Infrared emission detection tympanic thermometry.
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Acute Disease↗
Biomedical subjects
S W Jolin
Publications and source records attributed to S W Jolin.
Infrared emission detection tympanic thermometry may be useful in diagnosing acute otitis media.
To determine the utility of infrared emission detection (IRED) tympanic thermometry in diagnosing acute suppurative otitis media (ASOM), a prospective, nonblinded sampling of ear temperatures was performed. Children between the ages of 6 months and 6 years presenting to an urban emergency department were included in the study. Tympanic temperatures were determined in all subjects. Clinical data, tympanic audiometry, and telephone follow-up were used to define ASOM. Temperature differences were determined for children with unilateral ASOM and those without ear infection. Data from 48 patients were analyzed. The mean temperature difference in the control group, 0.23 degrees +/- 0.15 degrees C (95% confidence interval [CI], 0.17 degree to 0.29 degree C) differed from those with ASOM: 0.39 degree +/- 0.29 degree C (95% CI, 0.25 degree to 0.53 degree C, P = .047). Logistic regression was used to describe the predictive relationship between temperature difference and probability of ASOM. We conclude that IRED tympanic thermometry may be useful in diagnosing ASOM when used with other clinical data.
Acute Disease↗
Invasive thymoma presenting as aortic dissection.
We report the case of an invasive thymoma presenting as an aortic dissection in a 49-year-old woman with hypertension and a marfanoid appearance. The patient presented to the emergency department with "tearing" substernal chest pain. A chest radiograph revealed a right para-aortic bulge consistent with a dissecting aorta, but an aortogram was normal. Other disease states, including various types of mediastinal masses, have been reported to mimic aortic dissection.
Aortic Dissection↗
Cardiac arrest in Saudi Arabia: a 7-year experience in Riyadh.
All out-of-hospital and Emergency Department (ED) cardiac arrests treated at a tertiary care hospital in Riyadh, Saudi Arabia, from 1989 through 1995 were studied. Of patients arresting out-of-hospital, 3.0% received bystander cardiopulmonary resuscitation (CPR), 9.1% had some prehospital CPR, 12.1% were transported via ambulance, and 13.6% had ventricular fibrillation (VF) on ED arrival. In the witnessed arrests (80%), the estimated interval from arrest to initiation of CPR was 21.1 +/- 14.7 min. None of these variables was shown to influence outcome. Survival to hospital discharge from out-of-hospital arrest was 5.1% for adults and 7.4% for children; all had poor neurologic outcome. For patients arresting in the ED, an initial rhythm of ventricular tachycardia (VT) or VF was strongly correlated with survival. Survival from ED arrest was 30.4% in adults, 42.9% in children; all but one had normal neurologic outcome. These results are similar to those reported from large cities and EDs elsewhere. The unique set of variables influencing out-of-hospital care and transportation in Riyadh are discussed, and potential areas for improvement are noted.
Adolescent↗