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Biomedical subjects

Timothy Rupp

Publications and source records attributed to Timothy Rupp.

6 recordsLinked to original sources
PubMed2004

Inadequate analgesia in emergency medicine.

Review of emergency department pain management practices demonstrates pain treatment inconsistency and inadequacy that extends across all demographic groups. This inconsistency and inadequacy appears to stem from a multitude of potentially remediable practical and attitudinal barriers that include (1) a lack of educational emphasis on pain management practices in nursing and medical school curricula and postgraduate training programs; (2) inadequate or nonexistent clinical quality management programs that evaluate pain management; (3) a paucity of rigorous studies of populations with special needs that improve pain management in the emergency department, particularly in geriatric and pediatric patients; (4) clinicians' attitudes toward opioid analgesics that result in inappropriate diagnosis of drug-seeking behavior and inappropriate concern about addiction, even in patients who have obvious acutely painful conditions and request pain relief; (5) inappropriate concerns about the safety of opioids compared with nonsteroidal anti-inflammatory drugs that result in their underuse (opiophobia); (6) unappreciated cultural and sex differences in pain reporting by patients and interpretation of pain reporting by providers; and (7) bias and disbelief of pain reporting according to racial and ethnic stereotyping. This article reviews the literature that describes the prevalence and roots of oligoanalgesia in emergency medicine. It also discusses the regulatory efforts to address the problem and their effect on attitudes within the legal community.

Abdominal Pain↗
PubMed2004

Gastrointestinal hemorrhage: The prehospital recognition, assessment & management of patients with a GI bleed.

Gastrointestinal hemorrhage may result from an upper or a lower source. It may present in many different ways; however, prehospital management is similar regardless of cause. It's imperative to recognize that a seemingly stable GI bleed can become hemodynamically unstable at any time. The prehospital provider, therefore, should understand the pathophysiology, signs, symptoms and therapeutic interventions for patients with GI bleeds to be better prepared to manage any such emergency when it arises.

Adolescent↗
PubMed2002

Anaphylaxis. Vicious chain reaction.

The etiologies of anaphylaxis are numerous. The presentation of an anaphylactic reaction may range from a minor skin rash to cardiovascular collapse, making the diagnosis vexing for healthcare providers. Recognition of the signs of an anaphylactic reaction can save lives. Prehospital providers must have a solid understanding of the pathophysiology of anaphylaxis, be able to recognize the signs of anaphylaxis and know the therapies used in the management of anaphylaxis.

Anaphylaxis↗