Research Topics
| A D PerronSummaryAffiliation: University of Virginia Country: USA Publications
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Detail Information
Publications
The efficacy of cyanoacrylate-derived surgical adhesive for use in the repair of lacerations during competitive athleticsA D Perron
Department of Emergency Medicine, University of Virginia Health Sciences Center, Charlottesville 22906 0014, USA
Am J Emerg Med 18:261-3. 2000..Of these 31, all had good results at 7 days following repair. Dermabond retained its strength, durability, and skin apposition when the athlete was allowed to reenter competition following wound repair...
Orthopedic pitfalls in the ED: radiographically occult hip fractureAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Emerg Med 20:234-7. 2002..The emergency physician needs to remain vigilant for this potential orthopedic pitfall. This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner...
Principles of stress fracture management. The whys and hows of an increasingly common injuryA D Perron
Departments of Emergency Medicine and Orthopedic Surgery, University of Virginia Health Sciences Center, Charlottesville, USA
Postgrad Med 110:115-8, 123-4. 2001..Simple rest with progressive reintroduction of activity is the treatment of choice for most stress fractures...
Orthopedic pitfalls in the ED: acute compartment syndromeA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Emerg Med 19:413-6. 2001..This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner...
Commodio cordis: an underappreciated cause of sudden cardiac death in young patients: assessment and management in the EDA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Emerg Med 19:406-9. 2001..Blunt impact injury to the chest with a baseball is the most common mechanism. Survival rates for commotio cordis are low, even with prompt CPR and defibrillation...
Orthopedic pitfalls in the ED: scaphoid fractureA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Emerg Med 19:310-6. 2001..This review examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency physician...
Management of common stress fractures. When to apply conservative therapy, when to take an aggressive approachAndrew D Perron
UVA Health System, Box 800699, Charlottesville, VA 22908 0699, USA
Postgrad Med 111:95-6, 99-100, 105-6. 2002....
Concussive convulsions: emergency department assessment and management of a frequently misunderstood entityA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA
Acad Emerg Med 8:296-8. 2001..Emergency department management should focus on evaluation of the associated concussive injury. The concussive convulsion requires no specific therapy, and antiepileptic medication is not indicated...
Orthopedic pitfalls in the ED: osteomyelitisAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Emerg Med 21:61-7. 2003..We review here the clinical presentation, diagnostic techniques, and management options for osteomyelitis that are applicable to the emergency practitioner...
Predicting survival in pediatric trauma patients receiving cardiopulmonary resuscitation in the prehospital settingA D Perron
Department of Emergency Medicine, University of Virginia, Health Sciences Center, Charlottesville 22906 0014, USA
Prehosp Emerg Care 5:6-9. 2001..To determine survival in pediatric trauma patients receiving cardiopulmonary resuscitation (CPR) in the prehospital setting and to identify subgroups of patients who may have increased survival rates...
Evaluation and management of the high-risk orthopedic emergencyAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Box 800699, Charlottesville, VA 22908, USA
Emerg Med Clin North Am 21:159-204. 2003..When the EP is knowledgeable about these orthopedic pitfalls, these injuries are much less likely to slip by in clinical practice...
Orthopedic pitfalls in the ED: Lisfranc fracture-dislocationA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Emerg Med 19:71-5. 2001..This review article examines the clinical presentation, historical factors, diagnostic techniques, and management options applicable to the emergency practitioner...
Chest pain in athletesAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Box 800699, Charlottesville, VA 22908, USA
Clin Sports Med 22:37-50. 2003....
Electrocardiographic ST-segment elevation: correct identification of acute myocardial infarction (AMI) and non-AMI syndromes by emergency physiciansW J Brady
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA
Acad Emerg Med 8:349-60. 2001..To determine the emergency physician's (EP's) ability to identify the cause of ST-segment elevation (STE) in a hypothetical chest pain patient...
Electrocardiographic diagnosis of acute myocardial infarctionW J Brady
Departments of Emergency Medicine, Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
Emerg Med Clin North Am 19:295-320, x. 2001....
Electrocardiographic ST segment depressionT Pollehn
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA
Am J Emerg Med 19:303-9. 2001..The following cases illustrate the use the ECG in patients presenting with chest pain and electrocardiographic ST segment depression attributable to an ACS, LVH, LBBB, or digitalis...
