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Biomedical subjects

J S Feldstein

Publications and source records attributed to J S Feldstein.

4 recordsLinked to original sources

Transtelephonic defibrillation.

STUDY OBJECTIVES: This study was undertaken to assess the safety and reliability of a device for transtelephonic defibrillation. DESIGN: The transtelephonic system consists of a patient unit and a base station. The patient unit contains a monitor-defibrillator, electrode pads, microphone, microprocessor, and DC defibrillator. The base station comprises a control panel, computer, and ECG display. SETTING: Fifteen patients who were treated in our emergency department for cardiac arrest were placed on patient units that activated our base station in a remote location within the ED. TYPE OF PARTICIPANTS: Thirteen patients were treated for ventricular fibrillation, and two patients were treated for ventricular tachycardia. INTERVENTIONS: Thirty-one shocks were delivered transtelephonically. MEASUREMENTS AND MAIN RESULTS: In all cases, voice and ECG transmission were established without difficulty. CONCLUSIONS: We conclude that this system represents a safe and reliable method for the treatment of ventricular fibrillation, and we advocate additional use to study the prehospital applications of transtelephonic defibrillation.

Aged↗

Hypertensive emergencies.

This article examines hypertensive crises and urgencies as they relate to the primary care physician. Special attention is given to the treatment of these conditions in the office setting. Conditions discussed include hypertensive encephalopathy, acute aortic dissection, hypertension and pulmonary edema, severe hypertension with angina or myocardial infarction, pheochromocytoma, eclampsia, and food and drug interactions.

Adrenal Gland Neoplasms↗

Thoracentesis in the emergency department.

Presented is a review of thoracentesis, a procedure with which the emergency physician should be familiar. The pathophysiology of pleural effusions is described and is followed by a review of the clinical presentation and diagnosis. Special attention is given to technique and interpretation of results.

Biopsy, Needle↗