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emergency medicine on the web
Edition of Monday, October 20, 2014
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RECENT NEWS
When you're an ER doctor and the answer to how you're doing is “Ebola”
Quartz
To an emergency medicine doctor, Ebola is just another danger, albeit one that is unusually contagious and virulent. Every year, we face off against the seasonal flu and whatever special influenza-like illness nature devises for us, whether swine or avian.

College students get firsthand experience in emergency medicine
USA TODAY College
TEMS is a state licensed Emergency Medicine organization that is open 24/7 and has serviced the Tufts community since 1985. The program is similar to many student-run emergency medical services that assist their college communities and TEMS is one of ...

U of Maryland Emergency Medicine releases free educational pearls app
iMedicalApps
Since 2007, the Department of Emergency medicine at the University of Maryland has been developing useful clinical pearls for Emergency Medicine, and has been making them available via their website: UMEM educational pearls. The pearls contain high ...

Top 10 Emergency Medicine Apps for iPhone & Android
MedPage Today (blog)
iMedicalApps finds the 10 essential medical apps that emergency medicine physicians should have on their iPhone or Android device. A recent trial published in JAMA shows blood pressure medication "self-titration" by patients using connected mobile ...

Emergency medicine physician returns to Wyoming to expand medical services
County 10
(Fremont County, Wyo.) – SageWest Health Care is pleased to announce that Kristy Rahimi, M.D., has joined its staff and is offering emergency medicine services to patients at SageWest Health Care in Riverton. Dr. Rahimi, a Wyoming native, is one of six ...

Emergency medicine need of time
The News International
He informed the health advisor that the CPSP has started training in emergency medicine but so far, only two teaching hospitals both in private sector namely Shifa International Hospital in Islamabad and Aga Khan University Hospital in Karachi are ...

Hospital shows documentary on emergency medicine
Mail Tribune
A documentary on Los Angeles County Hospital's trauma department and the plight of overburdened emergency rooms will be shown from 6:30 to 9 p.m. Thursday, Oct. 23, at the Asante Smullin Health Education Center, 2825 E. Barnett Road, Medford.

U.S. department of emergency medicine seeks community input
KVOA Tucson News
TUCSON- The University of Arizona Department of Emergency Medicine is turning to the community for input regarding a clinical trial that requires a medical procedure to be performed without patient consent. The study will determine if an investigations ...

Palliative care faces barriers in emergency medicine
Brazosport Facts (subscription)
“Even the ordinary methods of treating disease and prolonging life have changed the context in which men die. Fewer and fewer people die in the familiar surroundings of home or in the company of family and friends. At the time of life where there is ...

An Innovative Approach to Emergency Medicine Resident Ultrasound Education
Journal of Ultrasound in Medicine (subscription)
SonoGames was created by the Academy of Emergency Ultrasound for the 2012 annual meeting of the Society for Academic Emergency Medicine. The assessment of resident knowledge and of the performance of point-of-care ultrasound examinations is an ...

W.Va. Capitol Complex employees to participate in exercise dispensing ...
Greenfield Daily Reporter
CHARLESTON, West Virginia — People who work at the West Virginia Capitol Complex are set to participate in an emergency medical drill. The exercise is set for Tuesday on the Capitol grounds. The state Department of Military Affairs and Public Safety ...

Baylor College of Medicine team provides Ebola training in Nigeria
Baylor College of Medicine News (press release)
Dr. Bobby Kapur, physician leader and associate professor of medicine – emergency medicine at Baylor, said it was interesting that Nigeria's situation was similar to that in the United States. One person traveled from Liberia to Nigeria and then had ...

Study finds inconsistent achievement of guidelines for acute asthma care in ...
Medical Xpress
The current report analyzed data from three studies conducted by the Multicenter Airway Research Collaboration, a project of an international research consortium called the Emergency Medicine Network. Data from two studies enrolling asthma patients ...

Civic Agenda: Whatcom County recognizes 40 years of emergency medical ...
Bellingham Herald
In January of 1974 I decided to take a “year off” to consider the new specialty of emergency medicine and moved to Bellingham. At that time there were two competing hospitals, St. Luke's and St. Joseph, and a private ambulance service providing care.

Food Allergy Research & Education and Emergency Medicine Experts Come ...
PR Web (press release)
Following the recently held Emergency Management of Anaphylaxis Summit, FARE is working with emergency medicine experts to make recommendations to improve emergency department protocols, expand knowledge of anaphylaxis and biphasic ...

