Table Of Content

INDEX TO VOLUME 9 Authors Abarbanell N.R., 98 Cowan M.L., 598 Goldman H., 620 Krenzelok E.P., 144 Abbuhl S., 246 Cowley R.A., 4 Golomb R.1., 588 Krohmer J.R., 510 Abramson N., 112 Cummings P., 398 Gradon J.D., 77 Kurt T.L., 271 Aburahma A.F., 118 Cummins R.O., 295, 544 Green G.B., 416 Ahnefeld F.W., 27 Green S.M., 624 Lago J.D., 239 Albertson T.E., 192 D’Addesio J., 347 Landes F., 260 Alguier P., 563 Daras M., 618 Habal R., 618 Larkin G.L., 444 Allegra J.R., 304 Dasani B., 565 Hall K.N., 622 Larsen M.P., 544 Allen D.M., 622 Dauphin M., 563 Harchelroad F., Jr, 520 Larson S., 57 Alquier P., 235 Daya M., 623 Hargarten S.W., 149 Laufer M.D., 447 Altieri M., 127 Day L.C., 271 Harper K., 404 Lavery R.F., 304 Angelos M., 436 DeBehnke D., 523 Harris J.S., 225 Leak L.A., 530 Angelos W.J., 209 DeBehnke D.J., 398 Harrison J.M., 313 Le Davay M., 235 Arheart K., 432 DeBenke D.J., 49 Harry P., 235 Leikin J.B., 107, 136 Awwad E.E., 34 De Lorenzo R.A., 158 Hart R.G., 176 Levitt M.A., 131, 217, 404 Demierre B., 54 Harvey R.A., 52 Lilly C.C., 127 Bachhuber B.H., 363 Derrick G.R., 217 Hauswaild M., 535 Linder K.H., 27 Bailey K.M., 461 Dhala A., 580 Hay E., 399 Lindsey D., 294, 297 Baker S.B., 243 DiMaggio C.J., 347 Hedges J.R., 571 Ling L.J., 24 Ballinger P., 37 Doser C., 413 Herr R.D., 228, 406 Lippman M., 32 Baraff L.J., 281, 624 Drake C.L., 449 Hevesy G.Z., 553 Litchman J., 325 Barkman H.W., 622 Dronen S.C., 547 Holliman C.J., 421 Litovitz T.L., 461 Barreca R.S., 176 Duke T., 432 Holm K.C., 461 Liu G.T., 620 Bauman J.L., 107 Dunne M.J., 103 Hoon T.J., 107 Longstaff P.M., 398 Beckett M.W., 398 Dyer J.E., 321 Hoover R.J., 455 Losek, J.D., 1 Bennecoff T.A., 416 Hornfeldt C.S., 24 Low R.B., 103, 510, 521 Benson N.H., 510 Howell J.M., 560, 571 Lowe R.A., 211 Bernhisel K., 228 Eanniello V.C., 157 Hughes T.A., 61 Lu G., 200 Bertaccini E.J., 366 Eastham J.N., Jr, 122 Humphreys T.R., 246 Lucente F.C., 118 Bierbaum T.J., 211 Eisenberg M.S., 544 Huyghens L.P., 426 Lupfer P.A.D., 127 Ekins B.R., 268 Binder L., 11 Lush R.M., 144 Eliastam M., 370 Binder L.S., 530 Lutwick L.I., 77 Ellis R., 432 Iknoian R.C., 268 Bittar G.D., 557 Luyk N.H., 352 Emerman C.L., 203 lIkhanipour K., 237 Blumen I.J., 103, 521 Everson G.W., 366 Ishikawa T., 139 Bogaert M.G., 426 Maekawa T., 139 Boland J.P., 118 Maertins M., 37, 211 Bongioanni F., 54 Falk J.L., 566 Jackson S.C., 171 Mamalis N., 228 Bouachour G., 235, 563 Feder M., 40 Jacobs L.M., 157 Manoguerra A.S., 264 Boucek C.D., 237 Ferguson D.B., 256 Jagoda A., 153 Mariani P.J., 539 Bouzoukis J.K., 96 Ferguson J.W., 352 Janiak B.D., 520 Mathews R.C., 521 Bowdler |.M., 27 Ferrarotto L., 260 Jasani N., 96 Mayer A.P., 164 Bozzuto T.M., 203 Fiete R.L., 1 Johnson J., 211 Mayer D., 158 Brennan R.T., 220 Finkbeiner S., 551 Jones S.E., 203 Mayer J.S., 421 Briggs J.E., 166 Flanders A.E., 131 Jotte R., 336 McArdle D.Q., 189 Brody S.L., 161 Foulke G.E., 192 Just V.L., 107 McCabe C.J., 83, 379 Brown L., 153 Frank S.E., 43 McCabe J.B., 180 Brunette D.D., 232 Fredrickson L., 11 Kaplan B.H., 4 McCabe M.J., 398 Bucholz R.D., 34 Fricchione P.J., 404 Karatay C.M., 539 McGurkin T., 404 Buylaert W.A., 426 Friedland M.L., 404 Karch S.B., 83 Meeks R.J., 555 Byington D., 296 Fujii Y., 139 Kass R., 32 Mellick L.B., 98 Kelen G.D., 416 Menegazzi J.J., 200, 225 Calle P.A., 426 Gandy W., 271 Kellermann A., 432 Michelson E.A., 237 Caravati E.M., 406 Garcia J.F., 535 Kelsey S., 112 Mines D., 74 Carius M., 404 Gardner G.M., 158 Khanna A., 580 Misselbeck W.J.A., 52 Carnahan J.J., 166 Garriott J.C., 313 Khan S.A., 260 Mitchell C., 375 Castorena J.L., 313 Garrison R.T., 83 Kitabchi A.E., 61 Mitchell L.C., 343, 457 Cheney P., 523 Geddes L.A., 527 Klein M.D., 409 Miyauchi Y., 139 Cheney P.R., 147 Geller R.J., 268 Klein-Schwartz W., 461 Moerman E.J., 426 Cheng T.O., 296 Gendron B.P., 203 Kline R., 416 Mogel G., 72 Chisholm C.D., 510 Gibler W.B., 547 Kochar G., 32 