JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80062-3
MD William F. Bobzien III
{"title":"Suicidal overdoses with hypoglycemic agents","authors":"MD William F. Bobzien III","doi":"10.1016/S0361-1124(79)80062-3","DOIUrl":"10.1016/S0361-1124(79)80062-3","url":null,"abstract":"<div><p>Suicide attempts using hypoglycemic agents are uncommon but are associated with a high level of morbidity and mortality. Their recognition is sometimes difficult and the duration of hypoglycemic effect is often prolonged. Two cases that illustrate the difficulties encountered in recognition and therapy are described. Effective therapy depends on adequate glucose supplementation to maintain euglycemia. Therapeutic intervention often must be maintained for several days. Glucocorticoids may be useful in difficult cases. Other modes of therapy, including glucagon, are unproven or controversial.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Pages 467-470"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80062-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11707868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80072-6
MD Thomas A. Kelley Jr (Medical Director)
{"title":"Emergency case recognition of spinal cord injuries","authors":"MD Thomas A. Kelley Jr (Medical Director)","doi":"10.1016/S0361-1124(79)80072-6","DOIUrl":"10.1016/S0361-1124(79)80072-6","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Page 493"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80072-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11707874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80084-2
{"title":"Is there excessive use of gastric lavage in the treatment of self-poisoning?","authors":"","doi":"10.1016/S0361-1124(79)80084-2","DOIUrl":"https://doi.org/10.1016/S0361-1124(79)80084-2","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Page 497"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80084-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137081629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80060-X
MD, PhD Mickey Eisenberg , MD, MPH Lawrence Bergner , PhD Alfred Hallstrom , MA Judith Pierce
{"title":"Evaluation of paramedic programs using outcomes of prehospital resuscitation for cardiac arrest","authors":"MD, PhD Mickey Eisenberg , MD, MPH Lawrence Bergner , PhD Alfred Hallstrom , MA Judith Pierce","doi":"10.1016/S0361-1124(79)80060-X","DOIUrl":"10.1016/S0361-1124(79)80060-X","url":null,"abstract":"<div><p>Two evaluation methods, one statistical and one comparative, were developed to assess the effectiveness of paramedic programs in King County, Washington. The outcome of hospital admission following prehospital cardiac arrest was used as a measure of effectiveness. In the statistical method, actual outcomes were compared with predicted outcomes. Predictive variables for admission were time from collapse to initiation of cardiopulmonary resuscitation and time from collapse to definitive care. Given knowledge of the predictive variables, the statistical evaluation enabled us to determine the probability of the outcome following cardiac arrest. In the comparative method, outcomes were compared with a standard in an adjacent community. Using this method, we identified program elements that could lead to improved outcome. Both evaluation methods are easily implemented.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Pages 458-461"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80060-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11707867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80070-2
MD Kenneth L. Mattox (President)
{"title":"What's new in academic emergency medicine?","authors":"MD Kenneth L. Mattox (President)","doi":"10.1016/S0361-1124(79)80070-2","DOIUrl":"10.1016/S0361-1124(79)80070-2","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Pages 491-492"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80070-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11707873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80078-7
{"title":"“Variant” angina: one aspect of a continuous spectrum of vasospastic myocardial ischemia","authors":"","doi":"10.1016/S0361-1124(79)80078-7","DOIUrl":"https://doi.org/10.1016/S0361-1124(79)80078-7","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Page 496"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80078-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137108313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80077-5
{"title":"Prinzmetal's angina — provocative test and current therapy","authors":"","doi":"10.1016/S0361-1124(79)80077-5","DOIUrl":"https://doi.org/10.1016/S0361-1124(79)80077-5","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Page 496"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80077-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137108314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80075-1
MD Karl T. Pregitzer (Chief)
{"title":"High yield criteria and skull radiography","authors":"MD Karl T. Pregitzer (Chief)","doi":"10.1016/S0361-1124(79)80075-1","DOIUrl":"10.1016/S0361-1124(79)80075-1","url":null,"abstract":"","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Page 495"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80075-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113267742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JACEPPub Date : 1979-11-01Epub Date: 2005-09-01DOI: 10.1016/S0361-1124(79)80064-7
DO Gary A. Agia, MD Daniel J. Hurst
{"title":"Pneumomediastinum following the Heimlich maneuver","authors":"DO Gary A. Agia, MD Daniel J. Hurst","doi":"10.1016/S0361-1124(79)80064-7","DOIUrl":"10.1016/S0361-1124(79)80064-7","url":null,"abstract":"<div><p>The Heimlich maneuver appears to be a widely accepted technique advocated as a means of clearing an obstructed airway. Reports of complications have been few. We report a case of pneumomediastinum that occurred following the generation of increased pulmonary pressures during performance of the Heimlich maneuver.</p></div>","PeriodicalId":75959,"journal":{"name":"JACEP","volume":"8 11","pages":"Pages 473-475"},"PeriodicalIF":0.0,"publicationDate":"1979-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0361-1124(79)80064-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11707870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}