Table Of Content

The Journal of Emergency Medicine, Vol 16, No.6, 999-1012, 1998 Copyright © 1998 Elsevier Science Inc. Printed in the USA. All rights reserved 0736-4679/98 $19.00 + .00 The Journal of Emergency Medicine VULUME 16 INDEA Contents Volume 16, 1998 Volume 16, Number 1 CONTENTS Original Contributions Jeffrey N. Love The Effect of Propranolol Intoxication on QTc Interval in a Canine Model Raymond R. Rudoni Use of Two-Dimensional Echocardiography for the Diagnosis of Raymond E. Jackson Pulmonary Embolus Gerald W. Godfrey Antonio X. Bonfiglio Mary E. Hussey Andrew M. Hauser Timothy J. Mader A New Clinical Scoring System Fails to Differentiate Hemorrhagic from Adam Mandel Ischemic Stroke When Used in the Acute Care Setting Rita K. Cydulka A Pilot Study of Steroid Therapy After Emergency Department Treatment Charles L. Emerman of Acute Asthma: Is a Taper Needed? Clinical Communications Kari E. Blaho Foreign Body Ingestions in the Emergency Department: Case Report and Kevin S. Merigian Review of Treatment Stephen L. Winbery Lynda J. Park Mike Cockrell Timothy R. Wolfe Syncope as an Emergency Department Presentation of Pulmonary Todd L. Allen Embolism Christopher Beach Tension Hydrothorax Due to Ventriculopleural Shunting David E. Manthey Christopher F. Richards Piriform Sinus Perforation During Esophageal-Tracheal Combitube Placement Jill S. Halterman Hypocalcemia and Stridor: An Unusual Presentation of Vitamin Summer A. Smith D-Deficient Rickets The Journal of Emergency Medicine Selected Topics: Toxicology Kimberlie A. Graeme 45 Heavy Metal Toxicity, Part I: Arsenic and Mercury Charles V. Pollack, Jr. Elizabeth A. Sullivan 57 Isoniazid Poisonings in New York City Pierre Geoffroy Richard Weisman Robert Hoffman Thomas R. Frieden Kenneth S. Kumamoto 61 Clinical Infections of Vibrio vulnificus: A Case Report and Review of the David J. Vukich Literature Selected Topics: Cardiology Commentary John Sarko 67 _ Beyond the Twelve-Lead Electrocardiogram: Diagnostic Tests in the Charles V. Pollack, Jr. Evaluation for Suspected Acute Myocardial Infarction in the Emergency Department, Part II Selected Topics: Emergency Radiology Tareg Bey 79 = Spinal Cord Injury with a Narrow Spinal Canal: Utilizing Torg’s Ratio Amy Waer Method of Analyzing Cervical Spine Radiographs Frank G. Walter John Fortune Joachim Seeger Karsten Fryburg William Smith Selected Topics: Critical Care Karen Chen 83 Malignant Airway Obstruction: Recognition and Management Joseph Varon Olivier C. Wenker Techniques and Procedures Roger D. Harris 93 An Aid to Blind Nasal Intubation Mark J. Gillett Anthony P. Joseph John D. Vinen Clinical Laboratory in Emergency Medicine Milford Fulop 97 Flow Diagrams for the Diagnosis of Acid-Base Disorders Case Presentations of the Harvard Emergency Medicine Residency Eric S. Nadel 111 Change in Mental Status in a Patient with Lung Cancer David F. M. Brown Jeffrey Wiencek Visual Diagnosis in Emergency Medicine Joseph Varon 115 A Nail in the Wrong Place George L. Stérnbach Jay Saccone Editorials Joseph Varon 117 Syncope: The Forgotten Sign of Pulmonary Embolism Robert E. Fromm Charles Perrott 118 Prepare for the Flood: The South African Situation 119 Letter to the Editor Education Mark I. Langdorf 121 Quantification of Procedures and Resuscitations in an Emergency Brian J. Montague Medicine Residency Brian Bearie Craig S. Sobel 129 CAEP Issues 133 American Academy of Emergency Medicine 135 Abstracts Reviews: Books and Other Media Edward J. Otten 143 Atlas of Emergency Medicine, by Knoop, Stack, and Storrow. New York, McGraw-Hill, 1997 Edward J. Otten 144 Laboratory Test Handbook with Key