Academic Emergency Medicine 1995: Vol 2 Index

25 Pages·1995·7.7 MB·English

Index to Volume 2
This index covers the issues for 1995, as follows: January (Number 1), pages 1-80; February (Number : 2), pages
81-160; March (Number 3), pages 161-242; April (Number 4), pages 243-334; May (Number 5), pages 335-472;
June (Number 6), pages 473-574; July (Number 7), pages 575-666; August (Number 8), pages 667—760; September
(Number 9), pages 761—854 and Al—A6; October (Number 10), pages 855-944; November (Number 11), pages
945-1020; and December (Number 12), pages 1021-1140.
SUBJECTS
Abdominal compression(s), in external CPR, optimal duty cycles for, Smoking; Substance abuse; Nicotine dependen
698 referral system for, in ED (commentary), 762
research models for (commentary), 669 Administration, complaints about EMS system, 508
Abdominal pain, in abdominal wall hematoma, 134 cost—effectiveness of point-of-care blood testing ymmentary),
clinicopathological conference about, 934 163
ruptured splenic artery aneurysm in (letter), 663 drug, see Drug administration
ultrasonography for appendicitis evaluation, 644 of EM residencies, moonlighting and, 302
Abdominal trauma, ultrasonography in, multiple- vs single-view, 581 Federal Emergency Management Agency activities (commentary),
(commentary), 575 1021
Abdominal wall hematoma, in unusual location, 134 public health—individual rights conflicts in, 217
Abscess(es), subungual, and prosthetic joint infection (clinical pearls), trauma triage guideline development (commentary
988 waiting time perceptions and patient satisfaction
Abstract(s), Midwestern Regional Emergency Medicine Research Admission(s), see under Hospital(s); Medical school(s)
Symposium, Al—A6 (Sept) Admission serum chemistry panel(s), for trauma patients, utility of,
Society for Academic Emergency Medicine 1995 Annual Meeting, 190
338-472 Adolescent(s), extremity radiograph interpretation agr ment, 826
(commentary), 335 Adrenal suppression, with etomidate (letter), 72
(correction), 614 (letter), 73
Abuse, see also Alcohol abuse; Drug abuse Advanced Cardiac Life Support drug(s), survival and
of elderly, screening for (commentary), 667 Advanced life support, medical directors’ training and responsibili-
of EM residents, extent of, 293 ties, 274
Academia—industry alliance, model for, 1007 Advanced life support provider(s), allergic reaction management by,
Academic department(s) of emergency medicine, Macy Foundation 592
Report follow-up, 1103 Advice, giving, see Counseling
Academic emergency medicine, computerized literature searches in African-American(s), cardiac arrest rate in, 11
(letter), 157 Age, as predictor of hospital admission, 863
growth of (commentary), 336 Age factor(s), see Elderly; Pediatrics
managed care impact on (letter), 941 Aged, see Elderly
Watercarriers in (SAEM presidential address), | Agglutination immunoassay, for cocaine in pregnancy
Academic emergency physician(s), balancing quality manager/re- Agonal respiration, in cardiac arrest out of hospital, 1
search roles of, 139 Agreement, in radiograph interpretation for children’s extremities,
Academic health center(s), emergency/ambulatory care models in, 826
836; 920; 1001 AIDS, see HIV
managed care impact on (letter), 941 Airway management, see also Endotracheal tube placement; Intu-
Academic physician, Jerry Mandell as model of, 746 bation; Ventilation
Access to emergency care, Macy Foundation Report follow-up, 1103 by EMS providers, 719
Access to primary care, among smokers in ED, 165 etomidate in (letter), 72
Accident(s), see Bicycle collision(s), Motor vehicle collision(s); Poi- in Ludwig's angina (clinical pearls), 835
soning Alberta, Canada, emergency/ambulatory care system in, 1001
Acid, in alkali esophageal injury, 952 Albuterol, vs terbutaline, for out-of-hospital respiratory distress, 686
(commentary), 945 Alcohol abuse, referral system for, in ED (commentary), 762
Acid injury(ies), esophageal, dilutional therapy in, 587 Alcohol test(s), saliva, in ED (commentary), 762
Acidosis, in fluid resuscitation for aortic injury hemorrhage, 89 Alcohol use, in bicycle collision patients, 200
(commentary), 81 head trauma with, cerebral injury markers in, 67
with surfactant use in near drowning, 204 hypoglycemia from, 185
Activities of daily living, in elderly, ED screening of, 729 injury as predictor of reduction in, 817
Acute myocardial infarction, see Myocardial infarction in subcritically injured ED patients, 784
Addiction(s), see also Alcohol abuse; Alcohol use; Drug abuse; Algorithm(s), for blunt testicular trauma evaluation
ACADEMIC EMERGENCY MEDICINE DEC 1995 VOL 2/NO 12
Algorithm(s) (cont.) complete heart block in young man, 751
cardiac arrhythmia database for testing of (7th Purdue Conference database of ECGs (7th Purdue Conference on Cardiac Defibril-
on Cardiac Defibrillation), 46 lation), 46
for ectopic pregnancy diagnosis, 1090 ECG telemetry in (commentary), 246
for pulseless electrical activity and bradycardia (commentary), 1023 esophageal countershock in, determinants of impedance in (7th
Alkali injury(ies), esophageal, acid in, 952 Purdue Conference on Cardiac Defibrillation), 63
(commentary), 945 interpretation of, in volunteer EMS system, 280
Allen's test, modified, for hand circulation measurement, 195 Arterial blood gas(es), vs capnography, 901
Allergic reaction(s), EMS program to manage, 592 in right lung ventilation, 889
Alpha Omega Alpha Honor Medical Society (commentary), 856 (commentary), 861
Ambulance(s), see Emergency medical services with surfactant use in near drowning, 204
Ambulatory care, ED triage to, ethics of (SAEM position statement), Arterial flow, in hand, noninvasive measurement of, 195
988 Article(s), see Journal article(s)
fast track, economics of, 739 Asphyxial cardiac arrest, atropine dose in, 1034
(commentary), 671 (commentary), 1023
Ambulatory/emergency care at academic health centers, models for, Aspiration, surfactant use in, 204
836; 920; 1001 Assault(s), transport of patients by nonmedical personnel, 486
American Heart Association guidelines, for CPR, compliance with, weapons-related, in ED, 151
708 Assault weapon(s), see Weapon(s)
Amoxapine-induced status epilepticus, propofol for, 128 Assay(s), see also Immunoassay(s)
Analgesia, IM, in research (letter), 850 digoxin, immunoreactive substances and, 322
(letter), 851 Asthma, childhood, acute, ipratropium bromide in, 651
nitrous oxide effect on pneumothorax, 287 pulsus paradoxus noninvasive monitoring in, 894
pediatric, practice patterns in (letter), 240 terbutaline vs albuterol for respiratory distress, 686
(letter), 240 Asystole, in database of cardiac arrhythmias (7th Purdue Conference
for migraines, chlorpromazine vs metoclopramide, 597 on Cardiac Defibrillation), 46
Anaphylaxis, EMS program for, 592 Atrial arrhythmia(s), esophageal countershock in, determinants of
Anesthesia, etomidate for (letter), 72 impedance in (7th Purdue Conference on Cardiac Defibrilla-
(letter), 73 tion), 63
local, buffered diphenhydramine as, 884 Atrioventricular block(s), complete, in young man, case conference
topical, in eye procedures, 144 on, 751
topical lidocaine to reduce infiltration pain, 104 Atropine, dose of, in pulseless electrical activity, 1034
warming/buffering lidocaine to reduce infiltration pain, 254 in pulseless electrical activity algorithm (commentary), 1023
