Academic Emergency Medicine 1996: Vol 3 Index

23 Pages·1996·6.4 MB·English

ACADEMIC EMERGENCY MEDICINE DEC 1996 VOL 3/NO 12
This index covers the issues for 1996, as follows: January (Number 1), pages 1—94; February (Number 2), pages
95-188; March (Number 3), pages 189-290; April (Number 4), pages 291-388; May (Number 5), pages 389-562;
June (Number 6), pages 563-650; July (Number 7), pages 651-734; August (Number 8), pages 735-822; September
(Number 9), pages 823-906 and Al—A8; October (Number 10), pages 907-988; November (Number 11), pages
989-1080; and December (Number 12), pages 1081-1200. The abbreviations used throughout the index are spelled
out in the footnote below.
SUBJECTS Adenosine antagonist(s), in CPR (letter), 1075
Administration, authorization calls to HMOs, 338
Abdominal pain, [V morphine for, 1086 (commentary), 295
(commentary), 1081 (letters), 1172; 1175
recurrent (clinical pearls), 952 capitation and unscheduled access to care (commentary), 655
in vesicourachal diverticulum rupture (case report), 1140 CQI of fast-track LOS, 258
Abdominal trauma, see under Trauma defining appropriateness of ED visits, 252
Abstract(s), 1996 Midwestern—Midatlantic Regional Emergency Med- (commentary), 189
icine Research Symposium, Al—A8 (Sept) (letters), 1071; 1072; 1072
1996 SAEM annual meeting, 392-548 mission statements in leadership, 801
Abuse, see Drug abuse; Ethanol abuse; Sexual abuse; Violence; see also pediatric triage criteria and patient flow, 65
under Elder(s); Pediatrics (commentary), 2
Academic medicine, see also Education reengineering 911 (commentary), 989
health care reform interface with, 277 referral from ED (letters), 1071; 1072; 1072
Access to care, authorization calls to HMOs, 338 short-stay unit effect on LOS, 1113
(commentary), 295 terminations of EPs, 168
(letters), 1172; 1175 Admission(s), see under Hospital(s)
defining appropriateness of ED visits (commentary), 189 Adolescent(s), see also Pediatrics
(letters), 1071; 1072; 1072 ethanol use and hypoglycemia, 46
referrals from ED (letters), 1071; 1072; 1072 violence in, EP role in reducing, 708
unscheduled, capitation and (commentary), 655 (commentary), 651
unscheduled, reengineering 911 (commentary), 989 Advance directive(s), in the ED, 50
Accident(s), see Injury(ies); Motor vehicle crash(es); Overdose(s); family response to the EP in DNAR orders, 54
Trauma Advanced cardiac life support, problem-based (letter), 184
cerebrovascular, see Stroke(s) Advocacy, for injury prevention, 161
Acetaminophen, pharmacokinetics of Tylenol Extended Relief vs Ty- via storytelling (presidential address), |
lenol, 740 Aesthetics, of repaired lacerations, 378
(commentary), 738 (commentary), 298
Acetylcholinesterase poisoning, model of, 1106 Age, and unnecessary ambulance transport, 1046
Acid—base disturbance(s), see Aikalosis (commentary), 989
Acute pulmonary edema, sublingual captopril for, 205 Aged, see Elder(s)
(commentary), 192 Agreement, EP—psychiatrist, in admissions, 1027
Addiction(s), see Drug abuse; Ethanol abuse AIDS, see HIV
Adenosine, for supraventricular tachycardia, 574 Air bag(s), injury from spontaneous deployment (letter), 179
(commentary), 564 Airway Cam direct laryngoscopy video system, 79
Abbreviations in the index: ABEM = American Board of Emergency Medicine; ACLS = Advanced Cardiac Life Support; AIDS = acquired
immunodeficiency syndrome; AMI = acute myocardial infarction; APE = acute pulmonary edema; BP = blood pressure; CBC = complete blood
count; COBRA = C. lidated Omnibus Reconciliation Act; CPP = coronary perfusion pressure; CPR = cardiopulmonary resuscitation; CQI =
continuous quality improv t; CT = computed tomography; DNAR = do-not-attempt-resuscitation; ECG = electrocardiogram, electrocardiog-
raphy; ED = emergency department; EM = emergency medicine; EMS = emergency medical services; EP = emergency physician; HIV = human
immunodeficiency virus; HMO = health maintenance organization; IRB = institutional review board; IV = intravenous; LOS = length of stay;
MI = myocardial infarction; MVC = motor vehicle crash; NHLBI = National Heart, Lung, and Blood Institute; NIH = National Institutes of
Health; PEA = pulseless electrical activity; PGY] = postgraduate year 1; SAEM = Society for Academic Emergency Medicine; and STD =
sexually transmitted disease.
ACADEMIC EMERGENCY MEDICINE DEC 1996 VOL 3/NO 12
This index covers the issues for 1996, as follows: January (Number 1), pages 1—94; February (Number 2), pages
95-188; March (Number 3), pages 189-290; April (Number 4), pages 291-388; May (Number 5), pages 389-562;
June (Number 6), pages 563-650; July (Number 7), pages 651-734; August (Number 8), pages 735-822; September
(Number 9), pages 823-906 and Al—A8; October (Number 10), pages 907-988; November (Number 11), pages
989-1080; and December (Number 12), pages 1081-1200. The abbreviations used throughout the index are spelled
out in the footnote below.