Word Index, 4th ed., by Jacobs DS, Demott WR, Grady HJ, et al. Cleveland, Lexi-Comp, Inc., 1996, and Laboratory Test Handbook: Concise with Disease Index, by Jacobs DS, Demott WR, Grady HJ, et al. Cleveland, Lexi-Comp, Inc., 1996 Books Received Calendar of Events Les Résumés Instructions for Contributors Volume 16, Number 2 1998 CONTENTS Original Contributions Mark J. Cleland 157 Problems Associated with the Z-Fold Region of Defibrillation Electrodes Justin P. Maloney Brian H. Rowe Clinical Communications Dominick Shelton 163 Case Report of an Unusual Source of Tetanus Richard Penciner Selected Topics: Toxicology R. Scott Kurbat 167 Facial Injury and Airway Threat from Inhalant Abuse: A Case Report Charles V. Pollack, Jr. The Journal of Emergency Medicine Kimberlie A. Graeme Heavy Metal Toxicity, Part II: Lead and Metal Fume Fever Charles V. Pollack, Jr. Selected Topics: Emergency Radiology Robert F. McLain Missed Cervical Dissociation: Recognizing and Avoiding Potential Daniel R. Benson Disaster Selected Topics: Wound Care Harold K. Simon Lacerations Against Langer’s Lines: To Glue or Suture? William T. Zempsky Thomas B. Bruns Kevin M. Sullivan Pharmacology in Emergency Medicine David R. Powers Parenteral Hydralazine Revisited Peter J. Papadakos J. David Wallin Lisa E. Vivero A Close Look at Flenfluramine and Dexfenfluramine Philip O. Anderson Richard F. Clark Case Presentations of the Harvard Emergency Medicine Residency David F. M. Brown High-Speed Motor Vehicle Crash Eric S. Nadel Visual Diagnosis in Emergency Medicine Kyan James Berger Erythema Multiforme Major Best Practice Methods Seth J. Guterman Cost-Effective Medicine: The Financial Impact that Practice Guidelines Michael J. VanRooyan Have on Outpatient Hospital Charges in the Emergency Department Editorial Roger Barkin The Duality of Medicine: Reaching a Balance Peter Rosen Letters to the Editor ‘*Black Plaque’’ on the Internet To the Editor Ethics of Emergency Medicine Griffin Trotter Against Customer Service Humanities and Medicine Glen Downie Sudden Infant Death Bonnie Salomon Landmines CAEP Issues American Academy of Emergency Medicine Abstracts Calendar of Events Les Résumés 7th International Conference on Emergency Medicine, Vancouver, British Columbia, Canada: On-Site Program and Summaries of Presentation Instructions for Contributors Volume 16, Number 3 CONTENTS Original Contributions C. Celeste Johnston One-Week Survey of Pain Intensity on Admission to and Discharge from Anita J. Gagnon the Emergency Department: A Pilot Study Louise Fullerton Carol Common Mina Ladores Stefania Forlini Gianfranco Ganau Intravenous Propafenone for Converting Recent Onset Atrial Fibrillation Tiziano Lenzi in Emergency Departments: A Randomized Placebo-Controlled Multicenter Trial Hay Emile Victims of the Palestinian Uprising (Intifada): A Retrospective Review of Derazon Hashmonai 220 Cases E. John Gallagher Sustained Effect of an Intervention to Limit Ordering of Emergency Samuel W. Trotzky Department Lumbosacral Spine Films Clinical Communications David B. Drake Magnetic Resonance Imaging in the Early Diagnosis of Group A B Julia A. Woods Streptococcal Necrotizing Fasciitis: A Case Report Timothy J. Bill Bradley W. Kesser Mark A. Wenger Jeffrey G. Neal Richard F. Edlich Georgia Sotiropoulous Cold Injury from Pressurized Liquid Ammonia: A Report of Two Cases Taline Kilaghbian William Dougherty Sean O. Henderson The Journal of Emergency Medicine Tom S. Neuman Fatal Pulmonary Barotrauma Due to Obstruction of the Central Irving Jacoby Circulation with Air Alfred A. Bove Scott Krishel Intravenous Vitamins for Alcoholics in the Emergency