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emergency medicine on the web
Edition of Monday, September 22, 2014
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RECENT NEWS
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 ...

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 ...

Dr. Gail Anderson, 'father of emergency medicine,' dies
ModernHealthcare.com
Dr. Gail Anderson, a surgeon known as the “father of emergency medicine,” died earlier this month of complications from pneumonia in Pasadena, Calif. Anderson was 88, according to the University of Southern California, where he was a founding faculty ...

Emergency medicine at USC ranks No. 3 among national residency programs
USC News
Treating patients in one of the busiest trauma centers in the nation, the Keck School of Medicine of USC's Department of Emergency Medicine residency program now ranks No. 3 in the United States. The rankings were developed by the Doximity online ...

Emergency Medicine: Never store dangerous things in food containers
Columbus Dispatch
Food safety is a big issue, whether it concerns spoiled potato salad at a hot summer picnic, tainted spinach or strawberries in a nationwide product recall, or food-supply issues in developing countries. But one case I saw years ago illustrated to me a ...

In memoriam: Gail Victor Anderson, 88
USC News
Gail Victor Anderson, founding faculty member of the Department of Emergency Medicine at USC, died of complications from pneumonia on Sept. 6 in Pasadena. He was 88. “The world of medicine has suffered a great loss,” said Carmen A. Puliafito, dean of ...

Emergency medicine department celebrates 10 years
UI The Daily Iowan
The state of Iowa's only emergency-medicine residency is celebrating its 10th anniversary. Residents in the University of Iowa Hospitals and Clinics' program hone their skills in the stabilization, management, diagnosis, and disposition of individuals ...

Give children with food allergies access to emergency medicine at school ...
San Bernardino County Sun
The California public school system is in the midst of a rapidly unfolding health epidemic that affects every classroom in the state. Current research indicates that food allergies and anaphylaxis — life-threatening allergic reactions — affect ...

Emergency medicine physicians join Mayo Clinic Health System
Chippewa Herald
They are members of the American Academy of Emergency Medicine and American College of Emergency Physicians. In her spare time, Dr. Laura Nelson enjoys hiking, skiing, cooking, traveling and spending time with family. Dr. Drew Nelson enjoys running ...

Doximity's 'Residency Navigator' Injects Transparency into GME
U.S. News & World Report (blog)
In emergency medicine, Indiana University School of Medicine, University of Cincinnati Medical Center and University of Southern California topped Doximity's rankings. And the top-ranked general surgery residencies are at Johns Hopkins University, Mass ...

In the Emergency Room, a Hidden Ailment
New York Times (blog)
In the new study, published online in the Annals of Emergency Medicine, 138 patients ages 65 and older (none with acute medical problems or dementia) were evaluated at a North Carolina hospital last summer with a six-item questionnaire that asked about ...

Emergency Medical Associates Now Provides Emergency Medicine ...
SYS-CON Media (press release)
PARSIPPANY, NJ -- (Marketwired) -- 08/28/14 -- Emergency Medical Associates (EMA) recently contracted with New York Hospital Queens, Flushing, N.Y., to provide emergency medicine professional services. A member of the NewYork-Presbyterian ...
Emergency Medical Associates Named to Modern Healthcare's Best Places to ...Broadway World

GP practice closures will worsen urgent care crisis, warn emergency medicine ...
Pulse
The increasing number of GP practice closures is exacerbating an ongoing crisis in urgent and emergency care, according to emergency medicine doctors. Dr Clifford Mann, president of the College of Emergency Medicine, has lent his organisation's support ...

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 ...

Conference on emergency medicine
Oman Daily Observer
MUSCAT — The three-day Oman International Conference on Emergency Medicine 2014 was opened yesterday at Sultan Qaboos University (SQU) under the auspices of Sayyid Dr Said bin Hilal al Busaidi, Deputy Chairman of the State Council in the ...

ER Visits Jump Under ACA
Insurance News Net
"When I speak with other emergency physicians, it seems as if volume has increased faster since the Affordable Care Act than in the past," said Mark Reiter , president of the American Academy of Emergency Medicine , who works at St. Thomas Rutherford ...