Molzen G., 147, 523 Cody R.P., 304 Gold C.R., 95 Koenig K.L., 523 Moore M.R., 620 Cook R.T., Jr, 189, 421, 455 Goldman D.E., 211 Kraus G.E., 34 Morales J.E., 95 628 AMERICAN JOURNAL OF EMERGENCY MEDICINE @ Volume 9, Number 6 Mi November 1991 Moses E.S., 449 Shesser R., 336, 557 Turchen S.G., 264 Mueller J., 523 Riebel G.D., 180, 555 Shockley L.W., 522 Turturro, M.A., 201 Murphy D.G., 176 Rizzo, T.F., 325 Simmons A., 527 Myrick S., 40 Rood L.K., 553 Singer J.I., 49 Unger P.F., 54 Rose T., 523 Sklar D.P., 535 Uphold R.E., 52 Rosenberg C.A., 301 Sloan E.P., 176 Narasimhan K., 176 Rosenthal R., 557 Slovis C.M., 161, 203 Nelson M.S., 203, 370, 521 Rosenzweig S., 95 Smith B.A., 256 Vachiéry J.L., 398 Nepp M.E., 404 Rothong C., 232 Smith J.S., Jr, 421 Varache N., 235, 563 Rothrock S.G., 624 Smith K.R., Jr, 34 Varon J., 447, 521 O'Brien J., 566 Rottman S.J., 204 Smith M., 557 Vincent J.L., 398 O’Connor R.E., 96 Rumback M.J., 61 Snyder J.T., 43 Vukmir R.B., 64, 250, 328 Okorodudu A.O., 166 Ryan P.A., 122 Snyder J.V., 112 O'Leary J., 366 Sobel R.M., 88 Walker J.S., 171, 273, 609 Olowe O., 618 Sacchetti A., 40 Soejima Y., 139 Wallace J.E., 166 Olshaker J., 336 Sadamitsu D., 139 Somerset J.S., 313 Walls H.C., 539 Orenstein J.B., 243 Safar P., 436 Spear R.M., 539 Ward K.R., 200 Ornato J.P., 86 Sahdev P., 157, 565 Sporer K.A., 47, 164 Wasserman A.G., 557 O'Toole, K.S., 201 Salber P.R., 296 Stephen M., 281 Weber F., 205 Salomone J.A. Ill, 199 Sternbach G.L., 447 White G.L., 228 Palmer D.K., 455 Sand |.C., 161 Stewart R.D., 20 White J.D., 89, 520 Paloucek F.P., 107 Sauter D., 618 Stiell |., 406 White S.J., 402 Paola A.S., 260 Schafermeyer R.W., 343, 457 Stuart S.P., 118 Whitney C., 264 Paris P.M., 64, 189, 209 Schiowitz M.F., 325 Sturgill T.D., 37 Winter J.P., 24 Pender E.S., 99 Schmitz B.F., 461 Surpure J.S., 273, 609 Wolfson A.B., 16 Pietrzak M., 153 Schneider S.M., 237, 360 Sutton-Tyrell K., 112 Wood D.P., 598 Pigman E.C., 452 Schonwald S., 318 Swanson E., 228 Woodruff B.A., 118 Plewa M.C., 20 Schrader B.J., 107 Swor R.A., 510 Wrenn K., 592 Pollack C.V., Jr, 99 Schreck D.M., 304 Wrenn K.D., 57, 161, 309, 402 Propp D.A., 301 Schwab R.A., 363 Tagney G., 103 Schwartz J.G., 166, 313 Takeshita H., 139 Yan-Sheng G., 200 Scott P.A., 547 Tandberg D., 147, 449, 523, Quinn T.C., 416 Yealy D.M., 16, 20, 200, 225 Seaberg D.C., 209 535 Yokoto K., 139 Seaman M., 37 Taylor A.S., 603 Young G.P., 603 Reed R., 566 Self T., 432 Terndrup T.E., 539 Reed W.G., 271 Shalit M., 211 Thompson L.B., 309 Reich H., 436 Shannon M., 318 Thompson M.E., 122 Zacharias D., 304 Renzi R., 551 Shenoy M.M., 580 Thomsen J.R., 243 Zell-Kanter M., 136 Reynolds G.M., 297 Shepherd S.M., 452 Tirot P., 563 Zimmers T., 350, 588 Rice M.M., 72 Sheridan M.J., 127 Tsakonis J.S., 557 Zoilars P.R., 166 INDEX TO VOLUME 9 Subjects Abdominal aortic aneurysms, rupture Airway, obstruction early diagnosis and survival, 118-112 jet ventilation and, letter, 200 presenting as bilateral symptomatic inguinal hernias, 522-523 partial, hoarseness and, 455-456 (letter) pneumococcal bacterial tracheitis, 243-245 Acetonitrile, cosmetic containing, severe cyanide poisoning from, Alcoholism, fever, 57-60 264-267, 268-270, 271-272 Aliphatic nitrile, cosmetic containing, severe cyanide poisoning from, Acquired immunodeficiency syndrome, exposure, career attitudes 264-267, 268-270, 271-272 of prehospital care providers, 122-126 Allergy, psyllium-containing breakfast cereal, systemic anaphylaxis Adenosine, therapy for supraventricular tachycardia, reaction to, after, 449-451 566-570 All-terrain vehicles, mortality, 149-152 Adrenal gland, plasma norepinephrine concentrations, during American Heart Association, Emergency Cardiac Care Conference, resuscitation, dog, 426-431 1992, 295 Adult respiratory distress syndrome, organophosphate poisoning, Anabolic agent, coma and seizure-like activity, 321-324 32-33 Analgesia, bupivicaine, pain