SUBJECTS Adenosine antagonist(s), in CPR (letter), 1075
Administration, authorization calls to HMOs, 338
Abdominal pain, [V morphine for, 1086 (commentary), 295
(commentary), 1081 (letters), 1172; 1175
recurrent (clinical pearls), 952 capitation and unscheduled access to care (commentary), 655
in vesicourachal diverticulum rupture (case report), 1140 CQI of fast-track LOS, 258
Abdominal trauma, see under Trauma defining appropriateness of ED visits, 252
Abstract(s), 1996 Midwestern—Midatlantic Regional Emergency Med- (commentary), 189
icine Research Symposium, Al—A8 (Sept) (letters), 1071; 1072; 1072
1996 SAEM annual meeting, 392-548 mission statements in leadership, 801
Abuse, see Drug abuse; Ethanol abuse; Sexual abuse; Violence; see also pediatric triage criteria and patient flow, 65
under Elder(s); Pediatrics (commentary), 2
Academic medicine, see also Education reengineering 911 (commentary), 989
health care reform interface with, 277 referral from ED (letters), 1071; 1072; 1072
Access to care, authorization calls to HMOs, 338 short-stay unit effect on LOS, 1113
(commentary), 295 terminations of EPs, 168
(letters), 1172; 1175 Admission(s), see under Hospital(s)
defining appropriateness of ED visits (commentary), 189 Adolescent(s), see also Pediatrics
(letters), 1071; 1072; 1072 ethanol use and hypoglycemia, 46
referrals from ED (letters), 1071; 1072; 1072 violence in, EP role in reducing, 708
unscheduled, capitation and (commentary), 655 (commentary), 651
unscheduled, reengineering 911 (commentary), 989 Advance directive(s), in the ED, 50
Accident(s), see Injury(ies); Motor vehicle crash(es); Overdose(s); family response to the EP in DNAR orders, 54
Trauma Advanced cardiac life support, problem-based (letter), 184
cerebrovascular, see Stroke(s) Advocacy, for injury prevention, 161
Acetaminophen, pharmacokinetics of Tylenol Extended Relief vs Ty- via storytelling (presidential address), |
lenol, 740 Aesthetics, of repaired lacerations, 378
(commentary), 738 (commentary), 298
Acetylcholinesterase poisoning, model of, 1106 Age, and unnecessary ambulance transport, 1046
Acid—base disturbance(s), see Aikalosis (commentary), 989
Acute pulmonary edema, sublingual captopril for, 205 Aged, see Elder(s)
(commentary), 192 Agreement, EP—psychiatrist, in admissions, 1027
Addiction(s), see Drug abuse; Ethanol abuse AIDS, see HIV
Adenosine, for supraventricular tachycardia, 574 Air bag(s), injury from spontaneous deployment (letter), 179
(commentary), 564 Airway Cam direct laryngoscopy video system, 79
Abbreviations in the index: ABEM = American Board of Emergency Medicine; ACLS = Advanced Cardiac Life Support; AIDS = acquired
immunodeficiency syndrome; AMI = acute myocardial infarction; APE = acute pulmonary edema; BP = blood pressure; CBC = complete blood
count; COBRA = C. lidated Omnibus Reconciliation Act; CPP = coronary perfusion pressure; CPR = cardiopulmonary resuscitation; CQI =
continuous quality improv t; CT = computed tomography; DNAR = do-not-attempt-resuscitation; ECG = electrocardiogram, electrocardiog-
raphy; ED = emergency department; EM = emergency medicine; EMS = emergency medical services; EP = emergency physician; HIV = human
immunodeficiency virus; HMO = health maintenance organization; IRB = institutional review board; IV = intravenous; LOS = length of stay;
MI = myocardial infarction; MVC = motor vehicle crash; NHLBI = National Heart, Lung, and Blood Institute; NIH = National Institutes of
Health; PEA = pulseless electrical activity; PGY] = postgraduate year 1; SAEM = Society for Academic Emergency Medicine; and STD =
sexually transmitted disease.
Index to Volume 3
Airway management, see Intubation(s); Ventilation magnesium effect on neutrophil respiratory burst, 1093
Airway pressure(s), positive, bilevel, MI and (letters), 729; 729 (commentaries), 1082; 1084
Albuterol, nebulized, continuous vs intermittent, 1019 substance abuse and acute exacerbations (letter), 1170
Alcohol, see Ethanol Atrial fibrillation, new-onset, hospitalization need in, 114
Algorithm(s), patient flow, with authorization calls to HMOs, 338 outpatient management safety (letters), 819; 820; 821
(commentary), 295 Attack(s), see also Stroke(s)
(letters), 1172; 1175 transient ischemic, hypoglycemia as sinus bradycardia, 700
in superior vena cava syndrome (clinical pearls), 1064 Attrition, in EM, and burnout, 1156
Alkalosis, metabolic, compensatory hypoventilation in (letter), 981 Auerbach, P. S. (ed), Wilderness Medicine: Management of Wilderness
Ambulance transport(s), unnecessary, 1046 and Environmental Emergencies, Third Edition (book review),
(commentary), 989 1165
Ambulatory care, CQI in fast-track LOS, 258 Authorization call(s), to HMOs, for ED evaluation, 338
ED appropriateness for, 252 (commentary), 295
(commentary), 189 (letters), 1172; 1175
(letters), 1071; 1072; 1072 Automobile crash(es), see Motor vehicle crash(es)
American Board of Emergency Medicine, practice tracks in, 953
(commentary), 907
American College of Surgeons, see Certification; Triage criteria Bacillus Calmette-Guérin, mycobacterial sepsis from, 157
Aminophylline, as adenosine antagonist (letter), 1075 Background pacing, misdiagnosed as PEA (letter), 645
Amrinone, as verapamil overdose antidote, 762 Bacteremia, frequency of positive blood cultures, 768
Analgesia, morphine effect on abdominal pain diagnosis, 1086 Balanoposthitis, pediatric (clinical pearls), 384
(commentary), 1081 Ball, L. B., The International Medical Graduates’ Guide to U.S. Med-
propofol in the ED, 234 icine: Negotiating the Maze (book review), 644
Anemia(s), sickle-cell, see Sickle-cell crisis; Sickle-cell disease Bayes’ rule, in criteria-based expert system, 689
Anesthetic(s), see also individual agents Behavior, drug-seeking, ED utilization for, 312
injectable, for laceration repair, 228 (commentary), 295
(commentary), 198 handwashing, in EPs, 360
Aneurysm(s), cerebral, in sickle-cell disease, 859 Behavioral indicator(s), in pediatric sexual abuse, 966
sinus of Valsalva, diagnosis, 634 (commentary), 908
Angina, see Chest pain Bicarbonate, ingestion (letter), 981
Angiotensin-converting enzyme inhibitor(s), captopril for APE, 205 Bilevel positive airway pressure(s), MI and (letters), 729; 729
(commentary), 192 Biochemical marker(s), see Marker(s)
Ankle injury(ies), intrasound vibration testing accuracy, 849 Bioimpedance, for noninvasive cardiac index monitoring in gunshot
Annual meeting(s), SAEM, see under Society for Academic Emergency wounds, 682
Medicine for noninvasive hemodynamic monitoring, 675; 682
Anorexia nervosa, sinus bradycardia as hypoglycemia, 700 Biological fluid(s), hazardous exposure timing, 605
Anticholinergic(s), systemic toxicity from ocular homatropine, 868 (commentary), 566
