LIST OF CONTENTS
AUTliOR lN#BEX
KEYWORD INDEX
VOLUME 12,1994
PERGAMON
The Journal of Emergency Medicine Cl EDITOR-IN-CHIEF Peter Rosen, MD, University ofcarifornia, San Diego, CA 0 ASSOCIATE EDITORS George Sternbach, MD, Stanford University, Stanford, CA
Ron M. Walls, MD, Harvard Medical School, Boston, MA Roger Barkin, MD, Rose Medical Center, Denver, CO James Ducharme, MD, CAEP, Montreal, Quebec, Canada
Cl MANAGING EDITOR Martha C. Martell, M.S., University of California, San Diego, CA
0 SECTION EDITORS Origiad Conbibutions John A. Marx, MD Charlotte, NC Clinical Communications/Adult Ron M. Walls, MD Boston, MA
Cltnleal Communlcations/Pedlatrlcs Roger Barkin, MD Denver, CO
Clitdcd Communiations/OB/CYN Jean Abbott, MD Denver CO
Selected Topics: Toxicology Kenneth Kulig, MD Denver, CO Prebospitd Care Peter T. Pons, MD Denver, CO
Disaster Medicine Irving Jacoby, MD San Diego, CA
Cardiology Commentary Steven Lowenstein, MD Denver, CO
Emergency Radiology Jack Keene, MD Poughkeepsie, NY
Cdtkd Cnrc Joseph Varon, MD Houston, TX
Wound Core Richard F. Edlich, MD, PhD Charlottesville, VA
Tecbrdques and Procedures George Sternbach, MD Stanford, CA
Emergency Medidne in Review Ann Harwood-Nuss, MD Jacksonville, FL
Emergency Case Records Richard Wolfe, MD Denver, CO
Medical Classics George Sternbach, MD Stanford, CA
Adnduistntioa of Emergency Medicine
Eugene Kercher, MD Bakersfield, CA
Ethics Kenneth Iserson, MD Tucson, AZ
Emergency Medicine and the Law Raymond Fish, MD Urbana, IL
Education Mary Ann Cooper, MD Chicago, IL
Hummdtles and Medldne Richard M. Ratzan, MD Farmington, CT
Canadian Perspectives James Ducharme, MD Montreal, Quebec, Canada
CAEP News Alan Drummond, MD Ottawa, Ontario, Canada
Book and Other Media Reviews Edward J. Otten, MD Cincinnati, OH
Abstracts Jedd Roe, MD Denver, CO
0 EDITORIAL BOARD
Tim Allen, MD Quebec, Canada
Robert Banka, MD San Diego, CA
Howard Bessen, MD Torrance, CA
Richard F. Clark, MD San Diego, CA
Joseph Clinton, MD Minneapolis. MN
Robert Dailey, MD Orinda, CA
Daniel Dan& MD Louisville, KY
Jan de Boer, MD, PhD Rijswijk, The Netherlands
Robert W. Derlet, MD Sacramento, CA
Peter Doris, MD Omaha, NE
Richard Feldman, MD Chicago, IL
E. John Gallagher, MD Bronx, NY
Robert S. Hockberger, MD Torrance, CA
Robert C. Jorden, MD Phoenix, AZ
Gene Kallsen, MD Fresno, CA
Alois F. Karlbauer, MD Salzburg. Austria
Martin S. Kohn, MD East Hills, NY
Robert Margulies, MD Hartford, CT
Vincent Markovchick, MD Denver, CO
James Mathews, MD Chicago, IL
John W. McGill, MD Minneapolis, MN
Kendall McNabney, MD Kansas City, MO
Ernest E. Moore, MD Denver, CO
John Moorhead, MD Portland, OR
Edward Newton, MD Los Angeles, CA
Carin M. Olson, MD Seattle, WA
Charles Perrott, MD Pietermaritzburg, South Africa
Charles Pollack, Jr., MD Phoenix, AZ
Thomas Purcell, MD Bakersfield, CA
Ernie Ruiz, MD Minneapolis, MN
Richard Salluuo, MD Albany, NY
Arthur Sanders, MD Tucson, AZ
Robert D. Slay, MD, Col, MC San Diego, CA
Mark Smith, MD Washington, DC
Eldar Soreide, MD Stavanger, Norway
Tsuyoshi Sugimoto, MD Osaka, Japan
Dr. John Vinen St. Leonards, N.S. W., Australia
Daniel D. Whitcraft III, MD Long Beach, CA
The Canadian Association of Emergency Physicians Wssociation Canadienne des M6decins d’llrgence
Tha officlal journal of the CAEP La Journal de Canadlan Aaaoclatlon of Emergency Physlclans L’Aaaociatlon Canadianna daa Mdclocins d’llrganco
(CAEP) (ACMU)
Production Editor: Brian S. Jenkins, E-mail Address: [email protected] Editorial Offices: The Journal of Emergency Medicine, University of California, San Diego, Medical Center, 200 West Arbor Dr., San Diego, CA 921036676 Publishing, Subscription;and Advertlsing Offices: Eisevier Science inc., 660 White Plains Road, Tarrytown, New York 105915153, USA, E-mail Address: [email protected]; and Eisevier Science Ltd, The Boulevard, Langford Lane, Kidlington, Oxford OX5 lGB, England. Publbhsd bimonthly: Annual lnsritutional Subscription Rates 1995: North, Central and South America, US$320.00, Rest of World f215.90. Professional subscription rates 1995, which must be prepaid by personal cheque or credit card; North, Central and South America, US679, Rest of World f53. Sterling prices exclude VAT. Non-VAT registered customers in the European Community will be charged the appropriate VAT in addition to the price listed. Prices include postage and insurance and are subject to change without notice.