with, pH buffering effects, 147-148, 523 Advanced life support (letter) external CPR, cerebral preservation with, dog, 436-443 Anaphylaxis, systemic, after ingestion of psyllium, 449-451 glucose test strips, prehospital environment, 304-308 Anesthesia Airbag, corneal injuries and, 444-446 local, bupivicaine, pH buffering and, 147-148, 523 (letter) SUBJECT INDEX topical, plasma cocaine and tetracaine levels after, swine Cat-scratch disease, combative behavior and, 52-53 laceration model, 539-543 Caustics, nonindustrial cleaning products, esophageal burns and, Aneurysm 560-562 abdominal aortic Cerebrovascular disorders, vertebrobasilar occlusion, after minor presenting as bilateral symptomatic inguinal hernias, 522-523 trauma, pediatric, 49-51 (letter) Cervical disk disease, presenting as ischemic chest pain, 343-346, rupture, survival, 118-121 457-460 splenic artery, rupture, 74-76 Cervical epidural hematoma, spontaneous, sudden pain, 54-56 Angina, unstable, herniated cervical disk presenting as, 343-346, Cervical spine 457-460 anteroposterior, radiograph, initial trauma screening, 421-425 Antibiotics, fishhook injuries, 413-415 movement, during airway management, 535-538 Aqueous activated charcoal spontaneous epidural hematoma, 54-56 container residue after, 144-146, 520 (letter) Charcoal, aqueous activated Arrhythmias container residue after, 144-146, 520 (letter) brain resuscitation, risk monitoring in randomized trials, 112-117 Chest pain pediatric, conversion with slow verapamil infusion, 603-608 differential diagnosis, decision making, 571-579 Artificial respiration, electrical, nerve stimulation, dog, 527-529 emergency department, 127-130 Asphyxia, traumatic, blunt cardiac injury and, 325-327 exercise testing of patients, emergency department, 557-559 Asthma, emergency department, 432-435 ischemic, herniated cervical disk presenting as, 343-346, 457-460 Atrial fibrillation, cases in electrocardiography, 588-591 Children, see Pediatrics Atrioventricular block, electrocardiography, 350-351 Chlioral hydrate, pediatric sedation, 530-534 Automated external defibrillators, ACLS and, editorial, 91-94 Chlorpromazine, self-administered, priapism and, 171-175 Automobile accident, minor, bilateral diaphragmatic rupture after, Chorea, cocaine and, 618-620 (letter) 246-249 Chronic obstructive pulmonary disease, exacerbations, theophylline levels in, 203 (letter) Back pain, low, diagnosis and therapy, 328-335 Ciprofloxacin, interaction, sodium warfarin, 551-552 Barbiturate, poisoning, laboratory personnel and health care Clavicle, fracture, pneumothorax and, 555-556 professionals, 11-15 Cleaning products, alkalinity of, esophageal burns and, 560-562 Basic life support Clinical trial, risk monitoring, brain resuscitation, 112-117 external CPR, cerebral preservation with, dog, 436-443 Clonidine, toxicity, unusual case, 409-410 (letter) trauma life support, 189-191 Cocaine Bleeding, gastrointestinal, 309-312 adverse effects, splenic artery aneurysm rupture, 74-76 B-Blocker, cocaine-associated cardiovascular complications, 161- cardiovascular complications, esmolol for, 161-163 163 chorea and, 618-620 (letter) Blood, occuit, stool, intussusception and, 1-3 drug screen test accuracy, 166-170 Bodybuiding, y-hydroxybutyrate, coma and seizure-like activity, 321 impurities, morbidity of illegal drug use, 335-342 Boerhaave’s syndrome, spontaneous pneumomediastinum, levels, topical anesthesia, swine laceration model, 539-543 disposition of, 256-259 Colitis, transient ischemic, methamphetamine oral ingestion, 406- Book reviews, 83-85, 199, 294 409 (letter) Brain Coma, seizure-like activity and, y-hydroxybutyrate, 321-324 circulation, septic encephalopathy, 139-143 Combat simulation games, 402-404 (letter) ischemia, external CPR and, 436-443 Compartment syndrome, complication of radial head fractures, 553- Bretylium tosylate, experimental cardiac arrest, 398 (letter) 