Electrocardiographic ST-segment elevation: the diagnosis of acute myocardial infarction by morphologic analysis of the ST segmentW J Brady
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA 22911, USA
Acad Emerg Med 8:961-7. 2001..The morphology of STE may assist in the correct determination of its cause, with concave patterns in non-AMI syndromes and non-concave waveforms in AMI...
Orthopedic pitfalls in the ED: lunate and perilunate injuriesA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA
Am J Emerg Med 19:157-62. 2001..This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner...
Orthopedic pitfalls in the ED: Galeazzi and Monteggia fracture-dislocationA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA
Am J Emerg Med 19:225-8. 2001..This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner...
Electrocardiographic ST-segment elevation in the trauma patient: acute myocardial infarction vs myocardial contusionClaire U Plautz
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA 22908, USA
Am J Emerg Med 23:510-6. 2005..Both patients demonstrated electrocardiographic ST-segment elevation, resulting from myocardial contusion and acute myocardial infarction...
The electrocardiographic differential diagnosis of ST segment depressionT Pollehn
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, USA
Emerg Med J 19:129-35. 2002
Cause of ST segment abnormality in ED chest pain patientsW J Brady
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA
Am J Emerg Med 19:25-8. 2001..We concluded that AMI is not the most common cause of STE in ED chest pain patients. LVH is most often responsible for electrocardiographic STE followed by AMI and LBBB which occur at equal frequencies...
The paced electrocardiogram: issues for the emergency physicianR J Harper
Department of Emergency Medicine, Portland VA Medical Center, Oregon Health Sciences University, Portland, OR, USA
Am J Emerg Med 19:551-60. 2001..This review focuses on basics of pacemaker function as well as the common rhythm disturbance issues and other clinical syndromes that the emergency physician is likely to encounter...
Orthopedic pitfalls in the emergency department: closed tendon injuries of the handA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA
Am J Emerg Med 19:76-80. 2001..Injuries discussed include rupture of the flexor digitorum profundus, mallet finger, central slip rupture, extensor hood rupture, and ulnar collateral ligament injury...
Myocarditis: emergency department recognition and managementWilliam J Brady
Department of Emergency Medicine, University of Virginia Health Sciences Center, Box 800699, Charlottesville, VA 22908 0699, USA
Emerg Med Clin North Am 22:865-85. 2004..Management is largely supportive, including aggressive cardiorespiratory support...
Administration of atropine in the setting of acute myocardial infarction: potentiation of the ischemic process?W J Brady
Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22906 0114, USA
Am J Emerg Med 19:81-3. 2001..An awareness of this potential adverse reaction coupled with a prudent selection of candidates for atropine therapy will show the risk/benefit ratio in each individual patient and, therefore, guide the clinician...
Orthopedic pitfalls in the ED: vascular injury associated with knee dislocationA D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA
Am J Emerg Med 19:583-8. 2001..This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner...
Electrocardiographic manifestations of pulmonary embolismE Ullman
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA
Am J Emerg Med 19:514-9. 2001..This review focuses on the ECG and the various abnormalities seen in the patient with PE...
Orthopedic pitfalls in the ED: calcaneal fracturesCarl A Germann
Department of Emergency Medicine, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA
Am J Emerg Med 22:607-11. 2004..This review article examines the clinical presentation, diagnostic techniques, and management of calcaneal fractures applicable to the emergency practitioner...
Additional electrocardiographic leads in the ED chest pain patient: right ventricular and posterior leadsMichael P Somers
Department of Emergency Medicine, University of Virginia Health Sciences Center, Charlottseville, VA 22908, USA
Am J Emerg Med 21:563-73. 2003..The use of the additional leads might not only confirm the presence of AMI, but also provide a more accurate reflection of the true extent of myocardial damage...
Paroxysmal supraventricular tachycardia: outcome after ED careS Luber
Department of Emergency Medicine, University of Virginia Health Sciences Center, Charlottesville-Albemarle Rescue Squad, Charlottesville, VA 22908, USA
Am J Emerg Med 19:40-2. 2001..PSVT recurrence is relatively uncommon and usually occurs within 24 hours of ED presentation. PSVT recurrence occurs more often in the elderly and in those with established cardiac disease...
