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Biomedical subjects

L Goldfrank

Publications and source records attributed to L Goldfrank.

At least 37 records · Page 2Linked to original sources
PubMed1985

Gastrotomy--a surgical approach to iron overdose.

Emesis and lavage often are ineffective in providing complete emptying of the stomach after an ingestion. With a locally corrosive and systemically toxic agent such as iron, surgical intervention with emergency gastrotomy may be required. We recently treated a 19-year-old man in the ED and in the departments of surgery and medicine who required a gastrotomy to remove a large amount of elemental iron inaccessible to removal by emesis, lavage, or gastroscopy. At gastrotomy the stomach showed full-thickness inflammation; the entire mucosal surface was hemorrhagic in nature. Gastrotomy was successful in allowing the removal of a large amount of the retained corrosive material. The severity of the findings at gastrotomy and the dramatic clinical improvement and recovery in our patient strongly support this approach if traditional methods fail.

Adult↗
PubMed1985

Prisoner health care.

From New York City's Bellevue Hospital comes this discussion of difficulties in dealing with a prisoner/patient population. Authors Gage and Goldfrank discuss staff bias, prisoner/patient security, and difficulties in maintaining on-going health care in a "less than optimal system." While prison health is beyond the realm of work for a relatively small number of physicians, the size of the U.S. prison population makes it a significant part of health care in the United States.

Attitude of Health Personnel↗
PubMed1984

Management of overdose with psychoactive medications.

General management of the patient who has ingested an overdose of psychoactive medication is emphasized, since the suicidal patient has almost invariably taken multiple substances and often alcohol as well. The drug groups considered in detail include the sedative hypnotics, tricyclic antidepressants, phenothiazines, and lithium.

Antidepressive Agents, Tricyclic↗
PubMed1984

Who has bugs?

Explore the source record for details and available documents.

Child, Preschool↗
PubMed1983

Project health care at Bellevue Hospital.

Project Health Care is a program which uses college students considering careers in health care, as summer volunteers in the Emergency Department of a large, municipal hospital. It began with a small group in 1981, and was expanded the following year to include 16 students. The program was designed to provide opportunities for service and observation in various out-patient settings, seminars, lectures and individual and group projects. The project benefitted all participants. For the Emergency Department staff it stimulated better communication with non-professionals; for the hospital it provided intelligent, enthusiastic volunteer help while aiding community relations, and for the volunteers it provided an opportunity to make educated career decisions.

Emergency Service, Hospital↗
PubMed1983

New York City's Poison Control Center: a systematic approach to a complex problem.

A pooling of public and private resources has created a regional poison control system which provides information and education to the medical and lay communities of metropolitan New York City. An overview of the poisoning problem on a national scale is followed by a description of the operations by the Center, and a special volunteer effort.

Drug Information Services↗
PubMed1982

Teaching the recognition of odors.

Odor recognition is a valuable skill for the emergency services provider, particularly when dealing with the poisoned patient. A simple "ten-tube sniffing bar" emphasizing sensory recognition of common toxins in association with representative case histories in an effective emergency services teaching tool. The odor, toxin, case history, and appropriate references are described for each component of the sniffing bar.

Emergency Medicine↗
PubMed1982

Bacterial food poisoning: what to do if prevention fails.

The numerous etiologies of food poisoning make assessment of this disease a cultural, bacteriologic, chemical, gastronomic, and epidemiologic research project. Cautious investigation and study of etiologic possibilities are most stimulating intellectual exercises and obviously benefit the patient. Often, a case of food poisoning necessitates interaction with the local health department in search of the causative agent before other people are afflicted. A thorough knowledge of this field is essential to provide reasonable care to the millions "poisoned" by food annually.

Aged↗
PubMed1982

Anticholinergic poisoning.

Since the fall of 1979 numerous patients have been brought to emergency departments in New York City after being poisoned with an alcoholic beverage. On admission to the emergency services, they were noted to manifest significant anticholinergic toxicity. An analysis of the case histories, clinical presentations and laboratory data suggests that scopolamine eyedrops were deliberately used to poison these patients.

Adult↗