554 Bupivicaine, subcutaneous infiltration of, pain with, pH buffering Computed tomography and, 147-148, 523 (letter) acute spinal column injury, 131-135 head, open depressed skull fracture, 34-36 Cannabis, drug screen test accuracy, 166-170 spontaneous cervical epidural hematoma, 54-56 Carbidopa-levodopa, overdose, 47-48 Conduction block, electrocardiography, 350-351 Carbon monoxide, poisoning, laboratory personnel and health care Conjunctivitis, chemical, ocular irrigation fluids in, 228-231 professionals, 11-15 Cornea, abrasion, airbag-mediated, 444-446 screening, emergency department, 204 (letter) Coronary perfusion pressure, epinephrine dosage effects, during Cardiac arrest CPR, 27-31 experimental, bretylium tosylate use in, 398 (letter) Critical care medicine, annotated bibliography of recent literature, survival rates, 544-546 192-198 Cardiac arrhythmias, pediatric, conversion with slow verapamil CT, see Computed tomography infusion, 603-608 Cunnilingus, vaginal insufflation, recurrent pneumoperitoneum after, Cardiopulmonary bypass, cerebral preservation, external CPR, 436- 447-448 443 Curriculum, emergency medicine education, teaching ethics in, 370- Cardiopulmonary resuscitation 374 bystander, 88 (editorial), 520-521 (letter) Cyanide, poisoning cervical anterior spine artery syndrome with, 452-454 cosmetic containing acetonitrile, 264-267, 268-270, 271-272 class, predictors of achievement in, 220-224 laboratory personnel and health care professionals, 11-15 epinephrine dosage during, 27-31 out-of-hospital cardiac arrest, survival rates, 544-546 Data analysis, emergency medicine literature, 225-227 plasma norepinephrine concentrations, dog, 426-431 Deafness, mutism and, unsuspected quinine intoxication, 318-320 Catheter, intraperitoneal femoral venous, insertion, tense Delirium, niacin and ethanol coingestion, 363-365 hemoperitoneum, 157 Dextromethorphan, poisoning, reversed by naloxone, 237-238 630 AMERICAN JOURNAL OF EMERGENCY MEDICINE @ Volume 9, Number 6 Ml November 1991 Dextrose, glucose test strips, prehospital environment, 304-308 Emergency medical services Diabetes, glucose test strips, prehospital environment, 304-308 air medical transport, annotated bibliography of recent literature, Diabetic ketoacidosis, pseudonormoglycemia in, elevated 510-519 triglycerides with, 61-63 career attitudes, exposure to HIV/AIDS, 122-126 Diagnosis glucose test strips, prehospital environment, 304-308 differential, chest pain, decision making, 571-579 helicopters, safety of, 103-106, 521 early lessons learned in Costa Rica, 375-378 abdominal aortic aneurysm presenting as inguinal hernias, 522- out-of-hospital cardiac arrest, survival rates, 544-546 523 (letter) wilderness, 211-216 abdominal aortic aneurysm, survival, and, 118-121 Emergency medical technicians fractured mandible, 352-359 career attitudes, exposure to HIV/AIDS, 122-126 intussusception, testing stool for occult blood, 1-3 wilderness, 211-216 low back pain, 328-335 Emergency medicine malaria, urban emergency department, 347-349 education, teaching ethics in, 370-374 Diaphragm, rupture, minor auto accident, 246-249 lessons learned in Costa Rica, 375-378 Digitalis, toxicity literature, data analysis in, 225-227 cases in electrocardiography, 588-591 nondeflating Foley catheter balloon, 260-263 Digoxin primary board status for, 89-90 (editorial), 520-521 (letter) intoxication, administration routes and, 99 (letter) transesophageal echocardiography in, 580-587 toxicity, cases in electrocardiography, 588-591 Encephalitis, cat-scratch disease, combative behavior and, 52-53 Encephalopathy, septic, cerebral circulation and metabolism in, 139- Disaster 143 crisis intervention following, 598-602 Endotracheal intubation, leaky, replacement of, 95 (letter) Three Rivers Regatta accident, 64-71 Epidemiology, out-of-hospital cardiac arrest, survival rates, 544-546 Disaster Medical Assistance Team, crisis