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Edition of Sunday, April 20, 2014
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RECENT NEWS
Ohio firm to manage Allegheny Health Network emergency departments
Pittsburgh Business Times
Canton, Ohio-based Emergency Medicine Physicians will manage the emergency departments at Allegheny General Hospital, West Penn Hospital, Canonsburg Hospital and Saint Vincent Hospital in Erie, the company said. The joint venture will also manage ...
AHN expands relationship with emergency medicine management companyWashington Observer Reporter
Allegheny Health Network and Emergency Medicine Physicians Form Joint ...Newswire Today (press release)
EMP to manage emergency rooms in Western PennsylvaniaSuburbanite

An emergency medicine physician's take on honoring your emotions
Scope (blog)
But how do you really feel? Over on KevinMD.com, Anoop Kumar, MD, reflects on his personal and professional experiences with cancer. The emergency physician cares for people with acute complications from cancer and related treatments. In the post ...

GuideWell Health and Crucial Care Launch GuideWell Emergency Medicine ...
SYS-CON Media (press release)
JACKSONVILLE, Fla. and ORLANDO, Fla., April 11, 2014 /PRNewswire/ -- GuideWell Health has formed GuideWell Emergency Medicine Doctors, LLC, which will serve as a stand-alone medical facility serving the Orlando metropolitan area from its premier ...
Florida Blue to open urgent-care center near Winter Park Trader Joe'sOrlando Business Journal (blog)

Tennessee's First Emergency Medicine Fellowship Begins At Erlanger And UTC
The Chattanoogan
Mr. Spiegel, Erlanger Chief Medical Officer Jim Creel, MD, and UTCOMC Dean David C. Seaberg, MD, presented white coats to the new faculty of the Division of EMS under the Department of Emergency Medicine during a recent ceremony at Erlanger.

UAB emergency medicine doctor says people should have a plan to deal with ...
al.com (blog)
"Flooding can occur quickly, and we need to prepare for it, just as we need to prepare for other weather events, such as hurricanes and tornadoes," said Sarah Nafziger, an emergency medicine physician at UAB and assistant director of state emergency ...

Audio-Digest Foundation Announces the Release of Emergency Medicine ...
PR Web (press release)
Audio-Digest Foundation, the largest independent publisher of Continuing Medical Education in the world, records over 10,000 hours of lectures every year in anesthesiology, emergency medicine, family practice, gastroenterology, general surgery ...

Emergency room wait times
GoDanRiver.com
We've also been fortunate to recruit tremendously talented providers to care for our patients including Dr. Ian Greenwald, our Medical Director, who is a board certified emergency medicine physician, a previous Duke Faculty member and a current Duke ...

High-altitude medicine
The Durango Herald
TELLURIDE – A doctor here with a background in emergency medicine is treating patients sensitive to high altitude before, instead of after, they get in real trouble. Dr. Peter Hackett, the founder of the Institute for Altitude Medicine, treats and ...

Log Rolling and Tomahawk Intubation: The FOAMed Report
MedPage Today
Here are five must-reads curated from the globally crowd-sourced emergency medicine and critical care online education community called Free Open Access Meducation (FOAMed): 1. How to Tomahawk intubate patients you need to keep in a seated ...

Nitroglycerin, a Staple of Emergency Rooms, Is in Short Supply
New York Times
Since the restrictions were imposed in January, the hospital is limited to no more than 24 a month, said Dr. Robert E. O'Connor, the chairman of the emergency medicine department at the University of Virginia School of Medicine. He said the hospital's ...

Physicians Now Offers Emergency Care with a Human Touch
PR Web (press release)
“We are currently the only urgent care center in the area with a board-certified emergency medicine physician in attendance,” says Keke Olisemeka, Chief Patient Advocate and co-founder of the center. “Here at Physicians Now, we make sure patients can ...

Middle East Emergency Exhibition & Conference to be launched in Dubai in ...
Free Press Release Center (press release)
The Middle East Emergency Congress is the leading event of its kind, bringing three accredited conference tracks -12th Middle East Emergency Medicine Conference, 11th Middle East Trauma Conference, 4th Middle East Anaesthesia, Pain Management ...