Aneurysm(s), mycotic, in syncope diagnosis, 934 Attrition, of EM residency directors, 914
splenic artery, ruptured, diagnosis of (letter), 663 in EM, physicians’ self-projections of, 556
Angina, see Chest pain; Ludwig's angina Audio prompt(s), for CPR compression/ventilation rates, 708
Angioplasty, coronary, transport times for (letter), 568 Australian Capital Territory Injury Surveillance and Prevention
Animal model(s), for CPR research (commentary), 669 Project, 529
Ankle radiography, decision rules for (commentary), 949 Autoimmune disease(s), stiff-man syndrome, diagnosis of, 735
Annual meeting, of Society for Academic Emergency Medicine (com- Automobile collision(s) e Motor vehicle collision(s)
mentary), 336
Anorectal trauma, from manual—anal intercourse (letter), 852 Bacitracin zinc ointment, for wound care, 4
Anthropometric determinants of impedance, in esophageal counter- Back board(s), padded, cervical spine immobilization and, 725
shock (7th Purdue Conference on Cardiac Defibrillation), 63 Back pain, low, as stiff-man syndrome, 735
Antibiotics, for Mycobacterium marinum (clinical pearls), 919 Bag-valve device(s), pneumoperitoneum from (letter), 944
for prosthetic joint infection (clinical pearls), 988 vs transport ventilators, 719
topical, in wound care, 4 Basic life support provider(s), allergic reaction management by, 592
(commentary), 2 Baxt trauma triage rule, accuracy of, in blunt trauma, 1043
Anticonvulsant(s), in refractory amoxapine-induced status epilepti- (commentary), 1025
cus, 128 Bedside blood testing, see Point-of-care blood testing
Antidepressants, cyclic, overdose of, status epilepticus from, 128 Bedside clinical skill(s), of EM residents, observation of ,9 09
Antihistamine(s), buffered diphenhydramine as local anesthetic, 884 Bedside fluoroscopy, for foreign-body detection, 979
Antihypertensive(s), fenoldopam vs nitroprusside as, 959 Behavior modification, in alcohol use, injury events in, 817
Antimicrobial agent(s), see Antibiotics in alcohol use, by subcritically injured, 784
Aorta, proximal, drug delivery routes to, in CPR, 1027 Behavioral theory, for sudden infant death syndrome, 996
Aortic injury(ies), fluid resuscitation regimens in, 89 Benzoylecgonine, rapid screen for, in pregnancy, 795
Apnea, in sudden infant death syndrome, 926; 996 Bereavement, of family in out-of-hospital death, 513
Apparent life-threatening event(s), in sudden infant death syndrome, Beta-human chorionic gonadotropin, in ectopic pregnancy diagnosis,
1077 1081; 1090
Appendicitis, ultrasonography in evaluation for, 644 Bias, see Ethnic discrimination; Gender bias
Applanation tonometry, technique for, 224 Bicycle collision(s), injuries from, 200
Aquatic infection, with Mycobacterium marinum (clinical pearls), 919 Bi-level positive airway pressure support system, in congestive heart
Arachnidism (clinical pearls), 223 failure, 714
Archetype(s), physician transformation from Hero to Lover, 845 Biochemical marker(s), of cerebral injury in head trauma with ethanoi
Arm(s), rash on (clinical pearls), 919 intoxication, 675
Arrhythmia(s), see also individual irregularities Biomechanics, of tissue glue for lacerations, 259
Index to Volume 2
Bite(s), human (clinical pearls), 41 (correction), 1115
Loxosceles spider (clinical pearls), 223 pulseless electrical activity algorithm (commentary
Black(s), cardiac arrest rate in, 11 spontaneous agonal respiration in, 1053
Bleeding, see Hemorrhage survival in, drug therapy and, 264
Blood administration, see also Blood transfusion(s) Cardiac arrhythmia(s), database of ECGs (7th Purdu
vs crystalloid, in resuscitation for shock (letter), 665 on Cardiac Defibrillation), 46
in aortic injury hemorrhage, regimens for, 89 Cardiac defibrillation, 7th Purdue Conference proce¢
Blood analyzer(s), portable, cost— effectiveness of (commentary), 163 Cardiac ischemia, after cocaine-associated chest pain
portable, patient care effects of, 172 ST-segmeni elevation in cocaine-associated chest p
Blood flow, see Circulation (letter), 332
Blood gas(es), see Arterial blood gas(es) Cardiac output, CPR compression rates and (comment
Blood pressure(s), see also Hemodynamics; Hypertension; Hypoten- Cardiac pacing, for complete heart block in young m
sion Cardiac rhythm(s), in bystander vs EMS CPR, 494
in fluid resuscitation in aortic injury hemorrhage, 89 ECG telemetry in interpretation of (commentary
as predictor of hospital admission, 863 interpretation of, in volunteer EMS system, 280
pulsus paradoxus noninvasive monitoring, 894 Cardiopulmonary resuscitation, audible tone guidan
systolic, orthostatic, in hyperemesis gravidarum, 692 bystander, cardiac arrest survival and (letter)
in trauma triage rule, 1043 bystander vs EMS, outcomes of, 494
Blood testing, point-of-care, cost—effectiveness of (commentary), 163 (commentary), 474
with portable clinical analyzer, 172 compression rates in (commentary), 673
Blood transfusion(s), in acute hemorrhage, acidosis and (commen- drug delivery routes in, flush volume and
tary), 81 drug therapy and survival in, 264
intraosseous, in pediatric hemorrhage, 799 duty cycles for compressions in, 698
Blunt trauma, testicular, evaluation algorithm for, 639 instruction in, in low-income areas, 11
triage rule accuracy in, 1043 lung compliance after, 874
Body temperature measurement, infrared tympanic membrane, 17 (commentary), 855
Bone marrow, blood transfusion via, in pediatric hemorrhage, 799 (correction), 1115
Book review(s), 232; 566; 848; 1013 pneumoperitoneum from (letter), 944
Boston, emergency/ambulatory care model in, 1001 in pulseless electrical activity, 1034
Bradycardia, as predictor of hospital admission, 863 (commentary), 1023
and pulseless electrical activity, atropine for (commentary), 1023 related publications on (letter), 156
and pulseless electrical activity, atropine dose in, 1034 research models for (commentary), 669
in young man, case conference on, 751 spontaneous agonal respiration and, 1053
Brain injury(ies), see also Head injury(ies) Cardiorespiratory control, as sudden infant death s
from bicycle collisions, 200 996
catheter-assisted intubation in (letter), 238 Cardiovascular disease, see Coronary artery diseas
(letter), 239 Care, quality of, see Patient care; Quality of care
in ethanol intoxication with head trauma, markers for, 675 Career choice(s), childhood archetypes and, 845
Brainstem pathology, in sudden infant death syndrome, 920; 996 EM club effect on (letter), 155
Break-even analysis, of a fast-track program, 739 Career longevity, emergency physicians’ projections
Breathing device(s), see Bag—valve device(s); Endotracheal tube(s); Career problem(s), of EM residency directors, 9
Ventilation Case-based emergency medicine curriculum(a), for senior medical
Brown recluse spider(s), bite from (clinical pearls), 223 students, 519
Buffering, of diphenhydramine, infiltration pain and, 884 Case conference(s), of complete heart block in youn 51
of lidocaine, and topical lidocaine to reduce infiltration pain, 104 Case finding, see Screening
of lidocaine, infiltration pain and, 254 Catecholamine(s), as cerebral injury markers in ethan i intoxication
Burn(s), caustic, see Caustic burn(s) with head trauma, 675
Burnout, in EM, 556 Catheter-assisted nasotracheal intubation, contrain tions to (let-
Butyl-2-cyanoacrylate, for laceration repair, 261 ter), 238