Electrocardiographic manifestations of Wellens' syndromeJoseph Rhinehardt
Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908, USA
Am J Emerg Med 20:638-43. 2002..It is vital that the physician recognize these changes and the association with critical LAD obstruction and significant risk for anterior wall myocardial infarction...
Altered mental status: evaluation and etiology in the EDWilliam Kanich
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA
Am J Emerg Med 20:613-7. 2002..This group represented a minority of the ED population yet rates of ED resource use, hospital admission, and death were high...
Electrocardiographic ST segment elevation: a comparison of AMI and non-AMI ECG syndromesWilliam J Brady
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA
Am J Emerg Med 20:609-12. 2002..When determining AMI versus non-AMI with the ECG, these various findings should be used in the consideration of the overall clinical picture (history, examination, and electrocardiogram) in chest pain patients with ST segment elevation...
Orthopedic pitfalls in the ED: slipped capital femoral epiphysisAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA
Am J Emerg Med 20:484-7. 2002..This article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency physician in the treatment of SCFE...
Electrocardiographic T-wave inversion: differential diagnosis in the chest pain patientGeoffrey E Hayden
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA
Am J Emerg Med 20:252-62. 2002....
Serial electrocardiographyJonathon Velez
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA
Am J Emerg Med 20:43-9. 2002..A correct diagnosis is dependent on EP expertise in the evaluation of the chest pain patient--in large part, the electrocardiogram...
Wide-complex tachycardia: beyond the traditional differential diagnosis of ventricular tachycardia vs supraventricular tachycardia with aberrant conductionHeather Hollowell
Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908, USA
Am J Emerg Med 23:876-89. 2005..These tachycardias are diverse; as such, the pathophysiology behind each form of WCT includes toxic, metabolic, and conduction system dysfunction mechanisms...
Sudden cardiac death in athletes: a guide for emergency physiciansCarl A Germann
Department of Emergency Medicine, Maine Medical Center, Portland, ME 04102, USA
Am J Emerg Med 23:504-9. 2005..This review examines the clinical presentation, diagnostic techniques, and management options applicable to emergency practitioners...
Disagreement in the interpretation of electrocardiographic ST segment elevation: a source of error for emergency physicians?Brian F Erling
Department of Emergency Medicine, University of Virginia Medical Center, Charlottesville 22908, USA
Am J Emerg Med 22:65-70. 2004..Electrocardiographic patterns responsible for this interpretive disagreement of ST segment elevation can represent an unfortunate but potentially predictable source of error in emergency medical care...
Risk management and avoiding legal pitfalls in the emergency treatment of high-risk orthopedic injuriesCarl A Germann
Department of Emergency Medicine, Maine Medical Center, Tufts University College of Medicine, 22 Bramhall Street, Portland, ME 04102, USA
Emerg Med Clin North Am 28:969-96. 2010..When approaching these injuries in the ED, a high level of suspicion coupled with appropriate evaluation and management will allow the practitioner to avoid mismanagement of these potential pitfall cases...
The prominant T wave: electrocardiographic differential diagnosisMichael P Somers
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA
Am J Emerg Med 20:243-51. 2002..We also recommend that the designation hyperacute should refer exclusively to the prominent T waves of ST-segment elevation AMI...
The prehospital 12-lead electrocardiogram: impact on management of the out-of-hospital acute coronary syndrome patientJeffrey D Ferguson
Department of Emergency Medicine, University of Virginia, Charlottesville, Virginia 22908, USA
Am J Emerg Med 21:136-42. 2003..Importantly, these benefits are encountered with little increase in EMS resource use or on-scene time...
Acute complications associated with shoulder dislocation at an academic Emergency DepartmentAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, Virginia 22908-0699, USA
J Emerg Med 24:141-5. 2003..Neurologic deficits in 12% is significantly lower than the 21-65% reported in the orthopedic literature. Although complications associated with shoulder dislocation were relatively common, they did not significantly affect ED management...
Electrocardiographic ST segment elevation: left ventricular aneurysmJohn Engel
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA
Am J Emerg Med 20:238-42. 2002..This article focuses on the electrocardiographic findings useful in making the diagnosis of left ventricular aneurysm as well as distinguishing LVA from other STE syndromes...
