Document Detail


Medical issues and emergencies in the dermatology office.
MedLine Citation:
PMID:  8996255     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We review the medical issues and emergencies potentially encountered in the practice of general or surgical dermatology. Traditional guidelines have largely consisted of dated extrapolations from the nondermatologic literature concerning procedures that are primarily irrelevant to dermatology. This article outlines a rational approach to organizing an office emergency plan for anaphylaxis, stroke, status epilepticus, myocardial infarction, and hypertensive crisis. We discuss the literature that has influenced current office behavior regarding endocarditis prophylaxis, the use of electrosurgery with pacemakers, arrhythmogenic drug interactions, vasovagal syncope, lidocaine "allergy," and bleeding complications from oral anticoagulants. Recommendations for managing these issues in a dermatologic context are provided.
Authors:
D J Fader; T M Johnson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  36     ISSN:  0190-9622     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-02-13     Completed Date:  1997-02-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1-16; quiz 16-8     Citation Subset:  IM    
Affiliation:
Department of Dermatology, University of Michigan, Ann Arbor 48109-0314, USA.
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MeSH Terms
Descriptor/Qualifier:
Anaphylaxis / therapy
Anesthetics, Local / adverse effects
Anti-Arrhythmia Agents / adverse effects
Anticoagulants / adverse effects
Cerebrovascular Disorders / therapy
Dermatology
Disease*
Drug Hypersensitivity / etiology,  therapy
Drug Interactions
Electrosurgery / adverse effects
Emergencies*
Emergency Medical Services
Endocarditis, Bacterial / prevention & control
Guidelines as Topic
Hemorrhage / therapy
Humans
Hypertension / therapy
Lidocaine / adverse effects
Myocardial Infarction / therapy
Pacemaker, Artificial
Physicians' Offices
Skin Diseases / surgery,  therapy*
Status Epilepticus / therapy
Syncope / therapy
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 0/Anti-Arrhythmia Agents; 0/Anticoagulants; 137-58-6/Lidocaine
Comments/Corrections
Comment In:
J Am Acad Dermatol. 1998 Feb;38(2 Pt 1):284   [PMID:  9486696 ]
J Am Acad Dermatol. 1998 Feb;38(2 Pt 1):287-8   [PMID:  9486699 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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