Bystander CPR, see under Cardiopulmonary resuscitation vs rapid-sequence (letter), 239
Catheterization, central venous vs peripheral, in CPR
Canada, emergency/ambulatory care system in, 1001 Catherization laboratory(ies), transport times to (letter), 568
Capitated program(s), cause-of-injury data capture and (commen- Cation exchange resin(s), sodium polystyrene sulfon for lithium
tary), 83 poisoning, 681
Capnography, vs arterial CO, tension determination, 901 Cause-of-injury code(s), see E-code(s)
colorimetric end-tidal CO, detector for, 499 Cause-of-injury data, capture of, 98
Capture of data, see Data collection (commentary), 83
Car crash(es), see Motor vehicle collision(s) Caustic burn(s), esophageal, acid neutralization
Carbon dioxide, end-tidal, see End-tidal carbon dioxide (commentary), 945
Cardiac arrest, bag—valve device vs transport ventilator in, 719 esophageal, dilutional therapy for acid injury
colorimetric end-tidal CO, detector in tube placement, 499 Cellulitis, after dental surgery (clinical pearls), 83
CPR in, see Cardiopulmonary resuscitation facial (clinical pearls), 320
drug delivery routes and flush volumes in, 1027 Central venous catheterization, in CPR, 1027
low-income status and, 11 by EM residents, observation of, 909
lung compliance after, 874 Cerebral injury(ies), in ethanol intoxication with head trauma, mark-
(commentary), 855 ers of, 675
ACADEMIC EMERGENCY MEDICINE DEC 1995 VOL 2/NO 12
Cerebrovascular accident(s), in pediatric head trauma, 523 Cocaine use, and syphilis screening in inner-city ED, 765
Certification, pediatric emergency medicine fellowships (letter), 665 Coding of medical records E-code(s)
physician, Macy Foundation Report follow-up on, 1103 Cognitive function, EM resident evaluation in (commentary), 86
Cerumen occlusion, and infrared tympanic membrane thermometry, Cognitive impairment, in elderly, ED screening of, 729
17 Cola, in alkali esophageal injury, 952
Cervical spine, dislocation from seat belt misuse, 38 (commentary), 945
(correction), 301 Collection rate(s), fast-track break-even point and, 739
immobilization of, padded spine board and, 725 Collision(s), see Bicycle collision(s); Motor vehicle collision(s)
radiographs of, using lead-lined filter, 610 Colloid(s), see also Blood administration
fracture of, occult, in elderly, 634 vs crystalloid, in resuscitation for shock (letter), 665
Cesarean section(s), perimortem, recommendations for, 1063 Colon injury(ies), from manual—anal intercourse (letter), 852
Chart(s), see Medical record(s) Colorimetric end-tidal CO, detector, 499
Charting, cause-of-injury data collection (commentary), 83 Combative patient(s), catheter-assisted intubation in (letter), 238
as quality of care indicator (commentary), 84 (letter), 239
Chemical injury(ies), see Caustic burn(s) Communication(s), see Counseling; History taking; Interview(s);
Chemistry, see also Laboratory testing Physician—patient communication(s); Resident—patient com-
Chemistry panel(s), admission, for trauma patients, 190 munication(s)
Chest compression(s), in CPR, audible tone guidance for, 708 Community clinic(s), ED interdependence with, 920
in external CPR, optimal duty cycles for, 698 Community liaison(s), for referral to primary care, models for, 836
high-impulse, research models for (commentary), 669 Community model(s), for CPR research (commentary), 669
rates of, in CPR (commentary), 673 Compartment syndrome, from Vibrio vulnificus (letter), 1017
Chest pain, cocaine-associated, mortality and myocardial infarction Competence, clinical, of EM residents, observation of, 909
after, 179 (commentary), 86
cocaine-associated, ST-segment elevation in (letter), 331 Complaint(s), about urban EMS system, 508
(letter), 332 Compliance, lung, see Lung compliance
cocaine-associated, tobacco use and (letter), 238 public health vs individual rights in, 217
gender bias in evaluation for, 115 Compression(s), see Abdominal compression(s); Chest compres-
(commentary), 84 sion(s)
Child(ren), see Pediatrics Computed tomography, crani al, selection criteria for, 248
Childhood(s), archetypes in, physician career choice and, 845 Computer(s), see Informatics
Chlorpromazine, for migraines, 597 Computer software review, 56
Chronic obstructive pulmonary disease, terbutaline vs albuterol for Conflict of interest, in industry-sponsored trials, 43
respiratory distress, 686 Congestive heart failure, bi-level positive airway pressure support
Cigarette smoking, see Smoking system in, 714
Circulation, acidosis in acute hemorrhage (commentary), 81 Conscious sedation, see under Sedation
electronic model of, 698 Consolidated Omnibus Budget Reconciliation Act, triage ethics and
to hand, noninvasive measurement of, 195 (SAEM position statement), 988
Clenched-fist injury (clinical pearls), 41 Contact lens(es), removal of, 224
Clerkship(s), case-based EM curriculum for, 519 Contagious disease(s), see Infectious disease(s)
Clinic(s), ED interdependence with, 920 Continuing medical education, Society for Academic Emergency
Clinical competence, of EM residents, observation of, 909 Medicine annual meeting as (commentary), 336
(commentary), 86 Continuous quality improvement, see also Quality
Clinical decision rule(s), see Decision rule(s) of transport of patients refusing care, 480
Clinical diagnosis(es), of ectopic pregnancy, 1081 of triage-to-thrombolytic intervals, 603
EM residency deficiency in (commentary), 576 (commentary), 579
(commentary), 578 Conversion disorder, presentation of patients with, 120
Clinical diagnostic skill(s), of residents, 622 Corneal foreign body removal, model for, 831
Clinical forensic medicine, in EM practice (letter), 757 Corneal injury(ies), fluorescein examination for, 224
Clinical investigation, see Research Coronary angioplasty, transport times for (letter), 568
Clinical pearls, bite to leg, 223 Coronary artery disease, cocaine and tobacco use in, 238
facial swelling and fever, 320 after cocaine-associated chest pain, 179
fever and neck pain, 835 gender bias in evaluation for, 115
finger pain, 988 ST-segment elevation in cocaine-associated chest pain (letter), 332
hand and arm rash, 919 Coronary catheterization laboratory(ies), transport times to (letter),
hand laceration and swelling, 41 568
pediatric vaginal bleeding, 527 Coronary perfusion pressure(s), in pulseless electrical activity and
Clinical procedure(s), teaching model for corneal foreign body re- resuscitation, 1034
moval, 831 Cosmesis, in laceration repair, short- vs long-term, 983
Clinical skill assessment, of EM residents (commentary), 86 Cost(s), of emergency care, triage ethics and (SAEM position state-
Clinical time, see Work hour(s) ment), 988
Clinical trial(s), see Research motorcycle helmet use and (annotated bibliography), 552
Clinicopathological conference, on syncope, 934 Cost analysis, in EM (commentary), 671
Closed-fist injury (clinical pearls), 41 Cost—benefit, of admission serum chemistry panels in trauma pa-
Club(s), EM, student elective enrollment and (letter), 155 tients, 190
Cocaine, rapid screen for, in pregnancy, 795 of coronary angioplasty (letter), 568
Cocaine-associated chest pain, see under Chest pain Cost containment, quality research and, 139
Index to Volume 2
Cost-effectiveness, in health care reform (commentary), 949 diagnostic testing guidelines in (commentary)
of point-of-care blood testing (commentary), 163 knee radiography efficiency in, 966