The athlete's electrocardiogramJeffrey Wu
Department of Emergency Medicine, University of Virginia, Charlottesville, 22908-0699, USA
Am J Emerg Med 24:77-86. 2006..This article reviews the various findings in this group of patients...
Reciprocal ST segment depression: impact on the electrocardiographic diagnosis of ST segment elevation acute myocardial infarctionWilliam J Brady
Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA
Am J Emerg Med 20:35-8. 2002..In these cases, reciprocal ST segment depression is of considerable value in establishing the electrocardiographic diagnosis of STE AMI...
Orthopedic pitfalls in the ED: fight biteAndrew D Perron
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA
Am J Emerg Med 20:114-7. 2002..This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency physician in the treatment of fight bite...
Closed reduction of prosthetic hip dislocation by emergency physiciansCarl A Germann
Department of Emergency Medicine, Maine Medical Center, Portland, ME 04102-3175, USA
Am J Emerg Med 23:800-5. 2005..Overall, 10 patients (9%) failed ED CR. No postreduction complications were identified in any patient. CONCLUSIONS: EPs can safely and successfully perform CR on patients with dislocated total hip arthroplasties...
Arrhythmic complications of acute coronary syndromesAndrew D Perron
Department of Emergency Medicine, Maine Medical Center, Portland, 04102, USA
Emerg Med Clin North Am 23:1065-82. 2005..Emphasis is placed on mechanisms and therapeutic strategies...
Orthopedic pitfalls in the ED: tibial plafond fracturesCarl A Germann
Department of Emergency Medicine, Maine Medical Center, Portland 04102, USA
Am J Emerg Med 23:357-62. 2005..This review examines the clinical presentation, diagnostic techniques, and management of tibial plafond fractures applicable to the emergency practitioner...
Orthopedic pitfalls: cauda equina syndromeStephen A Small
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, 22908-0699, USA
Am J Emerg Med 23:159-63. 2005..This case report discusses the clinical presentation, diagnosis, and relevant treatment of cauda equina syndrome in the ED...
Orthopedic pitfalls in the ED: neurovascular injury associated with posterior elbow dislocationsSadie J Carter
Department of Emergency Medicine, Maine Medical Center, Portland, ME, USA
Am J Emerg Med 28:960-5. 2010..It is important for the emergency physician to maintain a high level of suspicion and evaluate for neurovascular compromise on every patient with elbow dislocation despite the low overall incidence of severe injury...
Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncopeJ Stephen Huff
J Emerg Nurs 33:e1-e17. 2007
Orthopedic pitfalls in the ED: Achilles tendon ruptureJacob Ufberg
Temple University Hospital and School of Medicine, Philadelphia, PA, USA
Am J Emerg Med 22:596-600. 2004..This review article examines the clinical presentation, diagnostic technique, and management options applicable to the emergency physician in the treatment of Achilles tendon rupture...
Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with syncopeJ Stephen Huff
Ann Emerg Med 49:431-44. 2007
A comparison of central venous and arterial base deficit as a predictor of survival in acute traumaThomas M Schmelzer
Department of Surgery, Section of Trauma, Carolinas Medical Center, Charlotte, NC 28203, USA
Am J Emerg Med 26:119-23. 2008..The venous blood, however, may better reflect tissue perfusion. Its usefulness in trauma is unknown. We compared central venous with arterial blood gas analysis to determine which was a better predictor of survival in injured patients...
Oligoanalgesia in ED patients with isolated extremity injury without documented fractureJesse M Pines
Am J Emerg Med 23:580. 2005
Sources of information on emergency medicine residency programsAndrew D Perron
Acad Emerg Med 9:1462-3. 2002
Electrocardiographic manifestations of hypothermiaAmal Mattu
Division of Emergency Medicine, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA
Am J Emerg Med 20:314-26. 2002..A thorough knowledge of these findings is important for prompt diagnosis and treatment of hypothermia. Six cases are presented that show these important ECG manifestations of hypothermia...
The Brugada syndromeAmal Mattu
Department of Surgery/Division of Emergency Medicine, University of Maryland, Baltimore, MD, USA
Am J Emerg Med 21:146-51. 2003..Therefore, it is imperative that all emergency physicians be familiar with the typical ECG manifestations of Brugada syndrome. Three illustrative cases are presented with a review of the syndrome...
