Paul T Cheung

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BACKGROUND Early treatment of elevated blood pressure (BP) in patients presenting with spontaneous intracerebral hemorrhage (ICH) may decrease hematoma enlargement and lead to better neurologic outcome. STUDY OBJECTIVE To determine whether early BP control in patients with spontaneous ICH is both feasible and tolerated when initiated in the Emergency(More)
BACKGROUND Chest X-ray interpretation is an important skill in the diagnosis of congestive heart failure (CHF) by emergency physicians. OBJECTIVES This study evaluated the ability of emergency physicians to recognize CHF on chest X-ray and the effect of level of training and confidence upon accuracy of interpretation. METHODS This was a prospective,(More)
STUDY OBJECTIVE We compare the association between barriers to timely primary care and emergency department (ED) utilization among adults with Medicaid versus private insurance. METHODS We analyzed 230,258 adult participants of the 1999 to 2009 National Health Interview Survey. We evaluated the association between 5 specific barriers to timely primary(More)
STUDY OBJECTIVE We assessed whether the ordering of imaging studies in patients with suspected venous thromboembolism was consistent with the results of D-dimer testing. METHODS We performed a retrospective chart review of consecutive cases in which a D-dimer assay was performed at an urban academic emergency department during a 13-month period.(More)
Three children suffered from acute onset of convulsions and progressive coma associated with hyperpyrexia, profound shock and generalized bleeding tendency. No causative agent could be identified. Despite aggressive resuscitation they all died. Post-mortem examination revealed cerebral oedema, petechial haemorrhages of the gut, lungs and kidneys, and a(More)
agnosis was evaluated, not the management of the patient. Today, in the patients being evaluated for possible cardiovascular disease, echocardiography would be more often used in arriving at a diagnosis and especially in making management decisions for the patient. The modern imaging techniques when used appropriately have made the diagnosis of the(More)
OBJECTIVE Seeking to evaluate the feasibility of a prediction instrument for endocarditis in febrile injection drug users (IDUs), we determined (1) the frequency percentage of IDUs admitted with fever diagnosed with endocarditis and (2) whether individual or combinations of emergency department (ED) clinical criteria (patient history, physical examination(More)
BACKGROUND Although national guidelines recommend universal human immunodeficiency virus (HIV) testing, emergency departments (EDs) may choose to limit testing to certain patients, such as those triaged to urgent care (UC). OBJECTIVE To compare the results of rapid HIV testing in an urban ED with an affiliated UC. METHODS This was a retrospective(More)
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