Counseling, about alcohol/drug abuse, in ED (commentary), 762 point-of-care blood testing effect on, 172
about alcohol reduction, injury events in, 817 public health vs individual rights in, 217
smoking cessation, in ED, 165 test ordering in (commentary), 163
(commentary), 161 Decision rule(s), for extremity x-ray (commentary
smoking cessation, emergency physicians’ training and practice in, for knee radiography, need for, 966
211 Defensive medicine, test ordering as (commentary
Counselor(s), for referral to primary care, models for, 836 Defibrillation, 7th Purdue Conference proceedings )
Countershock(s), esophageal, impedance for, determinants of (7th countershock strength—duration relationship in (7th Purdue Con-
Purdue Conference on Cardiac Defibrillation), 63 ference on Cardiac Defibrillation), 57
strength—duration relationship of, for refractory period extension implantable, epicardial patch electrode position in (7th Purdue
(7th Purdue Conference on Cardiac Defibrillation), 57 Conference on Cardiac Defibrillation), 50
strength requirement of, epicardial patch electrode position and Defibrillator(s), determinants of impedance in (7th Purdue Confer-
(7th Purdue Conference on Cardiac Defibrillation), 50 ence on Cardiac Defibrillation), 63
CPR, see Cardiopulmonary resuscitation external, use of (commentary), 761
Cranial computed tomography, selection criteria for, 248 Defibrillator design, countershock strength—duration 7th Purdue
Cranial injury(ies), see also Head injury(ies) Conference on Cardiac Defibrillation), 57
from bicycle collisions, 200 Dehydration, in hyperemesis gravidarum, 692
in ethanol intoxication with head trauma, markers of, 675 Delayed treatment, with sodium polystyrene sulfonat thium con-
Crash(es), see Bicycle collision(s); Motor vehicle collision(s) centration and, 681
Crazy glue, see Cyanoacrylate adhesive Delirium, screening elderly for (commentary), 667
Creatine kinase—BB, in ethanol intoxication with head trauma, 675 Dementia, screening elderly for (commentary), 667
Credentialing, see Certification Demographic(s), of cardiac arrest, 11
Critical reading skill(s), journal club for (letter), 570 of ED injuries, surveillance of (letter), 71
Critical serum chemistry value(s), in trauma patients, 190 Dental infection(s), Ludwig's angina diagnosis (clin earls), 835
(commentary), 163 Departmeonf tem(ersge)nc y medicine, Macy Foundation Report fol-
Crystalloid, vs colloid, in resuscitation for shock (letter), 665 low-up on, 1103
Culdocentesis, for ectopic pregnancy diagnosis, 1090 Depression, screening elderly for (commentary
Curettage, for ectopic pregnancy diagnosis, 1090 Device(s), for endotracheal tube placement confirmation (commen-
Curriculum(a), disaster medicine in, 1068 tary), 473
EM, case-based, for senior medical students, 519 esophageal detection, in endotracheal intubation
EMS in, for EM residencies (letter), 1109 (commentary), 473
for pediatric emergency medicine fellowships (letter), 665 for nasotracheal intubation (letter) L>328 5
for resident orientation programs, 25 Dextromethorphan, effect of, on urine opioid scr«
Cut(s), see Laceration(s) Diagnosis(es), see also Clinical diagnosis; Screening
Cyanoacrylate, for laceration repair, 259 of appendicitis, ultrasonography for, 644
removal of, from eye, 224 of complete heart block in young man, 751
Cyclic antidepressant(s), overdose of, status epilepticus from, 128 of conversion disorder, 120
Cytokine(s), Jerry Mandell’s research in, 746 of ectopic pregnancy, 867; 1081; 1090
gender bias in, in chest pain evaluation, 115
Data collection, see also Injury surveillance of hemoperitoneum, ultrasonography for, 58
on cause of injury, quantity of, 98 (commentary), 575
(commentary), 83 of ruptured splenic artery aneurysm (letter
on injuries, in West Virginia EDs (letter), 71 of stiff-man syndrome, 735
in retrospective study (commentary), 84 in syncope, with the masters, 934
Data transfer, from patient encounter to medical record (commen- Diagnostic procedure(s), for ectopic pregnancy
tary), 83 Diagnostic test(s), for conversion disorder, 120
Database(s), of cardiac arrhythmia ECGs (7th Purdue Conference Diagnostic testing, decision rules for (commentary)
on Cardiac Defibrillation), 46 Diazepam, for stiff-man syndrome, 735
ED, e-codes in (letter), 569 Diazepam and fentanyl, for pediatric conscious sed
for injury surveillance in Australian Capital Territory, 529 Digoxin assay(s), immunoreactive substances and
Death(s), see also Mortality Digoxin-like immunoreactive substance(s), digoxin
from bicycle collisions, 200 Dilatation, pupil, techniques for, 144
in ED, with weapons of major trauma victims, 109 Dilatation and curettage, for ectopic pregnancy
infant, see Sudden infant death syndrome Dilutional therapy, in esophageal acid injury, 587
maternal, cesarean section recommendations in, 1063 Diphenhydramine, buffered, infiltration pain of, 88
out-of-hospital, family response to, 513 Diprivan, see Propofol
out-of-hospital predictors of, 863 Disaster(s), Federal Emergency Management Ager tivities in
Death telling, by paramedics, family beliefs about, 513 (commentary), 1021
Debt load(s), EM resident moonlighting and, 302; 308 Disaster medicine, blueprint for, 1068
(commentary), 243 Disclosure, of industry sponsorship of clinical trial
(letter), 330 Disconfirmation paradigm, in waiting times and patient satisfaction,
Decision making, in appendicitis evaluation, ultrasonography in, 644 1057
about device to confirm endotracheal tube placement (commen- Discrimination, see Ethnic discrimination; Gender |
tary), 473 Disease prevention, see Prevention
ACADEMIC EMERGENCY MEDICINE DEC 1995 VOL 2/NO 12
Disseminated intravascular coagulation, diagnosis of (letter), 573 funding for, managed care and (letter), 941
with intraosseous blood transfusion in pediatric hemorrhage, 799 honor society role in (commentary), 856
Documentation, of alcohol use, in ED records, 784 industry—university alliance model, 1007
of cause-of-injury data on medical record, 98 international health fellowships (letter), 1112
of chest pain evaluation, gender bias in, 115 language courses in, conversational vs medical (letter), 1014
of e-codes, in ED records (letter), 569 (letter), 1014
Documentation checklist, and transport of patients refusing care, 480 patient, in smoking cessation (letter), 161
Dopamine, as cerebral injury marker in ethanol intoxication with pediatric emergency medicine fellowships (letter), 665
head trauma, 675 physical diagnosis training in, 622
Doppler, laser, for hand circulation measurement, 195 qualitative research methodologies in EM, 1098
Doppler sonography, for ectopic pregnancy diagnosis, 1090 in smoking cessation counseling, 211
Dose(s), of atropine, in pulseless electrical activity, 1034 teacher as wise fisherman, 657
(commentary), 1023 Educational debt, see Debt load(s)
Dressing(s), see Surgical dressing(s) EKG(s), see Electrocardiogram(s)
Drinking, see Alcohol abuse; Alcohol use Elderly, occult odontoid fracture in, 634
Drowning, near, surfactant use in, 204 screening of, in ED (commentary), 667
Drug(s), see individual drug names screening of, for functional, cognitive, and social impairment,
Drug abuse, cocaine-associated chest pain one-year mortality and 729
myocardial infarction, 179 Elective enrollment, EM club to enhance (letter), 155