Department: Richard F. Clark A Review James A. Applegate Childhood Risks from the Ferret Marcia F. Walhout Leonard Y. Herman Carbon Monoxide Poisoning Presenting as an Isolated Seizure Selected Topics: Toxicology Henry A. Spiller Hemiparesis and Altered Mental Status in a Child after Glyburide Sharon L. Schroeder Ingestion Donna S. Y. Ching Anna L. Maloy Lyme Disease Complicated by the Jarisch-Herxheimer Reaction Robert D. Black Romualdo J. Segurola, Jr. Selected Topics: Disaster Medicine Hiroshi Tanaka Overview of Evacuation and Transport of Patients following the 1995 Atsushi Iwai Hanshin-Awaji Earthquake Jun Oda Yasuyuki Kuwagata Tetsuya Matsuoka Takeshi Shimazu Toshiharu Yoshioka Selected Topics: Emergency Radiology James D. Lacey Pisiform and Hamulus Fractures: Easily Missed Wrist Fractures Jacqueline C. Hodge Diagnosed on a Reverse Oblique Radiograph Selected Topics: Critical Care Karen Chen Mechanical Ventilation: Past and Present George L. Sternbach Robert E. Fromm, Jr. Joseph Varon Selected Topics: Wound Care Elise M. Jackson Inadequate Standard for Glove Puncture Resistance: Allows Production of Mark D. Wenger Gloves with Limited Puncture Resistance Jeffrey G. Neal John G. Thacker Richard F. Edlich Pharmacology in Emergency Medicine Vicken Y. Totten Propofol Bolus Facilitates Reduction of Luxed Temporomandibular Joints J. Zambito Dale S. Wang Nalmefene: A Long-Acting Opioid Antagonist. Clinical Applications in George Sternbach Emergency Medicine Joseph Varon 1005 Case Presentations of the Harvard Emergency Medicine Residency Eric S. Nadel 477 Angioedema David F. M. Brown Visual Diagnosis in Emergency Medicine Kenneth J. Bramwell 481 Ludwig’s Angina Daniel P. Davis Editorials Kenneth V. Iserson 483 Elegant Emergency Medicine Peter Rosen 484 _ Resource Utilization in the Emergency Department Letter to the Editor Violence: Recognition, Management, and Prevention Ellen H. Taliaferro 487 Introduction to the Section, Violence: Recognition, Management, and Prevention Ron J. Anderson 489 Violence: Recognition, Prevention, and Management Ellen H. Taliaferro Ethics of Emergency Medicine Gregory Luke Larkin 499 Resource Utilization in the Emergency Department: The Duty of James E. Weber Stewardship John C. Moskop Humanities and Medicine Sheri A. Hunt 505 _ First Balloon Ride 507 CAEP ISSUES 513. American Academy of Emergency Medicine 515 Abstracts Reviews: Books and Other Media Denis FitzGerald 523 Fundamentals of Emergency Radiology, by Wiest P., Roth P. Philadelphia, W.B. Saunders Co., 1996 Edward J. Otten 523 The Pathology of Drug Abuse, 2nd ed, by Karch SB. Boca Raton, FL, CRC Press, 1996 525 Calendar of Events 529 Les Résumés Instructions for Contributors The Journal of Emergency Medicine Volume 16, Number 4 CONTENTS’ Original Contributions John D. Rizos The Disposition of Children with Croup Treated with Racemic Bruno E. DiGravio Epinephrine and Dexamethasone in the Emergency Department Michael J. Sehl John M. Tallon David J. Pronchik Does Wearing A Necktie Influence Patient Perceptions of Emergency Joseph D. Sexton Department Care? Scott W. Melanson John W. Patterson Michael B. Heller P. Richard Verbeek Heliox Does Not Improve FEV1 in Acute Asthma Patients Anil Chopra Grant D. Innes Ketorolac Versus Acetaminophen-Codeine in the Emergency Department Pat Croskerry Treatment of Acute Back Pain J. Worthington Robert Beveridge Derek Jones Mark J. Sagarin Delay in Thrombolysis Administration: Causes of Extended Door-to-Drug Christopher P. Cannon Times and the Asymptote Effect Monica S. Cermignani Benjamin M. Scirica Ron M. Walls John R. Richards Chemical Restraint for the Agitated