Anticoagulation, in atrial fibrillation (letters), 819; 820; 821 Biomechanical mediator(s), in multiple-organ dysfunction syndrome, 61 1
Antidepressant(s), cyclic, overdoses, 634 Biorhythm(s), and exposure to biological fluids, 605
sertraline overdose effects, 132 (commentary), 566
Anus(es), in pediatric sexual abuse, 966 Bite(s), Loxosceles spider, 758
(commentary), 908 police dog, 352
Anxiety, see Psychological stress Bladder(s), cancer, bacillus Calmette-Guérin sepsis, 157
Aortic aneurysm(s), sinus of Valsalva, 634 rupture of vesicourachal diverticulum (case report), 1140
Aortotomy, uncontrolled hemorrhage model of, 917 Bleeding, see Hemorrhage(s)
Appendicitis, recurrent (clinical pearls), 952 Blindness, bilateral, acute, diagnosis in (case report), 1056
Appendicolith(s), on radiographs (clinical pearls), 952 Blood alcohol concentration analysis (letters), 85; 728
Appointed care, capitation and (commentary), 655 Blood culture(s), frequency of positive results, 768
Appropriateness, of ED use, agreement in, 252 Blood flow, renal arterial, in endotoxic shock, 1006
(commentary), 189 Blood loss, orthostatic change in shock index vs tilt test, 926
(letters), 1071; 1072; 1072 in uncontrolled hemorrhage models, 917; 922
of referral from ED (letters), 1071; 1072; 1072 Blood pressure, control of, in uncontrolled hemorrhage (letter), 87
Archetype(s), physician as hero (letter), 650 noninvasive monitoring of, 675
Arrhythmia(s), see also individual irregularities vs orthostatic change in shock index, 926
background pacing misdiagnosed as PEA (letter), 645 in prediction of significant injury, 1041
Arterial blood flow, renal, in endotoxic shock, 1006 reduction, in hypertensive urgency (letters), 646; 647; 648
Arterial pressure(s), see also Hemodynamics in sinus of Valsalva aneurysm, 634
endothelin-1 effects in CPR, 137 systolic, in mannitol for head injuries, 840
(commentary), 97 in uncontrolled hemorrhage models, 917; 922
Artery(ies), carotid, internal, dissection of, 864 Blunt trauma, abdominal, diagnostic ultrasonography in, 931
Asphalt cement burn(s), petroleum-based solvent for (letter), 88 Board(s), specialty, practice tracks in, 953
Asphyxia, endothelin-1 effects on CPP, 137 (commentary), 907
(commentary), 97 Boarder(s), ED, short-stay unit for, 1113
Aspirin, in AMI (letter), 1073 Body fluid(s), hazardous exposure to, timing of, 605
Assay(s), see Test(s) (commentary), 566
Asthma, continuous vs intermittent nebulized albuterol, 1019 Book review(s), 84; 178; 641; 977; 1165
ACADEMIC EMERGENCY MEDICINE DEC 1996 VOL 3/NO 12
Bradycardia(s), sinus, hypoglycemia manifested by, 700 Cephalalgia, in orbital ceiiulitis (clinical pearls), 879
in sinus of Valsalva aneurysm, 634 Cerebellar function, in minor head trauma, 21
Brain injury(ies), see also Head trauma (commentary), 4
out-of-hospital mannitol and systolic BP, 840 Cerebral aneurysm(s), in sickle-cell disease, 859
serum neuron-specific enolase as predictor of, 126 Cerebral infarction(s), thrombolytics for, research review, 881
severity classification of (commentary), 4 (commentary), 825
Breath analysis, for ethanol (letters), 85; 728 Cerebral ischemia(s), serum neuron-specific enolase as brain damage
Breathing, see also Hypoventilation; Ventilation predictor, 126
difficulty (clinical pearls), 1064 Cerebrovascular accident(s), see Stroke(s)
Brochure(s), residency, on the Internet (letter), 386 Certification, EM fellowships for primary care physicians (letter), 982
Bronchial asthma, see Asthma Level-I trauma, and EM resident trauma experience, 366
Brown recluse spider bite(s), hyperbaric oxygen vs dapsone, 758 Cervical collar(s), soft, in whiplash, 568
Buffered lidocaine, in laceration repair, 228 (commentary), 563
(commentary), 198 Cervical immobilization, oral intubation using lighted stylet, 34
topical tetracaine for infiltration pain, 1001 Chest pain, creatine kinase—MB in decision making, 7
Burn(s), paving asphalt, petroleum-based solvent for (letter), 88 criteria-based expert system evaluation, 689
Burnout, in EPs, degree and predictors of, 1156 door-to-thrombolysis intervals (letters), 285; 285; 286; 287
serial ECGs to determine thrombolytic need, 147
variance cardiography for ED evaluation, 326
Calcium, magnesium effect in asthma, 1093 Challenger Corp., Med-Challenger Educational Software (software re-
(commentaries), 1082; 1084 view), 1167
Calcium-channel blocker(s), overdose, glucagon/phenylephrine for, 120 Chest wound(s), see under Wound(s)
(commentary), 99 Children, see Pediatrics
California, drive-by shootings in Los Angeles, 300 Child abuse, see also under Pediatrics
law on authorization calls to HMOs, 338 victims’ self-inflicted wounds as adults (letter), 817
(commentary), 295 Chou, T.-C., Knilans, T. K., Electrocardiography in Clinical Practice,
(letters), 1172; 1175 Adult and Pediatric, Fourth Edition (book review), 1168
Camera(s), see also Photography Circadian rhythm(s), and hazardous exposures, 605
in direct laryngoscopy video system, 79 (commentary), 566
Cancer(s), bladder, bacillus Calmette-Guérin sepsis, 157 Classification, of disasters, by functional impact, 723
Canine(s), police, bites by, 352 Clinical pathological conference, in hypertension and altered mentation,
Cannabis, see Drug abuse; Substance abuse 634
Capitation, and unscheduled access (commentary), 655 Clinical Pearls
Captopril, sublingual, for APE, 205 difficulty breathing, 1064
(commentary), 192 facial weakness and rash, 1144
Car crash(es), see Motor vehicle crash(es) headache and eye pain, 879
Carboxyhemoglobin, falsely elevated in neonate (letter), 287 pediatric penile swelling, 384
Cardiac arrest, background pacing misdiagnosed as PEA (letter), 645 pediatric vomiting, 77
endothelin-1 effects on CPP, 137 recurrent abdominal pain, 952
(commentary), 97 Clinical skill assessment(s), direct observation of EM residents, 345
serum neuron-specific enolase as brain damage predictor, 126 of non-EM residents, reliability, 1124
Cardiac enzyme(s), see also Creatine kinase performance-based, reliability, 1119
in AMI prediction, 1034 Club(s), EM, survey of (letter), 648
Cardiac index(es), with amrinone for verapamil overdose, 762 journal, in EM residencies, 872
noninvasive monitoring of, 675; 682 COBRA, obligations to managed care patients, 794
noninvasive monitoring in gunshot wounds, 682 underinsured patients and (commentary), 295
Cardiac injury, CT to screen for, 1024 (letters), 1172; 1175
Cardiac ischemia(s), see under Ischemia(s) Cocaine, see Drug abuse; Substance abuse
Cardiac output(s), see Cardiac index(es); Hemodynamics Cognitive deficit(s), in minor head injuries, 21
Cardiac risk stratification, serum markers for, 27 (commentary), 4
Cardiography, variance, for ED chest pain evaluation, 326 Collar(s), cervical, soft, in whiplash pain, 568