intervention after Epinephrine disasters, 598-602 dosages, during CPR, 27-31 Drugs lingual tonsillitis and, 622-623 (letter) abuse, impurities and acute morbidity of, 335-342 Escape rhythm, cases in electrocardiography, 588-591 additives, morbidity of illegal drug use, 335-342 Esmolol street, drug screen test accuracy, 166-170 cocaine-associated cardiovascular complications, 161-163 Drug interactions, ciprofloxacin and sodium warfarin, 551-552 thyrotoxic crisis, 232-234 Drug screening tests, accuracy of, 166-170 Esophagus, burns, alkalinity of cleaning products, 560-562 Drug therapy, hypertensive urgency, emergency department, 107- Estimated time of arrival, emergency department, 301-303 111 Ethanol, niacin coingestion, delirium and lactic acidosis caused by, 363-365 Ethics, teaching in emergency medicine, 370-374 Echocardiography, transesophageal, emergency medicine, 580-587 Ewing’s sarcoma, extraskeletal, 96 (letter) Education, CPR class, predictors of achievement in, 220-224 Exercise testing, chest pain patients, emergency department, 557- Electrocardiography 559 cases in, 350-351, 588-591 evaluation, before nitroglycerine therapy, 404-405 (letter) Fever Electrocautery, subungual hematoma, 209-210 alcoholism and, 57-60 Electrophysiology child, annotated bibliography, 281-293 septic encephalopathy, brain circulation and metabolism in, 139- Fishhook injuries, evaluation, 413-415 143 Flank pain, atypical presentation of acute myocardial infarction, Electroventilation, nerve stimulation, dog, 527-529 547-550 Emergency department Foley catheter acute uterine inversion in, 239-242 nondeflating, emergency management of, 260-263 asthma treatment protocol in, 432-435 obstructed, removal from urethra, 72-73 carbon monoxide screening in, 204 (letter) chest pain patients, exercise testing in, 557-559 death, 398-399 (letter) Gastric decontamination, aqueous activated charcoal, container eye injuries, metal missiles, 313-317 residue after, 144-146, 520 (letter) febrile alcoholic in, 57-60 Gastric emptying, prospective valuation of, 406 (letter) hypertensive urgency, drug therapy for, 107-111 Gastrointestinal bleeding, hemodynamics of, 309-312 nasal intubation, mediastinitis following, 37-39 Glottis, impaction, partial, 455-456 patient flow, chest pain patient, 127-130 Graves disease, thyrotoxic crisis, esmolol management of, 232-234 psyllium-containing breakfast cereal, systemic anaphylaxis after, 449-451 Head trauma rapid screening assays, HIV-1, 416-420 evaluation, pediatric, 153-156 role in thrombolytic therapy, acute myocardial infarction, editorial, open depressed skull fracture, missed on CT, 34-36 86-87 radial fracture, unusual complication of, 553-554 seatbelt effectiveness, noncompliance and, 4-10 Health care, rural, wilderness emergency medical services, 211-216 stress in, 217-219 Health care professionals, poisoning in, 11-15 Three Rivers Regatta accident, 64-71 Heart time of arrival comparisons, 301-303 blunt injury, traumatic asphyxia and, 325-327 urban, malaria in, 347-349 pacing, 204 (letter) SUBJECT INDEX Helicopter, EMS, safety of, 103-106, 521 (letter) Modeling Hemoperitoneum, tense, intraperitoneal placement of femoral hierarchical, CPR classes, 220-224 venous catheter, 157 swine laceration, topical anesthesia, 539-543 Hemorrhage, postpartum, emergency department, 239-242 Motor aphasia, transcortical, due to subdural hematoma, 620-622 Heparin, lock use, 95 (letter) (letter) Herniation, diaphragmatic, minor auto accident, 246-249 Mucous, glottic, partial airway obstruction, 455-456 Heroin, impurities, morbidity of illegal drug use, 335-342 Multiply casualty incident, Three Rivers Regatta accident, 64-71 Hospital admission, dilemma, 404 (letter) Mutism, deafness and, unsuspected quinine intoxication, 318-320 Hospital costs, seatbelt compliance and, 4-10 Myelopathy, ischemic, anterior spinal artery syndrome, 452-454 Human immunodeficiency