referral system for, in ED (commentary), 762 Electrical countershock(s), see Countershock(s)
Drug administration, related publications on (letter), 156 Electrocardiogram(s), of arrhythmias, database of (7th Purdue Con-
Drug administration route(s), during CPR, flush volume and, 1027 ference on Cardiac Defibrillation), 46
Drug company(ies), research sponsored by, guidelines for involve- gender bias in, in chest pain evaluation, 115
ment in, 43 ST-segment elevation on, in cocaine-associated chest pain (letter),
Drug overdose(s), see Overdose(s) 331
Drug resistance, multiple, public health vs individual rights in, 217 (letter), 332
Drug screen(s), dextromethorphan effect on, 791 Electrocardiographic telemetry, accuracy of, in volunteer EMS sys-
rapid, for cocaine in pregnancy, 795 tem, 280
Drug therapy, in cardiac arrest, survival and, 264 in EMS, value of (commentary), 246
Drug toxicity, in elderly (commentary), 667 Electrode(s), epicardial patch, positioning of (7th Purdue Conference
Drug use history, in syphilis screening, 765 on Cardiac Defibrillation), 50
Duty cycle(s), for chest/abdominal compressions, in external CPR, Electrode system(s), esophageal, determinants of impedance in (7th
698 Purdue Conference on Cardiac Defibrillation), 63
Dysrhythmia(s), see Arrhythmia(s) Electrolyte(s), admission testing of, in trauma patients, 190
point-of-care measurement of, 172
Earwax occlusion, and infrared tympanic membrane thermometry, Electrolyte panel(s), physician ordering of (commentary), 163
17 Electromechanical dissociation, see Pulseless electrical activity
ECG(s), see Electrocardiogram(s) Electronic model(s), of circulation, 698
E-code(s), documentation of (commentary), 83 EM, see Emergency medicine
in ED records, accuracy of, 615 Embolism(s), fat, with intraosseous blood transfusion in pediatric
(letter), 569 hemorrhage, 799
medical record completeness for, 98 Emergency(ies), see Disaster(s)
Economic factor(s), see Socioeconomic factor(s) Emergency/ambulatory car it academic health centers, models for,
Economics, see also Cost(s); Financial; Financing 836; 920; 1001
break-even analysis of fast track, 739 Emergency department(s), alcohol/drug abuse referral in (commen-
(commentary), 671 tary), 762
of ED referral to primary care, 836; 920; 1001 alcohol use documentation in, 784
EM resident moonlighting and debt, 302; 308 alcohol use reduction counseling in, injury events in, 817
(commentary), 243 cause-of-injury data capture in, 98
(letter), 330 classification of, Macy Foundation Report follow-up on, 1103
of physical examination emphasis in residency (commentary), 578 computerized literature searches in (letter), 157
Ectopic pregnancy(ies), see under Pregnancy(ies) e-code accuracy in, 615
ED(s), see Emergency department(s) EM residents’ share of procedures in, 630
Edema, facial, and fever (clinical pearls), 320 fast track in, economics of, 739
of neck, fever and (clinical pearls), 835 (commentary), 671
Edlich, Richard F., academic experiences of, 657 HIV seroprevalence in, in Portland, Oregon, 773
Education, see also Curriculum(a); Emergency medicine resi- injury surveillance in (letter), 71
dency(ies); Emergency medicine resident(s); Medical school(s); injury surveillance in Australian Capital Territory project, 529
Resident(s); Student(s); Teacher(s); Teaching knee radiography efficiency in, 966
in clinical forensic medicine (letter), 757 managed care alliance with, model for, 1001
computerized literature searching in (letter), 157 managed care impact on (letter), 941
in EM, Macy Foundation Report follow-up on, 1103 moonlighting dangers in (commentary), 243
EM/primary care cooperation in academic health centers, 836; 920; (commentary), 244
1001 photography in (letter), 850
in endovaginal sonography in ED, 867 point-of-care blood testing in, 172
financing of, Macy Foundation Report follow-up on, 1103 primary care referrals from, models for, 836; 920; 1001
Index to Volume 2
reducing thrombolytic intervals in, 603 corneal foreign body removal teaching model, 8
(commentary), 579 EM club for enrollment in (letter), 155
screening elderly in, for functional, cognitive, and social impair- EMS in curricula of (letter), 1109
ment, 729 foreign language course in (letter), 1014
(commentary), 667 (letter), 1014
smoking cessation counseling in (commentary), 161 journal club in (letter), 570
smoking habits of patients in, 165 Match rank ordering (letter), 328
sudden infant death syndrome approach in, 1077 Orientation programs, 25
syphilis screening in, in inner city, 765 pediatric sedation and analgesia in (letter)
test ordering in (commentary), 163 (letter), 240
triage away from, ethics of (SAEM position statement), 990 tuberculosis control policies in (letter), 1015
waiting times in, patient satisfaction and perception of, 1057 Emergency medicine residency director(s), problems
weapon carriage among major trauma victims in, 109 Emergency medicine resident(s), abuse/harassmen
weapons-related violence in, security guidelines against, 151 bedside observation of, 909
Emergency department patient(s), satisfaction of, waiting time per- clinical skill assessment of (commentary), 86
ceptions and, 1057 medical Spanish course for, effects of, 32
smoking habits of, 165 moonlighting and debt of (letter), 330
Emergency department record(s), e-code assignment from (letter), moonlighting perceptions of, 308
569 moonlighting by, dangers of (commentary)
Emergency department staff, HIV exposure risk to, 773 (commentary), 244
security guidelines for, against weapons-related violence, 151 moonlighting by, program director perceptions
Emergency medical services, airway management patterns of, 719 pediatrics fellowships for (letter), 665
bystander CPR and cardiac arrest survival (letter), 74 physical diagnosis skills of ,6 22
cardiac arrhythmia database in (7th Purdue Conference on Cardiac procedures performed by, vs other residents
Defibrillation), 46 radiograph interpretation by (letter), 1113
complaints about, 508 rank ordering of programs by (letter), 328
CPR by, vs bystander CPR, 494 scheduled work hours for, 124
(commentary), 474 Emergency personnel, see Emergency department
in curricula of EM residencies (letter), 1109 Emergency physician(s), academic, balancing
device to confirm endotracheal tube placement in (commentary), search roles of, 139
473 credentialing of, Macy Foundation Report {
directors’ training and responsibilities, 274 disaster training for (commentary), 1021
disaster medicine activities of, 1068 endovaginal sonography screening by, 867
ECG telemetry value in (commentary), 246 knee radiography use/attitudes of, 966
external defibrillator use in (commentary), 761 pediatric extremity radiograph interpretation by
in low-income areas, 11 satisfaction and stress in, 556
nitrous oxide effect on pneumothorax, 287 smoking cessation training and practice of
predictors of hospital admission need, 863 test ordering patterns of (commentary), 163
public health—individual rights conflicts in, 217 Emesis, excessive, in pregnancy, dehydration
terbutaline vs albuterol for respiratory distress, 686 EMS, see Emergency medical services
transport of patients by nonmedical personnel, 486 Endocarditis, in syncope conference, 934
transport of patients refusing care, 480 Endotracheal intubation, see a/so Intubation