Cardiopulmonary resuscitation, see under Resuscitation (commentary), 563
Cardioversion, electrical, need with adenosine vs verapamil, 574 Collision(s), see Motor vehicle crash(es)
(commentary), 564 Coma, serum neuron-specific enolase as brain damage predictor, 126
Carotid artery(ies), internal, dissection of, 864 Communication(s), see also Physician—patient communication(s)
Cartoon illustration(s), in release instructions, 264 between EDs, for patient surveillance (commentary), 295
(commentary), 200 via storytelling (presidential address), |
Case finding, see Screening telephone follow-up and patient reachability, 271
Case management, communication between EMS systems (commen- Community health, see Public health
tary), 295 Community organization(s), database development for (letter), 984
Catheter(s), central venous, staples vs sutures, 1103 Complete blood count(s), in sickle-cell crisis evaluation, 751
IV, self-capping, for needlestick reduction, 668 Compliance, with handwashing recommendations in ED, 360
Cellulitis, orbital (clinical pearls), 879 patient, and cartoon release instructions, 264
Centers for Disease Control and Prevention, handwashing recommen- (commentary), 200
dation compliance, 360 Complication(s), hospital, and ECG results in AMI, 318
Central venous catheter(s), see under Catheter(s) with ketamine in developing world, 598
Index to Volume 3
serum cardiac markers for, 27 enabling factors in pediatric trauma and, 213
Computed tomography, for cardiac injury diagnosis in penetrating informing families about, 1146
wounds, 1024 from MVCs (commentary), 194
new-generation, sensitivity for subarachnoid hemorrhage, 16; 827 Decision making, admission, EP—psychiatrist concordance, 1027
(commentary), 823 capacity, in refusal of care (case report), 948
Computer(s), e-mail for collaborative document preparation (letter), 182 in chest pain, creatine kinase—MB in, 7
expert system for cardiac ischemia evaluation, 689 criteria-based expert system diagnosis, 689
residency brochure on the Internet (letter), 386 Decision making, door-to-thrombolysis intervals (letters),
Concordance, EP—psychiatrist, in admissions, 1027 286; 287
Congestive heart failure, bilevel positive airway pressure (letters), 729; semiautomatic external defibrillator misdiagnosis (letter), 6
729 triage, see Triage
sublingual captopril for APE, 205 Decision rule(s), in AMI, 1034
(commentary), 192 Defibrillator(s), semiautomatic external, missing background pacing
Consensus document(s), e-mail for preparation of (letter), 182 (letter), 645
on informed consent, development of (commentary), 101 Dehydration, in hyperemesis gravidarum (correction), 6
on research directions in EM, 274 Depression, self-inflicted wounds (letter), 817
(commentary), 202 Dermatology, Ramsay Hunt syndrome (clinical pearls), 1144
Consent, see Informed consent De-Solv-It, for paving asphalt burn (letter), 88
Consolidated Omnibus Budget Reconciliation Act, see COBRA Developing world, ketamine safety profile in, 598
Continuous quality improvement, in door-to-thrombolysis intervals (let- Papua New Guinea expedition, 624
ters), 285; 285; 286; 287 Diabetes mellitus, sinus bradycardia as hypoglycemia, 700
EM resident radiograph interpretation rates, 782; 790 Diagnosis(es), in abdominal pain, morphine effect on, 1086
of fast-track LOS, 258 (commentary), 1081
flowsheet for AMI management (letter), 1073 in acute bilateral blindness (case report), 1056
Contract(s), and terminations of EPs, 168 of AMI, leukocytosis in, 1034
Co-oximeter(s), for neonatal carboxyhemoglobin (letter), 287 of cardiac ischemia, criteria-based expert system, 689
Coronary artery disease, variance cardiography in, 326 delayed, of thoracolumbar fractures, 832
Coronary care unit(s), creatine kinase—MB in admission decisions, 7 differential, in sinus of Valsalva aneurysm, 634
Coronary perfusion pressure(s), endothelin-1 effects in CPR, 137 of ethanol intoxication (letters), 85; 728
(commentary), 97 of infectious mononucleosis, with nasopharyngeal swabs, 776
Correction, of ECG interpretation as complete heart block (letters), 905; intrasound vibration testing in ankle fractures, 849
905 of mediastinal masses (clinical pearls), 1064
Cortical blindness (case report), 1056 of pediatric sexual abuse, 966
Corticosteroid(s), for bacillus Calmette-Guérin sepsis, 157 (commentary), 908
Cosmesis, of repaired lacerations, 378 of priapism etiology, 810
(commentary), 298 semiautomatic external defibrillator missing background pacing (let-
Cost—effectiveness, of EMS naloxone IM administration (commentary), ter), 645
657 of vesicourachal diverticulum rupture (case report), 1140
Counseling, in ethanol abuse, patient follow-through (letter), 903 Diagnostic test(s), see Test(s)
for in-line skating injury prevention (commentary), 291 Diphenhydramine, in laceration repair, 228
CPR, see Resuscitation, cardiopulmonary (commentary), 198
Crash(es), see Motor vehicle crash(es) Disability(ies), societal treatment of, 175
Creatine kinase, ECG results and, in AMI, 318 Disaster(s), nomenclature based on functional impact, 723
Creatine kinase—MB, in AMI prediction, 1034 Discharge instruction(s), cartoon illustrations and compliance, 264
for cardiac risk stratification, 27 (commentary), 200
in chest pain decision making, 7 Disease prevalence, in sample size calculation for sensitivity/specificity,
Credentialing, see Certification 895
Cricothyrotomy, rapid 4-step technique, 1060 of STDs in women with urinary infections, 1030
Crisis intervention, domestic violence service availability, 246 Dislocation(s), see Fracture(s)
Criteria, see Outcome criteria; Triage criteria Distress, see Psychological stress
Criteria-based expert system(s), for cardiac ischemia evaluation, 689 Diverticulum, vesicourachal, rupture of (case report), 1140
Critical thinking, in EM education (letter), 183 Documentation, ED vs inpatient e-codes (letter), 385
CT, see Computed tomography subjective scoring of, 1119
Culture(s), blood, frequency of positive results, 768 of trauma triage criteria, 1011
Curriculum(a), child sexual abuse training in (letter), 89 Dog(s), police, managing bites by, 352
for EMS training for EM residents, 716 Dogma, see also Guideline(s)
for problem-based ACLS (letter), 184 on analgesia in abdominal pain, 1086
Cut(s), see Laceration(s) (commentary), 1081
Cyclic antidepressant(s), see under Antidepressant(s) Domestic violence, see Sexual abuse; Violence; see also under Elder(s),
Pediatrics
Do-not-attempt-resuscitation order(s), family response to the EP, 54
Dapsone, vs hyperbaric oxygen, for Loxosceles envenomation, 758 Door-to-ECG interval(s), in AMI (letter), 1073
Data documentation, see Documentation Door-to-thrombolysis interval(s) (letters), 285; 285; 286; 287
