilizing appropriate monitoring modalities, and providing key supportive measures. Despite these measures, inevitably, some patients deteriorate while receiving mechanical ventilation. The article concludes with a discussion outlining a step-wise approach to evaluating the intubated patient who develops respiratory distress or circulatory compromise. With this information, the EP can more effectively care for ventilated patients while minimizing morbidity, and ultimately, improving outcome. Conclusion: Essential components of the care of intubated ED patients includes administering adequate sedative and analgesic medications, using lung-protective ventilator settings with attention to minimizing ventilator-induced lung injury, elevating the head of the bed in the absence of contraindications, early placement of an orogastric tube, and providing prophylaxis for stress-related mucosal injury and deep venous thrombosis when indicated. 相似文献
8.
9.
Posterior clavicle dislocations are uncommon injuries but are associated with serious complications based on their proximity to mediastinal structures. In children, the physis is the weakest point structurally, making a displaced Salter I fracture more common than a true sternoclavicular joint dislocation. This injury may be missed on exam and routine radiographs unless a high suspicion is maintained. A CT scan with contrast may be helpful for diagnosis of this injury and detection of complications to mediastinal structures. Emergent reduction is required in cases where there is vascular compromise. 相似文献
10.