ABSTRACT
Reflex sympathetic dystrophy is becoming increasingly recognized in the pediatric population, yet there is very little about the disease in standard pediatric texts and nothing in the emergency medicine literature. Failure to diagnose Reflex sympathetic dystrophy in a timely fashion greatly decreases the likelihood of recovery. The diagnosis is primarily clinical. This report is intended to increase emergency physicians' awareness of this painful, disabling problem.
Subject(s)
Reflex Sympathetic Dystrophy , Child , Humans , Reflex Sympathetic Dystrophy/diagnosis , Reflex Sympathetic Dystrophy/etiology , Reflex Sympathetic Dystrophy/physiopathology , Reflex Sympathetic Dystrophy/therapyABSTRACT
Although many authorities define a "mass gathering" as a group exceeding 1,000 persons, several times that number likely are to be present. The event for which the group will gather may be anything from a rock concert to an Olympic competition. Preparations for the event can be minor or major. This article reviews the issues that a physician should consider if he or she chooses to become involved in the delivery of medical care to such populations, as well as the evidence suggesting that a physician should be involved in most such gatherings. Emergency medical care at public gatherings is haphazard at best and dangerous at worst. There are surprisingly few data from which to plan the emergency medical needs for public events and no recognized standards or guidelines for providing emergency medical services at mass public gatherings.
Subject(s)
Emergency Medical Services/organization & administration , Mass Behavior , Physician's Role , Public Health , Humans , Music , Sports , United StatesABSTRACT
In recent years it has become increasingly apparent that cough is frequently the sign of airway hyperreactivity. While the association between cough and wheezing is well recognized in asthmatics, cough may be the only clinical manifestation of this problem. Emergency physicians frequently have occasion to evaluate the coughing patient. Awareness of this clinical entity should facilitate appropriate evaluation, management, and referral of these patients.
Subject(s)
Asthma/complications , Cough/etiology , Airway Obstruction/etiology , Asthma/diagnosis , Asthma/drug therapy , Bronchodilator Agents/therapeutic use , Child , Humans , Lung Volume MeasurementsSubject(s)
Nifedipine/adverse effects , Theophylline/blood , Drug Interactions , Humans , Male , Middle AgedABSTRACT
Presented is a case of idiopathic priapism that was successfully treated with inhalation of amyl nitrite. Routine treatment measures had failed. The same patient presented on several other occasions in a similar fashion. Each time amyl nitrite was successful. An investigation for diseases known to be associated with priapism proved negative. Due to the frequency of recurrences, definitive surgical management was offered. The patient refused and has been lost to follow up.
