Practical Summaries in Acute Care Archives – July 1, 2004
July 1, 2004
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Code Stroke Protocol
This retrospective review, performed at Carolinas Medical Center, a large, community teaching hospital with an annual ED census of more than 100,000, looked at its experience with intravenous tPA for stroke during a 56-month time period and compared its experience with that of the National Institute of Neurological Disorders and Stroke trial. -
Septic Joint Difficult to Exclude by Laboratory Tests
The aim of this retrospective case series was to determine the sensitivities of three commonly obtained laboratory tests often used to determine the likelihood that a septic joint is the cause of an acute monoarticular arthritis. -
Fluoroquinolone-Resistant Gonorrhea on the Rise: Exposure History is Critical
The Centers for Disease Control and Prevention support ongoing surveillance of antibiotic susceptibilities of Neisseria gonorrhea isolates obtained from individuals presenting to sexually transmitted disease clinics in multiple U.S. locations. -
BNP: A Hearty Diagnostic Complement to the Chest Film in Heart Failure
To evaluate the complementary roles of beta-type natriuretic peptide and chest x-ray in the evaluation of congestive heart failure, Knudsen and colleagues studied an international cohort of emergency department patients with acute dyspnea. -
Special Feature: Radiologic Hazards and Acute Radiation Exposure
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. -
ECG Review: Chest Pain in a 21-Year-Old
The electrocardiogram 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°. There is no sign of chamber enlargement. The most remarkable finding on this tracing is the presence of subtle but real ST segment elevation in multiple leads including I, II, aVF, and V2 through V6. -
Trauma Reports Supplement