Pergamon The Journal of Emergency Medicine, Vol 12, No 6, pp V-XXVI, 1994
Copyright 0 1994 Elsevier Science Ltd Printed in the USA. All rights reserved
0136-4619/94 $6.00 + .OO
The JoumaZ of Emergency icine VOLUME 12 INDEX
Contents Volume 12,1994
Volume 12, Number 1 1994
Robert W. Derlet Chui-Chung Tseng
Timothy E. Albertson
Robert Manfredini Massimo Gallerani
Raffaella Salmi Giiolamo tale
Mauro Pasin Maarlzlo Bigoni Carmelo Fersini
Charles M. Ruhl John H. Urbancic
Pamela A. Foresman Mary Jude Cox
George T. Rodeheaver Robert D. Zura
Richard F. Edllch
Neal T. Reich Ronald Moscati
Dietrich Jehle Mary Ciotoli
Steven Starling John P. Wei
Luanne F. Hallagan Mark Smith
Daniel J. DeBehnke Wllllam Brady
CONTENTS
Original Contributions
1 Cocaine Toxicity and the Calcium Channel Blockers Nifedipine and Nimodipine in Rats
5 Circadian Variation in the Time of Onset of Acute Gastrointestinal Bleeding
11 A New Hazard of Cornstarch, an Absorbable Dusting Powder
15 The Impact of a Major Televised Sporting Event on Emergency Department Census
Clinical Communications
19 Acute Abdominal Pain in the Presence of He&-Corporeal Neurosensory Deficits
23 Profound Atelectasis Following Alkaline Corrosive Airway Injury
27 Vertebral Artery Dissection Due to Minor Neck Trauma
VI The Journal of Emergency Medicine
Hitoshi Imaizumi 33 Kazumasa Tsunoda
Naohiro Ichimiya Tetsunori Okamoto
Akiyoshi Nsmiki
Michael Cherington 39 Francis J. Martorano
La Verne Siebuhr Richard L. Stieg Philip R. Yarnell
Vicken Y. Totten 43 Eva Hirschenstein
Pbillip Hew
Roneet Lev 49 Richard F. Clark
Heman F. Gomez 57 Jeffrey A. Brent
David C. Mnnoz, IV Robert F. Mimmack
Jonathan Ritvo Scott Phillips
Patrick McKinney
George Stembach 61 Joseph Varon
Alex E. Lechin 63 Joseph Varon
Richard F. Edlicb 69
Peter Rosen 73
Ron M. Walls 74
Charles V. Pollack, Jr. 75
77
Marla Markbam 8 1 Glenn C. Hamilton
Repeated Large-Dose Haptoglobin Therapy in an Extensively Burned Patient: Case Report
Childhood Lightning Injuries on the Playing Field
Selected Topics: Toxicology
Neuroleptic Malignant Syndrome Presenting Without Initial Fever: A Case Report
Neuroleptic Malignant Syndrome Presenting Without Fever: Case Report and Review of the Literature
Charcoal Stercolith with Intestinal Perforation in a Patient Treated for Amitriptyline Ingestion
Selected Topics: Critical Care Medicine
Critical Care Medicine: Introduction
Adult Respiratory Distress Syndrome (ARDS): The Basics
Emergency Forum
A Plea for Powder-Free Surgical Gloves
Editorials
The Evolution of Education
Doing It Right the First Time-Updating Advanced Life Support in Rural Canada
Residency Research Requirements: Time for a Reappraisal?
Letters to the Editor
Education
Objectives to Direct the Training of Emergency Medicine Residents on Off-Service Rotations: Internal Medicine II
Index VII
Shirley Press Sue A. Russell Jan C. Cantor
Eva Jerez
Kathy C. Head Lucy Bradley-Springer
David Sklar
Daniel Mines
James T. B. Rourke
Sharhabeel Jwayyed 125
Joseph Varon 126
J. Stepben Huff 127
J. Stephen Huff 127
129
131
133
137
I
89
95
io3
107
113
117
Administration of Emergency Medicine
Attending Physician Coverage in a Teaching Hospital’s Emergency Department: Effect on Malpractice
Ethics of Emergency Medicine
The HIV-Infected Health Care Worker: Legal, Ethical, and Scientific Perspectives
Humanities and Medicine
Gabrielle Takes Off
Canadian Perspectives
Rural Advanced Life Support Update Course
CAEP News
Abstracts
Reviews: Books
Maryland Institute for Emergency Medical Services Systems Shock Trauma/Critical Care Manual, edited by Dunham CM, Adams CR
Advanced in Trauma and Critical Care, Vol. 6, edited by Maul1 KI, Cleveland HC, Feliciano DV, Rice CL, Trunkey DD, Wolferth CC
Management of the Acutely Ill Neurological Patient, edited by Grotta JC
Non-Epileptic Seizures, edited by Rowan AJ, Gates JR
Calendar of Events
Classifieds
Les R&urn&
Keyword Index to Volume 12, Number 1
Instructions for Contributors
Volume 12, Number 2 1994
CONTENTS
Original Contributions
Carlos Angueira 139 The Tilt Test: Effect of Diabetes Mellitus and Antihypertensive Regina Marshall Medication on Normal Values