Database(s), development, for community organization (letter), 984 Drinking, see Ethanol abuse
Death(s), see also Mortality; Suicide(s) Drive-by shooting(s), in Los Angeles, 300
from drive-by shootings in Los Angeles, 300 Drug abuse, inhaled, and asthma exacerbations (letter), 1170
ACADEMIC EMERGENCY MEDICINE DEC 1996 VOL 3/NO 12
Drug abuse (cont.) authorization calls to HMOs, 338
opioid overdose EMS treatment, 660 (commentary), 295
(commentary), 657 (letters), 1172; 1175
prescription, ED utilization for, 312 CQI of fast-track LOS, 258
(commentary), 295 criteria-based expert system for cardiac ischemia evaluation, 689
Drug-seeking behavior, ED utilization for, 312 DNAR orders and family response to the EP, 54
(commentary), 295 domestic violence victims’ presentation times and service availability,
246
ECG(s), see Electrocardiagram(s) ECG results and hospital complications in AMI, 318
E-code(s), ED vs inpatient (letter), 385 e-coding in (letter), 385
Economics, see also Cost—effectiveness; Funding elders’ utilization of, 694
of referrals from ED (letters), 1071; 1072; 1072 (commentary), 658
Edema, penile, pediatric (clinical pearls), 384 ethanol use and medical utilization in, 106
pulmonary, acute, sublingual captopril for, 205 (commentary), 95
(commentary), 192 handwashing teachability in, 360
Education, see also Residency(ies); Resident(s) identification of admission need in atrial fibrillation, 114
bedside EM teaching of rotating PGY1 residents, 72 (letters), 819; 820; 821
child sexual abuse training in EM residency (letter), 89 in-line skating counseling in (commentary), 291
cricothyrotomy 4-step technique, 1060 LOS, short-stay unit effect on, 1113
direct observation of EM residents, 345 managing police dog bites in, 352
in elder abuse, for EM residents (letter), 817 non-EM resident patient workup rate, 153
EM, future of (letter), 1176 non-EM resident rotations, reliability of evaluations, 1124
EM club survey (letter), 648 pediatric triage criteria and patient flow, 65
EMS curriculum for EM residents, 716 (commentary), 2
evidence-based medicine in (letter), 183 physician—patient communication in, 1065; 1146
fellowships in EM for primary care physicians (letter), 982 positive blood culture frequency, 768
handwashing teachability in urban ED, 360 propofol for sedation in, 234
health care reform and, 277 referral from, appropriateness of (letters), 1071; 1072; 1072
hero archetype in (letter), 650 release instructions, cartoon illustrations in, 264
journal clubs in EM residencies, 872 (commentary), 200
Level-I trauma certification and EM resident experience, 366 saliva alcohol screening in, 239
non-EM-resident patient workup rate, 153 security, weapons logged by, comments on article about, 735
Papua New Guinea expedition, 624 utilization of, defining appropriateness of, 252
patient, see Counseling; Patient education (commentary), 189
physician—patient communication in ED, 1065; 1146 (letters), 1071; 1072; 1072
practice tracks in EM vs other specialties, 953 utilization of, by drug-seeking patients, 312
(commentary), 907 (commentary), 295
problem-based, in ACLS (letter), 184 variance cardiography for chest pain evaluation, 326
residency brochure on the Internet (letter), 386 Emergency Medical Treatment and Active Labor Act (letters), 1172;
shift lengths and hazardous exposures (commentary), 566 1175
storytelling in (presidential address), | Emergency medical services, see also Emergency medical technician(s);
training level and cosmesis of repaired lacerations, 378 Paramedic(s)
(commentary), 298 BP control in uncontrolled hemorrhage (letter), 87
in transillumination-guided endotracheal intubation, 371 capitation and unscheduled access (commentary), 655
(letters), 901; 902 curriculum for EM residents, 716
video system for direct laryngoscopy, 79 empiric observation opportunities in (letter), 88
EKG(s), see Electrocardiogram(s) EPs’ role of coordinating care in (commentary), 295
Elder(s), abuse of, EM resident education in (letter), 817 level of care determination (letters), 734; 1172
abuse of, EP role in reducing, 708 mannitol for head injuries, systolic BP and, 840
(commentary), 651 as morbidity reduction (commentary), 736
ED utilization by, 694 needlestick reduction with self-cappping IV catheter, 668
(commentary), 658 number of patches and training level (letter), 1172
Electrical cardioversion, need with adenosine vs verapamil, 574 opioid overdose treatment in urban setting, 660
(commentary), 564 (commentary), 657
Electrocardiogram(s), correction of interpretation as complete heart patient refusal of care (case report), 948
block (letters), 905; 905 patient transport by nonmedical personnel (letter), 87
interpretation, reliability of assessment of, 1119 rapid-sequence induction for pediatric intubation, 41
interval in AMI (letter), 1073 selective reporting of trauma triage criteria, 1011
repeat, in door-to-thrombolysis intervals (letters), 285; 286; 287 supraventricular tachycardia, adenosine vs verapamil, 574
results and hospital complications in AMI, 318 (commentary), 564
serial, to determine thrombolytic need, 147 unnecessary ambulance transports, 1046
in sinus of Valsalva aneurysm, 634 (commentary), 989
variance cardiography in ED chest pain, 326 Emergency medical technician(s), see also Paramedic(s)
E-mail, for collaborative document preparation (letter), 182 morbidity reduction as goal of (commentary), 736
Embolism(s), pulmonary, as acute bilateral blindness (case report), 1056 number of patches and training level (letter), 1172
Emergency department(s), advance directives in, 50 Emergency medicine, bedside teaching for rotating PGY1! residents, 72
Index to Volume 3
fellowships for primary care physicians (letter), 982 COBRA obligations to managed care patients, 794
future of (letter), 1176 DNAR orders and family response to the EP, 54
health care reform and academics, 277 informed consent consensus development (commentary), 101
journal clubs in, 872 IRB structure and practice, 804
literature, currency of (letter), 180 out-of-hospital refusal of care (case report), 948
Papua New Guinea expedition, 624 physician-assisted suicide attitudes in EPs, 938
research directions consensus document, 274 (commentary), 909
(commentary), 202 in referral from ED (letters), 1071; 1072; 1072
storytelling in (presidential address), 1 societal treatment of disabilities, 175
virtues in, 961 virtues in EM, 961
Emergency medicine club(s), survey of (letter), 648 virtues in mission statements, 801
Emergency medicine journal(s), see Journal(s) Ethmoid sinusitis, orbital cellulitis from (clinical pearls), 879
Emergency medicine research, see Research Euthanasia, EP attitudes toward, 938
Emergency medicine residency(ies), see under Residency(ies) (commentary), 909
