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Biomedical subjects

G V Anderson

Publications and source records attributed to G V Anderson.

18 recordsLinked to original sources
PubMed1988

Pneumomediastinum as a complication of "crack" smoking.

Three cases of pneumomediastinum related to smoking cocaine in the form of "crack" are presented. The patients complained of chest or neck pain occurring 1 to 6 hours after smoking crack. All three did not immediately divulge a history of cocaine use. There was spontaneous resolution of pneumomediastinum in every case, and the creation of pneumomediastinum appeared to be directly related to the route of drug use. The abuse of crack and the mechanism of spontaneous pneumomediastinum are discussed.

Adult↗
PubMed1988

Exsanguinating hemorrhage from peripheral varicosities.

A 48-year-old woman presented to the emergency department in cardiovascular collapse after the onset of spontaneous bleeding from a noninflamed, nontraumatized varicose vein of the lower extremity. Despite successful immediate resuscitation she later succumbed to the sequelae of hemorrhagic shock. There was no evidence of coagulopathy or coagulation defect. No cardiovascular disease was found on autopsy. Although not common, spontaneous rupture of peripheral varicosities occurs often enough to be of concern. The pathologic lesions have been classified as acute and chronic, with acute lesions occurring in otherwise normal skin. Exsanguination from this source is not mentioned in standard texts, and only 27 cases have been reported in the literature.

Emergencies↗
PubMed1988

Where we've been, where we are, and where we're going: emergency medicine--past, present, and future.

The challenge to emergency medicine for the future is to maintain the intensity of attraction and appeal that the specialty currently enjoys through the next decade and beyond. This will only be accomplished by attracting some of this bright young talent into full-time academic emergency medicine for research and teaching activities. Currently there are unfilled academic positions in the department at LAC/USC Medical Center and across the country in emergency medicine. This is because the salaries are not competitive, and most physicians completing their residencies with indebtedness for their education have the need of high income for a period after residency training. However, few return to academic medicine after becoming accustomed to a higher standard of living. This trend must change if we are to maintain the cutting edge of clinical emergency medicine and become the academic equivalent of the other specialties. The 12 physicians who founded ABEM, and especially the remaining six founding members who will be leaving the Board in a few days, feel honored that you selected us to serve. I am deeply grateful that you selected me to give the Kennedy Lecture, though I must admit to moments of anxiety and panic these last few weeks and days. Also, I would like to thank all the candidates for Board certification whom it was my privilege to examine during a delicate and stressful moment of their professional lives. It is really they who make the job worthwhile. Hopefully, we have laid a good foundation so that we can legitimately say the "ball" is yours now, "run with it."

Career Choice↗
PubMed1979

Prospective vs retrospective data for evaluating emergency care: a research methodology.

Emergency department records and patient charts do not provide enough or sufficiently detailed data for audit of quality of care in a high volume emergency department. As a solution, at the Department of Emergency Medicine, University of Southern California School of Medicine, three emergency medical technicians--hospital-based paramedics--were trained as observers of patient process and treatment. In addition to basic identification information, the form completed by observers listed 21 procedural steps and process data such as sequence, time for completion, type of personnel performing, necessary equipment and supplies, and space for comments. Direct observation of patient process was carried out in 442 patients, a total of 3,882 procedures was observed and recorded. The direct observation is perhaps the most accurate method of data collection for auditing purposes because it reflects actual events. This data was used by the Research Peer Review Committee to help rate the quality of patient treatment process.

Emergency Service, Hospital↗
PubMed1977

Management and outcome of class A diabetes mellitus.

Patients who have a normal fasting serum glucose (FSG) and an abnormal glucose tolerance test, and who require little dietary regulation, have been designated as Class A diabetics by White. During the period 1970 through 1972, 261 Class A women were delivered at Los Angeles County (LAC) Women's Hospital. These patients were managed by a uniform protocol which included dietary supervision and continued surveillance for the onset of overt diabetes. Elective intervention prior to 40 weeks' gestation was to be avoided. Twenty-five per cent of the Class A patients--those who had had a previous stillbirth or who developed pre-clampsia--were considered at greater risk for perinatal death and were managed as if they had overt diabetes. The perinatal death rate for the entire Class A group was 19/1,000 as compared to 32/1,000 in the general population. Five perinatal deaths occurred, three associated with congenital malformations. There were no unexplained stillbirths or deaths due to trauma or iatrogenic prematurity. Our data thus indicate that as long as the FSG remains normal, an unexplained intrauterine death is a rare event. Twenty-five per cent of the infants did experience some morbidity.

Adult↗
PubMed1977

A unique approach to evaluation of emergency care.

A quality care evaluation system was designed to serve as a framework for on-going research in the area of quality assurance in emergency medicine. It included a set of basic evaluation tools, such as direct observation of patient care, record review and analysis, and patient follow-up interview for outcome. These tools are used in an attempt to quantify relationships between quality care and patient outcome.

Emergency Medical Services↗
PubMedDate not supplied

Simultaneous bilateral quadriceps tendon rupture: a case report and subject review.

Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department after a fall associated with sudden sharp pain and inability to extend the knee. Most frequently, the patient is elderly. Those under age 40 with bilateral quadriceps rupture usually have an associated metabolic disorder. The 22-year-old uremic patient we report is the youngest case with simultaneous bilateral rupture of the quadriceps tendon described in the English literature. Emphasis is placed on the initial clinical presentation and management. In addition, the pathophysiology and differential diagnosis are reviewed.

Adult↗
PubMedDate not supplied

Heterotopic pregnancy.

A 35-year-old woman presented to the emergency department with abdominal pain 36 hours after a therapeutic abortion. A positive pregnancy test was thought to be related to the recently terminated intrauterine gestation. The patient was admitted for observation. When monitoring revealed intraabdominal hemorrhage, exploratory surgery was performed and a ruptured tubal pregnancy discovered. The patient recovered uneventfully. The incidence, predisposing factors, and diagnosis of simultaneous intrauterine and extrauterine pregnancy are discussed.

Abdomen↗
PubMedDate not supplied

The forgotten block.

Explore the source record for details and available documents.

Anesthesia, Conduction↗