Fred Goldner
VIII The Journal of Emergency Medicine
Gregory D. Hobbs Donald M. Yeafy
Julie Rivas
Robert M. Smith Karen B. Van Hoesen
Tom S. Neuman
Joseph Varon J. Mario Gonzalez
George L. Stembach Ellen E. Bellairs
Charles M. Ruhl Sung Jin Park
Olumide Danisa Raymond F. Morgan
Bruno Papirmeister Frederick R. Side11 Richard F. Edlich
Lee S. Anthony Harvey N. Hlmel
Francis L. Counselman 167 An Unusual Presentation of Fitz-Hugh-Curtis Syndrome
Robert L. Hood
George M. Bosse Thomas M. Pope
John S. Rose Kristi L. Koenig
Lou Anne Plumhoff Wellford Theodore Martin Kelly
Judd E. HoBander Michael Lozano
PhiBip Fait-weather Evan Goldstein
Paul Gennis Gerard X. Brogan
David Cooling Henry C. Thode
E. John Gallagher
Glenn A. f-&be1 Kevin Hutton
Arthur Kanowitz Tom Neuman
Linda Martinson Peter Rosen
143 Equestrian Injuries: A Five-Year Review
147 Arterial Gas Embolism and Hemoconcentration
Clinical Communications
155 Tension Hydrothorax: A Rare Complication of Continuous Cyclical Peritoneal Dialysis
159 A Serious Skin Sulfur Mustard Burn From an Artillery Shell
Clinical Communications: OB/G YN
Selected Topics: Toxicology
17 1 Colchicine Poisoning
179 Recurrent Digoxin Overdose and Treatment With Digoxin-Specific Fab Antibody Fragments
Selected Topics: Cardiology Commentary
187 Code Blue: What’s New?
193 Survival With Acute Primary Coronary Artery Dissection: A Case Report and Review of the Literature
199 “Abnormal” Electrocardiograms in Patients With Cocaine-Associated Chest Pain Are Due to “Normal” Variants
Selected Topics: Prehospital Care
207 The Accuracy of ST Segment Deviation in Prehospital Cardiac Monitoring
Index IX
Elder Sereide Johan Peder Smedvig
Svein Harboe Harry Mikkelsen
Olav Veum Eielsen
Gary M. Vilke David B. Hoyt
Michael Epperson Dale Fortlage
Kevin C. Hutton Peter Rosen
Kuniyuki Kaneko Edward H. DeMouy
Michael E. Brunet James Be&an
Margaret L. Keeler 231
Richard F. Clark Erik D. Barton
Marla Markham Glenn C. Hamilton
Richard F. Edlich 249
Anthony S. Taylor 255
Edward J. Otten 273
Ron M. Walls 274
213
217
225
233
235
237
263
265
275
277
279
Acute Epiglottitis in a Rural Area: Experiences With an Anesthesiologist-Staffed Ambulance Helicopter
Intubation Techniques in the Helicopter
Selected Topics: Emergency Radiology
Radiographic Diagnosis of Quadriceps Tendon Rupture: Analysis of Diagnostic Failure
Emergency Forum
Hands Across the Gap: A Novel Strategy
Editorial
Pitfalls in the Administration of Digoxin-Specific Fab Fragments
Letter to the Editor
Education
Objectives to Direct the Training of Emergency Medicine Residents on Off-Service Rotations: Internal Medicine III
Humanities and Medicine
Wake-Up Call for Living
Canadian Perspectives
Emergency Medicine Educational Objectives for the Undifferentiated Physician
CAEP News
Abstracts
Reviews: Books
Poisoning and Drug Overdose, edited by Olson KR
Clinical Anatomy for Emergency Medicine, by Snell RS, Smith MS
Calendar of Events
Classifieds
Les Resumes
X The Journal of Emergency Medicine
283 Keyword Index to Volume 12, Number 2
I Announcement
III Instructions for Contributors
Volume 12, Number 3 1994
CONTENTS
Original Contributions
Laurie Vande Krol 285 The Emergency Department Management of Near-Hanging Victims Richard Wolfe
Clinical Communications
Prem C. Shukla 293 Primary Sternal Osteomyelitis
Leslie W. Milne 299 Gastric Volvulus: Two Cases and a Review of the Literature John J. Hunter John S. Anshus
Peter Rosen
Jonathan Glauser 307 Dissection of the Vertebral Arteries: Case Report and Discussion Otis M. Hastings Michael Merwart Marita A. Volk
Miizhael Bahntge
Kenneth R. Veenema 317 Strangulation Associated With a Passive Restraint Shoulder Harness Seatbelt: Case Report
Karen MuUoy Restifo 321 Case Report: Sternal Fracture From a Seqtbelt Gabor D. Kelen
Michael T. Lynch 325 Model Rocket Engine Burn Injuries: The Need for Stricter Regulation Kenneth T. Bellian Richard F. Edlich Harvey N. Hituel
Alan L. Causey 331 Henoch-SchBnlein Purpura: Four Cases and a Review Bonnie N. Woodall
Nancy G. Wahl Cynthia L. Voelker
Emily S. Pollack
Clinical Communications: OB/G YN
Jordan D. Lipton 343 Ectopic Pregnancy in a Blunt Trauma Patient Michael H. Thomason
Selected Topics: Toxicology
Duane G. Hansen 347 Dapsone Intoxication: Two Case Reports Kathryn R. Challoner
Dallas E. Smith
Index XI
Michael Schwartz 353 David Rodman
Steven R. Lowenstein
Jan de Boer 361
Valerie A. Roman0 369 Gilbert J. Toffol
David A. Guss 375
H. Range Hutson 385 Deirdre Anglin
William Mallon Michael Pratts, Jr.
Selected Topics: Cardiology Commentary
Recognition and Treatment of Multifocal Atria1 Tachycardia: A Critical Review
Selected Topics: Disaster Medicine
Public Health Measures Following a Nuclear Accident in The Netherlands
Selected Topics: Emergency Radiology
Confirmation of Traumatic Interhemispheric Subdural Hematoma by Magnetic Resonance Imaging
Emergency Medicine in Review
The Acquired Immune Deficiency Syndrome: An Overview for the Emergency Physician, Part I
Emergency Forum
Caught in the Crossfire of Gang Violence: Small Children as Innocent Victims of Drive-By Shootings
389 Letters to the Editor
Education
Leslie R. Wolf 391 Objectives to Direct the Training of Emergency Medicine Residents on Glenn C. Hamilton Off-Service Rotations: Toxicology
Humanities and Medicine
John Graham-Pole 407 Healthcare
Canadian Perspectives
Anthony M. Herd 409 Isolated Bladder Rupture After Minor Trauma in a Patient With Neil G. Crofts Alcohol Intoxication Lindy M. Lee
John V. J. Girard Robert J. Sweetland
413 CAEP News
415 Abstracts
Reviews: Books and Other Media
J. Stephen Huff 423 Current Emergency Diagnosis & Treatment, edited by Saunders CE, Ho MT
J. Stephen Huff 423 Hazmed I, Emergency Department Response to a Hazardous Material Accident Patient, Video and training manual, RMC Medical, and Medical Operations at HAZMAT Incidents, Video, Emergency Film Group
Richard Ruddy 424 Pediatric Emergency Medicine, by Reisdorff EJ, Roberts MR, Wiegenstein JG
XII The Journal of Emergency Medicine
Charles V. Pollack, Jr. 425 Glucagon in Acute Medicine: Pharmacological, Clinical and Therapeutic Implications, edited by Picazo J
