Journal of the American College of Emergency Physicians, 1978
Journal of the American College of Emergency Physicians, Volume 7, Issue 3, Pages 122-123, March ... more Journal of the American College of Emergency Physicians, Volume 7, Issue 3, Pages 122-123, March 1978, Authors:George L. Sternbach, MD; Michael Eliastam, MD. ... Cardiac contusion confusion. MD George L. Sternbach , MD; Michael Eliastam. ...
1. J Emerg Med. 1986;4(2):157-62. A case of chest pain and dyspnea. Sternbach GL, Eliastam M. PMI... more 1. J Emerg Med. 1986;4(2):157-62. A case of chest pain and dyspnea. Sternbach GL, Eliastam M. PMID: 3794273 [PubMed - indexed for MEDLINE]. Publication Types: Case Reports. MeSH Terms: Aged; Chest Pain/etiology; Dyspnea ...
Although a great emphasis has recently been placed on training both the medical profession and th... more Although a great emphasis has recently been placed on training both the medical profession and the general public in cardiopulmonary resuscitation (CPR), studies have demonstrated that retention of resuscitation skills is poor. Although CPR certification is generally valid for a 1- to 2-year period, evaluation of trainees at all levels has demonstrated a marked lack of proficiency over this course of time. This paper reviews the studies that have disclosed this lack of skills retention, as well as proposed solutions and reinforcement techniques. CPR course content and certification criteria must be appropriate to maximize retention as well as learning. To this end a simplification of basic life-support training curricula is recommended.
Annals of Emergency Medicine, Volume 9, Issue 3, Pages 161-169, March 1980, Authors:George Sternb... more Annals of Emergency Medicine, Volume 9, Issue 3, Pages 161-169, March 1980, Authors:George Sternbach, MD; Julia Moran, MD; Michael Eliastam, MD. ... Department of Medicine, Stanford University Medical Center, Stanford, California, USA. , MD; Michael Eliastam: Affiliations. ...
A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricul... more A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricular tachycardia had a cardiac arrest during helicopter transport to a specialized cardiac care unit. Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of "burst suppression" and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter.
Journal of the American College of Emergency Physicians, 1977
« PreviousNext »Journal of the American College of Emergency Physicians Volume 6, Issue 1 , Page ... more « PreviousNext »Journal of the American College of Emergency Physicians Volume 6, Issue 1 , Page 34, January 1977. Has evaluation of esophageal obturator airway been schizophrenic? MD Michael Eliastam (Director). PDF. No abstract is available. ...
Drs Hector and Burton do concede that a low serum cobalamin should be considered as a cause of de... more Drs Hector and Burton do concede that a low serum cobalamin should be considered as a cause of delirium but not dementia. Herein lies the danger of being caught in a semantic trap, however. There is abundant documentation in the writings of Woltman? of Adams and Kubik3 and of Holmes' describing diffuse though uneven foci of myelin degeneration varying from 50 to 150 microns in the central and convolutional white matter, cerebellar peduncles and optic tracts in patients dying of pernicious anemia. Given the weight of this pathological data, it would be difficult to argue against the existence of a true cobalamin deficiency dementia. One is left then with the argument that cobalamin deficiency dementia is not reversible but that cobalamin deficiency delirium may be. This requires that the clinician make an accurate judgement as to whether the patient is delirious, dementing, or both. In early phases of dementia, patients do not fall neatly into diagnostic categories and trying to determine whether or not "clouding of consciousness" is playing a role in the cognitive impairment may be difficult. Likewise, the relationship between an episode of delirium and subsequent development of dementia is unknown. To reiterate what Larson and his colleagues concluded from their prospective study of dementia ". . . the notion of a reversible-irreversible, treatable-untreatable dichotomy may have limited practical value for patient care . . . An alternative to this dichotomy is to consider an elderly patient with global mental dysfunction to be at high risk for various coexistent treatable condition^."^ Do potentially treatable disorders in the patient with dementia that are identified actually respond to therapy? This is a question which continues to be posed without a firm answer.6 Until further research clarifies these issues the recently published National Institutes of Health Consensus Conference on the Differential Diagnosis of Dementing Diseases would seem to provide the most useful guidelines.'
Journal of the American College of Emergency Physicians, 1976
The "G-suit," a device for combating hypovolemic shock with external pneumatic ... more The "G-suit," a device for combating hypovolemic shock with external pneumatic counterpressure, represents an application of an old idea to a relatively common medical problem. Its simplicity of use and quick therapeutic effect buys time for the patient with hypovolemic shock, whether the suit is applied in the prehospital or emergency department setting.
The physician assistant is a title applied to individuals who assume at least a portion of physic... more The physician assistant is a title applied to individuals who assume at least a portion of physicians' traditional duties. This paper develops a produc-tion function methodology to estimate the potential contribution of physician assistants in the delivery of medical care. This ...