transport times to coronary catheterization laboratory (letter), 568 bi-level positive airway pressure support syster
trauma triage guideline development (commentary), 1025 by EM residents, observation of, 909
volunteer, telemetry accuracy in, 280 EMS use of, 719
Emergency medical technician(s), see also Paramedic(s) oral, proper placement depth without x-ray
allergic reaction management by, 592 related publications on (letter), 156
transport of patients by (commentary), 477 succinylcholine and potassium levels, 974
Emergency medicine, see also Academic emergency medicine; Emer- Endotracheal tube placement, colorimetric end-tid O, detector
gency medical services in, 499
cause-of-injury training in (commentary), 83 devices for confirmation of (commentary)
clinical forensic medicine in practice of (letter), 757 esophageal detection device in, 503
Macy Foundation Report recommendations for, 1103 without x-ray, 20
moonlighting role in (commentary), 243 Endovaginal sonography, for ectopic pregnancy scr g,
(commentary), 244 End-tidal carbon dioxide, in CPR with audio prompts, 708
pediatric, see Pediatric(s) End-tidal carbon dioxide detector(s), colorimetric, in out-of-hospital
primary care cooperation with, models for, 836; 920; 1001 tube placement, 499
research in, see also Research (commentary), 473
Emergency medicine club, student elective enrollment and (letter), End-tidal carbon dioxide tension, capnography accuracy for, 901
155 Environmental concerns, in disaster medicine (commentary), 1021
Emergency medicine curriculum(a), see Curriculum(a) Environmental disaster(s), management of, 1068
Emergency medicine fellowship(s), in international health (letter), Environmental illness(es), exertional heat stroke in woman, 315
1112 Epicardial patch(es), electrode position in, in implantable defibril-
Emergency medicine residency(ies), clinical diagnosis deficiency in lation (7th Purdue Conference on Cardiac Defibrillation), 50
(commentary), 576 Epidemiologic research, e-code accuracy in ED re
(commentary), 578 Epidemiology, of cardiac arrest, socioeconomics
ACADEMIC EMERGENCY MEDICINE DEC 1995 VOL 2/NO 12
Epidemiology (cont.) neck pain and (clinical pearls), 835
HIV seroprevalence in Portland, Oregon, EDs, 773 Fiddle back spider(s), bite from (clinical pearls), 223
of sudden infant death syndrome, 926 Fight bite injury (clinical pearls), 41
syphilis in inner-city ED, 765 Filter(s), lead-lined, for cervical spine radiography, 610
Epilepsy, see Status epilepticus; see also Seizure(s) Financial analysis(es), of a fast-track program, 739
Epinephrine, as cerebral injury marker in ethanol intoxication with Financial effect(s), on cause-of-injury documentation (commentary),
head trauma, 675 83
EMS provider use of, program for, 592 Financial issues, see also Economics
related publications on (letter), 156 Financing, of academics, in managed care (letter), 941
Equilibration time(s), of O, saturation, using pulse oximetry, 810 of Canadian emergency/ambulatory care, 1001
Ergotism, “St. Anthony’s fire” eponym for (letter), 1114 of education, Macy Foundation Report follow-up on, 1103
Erysipelas (clinical pearls), 320 of fast-track centers, 739
misuse of “St. Anthony’s fire” eponym for (letter), 1114 (commentary), 671
Esophageal countershock(s), impedance for, anthropometric deter- of research, by industry, guidelines in, 43
minants of (7th Purdue Conference on Cardiac Defibrillation), Finger(s), pain in (clinical pearls), 988
63 Finger arterial blood pressure, for pulsus paradoxus monitoring, 894
Esophageal detection device(s), in endotracheal intubation, 503 Fire medic(s), transport of assaulted patients by, 486
(commentary), 473 Firearm(s), ED security guidelines against, 151
Esophageal obturator airway, adequacy of, 719 major trauma victims’ carriage of, 109
Esophagus(i), acid injury to, dilutional therapy for, 587 Fisherman, wise teacher as, 657
alkali injury to, acid in, 952 Fish-tank exposure, Mycobacterium marinum from (clinical pearls),
(commentary), 945 919
Estimated time(s) of arrival, paramedic accuracy in (letter), 943 Fisting, rectal perforation from (letter), 852
Ethanol use, see Alcohol abuse; Alcohol use Fluid resuscitation, see also Blood transfusion(s); Infusion(s)
Ethics, of IM analgesia research models (letter), 850 in aortic injury hemorrhage, regimens for, 89
(letter), 851 for shock, colloid vs crystalloid in (letter), 665
in industry-sponsored trials, guidelines for, 43 Fluorescein examination, slit lamp use in, 224
of public health—individual rights conflicts, 217 Fluoroscopy, bedside, for foreign-body detection, 979
of triage away from ED (SAEM position statement), 990 Flush volume(s), after drug delivery in CPR, 1027
Ethnic discrimination, of EM residents, 293 Foreign body(ies), in soft tissue, bedside fluoroscopic detection of,
Etiologic theory(ies), for sudden infant death syndrome, 996 979
Etomidate, adrenal suppression in (letter), 72 Foreign body removal, from cornea, model for, 831
(letter), 73 ocular, 224
Examination, physical, see Physical examination Foreign language course(s), medical vs conversational (letter), 1014
Exertional heat stroke, gender differences in, 315 (letter), 1014
External-cause-of-injury code(s), see E-code(s) medical, for residents, effects of, 32
External defibrillator(s), see under Defibrillator(s) Forensic medicine, clinical, in EM practice (letter), 757
Extrauterine pregnancy(ies), see Pregnancy(ies), ectopic Forgey, W., Wilderness Medicine: Beyond First Aid, fourth edition
Extremity(ies), radiograph interpretation of, agreement in, 826 (book review), 848
Eye(s), foreign body removal from, model for, 831 Fracture(s), knee, emergency physician prediction of, 966
Eye patching, procedure for, 224 odontoid, occult, in elderly, 634
Eye procedure(s), in ED, 224 skull, from bicycle collisions, 200
for routine evaluation, 144 Fracture dislocation(s), ¢ from seat belt misuse, 38; (correction),
301
Facial swelling and fever (clinical pearls), 320 Functional impairment, in elderly, ED screening of, 729
Faculty, see Teacher(s) Functional status, screening elderly for (commentary), 667
Fagerstrom Test for Nicotine Dependence, 165 Funding, see Financing
Family(ies), responses of, to out-of-hospital death, 513
in sudden infant death syndrome, 1077 Gang(s), weapons in ED and, 109; 151
Fasciitis, necrotizing, diagnosis of (clinical pearls), 835 Gas(es), see Arterial blood gas(es)
from Vibrio vulnificus (letter), 1017 Gender bias, of EM residents, 293
Fast-track program, break-even analysis of, 739 Gender effect(s), on chest pain evaluation in ED, 115
economics of (commentary), 671 (commentary), 84
Fat embolism syndrome, with intraosseous blood transfusion in pe- on exertional heat stroke, 315
diatric hemorrhage, 799 Geriatrics, see Elderly
Fatality(ies), see Death(s) Glasgow Coma Scale score(s), in trauma triage rule, 1043
Federal Emergency Management Agency, activities of (commen- Glass, in soft tissue, bedside fluoroscopic detection of, 979
tary), 1021 Glucose, level of, ethanol use and, 185
Fellowship(s), in international health (letter), 1112 point-of-care measurement of, 172
in pediatric emergency medicine (letter), 665 Glue, crazy, see Cyanoacrylate adhesive
Fenoldopam, for hypertensive emergencies (commentary), 947 Government, Federal Emergency Management Agency activities
vs nitroprusside, in severe hypertension, 959 (commentary), 102!