427 Calendar of Events
429 Classifieds
43 1 Les R&urn&
435 Commonly Used Abbreviations
439 Keyword Index to Volume 12, Number 3
I Instructions for Contributors
Volume 12, Number 4 1994
Kazuaki Shinohara Hiroshi Iwama Yoichi Akama
Choichiro Tase
Edmond A. Hooker Frank B. Miller
Jayne L. Hollander Elaine M. Bukowski
Deborah J. Woolard Thomas E. Terndrup
Richard Scallion John P. Wei
William 0. Thomas Curtis N. Harris
Tancredi F. D’Amore Samuel W. Parry
John R. Mabee Thomas L. Bostwick
Mary Kaye Burke
Peter J. Mariani Sunil Sharma
441 Interpleural Block for Patients With Multiple Rib Fractures: Comparison With Epidural Block
447 Do All Trauma Patients Need Early Crossmatching for Blood?
453 Sedative-Analgesic Agent Administration in Children: Analysis of Use and Complications in the Emergency Department
Clinical Communications
463 Upper Gastrointestinal Hemorrhage From a Mallory-Weiss Tear Associated With an Occult Richter’s Hernia and Small Bowel Obstruction: To See the Forest as Well as the Trees in the Emergency Department
467 Bilateral Forearm and Hand Compartment Syndrome Following Thrombolysis for Acute Myocardial Infarction: A Case Report
473
477
Iatrogenic Compartment Syndrome From Hypertonic Saline Injection in Bier Block
Iatrogenic Tension Pneumothorax Complicating Outpatient Heimlich Valve Chest Drainage
CONTENTS
Original Contributions
Index XIII
Clinical Communications: OWGYN
Robert A. Martin 481 Ovarian Hyperstimulation Syndrome in the Emergency Department: Babak Edraki A Case Report
Robert L. Norris
Selected Topics: Toxicology
Kevin S. Merigian 485 Adrenergic Crisis From Crack Cocaine Ingestion: Report of Five Cases Lynda J. Park
Kenneth V. Leeper Randall G. Browning
Renee Giometi
David A. Guss
Roneet Lev Peter Rosen
Kim D. Hoang Charles V. Pollack, Jr.
J. Stephen Huff 521
E. John Gallagher 525 No Proof of a Difference Is Not Equivalent to Proof of No Difference
C. L. McArthur, III Julie Gorchynski
Chris Rooke Glenn Hamilton
Ray Fish Melvin Ehrhardt
John Graham-Pole
Anurag Saincher Neii Swirsky
Milton Tenenbein
Stephen Lloyd David Streiner
SueShannon
491
499
507
529
533
545 The Standard of Care
553
555
559
Emergency Medicine in Review
The Acquired Immune Deficiency Syndrome: An Overview for the Emergency Physician, Part 2
Prophylactic Lidocaine Use Preintubation: A Review
The Utility of Parenteral Glucocorticoids in the Emergency Department
Medical Classics
Dr. C. Miller Fisher’s Description of Acute Cerebellar Hemorrhage
Editorial
Letters to the Editor
Education
Objectives to Direct the Training of Emergency Medicine Residents on Off-Service Rotation in Cardiology, Part 1
Emergency Medicine and the Law
Humanities and Medicine
The Surgeon
Canadian Perspectives
Cyanide Overdose: Survival With Fatal Blood Concentration Without Antidotal Therapy
Burnout, Depression, Life and Job Satisfaction Among Canadian Emergency Physicians
XIV The Journal of Emergency Medicine
567 CAEP News
569 Abstracts
Reviews: Books
Rashmi U. Kothari 577 Cerebrovascular Disorders in the 1990’s: Clinics in Geriatric Medicine, by Biller J
J. Stephen Huff 577 Emergency Radiology, edited by Redman HC, Purdy PD, Miller CL, Rollins NK
Edward J. Otten 578 Handbook of Medical Toxicology, edited by Viccellio P
John C. Sakles 579 Surgical Intensive Care, edited by Barie PS, Shires G
581 Calendar of Events
583 Classifieds
585 Les Resumes
589 Keyword Index to Volume 12, Number 4
591 Erratum
I Instructions for Contributors
Volume 12, Number 5’
Anne-Maree Kelly Mark Cohen
David Richards
Nancy D. Baker Hadi Kharazi Lisa Laurent
Andrew T. Walker Daniel S. Williamson
Barbara N. Weissman Amir Zamani
Ricardo Sanchez
Yukari Wakabayashi William II. Bush, Jr.
1994
CONTENTS
Original Contributions
593 Minimizing the Pain of Local Infiltration Anesthesia for Wounds by Injection Into the Wound Edges
597 The Efficacy of Routine Head Computed Tomography (CT Scan) Prior to Lumbar Puncture in the Emergency Department
Clinical Communications
603 Pneumoscrotum After Blunt Chest Trauma
‘The following Residents in Emergency Medicine at the University of California, San Diego Medical Center helped to compile this issue of The Journal of Emergency Medicine: Michele A. Grad, MD, Thomas J. Peitz, MD, Charles W. Simmons, MD, and Saralyn R. Williams, MD.
Michael J. Lacqua Pradip Sahdev
Bishara C. Atiyeh Ahmad M. Zaatari
607 Widened Mediastinum in Acute Trauma: A Complication of Central Venous Catheterization
611 Necrotizing Fasciitis of the Upper Extremity
James A. Gilbert Emily S. Poilack
Charles V. Pollack, Jr.
615 Vogt-Koyanagi-Harada Syndrome: Case Report and Review
Selected Topics: Toxicology
Prentice A. Tom Christopher T. Morrow
Gabor D. Kelen
621 Delayed Hypotension After Overdose of Sustained Release Verapamil
Selected Topics: Cardiology Commentary
Brian Milier Andrew Cohen
Adele Serio Dennis Bettock
627 Hemodynamics of Cough Cardiopulmonary Resuscitation in a Patient With Sustained Torsades de PointesIVentricular Flutter
Selected Topics: Critical Care
Luviza J. Santos Joseph Varon
Ligia Pie-Aluas Arthur H. Combs
633 Practical Uses of End-Tidal Carbon Dioxide Monitoring in the Emergency Department
J. Pieter Noordzij Pamela A. Foresman
George T. Rodeheaver James V. Quinn
Richard F. Edlich
645
Selected Topics: Wound Care
Tissue Adhesive Wound Repair Revisited
John Rkht&d Mabee “’
Stephen f-f. Thomas C. Keith Stone
Jeffrey A. Kline Jeffrey W. Runge
651
657
Emergency Medicine in Review
Compartment Syndrome: A Complication of Acute Extremity Trauma
Emergency Department Treatment of Migraine, Tension, and Mixed-Type Headache
665 Streptococcal Pharyngitis: A Review of Pathophysiology, Diagnosis, and Management
Medical Classics
WilLtam J. Bromberg Richard F. Edifch
681 Joseph Larner’s Personal Odyssey: Search for the Cause and Cure of Non-Insulin-Dependent Diabetes Mellitus
Emergency Forum
Michael J. Tueth 685 Revisiting Fluoxetine (Prozac) and Suicidal Preoccupations
Editorials
Ron M. Wails 689 Emergency Department Follow-Up of Emergency Conditions: Why Not?