virus Myocardial blood flow, epinephrine dosage effects, during CPR, 27- exposure, career attitudes of prehospital care providers, 122-126 31 type 1, two rapid screening assays for, 416-420 Myocardial contusion, traumatic asphyxia and, 325-327 Hydroxybutyrate, coma and seizure-like activity, 321-324 Myocardial infarction Hyperbaric chamber, oxygen therapy, tension pneumothorax and, acute, atypical presentation, 547-550 176-179 exercise testing, chest pain patients in emergency department, Hyperkalemia 557-559 potassium nitrate ingestion, 164-165 thrombolytic therapy in, role of emergency department in, Hypertension, urgency editorial, 86-87 drug therapy, 107-111 oral labetalol in, 136-138 Nail trephination, treatment, subungual hematoma, 209-210 Hypoglycemia, glucose test strips, prehospital environment, 304- Naloxone, dextromethorphan poisoning reversed by, 237-238 308 Nasal intubation, mediastinitis following, 37-39 Hyponatremia, asymptomatic, 521-522 (letter) Nasogastric tube, knotting of, 565 National Disaster Medical system, crisis intervention after disasters, Indomethacin, acute renal colic, 16-19 598-602 Infectious diseases, malaria, urban emergency department, 347-349 Neck, movement, during airway management, 535-538 International abstracts, 81-82 Neisseria meningitidis, retropharyngeal space infections, 77-80 International health, lessons learned in Costa Rica, 375-378 Neuroleptic malignant syndrome, controversies, 360-362 Intravenous therapy, prehospital care providers and, 203 (letter) Niacin, ethanol coingestion, delirium and lactic acidosis caused by, Intubation 363-365 intratracheal, cervical spine movement, 535-538 Nifedipine, severe overdose, survival after, 43-46 nasogastric, knotting of tube, 565 Nitrate, poisoning, 200 (letter) Intussusception, testing stool for occult blood, 1-3 Nitroglycerine Iron severe overdose, survival after, 43-46 experimental overdose, absorption, 24-26 therapy, ECG evaluation before, 404-405 (letter) overdose, infant, bowel irrigation use in, 366-369 Nonsteroidal antiinflammatory drugs, acute renal colic, 16-19 Irrigation, ocular, fluids, after chemical injury, 228-231 Norepinephrine, plasma concentrations, during resuscitation, dog, 426-431 Jaw, fractured, diagnosis and management, 352-359 Jet ventilation Ocular injuries pediatric, cannulae and oxygen sources for, 20-23 chemical, irrigation fluids, 228-231 transtracheal, airway obstruction and, 200 (letter) penetrating, metal missiles, 313-317 Organophosphate, poisoning, adult respiratory distress syndrome from, 32-33 Labetalol, oral, hypertensive urgencies, 136-138 Orthopedics, low back pain diagnosis, 328-335 Laboratory personnel, poisoning in, 11-15 Ototoxins, unsuspected quinine intoxication, 318-320 Lactic acidosis, niacin and ethanol coingestion, 363-365 Overdose Leptomeningeal cyst, minor head trauma, pediatric, 153-156 cocaine, esmolol and, 161-163 Lidoflazine, brain resuscitation, risk monitoring in randomized trials, iron 112-117 chewable vitamins, pediatric, 24-26 Load and go, basic life support, 189-191 infant, bowel irrigation use in, 366-369 Loxosceles, envenomation, 203 (letter) potassium nitrate ingestion, 164-165 Lumbar puncture, febrile seizures, 624-625 (letter) suicide attempt Lumbar spine, low back pain diagnosis, 328-335 carbidopa-levodopa, 47-48 Luxatio erecta, radiography, 623-624 (letter) mexiletene, nifedipine, and nitroglycerine, survival after, 43-46 Lymphadenitis, cat-scratch disease, combative behavior and, 52-53 Oxycodone, pulmonary edema induced by, 201 (letter) Oxygen, hyperbaric therapy, tension pneumothorax and, 176-179 Magnetic resonance imaging, acute spinal column injury, 131-135 Malaria, urban emergency department, 347-349 Pacemaker Mandible, fractured, diagnosis and management, 352-359 electrocardiography, 350-351 Mediastinitis, after nasal intubation, 37-39 malfunction, cases in electrocardiography, 588-591 