Emergency Medicine Alert articles from July 2004

Emergency Medicine Alert archives from July 2004

Code stroke protocol.(Abstract & Commentary)
July 1, 2004... Source: Asimos AW, et al. Therapeutic yield and outcomes of a community teaching hospital code stroke protocol. Acad Emerg Med 2004;11:361-370. WITH THE PUBLICATION OF THE NATIONAL INSTITUTE OF Neurological Disorders and Stroke (NINDS)...

Septic joint difficulty to exclude by laboratory tests.(Abstract & Commentary)
July 1, 2004... Source: Li SF, et al. Laboratory tests in adults with monoarticular arthritis: Can they rule out a septic joint? Acad Emerg Med 2004; 11:276-280. THE AIM OF THIS RETROSPECTIVE CASE SERIES WAS TO determine the sensitivities of three...

Fluoroquinolone-resistant gonorrhea on the rise: exposure history is critical.(Abstract & Commentary)
July 1, 2004... Source: Centers for Disease Control. Increases in Fluoroquinolone-Resistant Neisseria gonorrhoeae Among Men Who Have Sex with Men--United States, 2003, and Revised Recommendations for Gonorrhea Treatment, 2004. Morb Mort Wkly Rep MMWR 2004;...

BNP: a hearty diagnostic complement to the chest film in heart failure.(Abstract & Commentary)(beta-type natriuretic peptide )
July 1, 2004... Source: Knudsen CW, et al. Diagnostic value of B-type natriuretic peptide and chest radiographic findings in patients with acute dyspnea. Am J Med 2004;16:363-368. RECENTLY, ENTHUSIASM HAS EMERGED FOR A NEW investigative assay for...

Radiologic hazards and acute radiation exposure.
July 1, 2004... GROWING CONCERN OVER TERRORISM AND THE possible use of weapons of mass destruction, including nuclear and radiologic devices, has drawn attention to the need to prepare for potential, large-scale radiation incidents. Such events may cause mass...

Physician CME questions.(continuing medical education)
July 1, 2004... 8. In the recent study at Carolinas Medical Center that looked at thrombolytic treatment of acute stroke, the 36-hour rate of intracranial hemorrhage was--than that found in the NINDS study. a. 10% and lower b. 6% and higher c....

Chest pain in a 21-year-old.(ECG Review)
July 1, 2004... Clinical Scenario: The electrocardiogram (ECG) in the Figure shows normal sinus rhythm at a rate of 80 beats/minute. The PR, QRS, and QT intervals are normal. There is an rSR' pattern in lead III. The axis is +40 [degrees]. There is no sign of...

The evaluation and clearance of the cervical spine in adult trauma patients: clinical concepts, controversies, and advances, Part 1.
July 1, 2004... Dealing with potential cervical spine injuries (CSIs) is a frequent occurrence for any physician who manages trauma patients. The importance of the routine practice of clearing the cervical spine should not be underestimated. Missed spine...

CE/CME questions.
July 1, 2004... 1. Which of the following mechanisms is not considered high-risk for cervical spine injury? A. Rollover motor vehicle collision B. Simple, rear-end motor vehicle collision C. Diving or drowning accidents D. Falls from higher...