Emergency medicine resident(s), see under Resident(s) Evaluation(s), see Clinical skill assessment(s)
Emergency medicine rotation(s), psychological effects on residents, Evaluator leniency, in clinical skill assessment, 1124
1131 Evidence-based medicine, in EM education (letter), 183
reliability of faculty evaluation of non-EM residents, 1124 Examination(s), physical, see Physical examination(s)
Emergency medicine/trauma service, model for, 1136 Expedition, to Papua New Guinea, 624
Emergency physician(s), see also Physician(s) Experiment(s), see Research
attitudes toward physician-assisted suicide, 938 Expert system(s), criteria-based, for cardiac ischemia evaluation, 689
(commentary), 909 Exposure(s), see Hazardous exposure(s)
burnout in, degree and predictors of, 1156 Extended Relief Tylenol, pharmacokinetics of, 740
concordance with psychiatrists in admission decisions, 1027 (commentary), 738
diagnostic ultrasonography by, 931 External-cause-of injury code(s), ED vs inpatient (letter), 385
in expeditions to developing world, 624 Extramural support, see Funding
family response to, in DNAR orders, 54 Eye chart(s), ceiling-mounted for supine position, 1053
future of (letter), 1176 Eye pain, in orbital cellulitis (clinical pearls), 879
handwashing behavior of, 360 Eyedrop(s), systemic toxicity from homatropine, 868
terminations of, 168
violence reduction role, 708
(commentary), 651 Facial pain, see under Pain
Emergency physician—patient relationship(s), in managed care (com- Facial weakness and rash (clinical pearls), 1144
mentary), 295 Faculty, leniency in clinical evaluations of residents, 1124
Emesis, pediatric, in hypertrophic pyloric stenosis (clinical pearls), 77 Family(ies), parental presence during children’s venipuncture, 58
EMS, see Emergency medical services response to the EP in DNAR orders, 54
Enabling factor(s), in pediatric trauma, 213 Fast track(s), CQI of LOS, 258
Endocarditis, sinus of Valsalva aneurysm diagnosis, 634 Fatality(ies), see Death(s)
Endothelin-1, effects on CPP in CPR, 137 Federal government, see Government
(commentary), 97 Fellowship(s), EM, for primary care physicians (letter), 982
Endotoxic shock, see under Shock Fenoldopam, in hypertensive urgency (letters), 646; 647; 648
Endotracheal intubation(s), see under Intubation(s) Fentanyl, propofol with, for sedation in the ED, 234
Enolase, serum neuron-specific, as marker of irreversible brain damage, Fetal hemoglobin, and falsely elevated carboxyhemoglobin (letter), 287
126 Fever, positive blood culture frequency, 768
Envenomation(s), Loxosceles, hyperbaric oxygen vs dapsone, 758 Fibrillation, see Atrial fibrillation
Enzyme(s), cardiac, see Cardiac enzyme(s); Creatine kinase Film(s), see Radiograph(s)
Epilepsy, propofol and midazolam for status epilepticus (letter), 179 Financing, see Funding
Epinephrine, vs endothelin-1, in cardiac arrest, 137 Fire medic(s), transport of assaulted patients by (letter), 87
(commentary), 97 Firearm(s), carried by trauma patients, comments on article about, 735
in laceration repair, 228 drive-by shootings in Los Angeles, 300
(commentary), 198 wounds from, noninvasive cardiac index monitoring, 682
Epstein-Barr viral antigen, nasopharyngeal swab detection, 776 Firing, of EPs, guidelines, 168
Erection(s), priapism etiology and management, 810 Flowsheet(s), for AMI management (letter), 1073
Ethanol abuse, blood level estimation methods (letters), 85; 728 Fluid, intraperitoneal, diagnostic ultrasonography for, 931
in Hispanic motor vehicle trauma, 221 Fluid resuscitation, see under Resuscitation
and hypoglycemia in children/adolescents, 46 Fluid administration, in uncontrolled hemorrhage, 922
and medical care utilization in ED, 106 (letter), 87
(commentary), 95 Follow-up, patient reachability by telephone, 271
saliva alcohol test and, 239 Fordyce, W. E. (ed), Back Pain in the Workplace (book review), 643
(letters), 85; 728 Found experiment(s), opportunities in (letter), 88
screening for, feasibility of (letter), 903 Fracture(s), ankle, intrasound vibration testing accuracy in, 849
unsuspected minor trauma in, 853 finger, from air bag’s deployment (letter), 179
Ethics, advance directives in the ED, 50 in in-line skaters, 304
authorization calls to HMOs for ED evaluation, 338 (commentaries), 291; 293
(commentary), 295 of skeletal model in MVC (letter), 284
(letters), 1172; 1175 thoracolumbar, delayed diagnosis of, 832
ACADEMIC EMERGENCY MEDICINE DEC 1996 VOL 3/NO 12
Functional impact, as disaster nomenclature basis, 723 Heart rate(s), see also Hemodynamics
Funding, of academic medicine, health care reform and, 277 in prediction of significant injury, 1041
for EM research, at NIH and NHLBI (commentary), 202 Hemodynamics, see also Arterial pressure(s); Blood pressure(s); Heart
HMO authorization for ED care, 338 rate(s)
(commentary), 295 of amrinone in verapamil overdose, 762
(letters), 1172; 1175 of endothelin-1 in CPR, 137
unscheduled access to care and (commentary), 655 (commentary), 97
noninvasive monitoring of, in critical patients, 675; 682
in uncontrolled hemorrhage models, 917; 922
Gang(s), drive-by shootings in Los Angeles, 300 in verapamil overdose, glucagon/phenylephrine for, 120
Gatekeeping, authorization calls to HMOs, 338 (commentary), 99
(commentary), 295 Hemoglobin, fetal, and falsely elevated carboxyhemoglobin (letter), 287
(letters), 1172; 1175 in sickle-cell crisis evaluation, 751
defining appropriateness of ED visits, 252 Hemopericardium, CT to evaluate, 1024
(commentary), 189 Hemorrhage(s), orthostatic change in shock index vs tilt test, 926
(letters), 1071; 1072; 1072 subarachnoid, CT sensitivity in, 16; 827
Genital examination(s), see Perineal examination(s) (commentary), 823
Geriatrics, see Elder(s) subarachnoid, in sickle-cell disease, 859
Gibler, W. B., Aufderheide, T. P. (eds), Emergency Cardiac Care, first uncontrolled, BP control in (letter), 87
edition (book review), 178 uncontrolled, BP correlation with, 917
Glucagon/phenylephrine, in verapamil overdose, 120 uncontrolled, permissive hypotension in, 922
(commentary), 99 Hepatitis, health care worker hazardous exposure, 605
Gluconeogenesis, renal, in endotoxic shock, 1006 (commentary), 566
Glucose, low, see Hypoglycemia self-capping IV catheters to reduce needlesticks, 668
Government, see also Policy(ies) (commentary), 653
EM research funding avenues (commentary), 202 Hero, physician as (letter), 650
physician supply regulation, 277 Heroin, see Drug abuse; Opioid(s); Substance abuse
Guideline(s), see also Triage criteria Herpes zoster, Ramsay Hunt syndrome (clinical pearls), 1144
on AMI flowsheet (letter), 1073 Hispanic(s), motor vehicle trauma analysis, 221
for e-mail in consensus document preparation (letter), 182 (commentary), 194
for principled leadership, 801 History, of disabilities, 175