XVI The Journal of Emergency Medicine
Peter Rosen 690
Ray Fish 691
C. L. McArthur, III Julie Gorchynski
Chris Rooke Glenn C. Hamilton
Ray Fish 703
Murray WaIdman 707
David Murphy Mary Eisenhauer
Edward J. Otten
Joseph Varon
693
709
713
715
723
724
727
729
731
735
I Instructions for Contributors
The World of Emergency Medicine
Editorial Comment on A View From the Other Side
Education
Objectives to Direct the Training of Emergency Medicine Residents on Off-Service Rotation in Cardiology, Part 2
Emergency Medicine and the Law
A View From the Other Side
Humanities and Medicine
There Are Still Cathedrals in Toronto
C&nadian Perspectives
The Utility of a Bone Scan in the Diagnosis of Clinical Scaphoid Fracture
CAEP News
Abstracts
Reviews: Books
Manual of Medical Therapeutics, 27th ed., edited by Woodley M, Whelan A
Current Medical Diagnosis and Treatment 1993, edited by Tierney LM, McPhee SJ, Papadakis MA, Schroeder SA
Calendar of Events
Classifieds
Les R&urn&
Keyword Index to Volume 12, Number 5
Volume 12, Number 6 1994
CONTENTS
Original Contributions
GabrIelIa De Carli 737 Risk of Human Immunodeficiency Virus Infection for Emergency Vincenzo Puro Department Workers
Nancy J. Binkin Giuseppe Ippolito
The Italian Study Group on Occupational Risk of HIV Infection
Steven T. Moss Richard F. Clark
David A. Guss Peter Rosen
Janiae Jagger Robert D. Powers
Juanita S. Day Don E. Detmer Beth Blackwell
Richard D. Pearson
S. P. Ros S. L. Reynolds
D. M. Bhisitkul S. P. Ionides R. J. Handa
Kenneth C. Sanders Woodworth B. Clum, III
Steve S. Nguyen Subramaniam Balasubramaniam
Timothy J. Mader
Mark R. Pearson Ralph B. Leonard
Hitoshi Imaizumi Yoshihito Ujike Yasufumi Asai
Masamitsu Kaneko Susumu Chiba
745 The Management of Sharps in the Emergency Department: Is It Safe?
753 Epidemiology and Prevention of Blood and Body Fluid Exposures Among Emergency Department Staff
767 Plasma Beta-Endorphin Levels and Childhood Intussusception
77 1 End-Tidal Carbon Dioxide Detection in Emergency Intubation in Four Groups of Patients
Clinical Communications
779 Acute Diverticulitis in Young Adults
783 Posterior Sternoclavicular Dislocation: A Case Report
789 Spinal Cord Ischemia After Cardiac Arrest
Selected Topics: Toxicology
Jim Perez 795 Airway Compromise and Delayed Death Following Attempted Central Brent T. Burton Vein Injection of Propylhexedrine
Joseph G. McGirr
Jeffrey N. Love 799 Beta Blocker Toxicity After Overdose: When Do Symptoms Develop in Adults?
Selected Topics: Prehospital Care
I. Charles Sand 803 Maintenance Fluids in Prehospital Care: Crystalloid Versus Dextrose Andy Jagoda Solutions-Is There a Difference? David Vukich
Selected Topics: Disaster Medicine
David Phreaner 811 Disaster Preparedness of Home Health Care Agencies in San Diego Irving Jacoby County
Sue Dreier Nancy McCoy
XVIII The Journal of Emergency Medicine
Timothy J. Bill Richard F. Edlich Harvey N. Himel
David J. Bentrem Elizabeth E. McGovern
Marie-Louise Hammarskjald Richard F. Edlich
Allan J. Brody George Stembach
Joseph Varon
Richard F. Edlich 839
Michael Yaron Ernest Ruiz
Matthew F. Bare&h
Anthony Herd Louis Ludwig
849
Robert C. Beveridge James Ducharme
853
James Ducharme 855
J. Stepben Huff
Edward J. Otten
819
825
833
843
845
867
869
877
877
879
881
883
889
Selected Topics: Wound Care
Electric Heating Pad Burns
Emergency Medicine in Review
Human T-Cell Lymphotrophic Virus Type-I (HTLV-I) Retrovirus and Human Disease
Medical Classics
Octave Landry: Guillain-Barr6 Syndrome
Emergency Forum
The Complex Legacy of the Sage of Monticello
Letter to the Editor
Administration of Emergency Medicine
Equipment Organization in the Emergency Department Adult Resuscitation Area
Canadian Perspectives
Relief of Posttraumatic Headache by Intravenous Chlorpromazine
Introduction to CAEP Consensus Documents
Emergency Pain Management: A Canadian Association of Emergency Physicians (CAEP) Consensus Document
CAEP News
Abstracts
Reviews: Books
Stroke: A Clinical Approach, by Caplan LR
Renal and Electrolyte Disorders (4th ed), by Schrier RW
Calendar of Events
Classifieds
Les R&urn&
List of Reviewers
891 Keyword Index to Volume 12, Number 6
I Announcements
III Contents, Author, and Keyword index to Volume 12
XXVII Instructions for Contributors
Author Index Volume 12,1994
Note: In brackets, br indicates book review, ed indicates editorial, and let indicates letter to the editor.