Methamphetamine, oral ingestion, acute transient ischemic colitis Pacing, injured heart, 204 (letter) after, 406-409 (letter) Paramedics Methemoglobinemia, poisoning, laboratory personnel and health career attitudes, exposure to HIV/AIDS, 122-126 care professionals, 11-15 glucose test strips, prehospital environment, 304-308 Mexiletene, severe overdose, survival after, 43-46 Parasites, malaria, urban emergency department, 347-349 632 AMERICAN JOURNAL OF EMERGENCY MEDICINE @ Volume 9, Number 6 M November 1991 Pediatrics Resuscitation, brain emergency care, annotated bibliography of recent literature, 273- preservation, external CPR and, 436-443 280, 609-617 risk monitoring in randomized trials, 112-117 febrile child, annotated bibliography, 281-293 Retropharyngeal abscess, mediastinitis, after nasal intubation, 37- iron absorption, chewable vitamin overdose, 24-26 39 iron overdose, infant, bowel irrigation use in, 366-369 Retropharyngeal space, infections, 77-80 jet ventilation, cannulae and oxygen sources for, 20-23 minot head trauma, 153-156 Safety paroxysmal supraventricular tachycardia, conversion with slow EMS helicopters, 103-106, 521 (letter) verapamil infusion, 603-608 Saltpeter, see Potassium nitrate sedation, chloral hydrate, 530-534 Scrotal trauma, testicular dislocation after, 40-42 vertebrobasilar insufficiency, after minor trauma, 8-year-old boy, Seatbelts 49-51 effectiveness, noncompliance and, 4-10 Pelvic pain, acute right-sided, 39-year-old woman, 96 (letter) shoulder harness, bilateral vocal cord hematomas and, 158-160 pH Sedation, pediatric, chloral hydrate, 530-534 buffering, pain with bupivicaine and, 147-148, 523 (letter) Seizures, febrile, lumbar puncture for, 624-625 (letter) nonindustrial cleaning products, esophageal burns and, 560-562 Sepsis Phalangeal fracture, distal, nail trephination, 209-210 encephalopathy, cerebral circulation and metabolism in, 139-143 Phencyclidine, impurities, morbidity of illegal drug use, 335-342 Vibrio vulnificus, leg pain and extremity rash, 523-524 Pheochromocytoma, unusual presentation of, 399-402 (letter) Shock, hypovolemic, urinary bladder distension presenting as, 563- Phlebography, urinary bladder distension, presenting as 564 hypovolemic shock, 564 Shoulder, anterior dislocation, reduction techniques, 180-188 Phrenic nerve, percutaneous stimulation, electrical artificial Skull, roentgenograms, pediatric, minor head trauma, 153-156 respiration, dog, 527-529 Skull fracture Pneumomediastinum, spontaneous, disposition of, 256-259 minor head trauma, pediatric, 153-156 Pneumoperitoneum, vaginal insufflation from cunnilingus, 447-448 open depressed, missed on CT, 34-36 Pneumothorax, clavicle fracture with, 555-556 Sodium bicarbonate, pH buffering, pain with bupivicaine and, 147- Poison Control Centers, American Association, 1990 Annual 148, 523 (letter) Report, 461-509 Spinal cord Poisoning acute injury, MRI and CT in, 131-135 cyanide, cosmetic containing acetonitrile, 264-267, 268-270, 271- cervical anterior spinal artery syndrome with cardiopulmonary 272 arrest, 452-454 dextromethorphan, reversed by naloxone, 237-238 injuries, movement during airway management, 535-538 laboratory personnel and health care professionals, 11-15 see also Cervical spine nitrate, 200 (letter) Splenic artery, aneurysm rupture, 74-76 organophosphate, adult respiratory distress syndrome from, 32- Stool testing, occult blood, intussusception and, 1-3 33 Stress, measurements, emergency department, 217-219 Potassium nitrate, ingestion, hyperkalemia and, 164-165 Subdural hematoma Prehospital care minor head trauma, pediatric, 153-156 basic life support, 189-191 transcortical motor aphasia due to, 620-622 (letter) disaster, Three Rivers Regatta accident, 64-71 Substance abuse, drug screen test accuracy, 166-170 glucose test strips, prehospital environment, 304-308 Subungual hematoma, treatment with nail trephination, 