自引率: 10%
被引量: 12692
通过率: 暂无数据
审稿周期: 2
版面费用: 暂无数据
国人发稿量: 2
投稿须知/期刊简介:
Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians and is the specialty's leading peer-reviewed journal. In addition to scientific and clinical articles, Annals presents case reports, editorials, international conference abstracts, and collective reviews of the literature on narrow clinical topics. The journal covers clinical investigations, pediatric emergency care, injury prevention, infectious disease, disaster medicine, toxicology, health policy, and emergency medical services. Read by physicians, researchers, residents, students, paramedics, and EMTs throughout the world, Annals is the only emergency medicine journal recommended for initial purchase in two Brandon-Hill studies, Selected List of Books and Journals for the Small Medical Library (1997/98 Edition) and Selected List of Books and Journals in Allied Health Sciences (1996/97 Edition).
期刊描述简介:
Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians and is the specialty's leading peer-reviewed journal. In addition to scientific and clinical articles, Annals presents case reports, editorials, international conference abstracts, and collective reviews of the literature on narrow clinical topics. The journal covers clinical investigations, pediatric emergency care, injury prevention, infectious disease, disaster medicine, toxicology, health policy, and emergency medical services. Read by physicians, researchers, residents, students, paramedics, and EMTs throughout the world, Annals is the only emergency medicine journal recommended for initial purchase in two Brandon-Hill studies, Selected List of Books and Journals for the Small Medical Library (1997/98 Edition) and Selected List of Books and Journals in Allied Health Sciences (1996/97 Edition).
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Failure to agree on the electrocardiographic diagnosis of ventricular tachycardia.
To determine the extent of interobserver agreement in the ECG diagnosis of ventricular tachycardia (VT) by using a four-step algorithm and three observers. Simulated emergency department setting from records of an urban university teaching hospital. All ECGs taken in the ED during a 2-year period that showed a QRS duration of more than 120 msec and a heart rate faster than 110 beats per minute were reviewed. ECGs were categorized as demonstrating sinus rhythm (SR), irregular broad-complex tachycardia (I-BCT), or regular broad-complex tachycardia (BCT). Copies of the BCT ECGs and short clinical histories were given to each of three emergency physicians, who used a published, four-step algorithm (the Brugada algorithm) to categorize the BCT ECGs as indicating VT, indicating supraventricular tachycardia with aberrancy (SVT-A), or indeterminate. Interobserver agreement was assessed with the K-statistic. The records contained 178 ECGs, 88 of which were SR, 63 I-BCT, and 27 BCT. The 27 BCT ECGs were selected for review. The emergency physicians disagreed with each other 22% of the time in differentiating VT from SVT-A (K = .58). Application of the algorithm to actual clinical practice in the ED would probably result in the misdiagnosis of a substantial minority of patients having BCT, with potentially serious adverse consequences.
被引量：5 发表：1996