Akama, Y., 441 Albertson, T. E., 1 Anglin, D., 385 Angueira, C., 139 Anshus, J. S., 299 Anthony, L. S., 159 Asai, Y., 789 Atiyeh, B. C., 611
Bahntge, M., 307 Baker, N. D., 597 Balasubramaniam, S., 771 Baretich, M. F., 845 Barkin, R. M., [let] 529 Bellairs, E. E., 155 Bellian, K. T., 325 Bentrem, D. J., 825 Benzian, J., 225 Bettock, D., 627 Beveridge, R. C., 853 Bhisitkul, D. M., 767 Bigoni, M., 5 Bill, T. J., 819 Binkin, N. J., 737 Blackwell, B., 753 Bosse, G. M., 179 Bostwick, T. L., 473 Bradley-Springer, L., 95 Brady, W., 27 Brent, J. A., 57 Brody, A. J., 833 Brogan, G. X., 199 Bromberg, W. J., 681 Browning, R. G., 485 Brunet, M. E., 225 Bukowski, E. M., 447 Burke, M. K., 473 Burton, B. T., 795 Bush Jr., W. H., 603
Calb, G., 5 Cantor, J. C., 89
Causey, A. L., 331 Chadwick, P., [let] 529 Challoner, K. R., 347 Cheng, T. O., [let] 389 Cherington, M., 39 Chiba, S., 789 Ciotoli, M., 15 Clark, R. F., 49, [ ed] 233,745 Clum III, W. B., 771 Cohen, A., 627 Cohen, M., 593 Combs, A. H., 633 Cooling, D., 199 Counselman, F. L., 167 Cox, M. J., 11 Crofts, N. G., 409
D’Amore, T. F., 467 Danisa, O., 159 Day, J. S., 753 de Boer, J., 361 De Carli, G., 737 DeBehnke, D. J., 27 DeMouy, E. H., 225 Derlet, R. W., 1 Detmer, D. E., 753 Dreier, S., 811 Ducharme, J., 853,855 Dunn, J. D., [let] 843
Edlich, R. F., 11,69, 159,249, 325, 645,681,819,825,839
Edraki, B., 481 Eggen, J. T., [let] 235 Ehrhardt, M., 545 Eielsen, 0. V., 213 Eisenhauser, M., 709 Epperson, M., 217
Fairweather, P., 199 Fersini, C., 5 Fish, R., 545, [ed] 691,703
Foresman, P. A., 11,645 Fortlage, D., 217
Gallagher, E. J., 199, [ed] 525 Gallerani, M., 5 Gennis, P., 199 Gilbert, J. A., 615 Giometi, R., 485 Girard, J. V. J., 409 Glauser, J., 307 Goldner, F., 139 Goldstein, E., 199 Gomez, H. F., 57 Gonzalez, J. M., 155 Gorchynski, J., 533,693 Graham-Pole, J., 407, 553 Guss, D. A., 375,491,745
Hallagan, L. F., 23 Hamilton, G. C., 81,237,391,533,69 Hammarskjtild, M.-L., 825 Handa, R. J., 767 Hansen, D. G., 347 Harboe, S., 213 Harris, C. N., 467 Hastings, 0. M., 307 Head, K. C., 95 Hebel, G. A., 207 Herd, A. M., 409, 849 Hew, P., 43 Himel, H. N., 159,325,819 Hirschenstein, E., 43 Hoang, K. D., 507 Hobbs, G. D., 143 Hollander, J. E., 199 Hollander, J. L., 447 Hood, R. L., 171 Hooker, E. A., 447 Hoyt, D. B., 217 Huff, J. S., 521 Huff, J. S., [br (2)] 127, [br (2)] 423,
[br] 577, [br] 877
xx
Index XXI
Hunter, J. J., 299 Hutson, H. R., 385 Hutton, K. C., 207,217
Ichimiya, N., 33 Imaizumi, H., 33,789 Ionides, S. P., 767 Ippolito, G., 737 The Italian Study Group on Gccupa-
tional Risk of HIV Infection, 737 Iwama, H., 441
Jacoby, I., 811 Jagger, J., 753 Jagoda, A., 803 Jehle, D., 15 Jerez, E., 89 Jorden, R. C., [let] 235 Jwayyed, S., [br] 125
Kaneko, K., 225 Kaneko, M., 789 Kanowitz, A., 207 Keating, M. A., [let] 531 Keeler, M. L., 231 Kelen, G. D., 321, 621 Kelly, A.-M., 593 Kelly, T. M., 193 Kharazi, H., 597 King, J. W. R., 113 Kline, J. A., 665 Koenig, K. L., 187 Kothari, R. U., [br] 577 Krug, S. E., [let] 530
Lacqua, M. J., 607 Laurent, L., 597 Lechin, A. E., 63 Lee, L. M., 409 Leeper, K. V., 485 Leonard, R. B., 783 Lev, R., 49,499 Lindsey, D., [let] 531 Lipton, J. D., 343 Lloyd, S., 559 Love, J. N., 799 Lowenstein, S. R., 353 Lozano, M., 199 Ludwig, L., 849 Lynch, M. T., 325 Lyon, C., [let] 77
Mabee, J. R., 473,651 Mader, T. J., 779 Mallon, W., 385 Manfredini, R., 5 Mariani, P. J., 477 Markham, M., 81, 237
Marshall, R., 139 Martin, R. A., 481 Martinson, L., 207 Martorano, F. J., 39 McArthur III, C. L., 533,693 McCoy, N., 811 McGirr, J. G., 795 McGovern, E. E., 825 McKinney, P., 57 Merigian, K. S., 485 Mervart, M., 307 Mikkelsen, H., 213 Miller, B., 627 Miller, F. B., 447 Milne, L. W., 299 Mimmack, R. F., 57 Mines, D., 103 Morgan, R. F., 159 Morrow, C. T., 621 Moscati, R., 15 Moss, S. T., 745 Munoz, D. C., 57 Murphy, D., 709
Namiki, A., 33 Neal, J. M., [let] 78 Neuman, T. S., 147,207 Nguyen, S. S., 771 Noordzij, J. P., 645 Norris, R. L., 481
Okamoto, T., 33 Otten, E. J., [br] 273, [br] 578,
[ br] 723, [ br] 877
Papirmeister, B., 159 Park, L. J., 485 Park, S. J., 159 Parry, S. W., 467 Pasin, M., 5 Pearson, M. R., 783 Pearson, R. D., 753 Perez, J., 795 Phillips, S., 57 Phreaner, D., 811 Pit-Aluas, L., 633 Plumhoff Wellford, L. A., 193 Pollack Jr., C. V., [ed] 75, [br] 425,
507,615 Pollack, E. S., 331,615 Pope, T. M., 179 Powers, R. D., 753 Pratts Jr., M. J., 385 Press, S., 89 Puro, V., 737
Quinn, J. V., 645
Reich, N. T., 15 Restifo, K. M., 321 Reynolds, S. L., 767 Richards, D., 593 Ritvo, J., 57 Rivas, J., 143 Rodeheaver, G. T., 11,645 Rodman, D., 353 Romano, V. A., 369 Rooke, C., 533,693 Ros, S. P., 767 Rose, J. S., 187 Rosen, P., [ed] 73,207,217,299,499,
[ed] 690,745 Rourke, J. T. B., 107 Ruddy, R., [br] 424 Ruhl, C. M., 11, 159 Ruiz, E., 845 Runge, J. W., 665 Russell, S. A., 89
