Effects of stun guns and tasers.
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Abortion, Spontaneous↗
Biomedical subjects
R M Fish
Publications and source records attributed to R M Fish.
Electric injury, Part II: Specific injuries.
Electric injury can cause disruption of cardiac rhythm and breathing, burns, fractures, dislocations, rhabdomyolysis, eye and ear injury, oral and gastrointestinal injury, vascular damage, disseminated intravascular coagulation, peripheral and spinal cord injury, and Reflex Sympathetic Dystrophy. Secondary trauma from falls, fires, flying debris, and inhalation injury can complicate the clinical picture. Diagnostic and treatment considerations for electric injuries are described in this article, which is the second part of a three-part series on electric injuries.
Blast Injuries↗
Electric injury, part III: cardiac monitoring indications, the pregnant patient, and lightning.
A number of publications have presented recommendations for prolonged cardiac monitoring after electric injury. These recommendations are combined in this article to make criteria for monitoring that agree with the recommendations of most studies. It is generally agreed that cardiac monitoring is not needed unless there is an abnormal electrocardiogram or other suggestion of acute problems. Electric injury in pregnancy is also discussed, with recommendations for fetal monitoring after electric and mechanical trauma. Reports of fetal death after minor electric injury to the mother are described. Finally, selected aspects of lightning injury are described, including neurologic and vascular effects. This is the final article of a 3-part series on electric injury.
Adult↗
Osteopetrosis in trauma.
A 19-year-old male with a bone disease that predisposes to pathological fractures was involved in an automobile accident. Although the physician must always look for multiple injuries in any trauma patient, this case illustrates that in the patient with bone disease, the probability of multiple fractures is extremely high. The differential diagnosis of dense-bone disease is discussed as are considerations relevant to caring for the trauma patient with bone disease.
Accidents, Traffic↗
An audio display for the blind.
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Blindness↗
The use of constant current diodes in preventing electrical shock from hospital equipment.
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Electrodes↗
Laboratory tests during resuscitation.
The drawing of laboratory tests is often overlooked in the moribund patient. In patients with medical problems, potassium and other electrolyte abnormalities are often of significance and may be the cause of the arrest. Patients without circulation begin to develop severe abnormalities of PT, PTT, and potassium. These measurements will sometimes demonstrate that a patient's condition is hopeless. When laboratory tests show a situation to be hopeless, an early cessation of resuscitation efforts will be possible, and the justification for such actions will be documented. Laboratory tests drawn early in the resuscitation effort may prove that resuscitation could not have been successful.
Blood Chemical Analysis↗
Legal liability for the acts of others: hospitals and emergency physicians.
Emergency physicians as individuals, as groups, or as corporations, have medical and legal relationships with hospitals, other physicians, and nurses. These relationships sometimes result in liability for alleged negligence being applied in complex and unexpected ways. Emergency physicians may be held responsible for the acts of others. Conversely, other parties, such as hospitals, may be held liable for the acts of emergency physicians. This paper explores the history of hospital responsibility for patient care and examines how hospital policies and actions often impact on emergency care.
Emergency Medicine↗
Electric injury, part I: treatment priorities, subtle diagnostic factors, and burns.
Patients with electric injury present a significant challenge. Possible mechanisms of injury include electrical disruption of cardiac rhythm and breathing, burns of several types, and inhalation of gases from fires. Mechanical trauma may come from electric arc blast, explosion of gases, falls, and strong muscle contractions. Additionally, the patient may have multiple co-existent injuries, comorbidities, an abnormal mental status, and a severely disrupted acid-base balance. These factors can make diagnosis and treatment difficult. In addition, electric injury can cause a number of slowly developing and subtle sequelae that may be difficult, if not impossible, to diagnose on initial examination.
Anti-Infective Agents, Local↗