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Dive into the research topics where Scott A. Syverud is active.

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Featured researches published by Scott A. Syverud.


Annals of Emergency Medicine | 1994

Comparison of digital versus metacarpal blocks for repair of finger injuries

Kevin Knoop; Alexander T. Trott; Scott A. Syverud

STUDY OBJECTIVE This study compared efficacy, degree of discomfort, and time to anesthesia of digital blocks and metacarpal blocks for digital anesthesia. DESIGN Randomized, prospective, nonblinded, clinical study conducted from April 1992 to January 1993. Patients served as their own controls. SETTING Inner-city and community hospital emergency departments. TYPE OF PARTICIPANTS Convenience sample of 30 adult patients, with third or fourth finger injuries including and distal to the proximal interphalangeal joint that required digital anesthesia. INTERVENTIONS Digital blocks and a metacarpal blocks were performed (one per side) on all 30 patients (total of 60 blocks). The order of the blocks was randomized. MEASUREMENTS A digital block and a metacarpal block were performed on each patient. Patients immediately rated the pain associated with each technique on a nonsegmented visual analog scale. Efficacy was assessed by requirement for additional anesthesia and anesthesia to pinprick. Time to anesthesia was assessed after each block in 23 patients. RESULTS Mean visual analog scale pain scores were 2.53 for digital block and 3.38 for metacarpal block (P = .1751, Students t-test). Metacarpal block failed anesthesia to pinprick in 23% of patients compared to 3% for digital block (P = .0227, chi 2). Time to anesthesia was significantly shorter for digital block compared to metacarpal block, with a mean of 2.82 minutes versus 6.35 minutes (P < .0001, Students t-test). CONCLUSION Digital block and metacarpal block, as described in this study, are equally painful procedures. Digital block, however, is more efficacious and requires significantly less time to anesthesia for the injured finger.


Journal of Emergency Nursing | 2012

Decreasing ED Length of Stay with Use of the Ottawa Ankle Rules Among Nurses

Eric L. Sorensen; Arlene Keeling; Audrey Snyder; Scott A. Syverud

ED crowding threatens patient safety and public health. Several studies have evaluated the ability of emergency departments in the United States to handle the demands that are being placed on them daily. ED crowding is widespread throughout the United States, with little evidence that the problem is being resolved. Emergency departments play a valuable role in the health care system because they act like a type of safety net. However, according to a recent report by the Institute of Medicine, this safety net is at a point where it is no longer effective. The potential dangers of ED crowding have become more visible as a result of recent reports on news broadcasts of unfortunate events regarding patients who were left unattended in waiting rooms. ED crowding refers to situations in which the number of patients in treatment areas exceeds the capacity of the department, thus leading to the treatment of patients in makeshift care areas or hallway beds. Several surveys have discussed the implications of ED crowding. These surveys linked crowding to delays in diagnosis and treatment, a decrease in quality of care, and unacceptable patient outcomes. ED crowding has the potential to affect anyone who is injured suddenly or has an unexpected illness that requires urgent treatment. Nurses have opportunities to help alleviate overcrowding in the emergency department. With the implementation of protocols, emergency nurses may be able to play an active role in decreasing ED throughput time. A system of rules has been developed to assist practitioners in identifying significant ankle fractures without the overuse of radiographic tests. These rules have been established as the Ottawa Ankle Rules (OARs). Providers use these rules to determine if a radiograph is indicated in the evaluation of an ankle or foot injury. Emergency nursing staff can learn how to use the OARs to anticipate and treat patients with ankle and foot injuries. If the OARs indicate that a radiograph is needed, the nurse can order it according to protocols. It was hypothesized that implementation of a nurse-driven protocol to assess patients with non–life-threatening ankle and foot injuries with use of the OARs would result in a significant decrease in the total length of stay (LOS) in the emergency department.


Journal of Emergency Medicine | 2013

Survival of Acute Hypernatremia Due to Massive Soy Sauce Ingestion

David Carlberg; Heather A. Borek; Scott A. Syverud; Christopher P. Holstege

BACKGROUND Intentional massive sodium chloride ingestions are rare occurrences and are often fatal. OBJECTIVES There are a variety of treatment recommendations for hypernatremia, ranging from dialysis to varying rates of correction. We report a case of acute severe hypernatremia corrected with rapid free-water infusions that, to our knowledge, has not been previously reported. CASE REPORT A 19-year-old man presented to the Emergency Department in a comatose state with seizure-like activity 2 hours after ingesting a quart of soy sauce. He was administered 6 L of free water over 30 min and survived neurologically intact without clinical sequelae. Corrected for hyperglycemia, the patients peak serum sodium was 196 mmol/L, which, to our knowledge, is the highest documented level in an adult patient to survive an acute sodium ingestion without neurologic deficits. CONCLUSION Emergency physicians should consider rapidly lowering serum sodium with hypotonic intravenous fluids as a potential management strategy for acute severe hypernatremia secondary to massive salt ingestion.