209-210 intravenous therapy and, 203 (letter) Suicide Priapism overdose intraurethral chlorpromazine, self-administered, 171-175 carbidopa-levodopa, 47-48 potassium nitrate ingestion, 164-165 mexiletene, nifedipine, and nitroglycerine, survival after, 43-46 Primary board status poisoning, laboratory personnel and health care professionals, emergency medicine, 89-90 (editorial), 520-521 (letter) 11-15 Pseudonormoglycemia, diabetic ketoacidosis, elevated triglycerides Supraventricular tachycardia with, 61-63 adenosine therapy for, reaction to, 566-570 Psychiatry, combat, crisis intervention after disasters, 598-602 cocaine-associated, esmoloi and, 161-163 Psychotropic medications, self-administered chlorpromazine, paroxysmal, conversion with slow verapamil infusion, pediatric, priapism and, 171-175 603-608 Psyllium, breakfast cereal, systemic anaphylaxis after, 449-451 Sympathetic nerves, plasma norepinephrine concentrations, during Pulmonary edema, oxycodone-induced, 201 (letter) resuscitation, dog, 426-431 Quinine, intoxication, unsuspected, 318-320 Tachycardia, complex, wide QRS, management, 592-597 Telemetry, estimated time of arrival, emergency department, 301- 303 Radiography, anteroposterior cervical spine, initial trauma Tension pneumothorax, hyperbaric oxygen therapy and, 176-179 screening, 421-425 Testicles, dislocation, minor scrotal trauma, 40-42 Reduction techniques, shoulder dislocation, 180-188 Tetracaine, levels, topical anesthesia, swine laceration model, 539- Renal colic 543 acute, oral indomethacin, 16-19 Theophylline, levels, COPD exacerbations, 203 (letter) acute myocardial infarction diagnosis and, 547-550 Thrombolytic therapy, acute myocardial infarction, role of Respiratory arrest, anterior spinal artery syndrome, 452-454 emergency department in, editorial, 86-87 SUBJECT INDEX Thyroid, thyrotoxic crisis, esmolol management of, 232-234 Triceps tendon, avulsion, complication of radial head fractures, 553- Thyrotoxic crisis, esmolol and, 232-234 554 Tibia, spiral fracture, 99 (letter) Triglycerides, elevated, diabetic ketoacidosis, Tonsillitis pseudonormoglycemia in, 61-63 lingual, epinephrine and, 622-623 (letter) torsades de pointes, review, 250-255 Urethra, obstruction, Foley catheter, 72-73 Trachea, diseases, pneumococcal bacterial, 243-245 Urinary bladder, distension, presenting as venous obstruction and Tracheitis, pneumococcal bacterial, 243-245 shock, 563-564 Trauma Uterus, inversion, hemorrhage in the emergency department, 239- acute spinal column injury, MRI and CT, 131-135 242 all-terrain vehicles, 149-152 annotated bibliography of recent literature, 379-397 Vaginal insufflation, cunnilingus, recurrent pneumoperitoneum after, basic life support, 189-191 447--448 fishhook injuries, 413-415 Ventilation, translaryngeal, cannulae and oxygen sources for, 20-23 fractured mandible, diagnosis, 352-359 Ventricular tachycardia head, open depressed skull fracture, missed on CT, 34-36 polymorphic, torsades des pointes, 250-255 initial screening, anteroposterior cervical spine radiograph, 421- wide QRS, management, 592-597 425 Verapamil, slow infusion, paroxysmal supraventricular tachycardia, paintball combat simulation games, 402-404 (letter) pediatric, 603-608 psychological, crisis intervention after disasters, 598-602 Vertebrobasilar insufficiency, after minor trauma, pediatric, 49-51 scrotal, testicular dislocation after, 40-42 Vibrio vulnificus, sepsis, leg pain and extremity rash, 523-524 seatbelt compliance and, 4-10 Vitamins, chewable, iron absorption after overdose in children, 24- vertebrobasilar occlusion after, pediatric, 49-51 26 Trauma patients, immobilization and extrication, untrained Vocal cords, hematomas, seatbelt and shoulder harness use, 158- personnel, 98 (letter) 160 Triage chest pain patient, 127-130 Warfarin, interaction, ciprofloxacin, 551-552 Three Rivers Regatta accident, 64-71 Wilderness, EMS in, 211-216