Management of traumatically injured patients in the emergency department observation unit

Emergency Medicine Clinics of North America

Volumn 19, Issue 1, 2001, Pages 137-154

  Welch, Robert D ^a,b  

^a TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b DETROIT RECEIVING HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DIAGNOSTIC TEST; EMERGENCY WARD; HEALTH SERVICE; HOSPITAL DISCHARGE; HUMAN; INJURY; OBSERVATION; PATIENT MONITORING; PRIORITY JOURNAL; REVIEW;

EID: 0035145645     PISSN: 07338627     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0733-8627(05)70172-3     Document Type: Article

References (107)

1. Improved detection of cardiac contusion with cardiac troponin I
2. Hollow visceral injury and blunt trauma
3. Role of the observation unit in the management of thoracic trauma
4. Evaluation of the patient with blunt abdominal trauma: An evidence based approach
5. Evaluation of clinical data by remote observation in trauma
6. Cardiac enzymes are irrelevant in patients with suspected myocardial contusion
7. Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: The advantage of diagnostic peritoneal lavage over abdominal computerized tomography
8. The indeterminate abdominal sonogram in multisystem blunt trauma
9. A prospective study of emergent abdominal sonography after blunt trauma
10. Emergent abdominal sonography (EAS) as a screening test in a new diagnostic algorithm for blunt trauma
11. Ultrasound based key clinical pathway reduces the use of hospital resources for the evaluation of blunt abdominal trauma
12. Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma
13. Management of the asymptomatic patient with stab wound to the chest
14. Mild traumatic brain injuries in low-risk trauma patients
15. Abdominal injuries without hemoperitoneum: A potential limitation of focused abdominal sonography for trauma (FAST)
16. Nonoperative management of gunshot wounds of the abdomen
17. The role of an emergency department observation unit in the management of trauma patients
18. Trauma 24-hour observation critical path
19. Does free fluid on abdominal computed tomographic scan after blunt trauma require laparotomy?
20. Blunt and penetrating trauma: Has anything changed?
21. Neurosurgical complications after apparently minor head injury
22. Indications for operation in abdominal stab wounds: A prospective study of 651 patients
23. The management of penetrating injuries of the back: A prospective study of 230 patients
24. Selective nonoperative management of gunshot wounds of the anterior abdomen
25. Myocardial contusion in the stable patient: What level of care is appropriate?
26. Compelling evidence for discretionary brain computed tomographic imaging in those patients with mild cognitive impairment after blunt trauma
27. The role of neuroimaging in the initial management of patients with minor head injury
28. A prospective, randomized comparison of computed tomography with conventional diagnostic methods in the evaluation of penetrating injuries to the back and flank
29. Abdominal trauma, including indications for celiotomy
30. Use of an observation ward in a community hospital
31. Blunt myocardial injury
32. Circulating troponin T in myocardial contusion
33. Postconcussive hospital observation of alert patients in a primary trauma center
34. DRGs and the "negative" trauma workup
35. The asymptomatic patient with suspected myocardial contusion
36. 2-D echocardiography: Emergent use in the evaluation of penetrating precordial trauma
37. An evaluation of serum troponin T and signal-averaged electrocardiography in predicting electrocardiographic abnormalities after blunt chest trauma
38. An emergency department-based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: Results of a randomized study (ROMIO)
39. The utility of cardiac evaluation in the hemodynamically stable patient with suspected myocardial contusion
40. Significance of intra-abdominal extraluminal air detected by CT scan in blunt abdominal trauma
41. A prospective evaluation of abdominal ultrasound in blunt trauma: Is it useful?
42. A prospective evaluation of 68 patients suffering blunt chest trauma for evidence of cardiac injury
43. The use of an emergency department observation unit in the management of abdominal trauma
44. Triple-contrast CT scans in penetrating back and flank trauma
45. Emergency department ultrasound in the evaluation of blunt abdominal trauma
46. Computed tomography for evaluating blunt abdominal trauma in the low-volume nondesignated trauma center: The procedure of choice?
47. Penetrating chest trauma
48. Role of three hour roentgenogram of the chest in penetrating and nonpenetrating injuries of the chest