Journal of Emergency Medicine | 1993

Technical considerations in the selection of a personal emergency response system

Ann S. Baldwin; Scott A. Syverud; Richard F. Edlich

It is the purpose of this report to provide an internal review of the personal response system (PRS) in our hospital. Our system is coordinated by volunteers without emergency physician supervision. It uses antiquated equipment in the clients homes and emergency response center. Calls are answered by individuals who have not been trained as dispatchers, and who do not record pertinent performance data. The technical considerations involved in the selection and operation of an ideal PRS system are described.


Journal of Diagnostic Medical Sonography | 2012

A Pilot Study Exposing Novice Medical and Nursing Students to Point-of-Care Sonography Skills

Shannon Larese; Emily Gorman; Audrey Snyder; Scott A. Syverud

Point-of-care sonography is a valuable tool used in medical practice. A free health clinic was the venue for the authors’ approach to hands-on training for medical and nursing students. Students were surveyed before and after the event regarding their experience and their ability to successfully perform six targeted sonographic skills. The primary outcome was the change presurvey to postsurvey in the students’ assessment of their ability to perform scans on patients and identify the anatomic structures in the six skill areas. An experienced sonographer monitored each scan and confirmed skill application. One hundred nineteen sonograms were performed. Most students (23/29) did not report competence in any of the six assessed skills prior to the study. On average, students developed competence in three of six skill areas. Before the study, 3 of 29 students (10%) reported being able to perform scans on patients and identify the major anatomic structures. After the study, 20 of 28 students (71%) reported that they could perform scans and identify these structures. This change was significant (P < .0001, χ2).


Journal of Biomedical Materials Research | 1999

Failure of a new double glove hole detection system in the Emergency department

Mark D. Fisher; J. Stewart OKeefe; Freddie M. Williams; Jeffrey G. Neal; Scott A. Syverud; Richard F. Edlich

The purpose of this study was to evaluate the performance of a new double glove hole detection system in the Emergency Department. First, the frequency of holes in both gloves of the double glove hole detection system was determined using a watertight test method. Second, the frequency of glove puncture was determined first by searching for the optical color change that occurs with the ingress of fluid in the double glove hole detection system. These same gloves were then removed and also checked for holes by the watertight test method. After removal from the package, no holes were detected in the two gloves of the system using the watertight test method. In 50 consecutive patients, there was no color change in the inner glove indicating glove puncture. When these same gloves were then tested with the watertight test method, 14 of the 50 double glove hole detection systems failed; all 14 outer gloves were punctured, and three of the inner gloves had holes without demonstrable injury to the skin. This double glove hole detection system is not a reliable system to detect holes in relatively dry clinical settings because the ingress of fluid by capillary action between the gloves is necessary to cause a color change in the inner glove that signals the presence of a hole.


Academic Emergency Medicine | 2001

Electrocardiographic ST-segment elevation: the diagnosis of acute myocardial infarction by morphologic analysis of the ST segment.

William J. Brady; Scott A. Syverud; Charlotte Beagle; Edward Ullman; Christopher P. Holstege; Ralph J. Riviello; Anne Ripley; Chris A. Ghaemmaghami


American Journal of Emergency Medicine | 2002

Reciprocal ST segment depression: Impact on the electrocardiographic diagnosis of ST segment elevation acute myocardial infarction

William J. Brady; Scott A. Syverud; Charlotte Beagle; Ralph J. Riviello; Chris A. Ghaemmaghami; Edward Ullman; Brian F. Erling; Anne Ripley; Christopher P. Holstege


American Journal of Emergency Medicine | 2002

Electrocardiographic ST segment elevation: a comparison of AMI and non-AMI ECG syndromes.

William J. Brady; Edward Ullman; Scott A. Syverud; Christopher P. Holstege; Ralph J. Riviello; Chris Ghammaghami


American Journal of Emergency Medicine | 1985

Trauma and hypothermia

Randall Best; Scott A. Syverud; Richard M. Nowak

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Edward Ullman

Beth Israel Deaconess Medical Center

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Alexander T. Trott

University of Cincinnati Academic Health Center

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Anne Ripley

University of Virginia

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Kevin Knoop

University of Cincinnati

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