Medical-School Students Gain Insight Into Harsh Reality of 'Terror Medicine'
NJ Spotlight
Student Michael Hayoun, who starts a residency in emergency medicine in Philadelphia later this year, said he was glad the class was offered. “As an emergency physician, I could be the person supervising at the time when an event strikes,” Hayoun said.

ECG Lifesaver, Nasal Narcan: The FOAMed Report
MedPage Today
Here are six must-reads curated from the globally crowd-sourced emergency medicine online education community called Free Open Access Meducation (FOAMed): Watch a powerful personal story from an ED nurse about lapses in crisis management ...

Beth Israel uses Google Glass for emergency care
Daily Free Press (subscription)
Beth Israel Deaconess Medical Center announced Wednesday the expanded use of Google Glass to its entire emergency department, becoming the first hospital in the United States to do so. Dr. Steven Horng, who specializes in emergency medicine, ...

Beach Business: Beginning April 7
Beach Reporter
Hockberger, a Redondo Beach resident, is a legend in the field of emergency medicine for the many contributions he's made to improving emergency care and to training the next generation of emergency room physicians, according to David Meyer, ...
LA BioMed celebrates the accomplishments of 2 'Legends'EurekAlert (press release)

RIP, Cervical Collar? The FOAMed Report
MedPage Today
Here are five must-reads curated from the globally crowd-sourced emergency medicine and critical care online education community called Free Open Access Meducation (FOAMed): 1. Why emergency medicine should bury the cervical collar 6-feet under. 2.

Sepsis: Is CVP Useless as a Resuscitation Marker?
Medscape
With me is Dr. David Farcy, Chairman of Emergency Medicine at Mount Sinai Medical Center in Miami Beach, Florida, and Director of the Surgical Intensive Care Unit at Mount Sinai. Today we will be discussing whether CVP (central venous pressure) is ...

Passed-over med school grad learns life lesson, gets 2nd chance
Crain's Detroit Business
"I did want emergency medicine, but I think family medicine is a better fit for my personality as a whole," he said. "After residency, I can still go out and do emergency medicine." As happy as Frame is now, it was a different emotion he experienced a ...

Military group offers scholarships
Pensacola News Journal
The Pensacola Chapter of the Military Officers Association of America will be awarding scholarship grants to children, stepchildren, spouses or grandchildren of both officer and enlisted active duty or retired military personnel. To be eligible ...

NHIA publishes list of island's overloaded emergency rooms
China Post
Doctor Wei-tien Chang (張維典) of the Emergency Medicine Department of NTUH said that many patients like to visit emergency rooms for coughing or after catching a cold, and some of them usually refuse to go to other hospitals even after being advised ...

Will Recent Findings Change Sepsis Guidelines?
MedPage Today
Many emergency medicine physicians say ProCESS, published in NEJM, should have triggered the SSC to remove the guidelines' requirement for central venous lines. "Any guideline that still endorses the transfusion and CVP [central venous pressure] ...

ADAM CORLEY: Understanding the potential logical flaws in the decision process
Brazosport Facts (subscription)
... is medical director for Clute and Lake Jackson EMS and regional medical director for EmCare, a nationwide physician services company. He is also a fellow at the American College of Emergency Physicians and American Academy of Emergency Medicine.

Introduction to Traditional Peer Review
Scientific American (blog)
(1998) sent a fake manuscript, containing 23 deliberate flaws, to editors of Annals of Emergency Medicine and all the journal's peer reviewers who reviewed at least three manuscripts before the study. On average, the reviewers detected 3.4 of the ten ...