Fentanyl and diazepam, for pediatric conscious sedation, 879 Granuloma(s), in Mycobacterium marinum infection (clinical pearls),
Fetal survival, in perimortem cesarean section, 1063 919
Fever, see also Thermometry Graphite, in soft tissue, bedside fluoroscopic detection of, 979
facial swelling and (clinical pearls), 320 Gravel, in soft tissue, bedside fluoroscopic detection of, 979
Index to Volume 2
Group A streptococci, in erysipelas (clinical pearls), 320 vaginal, pediatric, diagnosis of (clinical pearls)
Guideline(s), for CPR, compliance with, 708 Hemorrhagic shock, see under Shock
for diagnostic testing (commentary), 949 Hepatitis, viral, Vibrio vulnificus sepsis in (letter
for involvement in industry-sponsored trials, 43 Hepatitis B, seroprevalence of, in HIV-positive patient
for pediatric sedation and analgesia (letter), 240 Hero, as childhood archetype, physician career choic 845
for pulseless electrical activity and bradycardia (commentary), 1023 High-impulse chest compression(s), with interpo »dominal
for security against weapons-related violence in ED, 151 compressions, in CPR, 698
for trauma triage, development of (commentary), 1025 research models for (commentary), 669
for triage away from ED (SAEM position statement), 990 High-risk criteria, for hospital admission, 863
Gun(s), see Firearm(s) High technology, see Technology
Histoacryl, for laceration repair, 259
Hand(s), circulation to, noninvasive measurement of, 195 Histopathology, see Tissue injury(ies)
clenched-fist injury to (clinical pearls), 41 of acid neutralization of alkali esophageal injury
rash on (clinical pearls), 919 (commentary), 945
Handgun(s), see Firearm(s) of dilution for esophageal acid injury, 587
Hand-held blood analyzer, see Portable clinical blood analyzer History, of St. Anthony’s fire (letter), 1114
Harassment, of EM residents, extent of, 293 History(ies), in ectopic pregnancy diagnosis, 108
Head injury(ies), see also Brain injury(ies) History taking, see also Interview(s)
computed tomography selection criteria in, 248 cause-of-injury data capture in, 98
with ethanol intoxication, cerebral injury markers in, 675 (commentary), 83
motorcycle helmet use (annotated bibliography), 552 by EM residents, observation of, 909
pontine infarct in child after, 523 language courses for (letter), 1014
as predictor of hospital admission, 863 (letter), 1014
Headache(s), migraine, chlorpromazine vs metoclopramide for, 597 Spanish course effect on, 32
Healing, wound, cosmesis in, 983 HIV, in inner-city ED, syphilis screening and, 765
Health care, see Patient care seroprevalence of, in Portland, Oregon, EDs, 77
Health care reform, science as means to (commentary), 949 HMOs, see Health maintenance organization(s)
Health center(s), see Academic health center(s) Homelessness, in public health—individual rights
Health Consequences of Injury Questionnaire, reliability of, 535 Homosexual(s), manual—anal intercourse traum
Health maintenance organization(s), ED alliance with, model for, Honor society(ies), role of (commentary), 856
1001 Hospital(s), admission to, gender bias in, in chest ;
ethics of triage away from ED (SAEM position statement), 988 admission to, out-of-hospital predictors of, 863
Hearing problem(s), screening elderly for (commentary), 667 teaching, see Academic health center(s)
Heart arrest, see Cardiac arrest Hospital administration, see Administration
Heart block, complete, in young man, case conference on, 751 Human bite(s) (clinical pearls), 41
Heart disease, see Coronary artery disease Human chorionic gonadotropin, in ectopic preg
Heart rate(s), see also Hemodynamics 1090
in pulseless electrical activity and resuscitation, 1034 Human community model(s), for CPR research
Heat stroke, exertional, gender differences in, 315 Human immunodeficiency virus, see HIV
Helmet use, in bicycle collision injury patients, 200 Hyperemesis gravidarum, dehydration and vi
in motorcyclists (annotated bibliography), 552 Hyperkalemia, in succinylcholine-assisted intub
Hematocrit, point-of-care measurement of, 172 Hypertension, fenoldopam vs nitroprusside for
Hematology, see also Blood testing as predictor of hospital admission, 863
of intraosseous blood transfusion in pediatric hemorrhage, 799 severe, fenoldopam for, 959
thrombocytopenic purpura diagnosis (letter), 573 Hyperthermia, with altered mental status, diff
Hematoma(s), abdominal wall, in unusual location, 134 315
subungual, from prosthetic joint infection (clinical pearls), Hypoglycemia, from ethanol use, 185
988 Hypotension, control of, in acute hemorrhage
Hemiparesis, in pediatric head trauma, 523 in fluid resuscitation in aortic injury hemorrhas
Hemodynamics, see also Blood pressure; Heart rate; Vital sign(s) as predictor of hospital admission, 863
of chest/abdominal compression duty cycles in CPR, 698 ruptured splenic artery aneurysm as cause of
of CPR with audio prompts, 708 Hypotheses, for sudden infant death syndrome
in CPR, research models for (commentary), 669 Hypovolemia, hemorrhagic, pediatric, intraosseous blood transfusion
in right lung ventilation, 889 in, 799
(commentary), 861 Hypovolemic shock, see Shock, hemorrhagic
with surfactant use in near drowning, 204 Hypoxia, bag-valve device vs transport ventilator
Hemolysis, with intraosseous blood transfusion in pediatric hemor- with surfactant use in near drowning, 204
rhage, 799
Hemoperitoneum, ultrasonography in, multiple- vs single-view, 581 ICD-9-CM e-code(s), see E-code(s)
(commentary), 575 Idiopathic thrombocytopenic purpura, diagnosi
Hemorrhage(s), in abdominal wall hematoma, 134 Imaging, cranial CT selection criteria, 248
acute, acidosis in (commentary), 81 for ectopic pregnancy diagnosis, 1090
from aortic injury, resuscitation regimens for, 89 for foreign-bodies, bedside fluoroscopy for
pediatric, intraosseous blood transfusion in, 799 magnetic resonance, of pontine infarct in pediatric head trauma,
