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Biomedical subjects

J M Geiderman

Publications and source records attributed to J M Geiderman.

At least 19 recordsLinked to original sources
PubMed1998

Silent night.

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Adult↗
PubMed1997

Night sweats.

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Accidents↗
PubMed1981

Immunoprophylaxis of viral hepatitis.

Emergency physicians frequently encounter patients who have been or may have been exposed to viral hepatitis, and are often in a position to offer immunoprophylaxis. Needlestick exposure among hospital employees is endemic in any large hospital. Currently treatment of clinical hepatitis is only symptomatic; rational immunoprophylaxis is the only method available to influence the course of the disease. The basic types of viral hepatitis are reviewed, as are transmission of the disease, serologic tests, high risk groups, and immunoprophylactic agents. Treatment plans are outlined for different types of exposure, and an algorithm is included for management of needlestick exposure.

Hepatitis A↗
PubMed1981

Application of the Cardiotrak pacemaker monitor to prehospital care.

The Cardiotrak is a small, lightweight device originally developed for use by pacemaker patients to transmit their electrocardiograms (ECGs) by telephone to their doctor or to a hospital. The Cardiotrak seemed well suited for use by paramedics and was field tested on 76 patients. In 69 patients, clear ECGs were transmitted with ease; in the remaining seven, only minor, correctable problems were noted. The Cardiotrak appears to have advantages over other devices used to transmit ECGs to base station hospitals from paramedics.

Arrhythmias, Cardiac↗
PubMed1980

Fracture of the penis.

Fracture of the penis is an unusual injury which has been reported fewer than 70 times. The injury results from a sudden bending of the erect penis. Such a force ruptures the tunica albuginea, usually unilaterally, resulting in local bleeding and immediate deturgescence of the penis; the urethra may also be torn. Treatment has not been standardized, and is aimed at restoring normal function and preventing late sequelae. The physician also should be aware of possible psychiatric complications. We present a case diagnosed in our emergency department and treated surgically with good results.

Anxiety↗
PubMed1979

Prophylactic lidocaine in suspected acute myocardial infarction.

The incidence of serious ventricular arrhythmias following acute myocardial infarction is highest during the first few hours after injury, and thereafter declines. Several investigations into the prophylactic use of lidocaine to prevent the development of arrhythmias have shown that lidocaine, given in therapeutic doses, is effective in preventing ventricular fibrillation and in reducing early mortality. Lidocaine was found to be effective when given either by the intravenous or by the intramuscular routes. The recommended dosage is 100 mg given as an intravenous bolus followed by 2 to 4 mg/min as an infusion, which should be given by infusion pump. Another recommendation is to use two 100 mg boluses 20 minutes apart, along with the same infusion. We recommend that lidocaine be started as soon as possible in all patients suspected of having suffered acute myocardial infarction.

Arrhythmias, Cardiac↗
PubMed1979

The Frenchman's fibular fracture (Maisonneuve fracture).

Two patients with injuries to the ankle sustained by rotational trauma complained only of pain in the ankle. Careful examination revealed tenderness over the proximal fibula. Subsequent radiographic studies revealed high helical fracture of the fibula, as originally described by Maisonneuve. The Maisonneuve fracture is produced by diastasis - a separation of bones resulting from rupture of ligaments around the ankle. According to classification of fibula injuries by mechanism of injury, the Maisonneuve fracture is due to external rotation of the foot relative to the tibia but it is not clear whether the foot is in pronation or supination or moves during injury.

Adult↗