Emergency Medicine Alert articles from October 2003

Emergency Medicine Alert archives from October 2003

Nebulized epinephrine apparently not useful in acute bronchiolitis.( )(Author Abstract)
October 1, 2003... ABSTRACT & COMMENTARY Source: Wainwright C, et al. A multicenter, randomized, double-blind, controlled trial of nebulized epinephrine in infants with acute bronchiolitis. N Engl J Med 2003;349:27. ACUTE VIRAL BRONCHIOLITIS IS THE MOST...

Much smoke, no fire surrounding inappropriate antibiotic use in the ED.( )(Author Abstract)
October 1, 2003... ABSTRACT & COMMENTARY Source: Lautenbach E, et al. Fluoroquinolone utilization in the emergency departments of academic medical centers. Arch Intern Med 2003;163:601-605. THE AUTHORS OF THIS RETROSPECTIVE STUDY attempted to evaluate...

Assessment-oriented presentation: getting to the point quickly, accurately.(Author Abstract)
October 1, 2003... ABSTRACT & COMMENTARY Source: Maddow CL, et al. Efficient communication: Assessment-oriented oral case presentation. Acad Emerg Med 2003; 10:842-847. WHAT IS THE BEST WAY FOR ONE PHYSICIAN TO PRESENT data to another? The authors of...

Is there a role for a loading dose of enoxaparin in acute coronary syndrome?(Author Abstract)
October 1, 2003... ABSTRACT & COMMENTARY Source: Bijsterveld NR, et al. The impact on coagulation of an intravenous loading dose in addition to a subcutaneous regimen of low-molecular weight heparin in the initial treatment of acute coronary syndromes. J Am...

Appendicitis in pregnancy.(Special Feature)
October 1, 2003... ACUTE APPENDICITIS IN PREGNANCY REMAINS A DIAGNOSTIC challenge. The most common non-obstetric surgical emergency in pregnancy, appendicitis occurs in approximately 1 in 1500 pregnancies, (1) an incidence similar to that in the non-pregnant...

Physician CME questions.(continuing medical education)
October 1, 2003... 24. In the Bijsterveld et al study, enoxaparin administered as an IV bolus prior to SQ administration resulted in: a. earlier achievement of anticoagulation when compared with SQ enoxaparin alone. b. higher rates of major intracranial...

DKA and acute MI?(ECG Review)(diabetic ketoacidosis )
October 1, 2003... Clinical Scenario: The ECG in the Figure was obtained from a previously healthy 32-year-old African American male who presented in a coma from diabetic ketoacidosis (DKA). Cardiovascular exam was unremarkable. In addition to being treated for...