Soreide, E., 213 Sahdev, P., 607 Saincher, A., 555 Sakles, J. C., [br] 579 Salmi, R., 5 Sanchez, R., 597 Sand, I. C., 803 Sanders, K. C., 771 Santos, L. J., 633 Scallion, R., 463 Schwartz, M., 353 Serio, A., 627 Shannon, S., 559 Sharma, S., 477 Shinohara, K., 441 Shukla, P. C., 293 Sidell, F. R., 159 Siebuhr, L., 39 Sklar, D., 95 Smedvig, J. P., 213 Smith, D. E., 347 Smith, M., 23 Smith, R. M., 147 Starling, S., 19 Sternbach, G. L., 61, 155, 833 Stieg, R. L., 39 Stone, C. K., 657 Streiner, D., 559 Sweetland, R. J., 409 Swirsky, N., 555
Tase, C., 441 Taylor, A. S., 255 Tenenbein, M., 555 Terndrup, T. E., 453 Thode, H. C., 199 Thomas, S. H., [let] 78, 657
XXII The Journal of Emergency Medicine
Thomas, W. O., 467 Thomason, M. H., 343 Toffol, G. J., 369 Tom, P. A., 621 Totten, V. Y., 43 Tseng, C.-C., 1 Tsunoda, K., 33 Tueth, M. J., 685
Ujike, Y., 789 Urbancic, J. H., 11
Van Hoesen, K. B., 147 Vande Krol, L., 285 Varon, J., 61,63, [br] 126, 155,633,
[br] 724, 833
Veenema, K. R., 317 Vilke, G. M., 217 Voelker, C. L., 331 Volk, M. A., 307 Vukich, D., 803
Wahl, N. G., 331 Wakabayashi, Y., 603 Waldman, M., 707 Walker, A. T., 597 Walls, R. M., [ed] 74,
[ed] 689 Wei, J. P., 19,463 Weissman, B. N., 597 Williamson, D. S., 597 Wolf, L. R., 391
Yarnell, P. R., 39 Yaron, M., 845 Yealy, D. M., 143 Young, R. A., [let] 389
[ br] 274, Zaatari, A. M., 611 Zamani, A., 597 Zura, R. D., 11
Wolfe, R., 285 Woodall, B. N., 331 Woolard, D. J., 453
Keyword Index Volume 12
abdominal pain, 19,33 1,779 abdominal trauma, 343 accidents, 737 acute atelectasis, 23 acute gastrointestinal bleeding, 5 acute inflammatory dymelinating polyradiculopathy (AIDP),
833 acute rheumatic fever, 665 adrenergic beta receptor blockaders, 799 adult respiratory distress syndrome (ARDS), 63 adult T-cell leukemia/lymphoma, 825 advanced cardiac life support ( ACLS), 187 advanced life support education, 107 adverse effects, 477 AIDS, acquired immune deficiency syndrome, 375,491 airway compromise, 795 airway injury, 23 akathisia, 685 alkaline corrosive, 23 ALS Update Course, 107 amitriptyline, 57 amputation, 611 analgesia, 855 analgesics, 453 anesthesiology, 213 angina, 199 anoxic brain damage, 285 antibiotics, 611 antidepressant, 685 antidote, 555 antigen detection test, 665 antihypertension, 139 anti-mitotic, 171 arterial gas embohsm, 147 arthritis, 33 1 artillery shell, 159 ascites, 48 1 attending physicians, 89 automatic shoulder harness, 3 17
bacterial growth, 11 basic cardiac life support (BCLS), 187 benign early repolarization, 207 beta blocker intoxication, 799 bladder, 411 bromocriptine, 43 burn, 33,819 burnout, 559 burns, 159,325
capnography, 633,771 capnometry, 633,771 cardiac 789 arrest, cardiac monitoring, 207 cardiology, 533,693 cardiopulmonary resuscitation ( CPR), 187,627,789 cardiovascular response, 499 CDC guidelines, 95 central vein injection, 795 central venous cannulation, 607 cerebral contusions, 849 cerebral hemorrhage, 521 cerebral infarction, 521 cerebellar disease, 52 1 cerebrospinal fluid, 833 cervical spine injury, 285 charcoal, 57 chest trauma, 321 chest tubes, 477 children, 453 chlorpromazine, 849 chronobiology, 5 circadian rhythm, 5 clavicular dislocation, 783 cocaine, 1, 199,485 colchicine, 17 1 colon, 779 compartment syndrome, 467,473,651 complications, 453,477,607 computed tomography, 597 continuing medical education (CME), 107 continuous ambulatory peritoneal dialysis, 155 continuous cyclical peritoneal dialysis, 155 cornstarch, 11 coronary artery, 193 cough, 627 cough-CPR, 627 crack cocaine, 485 craniotomy, 369 crossmatch, 447 crystalloid, 803 CT scan, unenhanced, 597 curriculum, 255 cyanide, 555
dantrolene, 43 dapsone overdose, 347 D-chiro-inositol, 681 death, 1
XXIII
decompression, 147 depression, 559 detonator, 159 dexamethazone, 507 dextrose, 803 diabetes, 819 diabetes mellitus, 139 diagnostic failure, 225 digoxin overdose, 179 digoxin-specific Fab antibody fragments, 179 digoxin toxicity, 179 dihydroergotamine, 657 disaster medicine, 811 disaster planning, 811 disaster preparedness, 811 dissection, 193 diverticulitis, 779 dopamine, 43 drive-by shootings, 385 drug abuse, 795 drug therapy, 855
early repolarization, 199 education, 393,533,693 elderly, 811 electrocardiogram, 199,207 emergency, 321 emergency cardiac care, 187 emergency department, 89 emergency department treatment, headache, 657 emergency department utilization, I 5 emergency medical services, 213, 855 emergency medicine, 8 1,237 emergency medicine CME, 107 emergency medicine objectives, 393, 533, 693 emergency physicians, 559 emergency service, 737 emergency service, hospital, 845 emergency trauma, 65 1 emphysema, subcutaneous, 603 end-tidal carbon dioxide detection, 771 end-tidal CO*, 633 endorphins, 767 epidural block, 441 epiglottitis, 213 equestrian injuries, 143 equipment failure, 477 equipment organization, 845 esophageal hiatal hernia, 299 esophageal intubation, 771 ethical issues, 95 etiology, 477 excess risk, 745 expert, 545, 703
facility design and construction, 845 falx syndrome, 369 fever, 49 Fitz-Hugh-Curtis syndrome, 167
XXIV The Journal of Emergency Medicine
