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Biomedical subjects

R M Sobel

Publications and source records attributed to R M Sobel.

13 recordsLinked to original sources
PubMed2000

Termination of acute wide QRS complex atrial fibrillation with ibutilide.

Ibutilide is a Vaughan-Williams class III antiarrhythmic agent approved for chemical cardioversion of acute onset atrial fibrillation/flutter. Emergency physicians rarely use ibutilide despite its proven clinical value. We report a case of successful chemical cardioversion using ibutilide in a patient with atrial fibrillation and delayed ventricular depolarization (wide QRS complex). We recommend that ibutilide be considered for wider use in the emergency department and that further studies be conducted.

Aged↗
PubMed1999

Ketamine in the ED: medical politics versus patient care.

The safe and effective use of ketamine for sedation/analgesia by emergency physicians has been validated in the medical literature. Nonetheless, arbitrary restrictions of this medication to anesthesia practitioners have prohibited emergency physician use in some locations. We explore the scientific evidence related to the use of ketamine by emergency physicians for sedation/analgesia, the history of sedation, the operational definitions of conscious sedation and dissociative anesthesia, and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) related standards. We conclude that ketamine sedation/ analgesia offers many specific advantages for emergency patients and that it is safely administered by emergency physicians in the appropriately monitored setting.

Analgesics↗
PubMed1990

Traumatic asphyxia: an indicator of significant pulmonary injury.

Traumatic asphyxia has often been described as a rare syndrome with little prognostic significance. In the authors' series, however, all cases secondary to deceleration injury or compression of the anterior thorax were associated with pulmonary injury. The signs of venous congestion of the face and anterior thorax are not always recognized in the emergency department where they should be most clinically evident. Increased awareness of this syndrome by emergency physicians will result in better reporting and understanding of its clinical implications.

Adult↗
PubMed1989

Concrete impaction of the external auditory canal.

A case of accidental impaction of the external auditory canal by concrete in a construction worker seen at Orlando Regional Medical Center is reported. A general discussion of the pathophysiology of concrete-related injuries is included. Recommendations are made for the optimal emergency management of these type injuries.

Accidents, Occupational↗