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Edition of Friday, July 31, 2015
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RECENT NEWS
EB Medicine Launches Mobile Application for Pediatric Emergency Medicine
PR Web (press release)
EB Medicine, leading publisher of clinical journals, Emergency Medicine Practice, Pediatric Emergency Medicine Practice, and Hospital Medicine Practice, is pleased to announce that it has partnered with AgileMD to release Pediatric Emergency Medicine ...

Harrington adds emergency medicine physician to staff
Worcester Telegram
Dr. Christian G. Heinis of Harvard, a board-certified emergency medicine physician, has joined Harrington HealthCare System's Emergency Care Department. Harrington HealthCare System services 21 communities across south Central Massachusetts and ...

SOLO suspending pre-hospital emergency medicine talks for summer
Conway Daily Sun
CONWAY — Due to the busyness of the summer season for local rescue squads, SOLO Wilderness Medicine School is suspending its monthly community pre-hospital talks until after Columbus Day. The free talks provide continuing education credits for ...

Police and clinician diversion of people in mental health crisis from the ...
BMC Blogs Network
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original ...

GW institute teams up with Asian hospitals for new program in emergency medicine
GW Hatchet (subscription) (blog)
AMRI Hospitals, a group of private hospitals in West Bengal and Odisha, India, and Bangladesh, will offer the course with the School of Medicine and Health Sciences' Ronald Reagan Institute of Emergency Medicine, according to Business Standard. Eight ...

Hospital Boosts Critical Care, Emergency Medicine Services
AllAfrica.com
"In my area of critical care and emergency medicine, the first three hours are crucial. In anaesthesia, the first five minutes make a difference whether a person would be brain dead or not. The first three hours make a difference as to whether the ...

The world's disaster and emergency medicine experts to meet in Brisbane
ITCM
All this and more will be on the agenda when more than 700 of the world's foremost experts in disaster and emergency medicine meet at the Brisbane Convention & Exhibition Centre for a four day Congress in May 2019, focussing their energies on the ...

Growing number of hospitals open ERs for the elderly
FierceHealthcare
Chris Carpenter, M.D., associate professor of emergency medicine at Washington University in St. Louis has authored a set of guidelines he hopes will provide a model for hospital nationwide. He bacame interested in senior emergency medicine after ...

New Blood Test Could Predict Brain Injury Outcomes
ClaimsJournal.com
“Compared to other proteins that have been measured in traumatic brain injury, BDNF does a much better job of predicting outcomes,” says Frederick Korley, M.D., Ph.D., an assistant professor of emergency medicine at the Johns Hopkins University School ...

Docs Report Patient Safety Often at Risk in ER to Inpatient Handoff
Doctors Lounge
Christopher J. Smith, M.D., from the University of Nebraska Medical Center College of Medicine in Omaha, and colleagues surveyed resident, fellow, and faculty physicians directly involved in admission handoffs from emergency medicine and five medical ...

Ankle Injury: Simple Rule Reduces X-ray Use, Costs in Kids
Medscape
In the current cost analysis of the same study, published online July 14 in the Annals of Emergency Medicine, Dr Boutis and colleagues show that at sites where the rule was applied, the cost per patient was lower by $36.93 Canadian (P = .02). However ...

ER Docs: Minnesota State Report Promotes Inaccurate Views about Emergency Patients
PR Newswire (press release)
ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters ...