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Ann Emerg Med
Measuring Patient Tolerance for Future Adverse Events in Low-Risk Emergency Department Chest Pain Patients. (Feb 2014)
Effect of Provider Experience on Clinician-Performed Ultrasonography for Hydronephrosis in Patients With Suspected Renal Colic. (Mar 2014)
Acad Emerg Med
Occult Pneumothoraces in Children With Blunt Torso Trauma. (Apr 2014)
Barriers to Computed Tomography Radiation Risk Communication in the Emergency Department: A Qualitative Analysis of Patient and Physician Perspectives. (Feb 2014)
Emerg Med Clin North Am
Management of facial fractures. (May 2013)
Common indications for pediatric antibiotic prophylaxis. (Aug 2013)
Am J Emerg Med
Impact of checklists on peri-intubation care in ED trauma patients. (Feb 2014)
Compression-only cardiopulmonary resuscitation vs standard cardiopulmonary resuscitation: an updated meta-analysis of observational studies. (Feb 2014)
Pediatr Emerg Care
The use of alternate light sources in the clinical evaluation of child abuse and sexual assault. (Mar 2014)
Can a simple urinalysis predict the causative agent and the antibiotic sensitivities? (Apr 2014)
Eur J Emerg Med
Emergency medical services interval and mortality in significant head injury: a retrospective cohort study. (Jan 2014)
Factors associated with the length of stay of patients discharged from emergency department in France. (Feb 2014)
JAMA
Abdominal aortic thrombosis in association with an attempted Heimlich maneuver. (Mar 1983)
Use of sedating drugs and neuromuscular blocking agents in patients requiring mechanical ventilation for respiratory failure. A national survey. (Nov 1991)
N Engl J Med
A randomized trial of immediate versus delayed elective angioplasty after intravenous tissue plasminogen activator in acute myocardial infarction. (Sep 1987)
Emergency management of blunt trauma in children. (May 1991)
BMJ
Efficacy of a small single dose of oral dexamethasone for outpatient croup: a double blind placebo controlled clinical trial. (Jul 1996)
Barking mad? another lunatic hypothesis bites the dust. (Dec 2000)
Prehosp Emerg Care
Creation and Delphi-method Refinement of Pediatric Disaster Triage Simulations. (Apr-Jun 2014)
EMSC Program Manager Survey on Education of Prehospital Providers. (Feb 2014)
Air Med J
Supraglottic airway device use as a primary airway during rapid sequence intubation. (Mar-Apr 2013)
A 3-year retrospective audit of the use of noninvasive positive pressure ventilation via the Oxylog 3000 transport ventilator during air medical retrievals. (May-Jun 2013)
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
RECENT BLOG POSTINGS
Emergency Medicine Literature of Note: Pre-Hospital Furosemide ...
Emergency Medicine Literature of Note
In Ottawa, pre-hospital care includes paramedics authorized to treat acute cardiogenic pulmonary edema in the setting of respiratory distress. Their treatment, sensibly, includes nitroglycerin. It also, insensibly, includes ...
Why I Made Emergency Medicine My Career by Mark Baker, MD ...
The Central Line
Why I Made Emergency Medicine My Career by Mark Baker, MD, FACEP. What other jobs allow you to stay up all night long, party with crazy people, and get paid for it? That's what I like to say every New Year's Eve.
Causes of reduced conscious level in North Dublin - Emergency ...
Emergency Medicine Ireland
As a result you become an expert in inner city emergency medicine which has its own specific problems. Here's a list of differentials for the unconscious patient in my current context. Feel free to suggest any other important ...
Allegheny Health Network and Emergency Medicine Physicians ...
EMP News
Allegheny Health Network and Emergency Medicine Physicians (EMP) announced today the formation of a joint venture to manage the emergency departments at eight hospitals in western Pennsylvania. The joint venture ...
3rd ICPEM | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
The fantastic super pediatric conference is over ladies and gentlemen. We learned, taught, eat and laughed for three days with the world's leaders in emergency medicine from all over the globe. If you have attended the ...
The Boston Marathon bombing: From emergency medicine to Twitter ...
Journalist's Resource
Findings: �On Monday, April 15, 2013, Boston emergency medical services and other agencies transported scores of casualties to local hospitals within 90 minutes of the two explosions at 2:50 p.m. near the Boylston Street ...
The Role of the Emergency Department in the ... - Athenahealth
Health Leadership Forum | athenahealth
For practitioners of emergency medicine, these changes are amplifying the evolution already occurring in the (ED) during the last several years. Emergency physicians always have been active in the field of unscheduled care, ...
May 2014 Emergency Medicine Conferences | Saudi Program of ...