ruptured splenic artery aneurysm diagnosis (letter), 663 523
thrombocytopenic purpura diagnosis (letter), 573 Immobilization, of cervical spine, padded spine
ACADEMIC EMERGENCY MEDICINE DEC 1995 VOL 2/NO 12
Immunoassay(s), agglutination, latex, for cocaine in pregnancy, 795 Injury event(s), as predictor of alcohol use reduction, 817
for opioid, dextromethorphan effect on, 791 Injury prevention, see Prevention
Immunoreactive substance(s), digoxin assays and, 322 Injury Severity Score(s), in trauma triage rule, 1043
Impedance(s), determinants of, in esophageal countershock (7th Pur- Injury surveillance, by Australian Capital Territory project, 529
due Conference on Cardiac Defibrillation), 63 health consequences scales for, 535
Implantable defibrillation, epicardial patch electrode position in (7th of minor injuries, 544
Purdue Conference on Cardiac Defibrillation), 50 in West Virginia EDs (letter), 71
Income(s), low, cardiac arrest and, 11 Inner-city medicine, see Urban medicine
Induction, rapid-sequence, etomidate for (letter), 73 Insect bite(s), Loxosceles spider (clinical pearls), 223
Industry-sponsored trial(s), bias avoidance in (letter), 851 International health, fellowships in (letter), 1112
guidelines for involvement in, 43 Interpersonal skill(s), EM resident assessment in (commentary), 86
Industry—university alliance, model for, 1007 of EMS personnel, complaints about, 508
Infant mortality, see also Sudden infant death syndrome of paramedics, in out-of-hospital death, 513
perimortem cesarean section recommendations, 1063 Interposed abdominal compression(s), with high-impulse compres-
Infarction(s), myocardial, see Myocardial infarction(s) sions, in CPR, 698
pontine, in pediatric head trauma, 523 research models for (commentary), 669
Infection(s), from clenched-fist injury (clinical pearls), 41 Interval(s), see Time interval(s)
with Mycobacterium marinum (clinical pearls), 919 Interview(s), see also History taking
neck, after dental surgery (clinical pearls), 835 medical Spanish course effect on, 32
prosthetic joint, paronychia from (clinical pearls), 988 Interviewing, EM resident evaluation in (commentary), 86
in wounds, prevention of (commentary), 2 Intoxication, see Alcohol abuse; Drug abuse; Poisoning
in wounds, topical antibiotics to prevent, 4 Intracranial injury(ies), see Cranial injury(ies)
Infection control, EM residency policies on tuberculosis testing (let- Intramuscular analgesia, in research (letter), 850
ter), 1015 (letter), 851
HIV seroprevalence in Portland, Oregon, EDs, 773 Intraocular pressure(s), techniques for estimation of, 144
Infectious disease(s), HIV seroprevalence in Portland, Oregon, 773 Intraosseous blood transfusion, after pediatric hemorrhage, 799
Jerry Mandell’s career in, 746 Intraperitoneal fluid, ultrasonography to evaluate (commentary), 575
public health vs individual rights in, 217 ultrasonography in, multiple-vs single-view, 581
syphilis screening in inner-city ED, 765 Intravenous administration, see Infusion(s)
Infiltration pain, see under Pain Intravenous analgesia, vs IM, in ED (letter), 851
Informatics, cardiac arrhythmia database (7th Purdue Conference on Intubation, see also Endotracheal intubation; Endotracheal tube
Cardiac Defibrillation), 46 placement
computer-simulated CPR research (commentary), 669 nasotracheal, catheter-assisted, contraindications to (letter), 238
data capture on cause of injury (commentary), 83 nasotracheal, catheter-assisted vs rapid-sequence (letter), 239
literature search impact on ED patient care (letter), 157 etomidate in (letter), 7
Information gathering, see Data collection (letter), 73
Informed consent, in saliva alcohol testing (commentary), 762 right lung ventilation in, 889
Infrared tympanic membrane thermometry, cerumen occlusion and, (commentary), 861
17 Investigation, see Research
Infusion(s), see also Blood transfusion(s); Fluid resuscitation Investigator(s), in industry-sponsored trials, guidelines for, 43
during CPR, central vs peripheral, 1027 Ion exchange resin(s), sodium polystyrene sulfonate for lithium poi-
of phenytoin, via pump vs manual (letter), 758 soning, 681
of propofol, for conscious sedation (letter), 661 Ipratropium bromide, in acute childhood asthma, 651
Infusion volume(s), in aortic injury resuscitation regimens, 89 Iserson, K. V., Death to Dust: What Happens to Dead Bodies? (book
Injury(ies), see also Trauma; individual injury types review), 566
alcohol/drug abuse screening in (commentary), 762
from bicycle collisions, 200 Journal article(s), see also Publication
brain, see Brain injury(ies) critical reading of, outline for (letter), 570
cause of, see also E-code(s) using same data (letter), 156
cause of, documentation of (commentary), 83 Journal club(s), in EM residencies (letter), 570
disaster management of (commentary), 1021 Jurisprudence, see Medicolegal
in ED, with weapons of major trauma victims,
esophageal, acid, dilution for, 587 Ketorolac, IM route for n research (letter), 850
esophageal, alkali, acid neutralization of, 952 (letter), 851
(commentary), 945 Knee radiography, decision rules for (commentary), 949
health consequences of, questionnaire for, 535 efficiency of, 966
knee, radiography efficiency in, 966 Knive(s), ED security guidelines against, 151
mechanism of, wound care and (commentary), major trauma victims’ carriage of, 109
minor, scoring system for, 544
spinal, see Spinal injury(ies) Laboratory diagnosis, of ectopic pregnancy, 1081
subcritical, alcohol use and, 784 Laboratory testing, cost—effectiveness of (commentary), 163
topical antibiotics in wound care, 4 of glucose, in ethanol-positive patients, 185
transport of patients by nonmedical personnel, point-of-care blood testing vs, 172
vascular, see Vascular injury(ies) of trauma patients, utility of, 190
from weapons-related violence in ED, 151 Laceration(s), see also Rupture(s)
Injury control, in disaster medicine, 1068 buffered diphenhydramine for anesthesia in, 884