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of Abstracts
Ann Emerg Med
Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department. (May 2015)
Emergency Department Management of Atrial Fibrillation and Flutter and Patient Quality of Life at One Month Postvisit. (May 2015)
Acad Emerg Med
Evaluating Emergency Nurse Practitioner Service Effectiveness on Achieving Timely Analgesia: A Pragmatic Randomized Controlled Trial. (Jun 2015)
Ultrasound Accurately Identifies Soft Tissue Foreign Bodies in a Live Anesthetized Porcine Model. (Jul 2015)
Emerg Med Clin North Am
Emergency department evaluation and treatment of cervical spine injuries. (May 2015)
Evaluation and management of traumatic knee injuries in the emergency department. (May 2015)
Am J Emerg Med
Can emergency physicians diagnose and correctly classify diastolic dysfunction using bedside echocardiography? (May 2015)
Hypoxic hepatitis in survivors of out-of-hospital cardiac arrest. (May 2015)
Pediatr Emerg Care
Drug Reaction With Eosinophilia and Systemic Symptoms Syndrome or Hematologic Malignancy?: A Case Report of a 4-Year-Old Boy. (Jul 2015)
Variation in Computed Tomography Use for Evaluation of Head Injury in a Pediatric Emergency Department. (Jul 2015)
Eur J Emerg Med
Airway management techniques in a restricted-access situation: a manikin study. (Apr 2015)
A comparison of pediatric basic life support self-led and instructor-led training among nurses. (Jul 2015)
JAMA
Association of volume with outcome of coronary artery bypass graft surgery. Scheduled vs nonscheduled operations. (Feb 1987)
The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations. (Dec 1994)
N Engl J Med
A controlled trial of methylprednisolone in the emergency treatment of acute asthma. (Jan 1986)
Outcomes of care in birth centers. The National Birth Center Study. (Dec 1989)
BMJ
Incidence of fires and related injuries after giving out free smoke alarms: cluster randomised controlled trial. (Nov 2002)
Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department: randomised controlled trial. (Jan 2003)
Prehosp Emerg Care
U.S. Military use of tourniquets from 2001 to 2010. (Apr-Jun 2015)
Simulation Use in Paramedic Education Research (SUPER): A Descriptive Study. (Jul-Sep 2015)
Air Med J
Air medical retrieval of acute psychiatric patients. (Nov-Dec 2014)
The lethargic diabetic: cerebral edema in pediatric patients in diabetic ketoacidosis. (Mar-Apr 2015)
Library
CBCED Features
Links to other web pages related to Biologic Counterterrorism and Emerging Diseases. The Casualty Care Research Center prepared this series of real-life-based risk scenarios.
The Centers for Disease Control has established a Bioterrorism Program to ensure the rapid development of federal, state, and local capacity to address potential bioterrorism events. The Morbidity and Mortality Weekly Report (MMWR) published by the Centers for Disease Control notifies clinicians of serious ongoing and emerging infectious disease threats. The Health and Human Services Office of Emergency Preparedness is responsible for managing and coordinating Federal medical responses to major emergencies, including those resulting from terrorism. Documents and resources to facilitate response planning for a terrorist incident
eMedicine CBRNE
An extensive list of CBRNE topics from the world's largest medical textbooks.
See complete eMedicine table of contents
Anthrax Infection
Arsenicals, Arsine
Biological Warfare Agents
Botulism
Brucellosis
Chemical Decontamination
Chemical Detection Equipment
Chemical Warfare Agents
Chemical Warfare Mass Casualty Management
Cyanides, Cyanogen Chloride
Cyanides, Hydrogen
Evaluation Of A Biological Warfare Victim
Evaluation Of A Chemical Warfare Victim
Glanders and Melioidosis
Incapacitating Agents, 3-quinuclidinyl Benzilate
Incapacitating Agents, Agent 15
Incapacitating Agents, Cannabinoids
Incapacitating Agents, LSD
Incendiary Agents, Magnesium and Thermite
Incendiary Agents, Napalm
Incendiary Agents, White Phosphorus
Irritants: Cs, Cn, Cnc, Ca, Cr, Cnb, PS
Lung-Damaging Agents, Chlorine
Lung-damaging Agents, Chloropicrin
Lung-damaging Agents, Diphosgene
Lung-damaging Agents, Phosgene
Lung-damaging Agents, Toxic Smokes: Nox, Hc, Rp, Fs, Fm, Sgf2, Teflon
Nerve Agents, G-series: Tabun, Sarin, Soman
Nerve Agents, V-series: Ve, Vg, Vm, Vx
Personal Protective Equipment
Plague
Q Fever
Ricin
Smallpox
Staphylococcal Enterotoxin B
T-2 Mycotoxins
Urticants, Phosgene Oxime
Venezuelan Equine Encephalitis
Vesicants, Mustard: Hd, Hn1-3, H
Vesicants, Organic Arsenicals: L, ED, MD, PD, HL
Viral Hemorrhagic Fevers
Vomiting Agents: Dm, Da, Dc
Daily Question


A patient complains of involuntary toe movements, as well as associated extremity pain and toe pain. From what does this patient suffer?
Answer
See More

Daily Aphorism

Noble life demands a noble architecture for noble uses of noble men.
Daily Eponym

Great cerebral vein.

Daily Phobia

Fear of poison or of being accidently poisoned.