Journal of the American College of Emergency Physicians, 1978
Journal of the American College of Emergency Physicians, Volume 7, Issue 3, Pages 122-123, March ... more Journal of the American College of Emergency Physicians, Volume 7, Issue 3, Pages 122-123, March 1978, Authors:George L. Sternbach, MD; Michael Eliastam, MD. ... Cardiac contusion confusion. MD George L. Sternbach , MD; Michael Eliastam. ...
1. J Emerg Med. 1986;4(2):157-62. A case of chest pain and dyspnea. Sternbach GL, Eliastam M. PMI... more 1. J Emerg Med. 1986;4(2):157-62. A case of chest pain and dyspnea. Sternbach GL, Eliastam M. PMID: 3794273 [PubMed - indexed for MEDLINE]. Publication Types: Case Reports. MeSH Terms: Aged; Chest Pain/etiology; Dyspnea ...
Although a great emphasis has recently been placed on training both the medical profession and th... more Although a great emphasis has recently been placed on training both the medical profession and the general public in cardiopulmonary resuscitation (CPR), studies have demonstrated that retention of resuscitation skills is poor. Although CPR certification is generally valid for a 1- to 2-year period, evaluation of trainees at all levels has demonstrated a marked lack of proficiency over this course of time. This paper reviews the studies that have disclosed this lack of skills retention, as well as proposed solutions and reinforcement techniques. CPR course content and certification criteria must be appropriate to maximize retention as well as learning. To this end a simplification of basic life-support training curricula is recommended.
Annals of Emergency Medicine, Volume 9, Issue 3, Pages 161-169, March 1980, Authors:George Sternb... more Annals of Emergency Medicine, Volume 9, Issue 3, Pages 161-169, March 1980, Authors:George Sternbach, MD; Julia Moran, MD; Michael Eliastam, MD. ... Department of Medicine, Stanford University Medical Center, Stanford, California, USA. , MD; Michael Eliastam: Affiliations. ...
A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricul... more A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricular tachycardia had a cardiac arrest during helicopter transport to a specialized cardiac care unit. Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of "burst suppression" and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter.
Journal of the American College of Emergency Physicians, 1977
« PreviousNext »Journal of the American College of Emergency Physicians Volume 6, Issue 1 , Page ... more « PreviousNext »Journal of the American College of Emergency Physicians Volume 6, Issue 1 , Page 34, January 1977. Has evaluation of esophageal obturator airway been schizophrenic? MD Michael Eliastam (Director). PDF. No abstract is available. ...
Drs Hector and Burton do concede that a low serum cobalamin should be considered as a cause of de... more Drs Hector and Burton do concede that a low serum cobalamin should be considered as a cause of delirium but not dementia. Herein lies the danger of being caught in a semantic trap, however. There is abundant documentation in the writings of Woltman? of Adams and Kubik3 and of Holmes' describing diffuse though uneven foci of myelin degeneration varying from 50 to 150 microns in the central and convolutional white matter, cerebellar peduncles and optic tracts in patients dying of pernicious anemia. Given the weight of this pathological data, it would be difficult to argue against the existence of a true cobalamin deficiency dementia. One is left then with the argument that cobalamin deficiency dementia is not reversible but that cobalamin deficiency delirium may be. This requires that the clinician make an accurate judgement as to whether the patient is delirious, dementing, or both. In early phases of dementia, patients do not fall neatly into diagnostic categories and trying to determine whether or not "clouding of consciousness" is playing a role in the cognitive impairment may be difficult. Likewise, the relationship between an episode of delirium and subsequent development of dementia is unknown. To reiterate what Larson and his colleagues concluded from their prospective study of dementia ". . . the notion of a reversible-irreversible, treatable-untreatable dichotomy may have limited practical value for patient care . . . An alternative to this dichotomy is to consider an elderly patient with global mental dysfunction to be at high risk for various coexistent treatable condition^."^ Do potentially treatable disorders in the patient with dementia that are identified actually respond to therapy? This is a question which continues to be posed without a firm answer.6 Until further research clarifies these issues the recently published National Institutes of Health Consensus Conference on the Differential Diagnosis of Dementing Diseases would seem to provide the most useful guidelines.'
Journal of the American College of Emergency Physicians, 1976
The "G-suit," a device for combating hypovolemic shock with external pneumatic ... more The "G-suit," a device for combating hypovolemic shock with external pneumatic counterpressure, represents an application of an old idea to a relatively common medical problem. Its simplicity of use and quick therapeutic effect buys time for the patient with hypovolemic shock, whether the suit is applied in the prehospital or emergency department setting.
The physician assistant is a title applied to individuals who assume at least a portion of physic... more The physician assistant is a title applied to individuals who assume at least a portion of physicians' traditional duties. This paper develops a produc-tion function methodology to estimate the potential contribution of physician assistants in the delivery of medical care. This ...
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