flaccid paraplegia, 789 fluoxetine, 685 forearm, 467 fracture carpal bones, 709
gang-related homicide, 385 gastric volvulus, 299 gastrointestinal bleeding, 331 Glasgow Coma Scale, 285 glucocorticoid steroids, 507 goals, 255 gout, 171 Guillain-Barre syndrome, 833
hand, 467 hanging, 285 haptoglobin, 33 head trauma, 849 headache, 657,849 health measures/preparedness, 361 heating pad, 819 Heimlich valve, 477 helicopter, 217 hematoma, 369 hemoconcentration, 147 hemoglobin, 33 Henoch-Schiinlein, 33 1 Hepatitis B, 753 Histoacryle blue, 645 HIV, 375,491,753 HIV-infected health care worker, 95 HIV seroprevalence, 737 home health care, 811 horse injuries, 143 host defenses, 11 human T-cell lymphotrophic virus type I-II, 825 hydrocortisone, 507 hydrothorax, 155 hypotension, 447,481, 621
imaging, 369 infection, 611,645 informed consent, 95 injuries, 27 insulin, 68 1 interior design and furnishings, 845 internal medicine, 81, 237 interpleural block, 441 intestinal obstruction, 57 intestinal perforation, 57 intracranial pressure, 499, 597 intraocular pressure, 499 intraperitoneal, 411 intravenous hypertonic saline, 473 intubation, 499 intubation, intratracheal, 77 1 intussusception, 767 iodine prophylaxis, 361 ischemic spinal cord injury, 789 isolated intoxication, 411
job satisfaction, 559
labelling, 325 legal issues, 95 liability, 89 licensing, 8 11 lidocaine, 499 life satisfaction, 559 lightning injuries, 39 lithium, 49 local anesthesia, 593 lumbar puncture, 597
magnetic resonance T,-weighted imaging, 789 Mallory-Weiss tear, 463 malpractice claims, 89 mediastinal widening, 607 methemoglobinemia, 347 methyl prednisolone, 507 methylene blue, 347 microtubules, 17 1 migraine, 657 model rocket engine, 325 motor vehicle accident, 321 multifocal, 353 multiple trauma, 343 myocardial infarction, 199 myo-inositol, 681
nasotracheal intubation, 217 N-butyl-2-cyanoacrylate, 645 neck trauma, 307 necrotizing fasciitis, 611 needlestick, 745 negligence, 545,703 nephritis, 331 neuroleptic malignant syndrome, 43,49 neuroleptics, 43 neuropathy, 833 nifedipine, 1 nimodipine, 1 noncardiogenic pulmonary edema, 63 non-insulin-dependent diabetes mellitus, 681 nuclear accident or disaster, 361
objectives, 81,237, 255 occupational, 737 occupational exposures, 753 orotracheal intubation, 217 orthostasis, 139 ovarian hyperstimulation syndrome, 48 1 overdose, 485, 555
pain, 453, 593, 855 pain assessment, 855 pain control, 441 paraesophageal, 299 paralysis, 833 patient census, 15
pediatric firearm injury, 385 pelvic inflammatory disease, 167 penicillin, 665 perforated peptic ulcer, 167 perihepatitis, 167 plain radiograph, 255 playing field, 39 pleural effusion, 155 pneumothorax,477,603 poisoning, 171,485, 555 polypropylene, 645 posterior sternoclavicular dislocation, 783 pregnancy, 343 pregnancy tests, 343 pregnancy tubal, 343 prehospital care, 207, 803 prevention, 8 19 primary, 193 primary osteomyelitis, 293 prochlorperazine, 657 propylhexedrine, 795 Prozac, 685 pulmonary barotrauma, 147 pulmonary edema, 63 puncture wound, 745 purpura, 33 1
quadriceps, 225 quality, 545, 703
recurrent digoxin overdose, 179 reduce risks, 39 regional anesthesia, 441,473 renal failure, 33 residents, 81, 237, 393, 533,693 respiratory distress, 63 resuscitation, 187 review, 499 rib cage trauma, 441 Richter’s hernia, 463 right to work, 95 risk, 737 risk management, 89 rupture, 411
salpingitis, 167 scaphoid fracture, 709 screen, 447 scrotum, 603 seatbelts, 317, 321 sedatives, 453 seizures, 1 sensory deficits, 19 serotonin, 43 serotonin syndrome, 43 sharps, 745 sigmoid diverticulitis, 779 significant risks, 95 small bowel obstruction, 463
XXVI
soft tissue, 611 somatosensory-evoked potentials (SEP), 789 spina bifida, 819 spontaneous, 193 sports-related injuries, 143 ST segment, 207 staffing, 15 standard, 545,703 Staphylococcus aureus, 293 stercolith, 57 sternal fracture, 321 sternoclavicular dislocation, 783 sternum, 293 strangulation, 3 17 streptococcal pharyngitis, 665 stroke, 307, 521 suicide, 285, 685 sulfur mustard, 159 sumatriptan, 657 surgical gloves, 11 suture, 645 syringomyelia, 19
tachycardia, 353 technetium bone scan, 709 tendon rupture, 225 tension pneumothorax, 477 therapy, 477 thoracentesis, 155 thoracic outlet injury, 783 throat culture, 665 thrombolysis, 199, 467
The Journal of Emergency Medicine
Tilt Test, 139 tissue adhesive, 645 toxicity, 485 toxicology, 393 training, 81,237, 533, 693 transfusion, 447 trauma, 217,321,369,447,603,607 trauma complications, 651 treatment, 353 trilafon, 49 tropical spastic paraparesis, 825 type, 447
universal precautions, 753 urinalysis, 33 utilization, 545,703 uveitis, 615
ventilators, 811 ventricular dysrhythmia, 627 verapamil, 621 vertebral artery, 27 vertebral artery dissection, 307 vertibrobasilar system, 307 violent street gangs, 385 Vogt-Koyanagi-&rada syndrome, 615 volume depletion, 139
weakness, 833 wound healing, 645 wounds, 27,593 wounds and injuries, 709