Historical Terms

Brucellosis

Mnemonics

DENDRITIC:
  • Disguised in host tissue (but still have same function)
  • ECF ingestion
  • Nothing left to chance (ensures an immune response)
  • Derived from bone marrow
  • Regulates the immune response
  • Induces an immune response (makes it unique among antigen presenting cells)
  • Transfers information from the ECF into the cell
  • Immune tolerance (increases it)
  • Co-ordinates the adaptive and innate immune systems
  • Captures and processes antigen
  • Expresses lymphocyte costimulatory molecules
  • Llong processes extend from cell (stellate shaped)
  • Lives in lymphoid tissue
  • Secretes cytokine to initiate immune response

COMMUNICATE

Algorithms
iBradycardia treatment algorithm
iGI bleed complication risk
iMyocardial infarction probability (Goldman)
iRash diagnosis algorithm
Calculators
iAbsolute Neutrophil Count
iAlveolar-arterial oxygen gradient (A-a gradient)
iAminoglycoside clearance in females
iAminoglycoside clearance in males
iAmylase fractional excretion
iAnion gap
iBasal Energy Expenditure for females
iBasal Energy Expenditure for males
iBlood alcohol concentration
iBlood oxygen content
iBody mass index
iCSF IgG Index
iCardiac Output
iCelsius to fahrenheit conversion
iCerebrospinal white blood cell correction in traumatic lumbar puncture
iClosing capacity
iCorrected CSF Protein in Traumatic LP
iCreatinine clearance
iEstimated creatinine clearance for females
iEstimated creatinine clearance for males
iFactor IX dosing
iFactor VIII dosing
iFahrenheit to celsius conversion
iFree water deficit
iFunctional Residual Capacity
iHuman to dog years conversion
iIdeal Body Weight Percentage for Females
iIdeal Body Weight Percentage for Males
iIdeal Body Weight for Females
iIdeal Body Weight for Males
iInspiratory Capacity
iIonized calcium estimation
iKilograms to pounds conversion
iLow Density Lipoprotein
iMean arterial pressure
iNasal cannula oxygen FiO2 estimation
iOsmolar Clearance
iPounds to kilograms conversion
iPredicted peak expiratory flow (PEF, peak flow) - females
iPredicted peak expiratory flow (PEF, peak flow) - males
iPregnancy Wheel
iProtein Catabolic Rate for Patients on Hemodialysis
iResidual Renal Function in Patients on 3 times/week hemodialysis (mL/min)
iRoom air alveolar-arterial gradient (A-a gradient)
iSerum osmolarity estimation
iSodium Deficit In Hyponatremia (Males)
iSodium Deficit In Hyponatremic Females (meq)
iSodium Excess In Hypernatremic Females (meq)
iSodium Excess In Hypernatremic Males (meq)
iSodium Fractional Excretion
iSodium bicarbonate replacement
iSodium correction in hyperglycemia
Decision rules
iOttawa ankle rules
iOttawa foot rules
iOttawa knee rules
iPittsburgh knee rule
iTPA for acute stroke - indications/contraindications
Diagrams
iAcetaminophen Toxicity Nomogram
iAcid-base disturbance graph
iBenign Positional Vertigo: Bedside Treatment
iDermatomes
iDiagnosis of Benign Positional Vertigo
iHow to Tie a Bow-Tie
iIbuprofen toxicity nomogram
iRule of nines for estimating percentage of body surface area burned in adults
iSalicylate toxicity nomogram
Scores
iAlvarado appendicitis score
iApache II score
iApgar score
iBleeding probability after TPA for MI
iCardiac arrest: likelihood of mortality and neurologic recovery
iCommunity-acquired Pneumonia Mortality risk for adults
iCoronary disease probability
iCrotalid snakebite severity score
iCroup score (pediatric)
iEctopic pregnancy risk
iGeriatric depression scale (Koenig)
iGlasgow Coma Scale
iMangled extremity severity score
iMini mental status exam
iNIH Stroke Scale
iRanson's criteria for pancreatitis mortality prediction
iStrep pharyngitis probability score
iTWEAK alcoholism score
iTrauma score for survival probability
Tables
iEndocarditis Prophylaxis - Antibiotic Regimens
iEndocarditis Prophylaxis - Which Cardiac Conditions Require It?
iEndocarditis Prophylaxis - Which Procedures Require It?
iEthanol effects in non-alcoholics
iOpioid Potency Comparison
iPediatric Resuscitation Equipment - Sizing by Age
iPediatric Vital Signs
iSynovial Fluid Classification
iSystemic Glucocorticoids Comparison
DISCLAIMER: This website is designed primarily for use by qualified physicians and other medical professionals. The information provided here is for educational and informational purposes only. It is not guaranteed to be correct and should NOT be considered as a substitute for the advice of an appropriately qualified expert. In no way should the information on this site be considered as offering advice on patient care decisions.
[This site developed and operated by Craig Feied MD, Jon Handler MD, and Mike Gillam MD]
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