49. Prospective trial of the six hour rule in stab wounds of the chest
50. Stab wounds to the back and flank in the hemodynamically stable patient: A decision algorithm based on contrast-enhanced computed tomography with colonic opacification
51. Minor head injury
52. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: Results of a prospective, multi-institutional trial
53. Prospective analysis of a rapid trauma ultrasound examination performed by emergency physicians
54. Acute hospital costs of trauma in the United States: Implications for regionalized systems of care
55. A meta-analysis of blunt cardiac trauma: Ending myocardial confusion
56. Cardiac troponin T release in multiply injured patients
57. The national traumatic coma data bank: II. Patients who talk and deteriorate: Implications for treatment
58. Abdominal trauma
59. Penetrating abdominal trauma
60. Skull x-ray examinations after head trauma: Recommendations by a multidisciplinary panel and validation study
61. Blunt cardiac injury (formerly termed "myocardial contusion")
62. Echocardiography performed by emergency physicians: Impact on diagnosis and therapy
63. Prediction of injury caused by penetrating wounds to the abdomen, flank, and back
64. Comparison between emergency department diagnostic and treatment unit and inpatient care in the management of acute asthma
65. Evaluation of computed tomography and diagnostic peritoneal lavage in blunt abdominal trauma
66. The role of abdominal CT in the evaluation of stab wounds to the back
67. Intracranial injury following minor head injury
68. Utilizing clinical factors to reduce head CT scan ordering for minor head trauma patients
69. The utility of head computed tomography after minimal head injury
70. Role of echocardiography in the diagnosis of occult penetrating cardiac injury
71. Ultrasound in the evaluation and management of blunt abdominal trauma
72. Early detection of myocardial contusion and its complications in patients with blunt trauma
73. Asymptomatic stab wounds of the chest
74. New diagnostic peritoneal lavage criteria for diagnosis of intestinal injury
75. Diagnosis of myocardial contusion
76. A prospective controlled study of outcome after trauma during pregnancy
77. Blunt trauma during pregnancy
78. Emergency department echocardiography improves outcome in penetrating cardiac injury
79. Use of ultrasound to determine need for laparotomy in trauma patients
80. Blunt trauma to the heart and great vessels
81. The role of CT scan in evaluation for laparotomy in patients with stab wounds of the abdomen
82. Practical selection criteria for noncontrast cranial computed tomography in patients with head trauma
83. A prospective evaluation of radiologic criteria for head injury patients in a community emergency department
84. Costs of an emergency department-based accelerated diagnostic protocol vs. hospitalization in patients with chest pain: A randomized controlled trial
85. Abdominal stab wound protocol: Prospective study documents applicability for widespread use
86. Myocardial contusion
87. Ultrasound as used in thoracoabdominal trauma
88. The role of ultrasound in patients with possible penetrating cardiac wounds: A prospective multicenter study
89. Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients
90. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment
91. Reliability of home observation for victims of mild closed-head injury
92. Focused assessment with sonography for trauma (FAST): Results from an international consensus conference
93. A prospective study to identify high-yield criteria associated with acute intracranial computed tomography findings in head-injury patients
94. Selective management of abdominal stab wounds: Importance of physical examination
95. Delayed diagnosis of subdural hematoma following normal computed tomography scan
96. Is routine computed tomography scanning too expensive for mild head injury
97. The value of computed tomographic scans in patients with lowrisk head injuries
98. Minor head injury: A proposed strategy for emergency management
99. A clinical decision rule for the use of CT head in patients with minor head injury
100. Variation in ED use of computed tomography for patients with minor head injury
101. Can patients with minor head injuries be safely discharged home?
102. Evaluation of pregnant women after blunt injury
103. Blunt cardiac injury: A 10 year institutional review
104. A selective approach to the management of gunshot wounds to the back
105. Management of asymptomatic patients following stab wounds to the chest
106. Summarycase studies
107. Hypotension after blunt abdominal trauma: The role of emergency abdominal sonography in surgical triage