Malpractice Immunity Does Not Deter Doctors Who Practice 'Defensive Medicine'
Medical Daily
"These malpractice reforms have been said to provide virtual immunity against lawsuits," said Waxman, who is also an emergency medicine physician at the David Geffen School of Medicine at UCLA. "This study suggests that even when the risk of being sued ...

Answering Key Questions from Today's #MTPSummit on Ebola
NBCNews.com
Dr. Gabe Kelen, professor and chair of emergency medicine at Johns Hopkins University, said U.S. involvement in Ebola outbreak in West Africa should help the situation improve. This Video Player Requires JavaScript. It has come to our attention that ...

NCEMI for PDAs (Palm, Web Phones, WinCE)


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Literature Abstracts
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of Abstracts
Ann Emerg Med
The Nature and Necessity of Operational Flexibility in the Emergency Department. (Sep 2014)
Ecallantide for the Acute Treatment of Angiotensin-Converting Enzyme Inhibitor-Induced Angioedema: A Multicenter, Randomized, Controlled Trial. (Aug 2014)
Acad Emerg Med
Test Characteristics of Electrocardiography for Detection of Left Ventricular Hypertrophy in Asymptomatic Emergency Department Patients With Hypertension. (Sep 2014)
Variation in Emergency Department Head Computed Tomography Use for Pediatric Head Trauma. (Sep 2014)
Emerg Med Clin North Am
Approach to metabolic alkalosis. (May 2014)
Chemotherapeutic medications and their emergent complications. (Aug 2014)
Am J Emerg Med
A conceptual framework for improved analyses of 72-hour return cases. (Aug 2014)
Weakness and fatigue in older ED patients in the United States. (Aug 2014)
Pediatr Emerg Care
Encephalopathy from unintentional donepezil and memantine ingestion. (Sep 2014)
A Case of Painless Pediatric Priapism and Cough. (Oct 2014)
Eur J Emerg Med
Can emergency medicine practitioners predict disposition of psychiatric patients based on a brief medical evaluation? (Jun 2014)
Rapid infusion pump overestimates delivered flow during rapid vascular filling: a bench study. (Jun 2014)
JAMA
An outbreak of designer drug--related deaths in Pennsylvania. (Feb 1991)
A regional prospective study of in-hospital mortality associated with coronary artery bypass grafting. The Northern New England Cardiovascular Disease Study Group. (Aug 1991)
N Engl J Med
Skull x-ray examinations after head trauma. Recommendations by a multidisciplinary panel and validation study. (Jan 1987)
A comparison of sclerotherapy with staple transection of the esophagus for the emergency control of bleeding from esophageal varices. (Sep 1989)
BMJ
Screening for abdominal aortic aneurysms: single centre randomised controlled trial. (Apr 2005)
Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. (Jan 2008)
Prehosp Emerg Care
Rationale, Methodology, Implementation, and First Results of the French Out-of-hospital Cardiac Arrest Registry. (Oct-Dec 2014)
Air Med J
2013 aircrew, avionics, and operations survey, part 2. (Nov-Dec 2013)
Past and current trends in intravenous therapy for hemorrhagic shock. (Jul-Aug 2014)
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


How long should the benztropine (cogentin) or diphenhydramine (benadryl) be continued after successful treatment in order to avoid relapse?
Answer
See More

Daily Aphorism

People forget how fast you did a job -- but they remember how well you did it.
Daily Eponym

Allergic angiitis and granulomatosis involvement in the lung, associated with eosinophilia; asthma is the cardinal feature (occurs in 95%) and precedes vasculitic phase by 8-10 years; 2/3 of patients have skin lesions which can appear as s.c. Nodules on extensor surfaces; 70% have p-anca; 4/6 following criteria 85% sens and 99.7% spec: asthma; eosinophilia>10%; neuropathy; pulmonary opacities; paranasal sinus abnormality; biopsy of blood vessel showing eosinophils in extravascular area.

Daily Phobia

Fear of stealing.

Historical Terms

Purpura

Mnemonics

3P 3C 3M
  • 3P's: Three Pulmonary's: Pneumothorax, PE, Pulmonary edema
  • 3C's: Three Cardiacs: Cardiogenic pulmonary edema, Cardiac ischemia, Cardiac tamponade
  • 3M's: Three Metabolics: (DOC) DKA, Organophosphates, Carbon monoxide poisoning

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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