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Biomedical subjects

E M Koscove

Publications and source records attributed to E M Koscove.

5 recordsLinked to original sources
PubMed1990

An applicant's evaluation of an emergency medicine internship and residency.

Applicants to emergency medicine residencies face an increasingly difficult task of evaluating a greater number of training programs. High-quality information must be obtained by applicants prior to their submission of a ranking list to the National Intern and Residency Matching Program. Resources to assist applicants in this task have been limited; personal interviews are critical in this process. In the relatively new specialty of emergency medicine, medical students may fail to obtain optimal information during interviews. A list of suggested interview questions is provided. Judicious use of appropriate questions can help applicants obtain the proper information. Residency program directors and staff may also use these questions to assist applicants.

Emergency Medicine↗
PubMed1988

Successful resuscitation from cardiac arrest using high-dose epinephrine therapy. Report of two cases.

A patient with cardiac arrest failed to respond to prolonged standard therapy for multiple dysrhythmias. High-dose intravenous epinephrine hydrochloride was administered 22 and 26 minutes after arrest. Coarsening of ventricular fibrillation and defibrillation with subsequent return of spontaneous circulation occurred. The patient was neurologically intact when eventually discharged. In another patient, prolonged asystole failed to respond to standard advanced cardiac life-support therapy. High-dose epinephrine was given 38 minutes after arrest, and return of spontaneous circulation subsequently occurred. Intensive treatment efforts were discontinued after admission to the hospital, and the patient died. The temporal sequence in these patients suggests that high-dose epinephrine therapy caused the return of spontaneous circulation. Recent studies suggest that presently recommended epinephrine doses may be too low, and investigation of graded epinephrine doses for the treatment of cardiac arrest is indicated.

Aged↗
PubMed1985

The Taser weapon: a new emergency medicine problem.

The Taser is an electrical law enforcement and self-defense weapon that is being used with increasing frequency. The weapon is described and its effects and ballistic and electrical considerations are reviewed. Clinical aspects of Taser injury, including weapon-fired barb injury, barb removal methods, injury secondary to electrical current, ventricular fibrillation, possible interactions with implanted pacemakers, and injuries secondary to weapon-induced falls, are discussed. Taser injuries are a new and increasingly frequent emergency medicine problem.

Crime↗
PubMedDate not supplied

Taser dart ingestion.

The Taser is a relatively new electronic self-defense and immobilization weapon used by the public and by law enforcement agencies. Taser victims characteristically have an altered mental status due to drug ingestion or primary psychiatric illness. An unexpected case of Taser-associated morbidity, that of voluntary Taser dart ingestion in a patient with paranoid delusions, is reported. Near mismanagement due to unfamiliarity with the Taser occurred. Recommendations for diagnosis and management are discussed. The emergency physician should be aware of the potential of this unusual ingestion.

Adult↗