Emergency Medicine Alert articles from March 2002

Emergency Medicine Alert archives from March 2002

Rapid sterilization of CSF when antibiotics precede LP.(cerebrospinal fluid; lumbar puncture)
March 1, 2002... Source: Kanegaye JT, et al. Lumbar puncture in pediatric bacterial meningitis: Defining the time interval for recovery of cerebrospinal fluid pathogens after parenteral antibiotic pretreatment. Pediatrics 2001;108: 1169-1174. DESPITE A...

Predicting the truly sick child with fever.
March 1, 2002... Source: Pulliam PN, et al. C-reactive protein in febrile children 1 to 36 months of age with clinically undetectable serious bacterial infection. Pediatrics 2001;108:1275-1279. FEBRILE ILLNESS IS A TROUBLESOME PROBLEM FOR children seen in...

Dispatcher-assisted CPR and impact on survival rates.
March 1, 2002... Source: Rea TD, et al. Dispatcher-assisted cardiopulmonary resuscitation and survival in cardiac arrest. Circulation 2001; 104:2513-1256. APPROXIMATELY 250,000 PEOPLE SUFFER OUT-OF-hospital cardiac arrest each year in the United States; of...

Reversal of anticoagulant effects of warfarin by vitamin [K.sub.1]. (Special Feature).
March 1, 2002... CONSIDER THE FOLLOWING SCENARIO; AN ELEVATED internationalized normalized ratio (INR) is called to a physician's office as a panic value from the laboratory. The patient is at home, usually asymptomatic. The INR is 9.0 and the private physician...

Physician CME questions.(continuing medical education)
March 1, 2002... 19. Early sterilization of cerebrospinal fluid (CSF) cultures with antibiotics is most likely to happen with which organism? A. Neisseria meningitidis B. Streptococcus pyogenes C. Streptococcus pneumoniae D....

VT on recumbency? (ECG Review).(ventricular tachycardia)
March 1, 2002... Clinical Scenario: The telemetry rhythm strips shown here were obtained from a patient with a long history of alcohol abuse. Serum potassium and magnesium levels were both below normal. Runs of tachycardia similar to those shown seemed to occur...