for terminations of EPs, 168 HIV, health care worker hazardous exposure, 605
Gun(s), see Firearm(s) (commentary), 566
self-capping IV catheters to reduce needlesticks, 668
(commentary), 653
Handwashing, teachability in urban ED, 360 HMO(s), see Health maintenance organization(s)
Hazardous exposure(s), in ED, timing of, 605 Hodgkin’s lymphoma(s), as superior vena cava syndrome cause (clini-
(commentary), 566 cal pearls), 1064
self-capping IV catheters to reduce, 668 Homatropine, ocular, systemic toxicity from, 868
(commentary), 653 Homicide(s), see Death(s)
Head trauma, see also Brain injury(ies) Horner’s syndrome, vs Raeder’s syndrome, 864
out-of-hospital mannitol and systolic BP, 840 Hospital(s,, admission, in atrial fibrillation, 114
minor, cognitive deficits in, 21 (letters), 819; 820; 821
(commentary), 4 admission, creatine kinase in decisions, 7
minor, unsuspected, in ethanol intoxication, 853 admission, EP—psychiatrist concordance in, 1027
Headache(s), CT sensitivity in subarachnoid hemorrhage, 827 admission, short-stay unit for ED boarders, 1113
(commentary), 823 complications and ECG results in AMI, 318
in orbital cellulitis (clinical pearls), 879 Humanities, see Ethics
Healing, wound, cosmetic appearance and training level, 378 Hymen(s), evaluating child sexual abuse, 966
(commentary), 298 (commentary), 908
Health care access, see Access to care Hyperbaric oxygen, see under Oxygen
Health care reform, academic medicine interface with, 277 Hyperemesis gravidarum, dehydration in (correction), 6
Health insurance, and unnecessary ambulance transport, 1046 Hyperlactacidemia, peripheral venous sampling (letter), 730
(commentary), 989 Hypertension, fenoldopam for BP reduction (letters), 646; 647; 648
Health maintenance organization(s), see also Managed care Hypertrophic pyloric stenosis, pediatric (clinical pearls), 77
authorization calls to, for ED evaluation, 338 Hypoglycemia, in endotoxic shock, 1006
(commentary), 295 ethanol use and, in children/adolescents, 46
(letters), 1172; 1175 sinus bradycardia as manifestation, 700
ethanol use and medical care utilization, 106 Hypoperfusion, peripheral venous lactate sampling for (letter), 730
(commentary), 95 Hypotension, permissive, in uncontrolled hemorrhage models, 917; 922
Health policy(ies), see Policy(ies) in sinus of Valsalva aneurysm, 634
Health service(s), availability for domestic violence victims, 246 Hypoventilation, compensatory, in metabolic alkalosis (letter), 981
Health services research, see Research Hypovolemia, orthostatic change in shock index vs tilt test, 926
Health services utilization, see Utilization
Health status, of EPs, burnout and, 1156 Illinois, Hispanic motor vehicle trauma victims in, 221
Heart block(s), correction of ECG interpretation (letters), 905; 905 (commentary), 194
Index to Volume 3
Illustration(s), cartoon, in release instructions, 264 Interrater variability(ies), in faculty clinical evaluations, 1124
(commentary), 200 Interval(s), see Time interval(s); see also Length(s) of stay; Waiting
Imaging, see Computed tomography; Electrocardiogram(s); Radio- time(s)
graph(s); Ultrasonography Interviewing, in ED, 1065
Impedance, see Bioimpedance Intoxication, see Drug abuse; Ethanol abuse; Overdose(s); Toxicity
Induction, rapid-sequence, for pediatric intubation, 41 Intracranial hemorrhage(s), see under Hemorrhage(s)
Infant(s), see also Pediatrics Intraperitoneal fluid, diagnostic ultrasonography for, 931
falsely elevated carboxyhemoglobin in neonates (letter), 287 Intrasound vibration testing, accuracy in ankle fractures, 849
vomiting in hypertrophic pyloric stenosis (clinical pearls), 77 Intravenous access, subcutaneous lidocaine effect in children, 1016
Infarction(s), cerebral, thrombolytic research review, 881 Intravenous catheter(s), see under Catheter(s)
(commentary), 825 Intravenous opicid(s), see Opioid(s)
myocardial, see Myocardial infarction(s) Intubation(s), cricothyrotomy 4-step technique, 1060
Infection(s), see also Sepsis endotracheal, with rapid-sequence induction, 41
balanoposthitis (clinical pearls), 384 endotracheal, transillumination-guided, training program, 371
multiple-organ dysfunction syndrome, 611 (letters), 901; 902
nosocomial, handwashing behavior in ED, 360 nasotracheal, directional-tip tubes for, 586
orbital cellulitis (clinical pearls), 879 orotracheal, with lighted stylet vs laryngoscopy, 34
urinary tract, STD prevalence in, 1030 orotracheal, video system for supervising, 79
Infectious disease(s), Epstein-Barr detection from nasopharyngeal Investigation, see Research
swabs, 776 Ion-exchange resin(s), sodium polystyrene sulfonate for lithium over-
positive blood culture frequency, 768 dose, 333
self-capping IV catheters to reduce, 668 Ischemia(s), see also Myocardial infarction(s)
(commentary), 653 cardiac, criteria-based expert system evaluation, 689
timing of health care worker exposure, 605 cardiac, serial myoglobin levels to detect, 590
(commentary), 566 cardiac, serum markers for, 27
Infiltration pain, see under Pain cerebral, serum neuron-specific enolase as brain damage predictor,
Inflammation, magnesium effect on neutrophil respiratory burst, 126
1093 tetrodotoxin in, 1106
(commentaries), 1082; 1084 Ischemic stroke(s), see under Stroke(s)
Inflammation, systemic inflammatory response syndrome, 61| Iserson, K. (ed), Advance Directives: The Physician’s Role (videotape
Information documentation, see Documentation review), 978
Informed consent, development of consensus document on (commen- Iserson, K. V., Sanders, A. B., Mathieu, D. (eds), Ethics in Emergency
tary), 101 Medicine, second edition (book review), 977
forms, discrepancies and readability, 745
out-of-hospital refusal (case report), 948
Inhaled drug abuse, see under Drug abuse Job termination(s), of EPs, guidelines, 168
Inhaled therapy, continuous vs intermittent nebulized albuterol, 1019 Journal(s), EM, currency of (letter), 180
Injury(ies), see also Ankle injury(ies); Brain injury(ies); Cardiac in- Journal club(s), in EM residencies, 872
jury(ies); Fracture(s); Hazardous exposure(s); Head trauma; Lac- Judgment, see Decision making
eration(s); Trauma; Wound(s) Jurisprudence, see Medicolegal
from air bag’s deployment (letter), 179
codes for, ED vs inpatient (letter), 385 Ketamine, safety profile in developing world, 598
control of, see Prevention 7
Knive(s), carried by trauma patients, comments on article about, 735
mechanisms of, see Mechanism(s) of injury
rate in West Virginia, 911
shock index as marker for, 926; 1041 Laboratory test(s), see Test(s)
splenic rupture 2 years after (case report), 946 Laceration repair, cosmesis in, training level and, 378
In-line skating, injuries and protective gear, 304 (commentary), 298
(commentaries), 291; 293 injectable anesthetics for, 228