Patient in the Emergency Department: Robert W. Derlet Lorzepam Versus Droperidol David R. Duncan Clinical Communications Norberto Adame, Jr. Carotid Arteriovenous Fistula in the Neck as a Result of a Facial Patricia Bayless Laceration Allison L. Harvey A Case of Nocardia Epidural Abscess Joseph Myslinski Lisa Ortiz Peter Yamashita Subcutaneous Cysticercosis John Kelsey Sean O. Henderson Stephen W. Smith Severe Acidosis and Hyperdynamic Circulation in a 39-year-old Alcoholic ' The following Emergency Medicine Residents at the University of California, San Diego Medical Center helped to compile this issue of The Journal of Emergency Medicine: Mary Ann Fuchs, Katie Hurt, Aviva Jacoby, Greg Lampe, Christy Rosa, and Brian Snyder. 1007 Louise Bordeleau Aortic Disscetion and Turner’s Syndrome: Case Report and Review of the Adam Cwinn Literature Michele Turek Kathy Barron-Klauninger Gary Victor Colin Feeney Reversible Blindness Associated with Alcoholic Ketoacidosis: Marin Muller Pseudomethanol Intoxication Stephen Bryzman Tsotumu Nakada Ronald F. Sing Balloon Catheter Tamponade of Exsanguinating Facial Hemorrhage: Sean R. Sue A Case Report Patrick M. Reilly Michael Anthony Kennedy The Tillaux Fracture: A Case Report Andrew E. Sama Scott Padavan Clinical Communications-OB/GYN Daniel Davis Toxic Shock Syndrome: Case Report of a Postpartum Female and a Tami L. Gash-Kim Literature Review Edwin J. Heffernan Selected Topics: Toxicology Andis Graudins Treatment of the Serotonin Syndrome with Cyprohedptadine Andrew Stearman Betty Chan Selected Topics: Disaster Medicine Gary Quick A Paradigm for Multidisciplinary Disaster Research: The Oklahoma City Experience Selected Topics: Cardiology Commentary Lance D. Wilson Rapid Progression of Coronary Artery Disease in the Setting of Chronic Cocaine Abuse Selected Topics: Wound Care George T. Rodeheaver Technical Considerations in Knot Construction, Part II]. Knot Asymmetry Colleen W. Green Brett C. Odum Gordon M. Bussard Richard F. Edlich Visual Diagnosis in Emergency Medicine Anthony Kopatsis Swan Ganz Catheter Mishap Medical Classics Joseph Varon Rupert Waterhouse and Carl Friderichsen: Adrenal Apoplexy Karen Chen George L. Sternbach Editorial George Sternbach The Necessity of the Necktie: A Knotty Problem The Journal of Emergency Medicine Education David D. Drake 651 “Scientific Basis of Wound Closure Techniques.” Evaluation of a New Rodney P. Lewis Training Program Jeremy Schweitzer Julia A. Woods Mary J. Cox Andrew J. L. Gear Richard F. Edlich Thomas Cook 655 Prevalence and Structure of Ultrasound Curricula in Emergency Medicine Thomas Roepke Residencies Steven Go 659 Enhancing Medical Student Consultation Request Skills in an Academic Danielle M. Richards Emergency Department William A. Watson Canadian Perspectives Anthony Taylor 663 Guidelines for the Use of Imaging Techniques for the Investigation of Robert Beveridge Venous Thromboembolic Disease Michael Barry Marc Beique David Dowhan Brian Holroyd Andrew McCallum Bruce McLeod Barrie Steed Robert Street 669 CAEP Issues 671 American Academy of Emergency Medicine 673 Abstracts 681 Calendar of Events 683 Les Résumés 689 Erratum I Instructions for Contributors Volume 16, Number 5 1998 CONTENTS Original Contributions Paulo Berger 691 Preventive Health Pamphlets in the Emergency Department Mike Luskin Scott Krishel Neil B. Hampson 695 Emergency Department Visits for Carbon Monoxide Poisoning in the Pacific Northwest Francis L. Counselman 699 Quantitative B-hCG Levels Less Than 1000 mIU/ml in Patients with Gretchen S. Shaar Ectopic Pregnancy: Pelvic Ultrasound Still Useful Robert A. Heller Derik K. King