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  1. Article: A Rotated and Laterally Displaced Patellar Dislocation.

    Frankel, Samuel / Bux, Michael / Schloss, Daniel / Ilkhanipour, Kaveh / Yates, Adam

    The Journal of emergency medicine

    2020  Volume 59, Issue 1, Page(s) 121–124

    Abstract: Background: Patellar dislocations are a common orthopedic emergency with several variants. The rarer variants include rotational dislocations. These often require open reduction in the operating room.: Case report: We report on a case of a combined ... ...

    Abstract Background: Patellar dislocations are a common orthopedic emergency with several variants. The rarer variants include rotational dislocations. These often require open reduction in the operating room.
    Case report: We report on a case of a combined rotational and lateral patellar dislocation in a young female. We suspected and made the diagnosis of a rotational dislocation after initial unsuccessful attempts at reduction under sedation. With the assistance of our orthopedic colleagues, we were able to perform a reduction of this patient's patella under sedation in the emergency department. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Awareness of uncommon patellar dislocations is an important area of knowledge for the emergency physician. A thorough understanding of indications and contraindications to closed reduction is important for efficient and safe management and disposition. Collaboration with orthopedic surgery colleagues is another important step in the evaluation of these patients.
    MeSH term(s) Anesthesia ; Emergency Service, Hospital ; Female ; Humans ; Joint Dislocations ; Patella ; Patellar Dislocation/diagnosis ; Patellar Dislocation/surgery
    Language English
    Publishing date 2020-05-23
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2020.04.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1895: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Prevalence of Staphylococcus aureus nasal colonization in emergency department personnel.

    Suffoletto, Brian P / Cannon, Eliot H / Ilkhanipour, Kaveh / Yealy, Donald M

    Annals of emergency medicine

    2008  Volume 52, Issue 5, Page(s) 529–533

    Abstract: Study objective: Nasal colonization with Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA) can precede infection in patients and contacts. Although general population S aureus/MRSA rates are well described, the prevalence of S ...

    Abstract Study objective: Nasal colonization with Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA) can precede infection in patients and contacts. Although general population S aureus/MRSA rates are well described, the prevalence of S aureus and MRSA nasal colonization in emergency department health care workers is not defined. We seek to determine the prevalence of S aureus and MRSA nasal colonization among ED health care workers without evidence of an active site of staphylococcal infection and identify variables associated with colonization.
    Methods: We prospectively studied a convenience sample of ED health care workers from 5 urban teaching hospitals in Pittsburgh, PA. Each participant completed a questionnaire and nasal culturing. We tested susceptibility with the oxacillin disc diffusion method. We analyzed data with descriptive statistics and univariate regression, with alpha set at 0.05.
    Results: Of 255 subjects, 23% were physicians; 62% were nurses, nursing assistants, or patient care technicians; and 15% were clerical staff or social service workers. Of 81 (31.8%) S aureus isolates, 11 (13.6%) were MRSA, an overall prevalence of 4.3%. All positive MRSA samples were from nurses, nursing assistants, or patient care technicians. No other covariate had an association with S aureus or MRSA colonization.
    Conclusion: In this urban ED health care worker population, the prevalence of S aureus is similar but MRSA nasal colonization is higher than previously reported estimates in the general population of the United States. Physicians and nonpatient contact ED health care workers did not have MRSA colonization.
    MeSH term(s) Adult ; Emergency Service, Hospital ; Female ; Humans ; Male ; Methicillin Resistance ; Middle Aged ; Nasal Mucosa/microbiology ; Pennsylvania ; Personnel, Hospital ; Prevalence ; Prospective Studies ; Staphylococcus aureus/isolation & purification ; Surveys and Questionnaires
    Language English
    Publishing date 2008-11
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2008.03.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1344: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Combining clinical risk with D-dimer testing to rule out deep vein thrombosis.

    Ilkhanipour, Kaveh / Wolfson, Allan B / Walker, Heather / Cillo, Jason / Rolniak, Susan / Cockley, Pamela / Mooradian, David / Kaplan, Sandra

    The Journal of emergency medicine

    2004  Volume 27, Issue 3, Page(s) 233–239

    Abstract: We sought to determine whether the combination of low-intermediate clinical risk of acute lower extremity deep vein thrombosis (DVT) and negative ELISA D-dimer assay can eliminate the need for duplex ultrasonography. Three hundred thirty-six patients ... ...

    Abstract We sought to determine whether the combination of low-intermediate clinical risk of acute lower extremity deep vein thrombosis (DVT) and negative ELISA D-dimer assay can eliminate the need for duplex ultrasonography. Three hundred thirty-six patients prospectively underwent clinical risk stratification (low, intermediate, and high), D-dimer testing, and duplex ultrasonography. Thirteen of 145 intermediate-risk patients had acute DVT; 11 (85%) had a positive D-dimer. Two of 118 low-risk patients had acute DVT; both had a positive D-dimer. Intermediate-high risk stratification alone had sensitivity of 93.9% (95% CI: 80.3-98.3%) and a NPV of 98.3% (95% CI: 94.0-99.5%) for acute DVT. For all patients, a positive D-dimer alone had a sensitivity of 93.9% (95% CI: 80.3-98.3%) and a NPV of 98.6% (95% CI: 95.1-99.6%). The combination of D-dimer and intermediate-high risk classification had a sensitivity of 100% (95% CI: 89.4-100%) and a NPV of 100% (95% CI: 98.9-100%). In suspected acute lower extremity DVT, the combination of intermediate-high clinical risk and positive D-dimer has a high sensitivity and NPV, possibly eliminating the need for duplex ultrasound in this group of patients.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Edema/diagnosis ; Emergency Service, Hospital ; Enzyme-Linked Immunosorbent Assay ; Female ; Fibrin Fibrinogen Degradation Products/analysis ; Humans ; Male ; Middle Aged ; Pain/diagnosis ; Predictive Value of Tests ; Prospective Studies ; Risk Factors ; Sensitivity and Specificity ; Venous Thrombosis/diagnosis
    Chemical Substances Fibrin Fibrinogen Degradation Products ; fibrin fragment D
    Language English
    Publishing date 2004-10
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2004.04.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1895: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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