Insect bite(s), Loxosceles spider, 758 (commentary), 198
Institutional review board(s), informed consent form discrepancies and topical tetracaine for lidocaine infiltration pain, 1001
readability, 745 Lactate, peripheral venous vs arterial samples (letter), 730
structure and practice of, 804 Laryngoscopy, vs lighted stylet for intubation, 34; 371
Instruction, see Teaching 2 (letters), 901; 902
Instruction(s), release, cartoon illustrations and compliance, 264 video system for supervising, 79
(commentary), 200 Latino(s), motor vehicle trauma analysis, 221
Insurance, see also Health maintenance organization(s) (commentary), 194
and unnecessary ambulance transport, 1046 Law, see Medicolegal
(commentary), 989 Law enforcement, see Police
Intern(s), cosmesis of lacerations repaired by, 378 Leadership, mission statements in, 801
(commentary), 298 Length(s) of stay, see also Waiting time(s)
International medicine, see Developing world fast-track, CQI of, 258
Internet, e-mail for collaborative document preparation (letter), 182 short-stay unit effect on, 1113
residency brochure on (letter), 386 Leniency, in faculty clinical evaluations, 1124
Interpersonal violence, see Sexual abuse; Violence; see also under El- Lethal prescription(s), EP attitudes toward, 938
der(s); Pediatrics (commentary), 909
ACADEMIC EMERGENCY MEDICINE DEC 1996 VOL 3/NO 12
Leukocyte count(s), see White blood cell count(s) Medical student(s), cosmesis of lacerations repaired by, 378
Level of care, EMS provider:patient patch ratio (letters), 734; (commentary), 298
1172 Medicolegal, advance directives in the ED, 50
Level-I trauma certification, and EM resident experience, 366 authorization calls to HMOs for ED care, 338
Lidocaine, buffered, topical tetracaine for infiltration pain, 1001 (commentary), 295
in laceration repair, 228 (letters), 1172; 1175
(commentary), 198 COB RA obligations to managed care patients, 794
subcutaneous, effect on IV access in children, 1016 ethanol intoxication diagnosis (letter), 728
Life support, advanced cardiac, problem-based (letter), 184 informed consent consensus development (commentary), 101
Lighted stylet(s), see Transillumination out-of-hospital refusal of care (case report), 948
Lipkin, M., Jr., Putman, S. M., Lazare, A. (eds), The Medical Interview: pediatric sexual abuse evaluation, 966
Clinical Care, Education and Research (book review), 641 (commentary), 908
Literature, EM, currency of (letter), 180 physician-assisted suicide attitudes in EPs, 938
Lithium, overdose, sodium polystyrene sulfonate and serum potassium, (commentary), 909
333 police dog bite wounds, 352
Living will(s), in the ED, 50 terminations of EPs, 168
Los Angeles, drive-by shootings in, 300 Men, priapism etiology and management, 810
Loxosceles envenomation(s), hyperbaric oxygen vs dapsone, 758 Mengert, T. J., Eisenberg, M. S., Copass, M. K. (eds), Emergency Mea-
Lumbar puncture(s), after ‘‘normal’’ CT scans, 16 ical Therapy, Fourth Edition (book review), 1166
in subarachnoid hemorrhage with negative CT, 827 Metabolic alkalosis, compensatory hypoventilation in (letter), 981
(commentary), 823 Midazolam, for status epilepticus (letter), 179
Lymphoma(s), Hodgkin’s, as superior vena cava syndrome cause (clin- Midwestern—Midatlantic Regional Emergency Medicine Research
ical pearls), 1064 Symposium, 1996 abstracts, Al —A8 (Sept)
Mission statement(s), values in, 801
Missionary physician(s), see under Physician(s)
Macy conference, research directions consensus document, 274 Model(s), for integrated EM/trauma service, 1136
(commentary), 202 for reengineering 911 system (commentary), 989
Magnesium, effect on neutrophil respiratory burst, 1093 toxicity, tetrodotoxin role in, 1106
(commentaries), 1082; 1084 of uncontrolled hemorrhage, 917; 922
Malingering, drug-seeking behavior, 312 Monitoring, cardiac index, noninvasive, in gunshot wounds, 682
(commentary), 295 hemodynamic, noninvasive, in critical patients, 675; 682
Managed care, see also Health maintenance organization(s) with ketamine use in developing world, 598
COBRA obligations in, 794 Mononucleosis, nasopharyngeal swabs for Epstein-Barr detection, 776
defining appropriateness of ED visits, 252 Moral(s), see Ethics
(commentary), 189 Morbidity(ies), in atrial fibrillation outpatient care (letters), 819; 820;
(letters), 1071; 1072; 1072 821
referral from ED (letters), 1071; 1072; 1072 reduction as EMS goal (commentary), 736
and unscheduled access to care (commentary), 655 Morphine, IV, in acute abdominal pain, 1086
Management, see Administration (commentary), 1081
Mannitol, for head injuries, systolic BP and, 840 Mortality(ies), see also Death(s); Survival
Manpower, see Physician supply from interpersonal violence (letters), 284; 285
Marijuana, see also Drug abuse; Substance abuse in uncontrolled hemorrhage models, 917; 922
Marker(s), see also Prediction Motor vehicle crash(es), fracture of skeletal model in (letter), 284
of AMI, leukocytosis as, 1034 in Hispanics, 221
prognostic, for brain damage, 114 (commentary), 194
(letters), 819; 820; 821 selective reporting of trauma triage criteria, 1011
serum, for cardiac risk stratification, 27 soft cervical collars in whiplash, 568
of significant injury, shock index as, 926; 1041 (commentary), 563
Measurement, see Test(s) triage criteria incremental benefit, 992
Mechanical ventilation, see under Ventilation Multiple-organ dysfunction syndrome, posttraumatic, 611
Mechanism(s) of injury, criteria, selective reporting of, 1011 Mycobacterium bovis, after bacillus Calmette-Guérin administration,
in trauma triage criteria, 992; 1011 157
in West Virginia, 911 Myocardial infarction(s), see also Ischemia(s)
Mediastinal mass(es), diagnosis of (clincial pearls), 1064 acute, door-to-thrombolysis intervals (letters), 285; 285; 286; 287
Mediator(s), in multiple-organ dysfunction syndrome, 611 acute, ECG results and complications, 318
Medicaid, and unnecessary ambulance transport, 1046 acute, leukocytosis as marker for, 1034
(commentary), 989 acute, management flowsheet (letter), 1073
Medical care utilization, see under Utilization acute, serial myoglobin levels to detect, 590
Medical education, see Education acute, serum markers for, 27
Medical expedition, to Papua New Guinea, 624 acute, variance cardiography in ED evaluation, 326
Medical history, of disabilities, 175 with bilevel positive airway pressure (letters), 729; 729
Medical necessity, of ambulance transport, 1046 creatine kinase—MB in decisions, 7
(commentary), 989 criteria-based expert system diagnosis, 689
Medical photography, see Photography serial ECGs to determine thrombolytic need, 147
Medical record(s), see Documentation Myoglobin, for cardiac risk stratification, 27
Medical school(s), EM clubs in (letter), 648 serial levels, for AMI detection, 590