Saudi Program of Emergency Medicine Resident's blog
Salam! Here I am again ,, but this time it's early enough for you to plan attending one of the conferences some time ahead.I'll list them down here. Ready ? lets GO ! ↓↓↓↓↓ ...
Emergency Medicine Veterinarian, Employment | AVMA
AVMA Veterinary Career Center Search Results
AVMA Veterinary Career Center: Private Practice, , Windsor, Colorado , Emergency Medicine Veterinarian at Peak Veterinary Specialists & Emergency Hospital.
Emergency Medicine Literature of Note: The Troponin to End All ...
Emergency Medicine Literature of Note
These patients were then followed through the central Swedish Health Registry for subsequent hospital admissions or death for 30, 180, and 365 days following their Emergency Department Visit. Of this cohort, 8,883 had an ...
Emergency Medicine Procedure Workshop | EmergencyPedia
EmergencyPedia
EMIG Procedure Workshop Welcome to the pre-reading (flipped classroom) for the Emergency Medicine Interest Group (EMIG) Procedures Workshop. This is scheduled for next week (Monday 31st of March - Tuesday 1st of ...
Head injury | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
The original presentation for the latest activity. It is a �not so organized� presentation but people are requesting a quick release so here you go. It is provided for educational purposes only, all copyrights are reserved for the ...
Thrombolysis for Acute Stroke | The Skeptics Guide to Emergency ...
The Skeptics Guide to Emergency Medicine
Members of BEEM were asked to speak at their National Emergency Medicine conference while in Stockholm. I was invited to debate the evidence for thrombolysis in acute CVA with Dr. Kjell Asplund. Being Canadian, it was ...
Emergency Medicine Literature of Note: Go Ahead, Age-Adjust the D ...
Emergency Medicine Literature of Note
If you include D-dimer as part of your practice to exclude pulmonary embolism, you're probably already aware background levels gradually increase with age. This results in further deterioration of the already poor specificity.
Emergency Medicine Lectures, Wednesday, April 2nd | yaleem.org
yaleem.org
From 9am to 11:30am the EM Lectures will all held at 464 Congress Ave, Suite 260. We will move to Harkness at 11:30am for the scheduled Grand Rounds. Please see new room assignments below. Emergency Medicine Lectures will take ...
(Yet more) reflections on SMACC Gold - Emergency Medicine Ireland
Emergency Medicine Ireland
Lots of other folk have put their reflections on SMACC Gold online and I'm here to join the crowd. I missed the first SMACC as purse strings were a little tight. They're a little tight this year too but I really wasn't going to miss two ...
New Emergency Medicine Training Program in Kampot, Cambodia ...
Global Emergency Care
The University of Massachusetts Department of Emergency Medicine, in partnership with GECC, is working to establish a long term partnership with Sonja Kill Hospital in Kampot, Cambodia with the goal of helping build a ...
An emergency medicine physician's take on honoring your emotions ...
Scope Blog
But how do you really feel? Over on KevinMD.com, Anoop Kumar, MD, reflects on his personal and professional experiences with cancer. The emergency physician cares for people with acute complications from cancer and ...
Another flight, another Louisiana congressman/doctor provides ...
New Orleans Health and Health Care
Another flight, another Louisiana congressman/doctor provides emergency medical care. images (1)fleming.jpeg. Rep. John Fleming uses his medical skills to treat a sick passenger on a Delta flight Thursday. Print.
Age Adjusted D-dimer Cut Offs - Emergency Medicine Ireland
Emergency Medicine Ireland
This paper recently published trying to confirm if it's OK to raise the d-dimer cut off in older people. �Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism: the ADJUST-PE Study.� 311, no. 11 (March 19, 2014): ...
Daily Question


What are the clinical manifestations of the superior orbital fissure syndrome?
Answer
See More

Daily Aphorism

You can observe a lot just by watching.
Daily Eponym

For assessing vestibular function, having patient step in one spot with the eye closed; in peripheral lesions, body rotates to side of lesion whereas in central disorders, deviation is irregular.

Daily Phobia

Fear of German or German things.

Historical Terms

Sudden pulsation or stroke, also a convulsion

Mnemonics

A MUDPILE CAT
  • Alcohol
  • Methanol
  • Uremia
  • Diabetic ketoacidosis
  • Paraldehyde
  • Iron/ Isoniazid
  • Lactic acidosis
  • Ethylene glycol
  • Carbamazepine
  • Aspirin
  • Toluene

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
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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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