Tech grad honored for helping rescue Colo. residents
St. Cloud Times
The Minnesota native sought work in emergency medicine and hasn't turned back since. The couple now have a 6-year-old boy and a 4-year-old girl. When he joined PVH, it didn't take long for supervisors to notice that Simonson had a passion that far ...

ER waiting times vary significantly
WECT-TV6
"It's certainly important to publicize this issue," said Schuur, who is an assistant professor of emergency medicine with Harvard Medical School. "Medicare started advertising waiting times at ERs about a year ago. And that will be a strong incentive ...

EMERGENCY MEDICINE CONSULTANTS… Are you looking for a challenge ...
Irish Medical Times
EMERGENCY MEDICINE CONSULTANTS… Are you looking for a challenge and want to work in a high income economy? At PE Global Healthcare we are currently recruiting on behalf of the largest non-profit healthcare provider in Qatar, who provides 90% ...

BUSINESS DIARY
Crain's Detroit Business
TeamHealth Holdings Inc., Knoxville, Tenn., a provider of outsourced physician staffing solutions for hospitals, announced the merger of its operations with Emergency Medicine Specialists PC, Fraser, and its affiliated revenue cycle management and ...

Westchester County Newsmakers, 9.22.2014
Westfair Online
RAFAEL TORRES of Manhattan has joined White Plains Hospital as medical director of emergency medicine at The Flanzer Center for Emergency and Critical Care Medicine. The two-story center at the hospital with all private rooms opened in 2010. It is the ...

State's only pediatric emergency department marks 20 years
HSC Newsbeat
Sapien, chief of the University of New Mexico's Division of Pediatric Emergency Medicine, spearheaded the effort to create a dedicated emergency room for children. “It truly takes a village to create and manage this kind of operation at such a high ...

DPSS: Big House evacuation went as planned
The Michigan Daily
Joe Piersante, chief operations officer for DPSS and detail commander during football Saturdays, is in charge of the many public safety agencies tasked with keeping the Big House safe: Huron Valley Ambulance, emergency medicine, the county chapter of ...

Monday Medical: Portal empowers patients
Steamboat Pilot & Today
Dr. Laila Powers, a Steamboat Springs emergency medicine physician, has seen the system's benefits in the emergency department, where patients and patients' family members have helped doctors by pulling up information from patient portals at other ...

Central Florida soon will have 4 stand-alone emergency rooms
Orlando Sentinel
It was very clear that a significant portion of our patient population was coming from here in Hunter's Creek," Dr. Craig Mitchell, associate director of Osceola Regional emergency medicine, said in June when that facility opened. "And in order to ...

Officials cuts ribbon on new emergency department
The Star Democrat
Dr. Deborah Davis, director of emergency medicine, said the previous ED was archaic and in desperate need of energizing. “Our team is here to serve the community, we are delighted to have this wonderful space to do our good work,” Davis said. Emergency ...

New Haven briefing planned on children's virus
Sacramento Bee
DeLauro will be joined by the superintendent and director of school nursing for New Haven public schools and a pediatric emergency medicine physician from Yale-New Haven Children's Hospital at a gathering Monday to make parents and health care ...

SonoSite X-Porte is the next step in ultrasound for emergency medicine
Cambridge Network
Rip Gangahar, Consultant in Emergency Medicine and Trauma Lead for the Trust, explained: “We have been using SonoSite's point-of-care ultrasound systems for 10 years, from the TITAN® through to the latest systems, and were lucky enough to receive the ...

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We search MEDLINE every Monday for new abstracts and deliver results by email free!
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Literature Abstracts
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of Abstracts
Ann Emerg Med
Randomized Controlled Trial of Intravenous Antivenom Versus Placebo for Latrodectism: The Second Redback Antivenom Evaluation (RAVE-II) Study. (Jul 2014)
Learning From Experience: A Systemic Review of Community Consultation Acceptance Data. (Jul 2014)
Acad Emerg Med
Diagnostic yields, charges, and radiation dose of chest imaging in blunt trauma evaluations. (Jun 2014)
Efficacy of AccuVein to Facilitate Peripheral Intravenous Placement in Adults Presenting to an Emergency Department: A Randomized Clinical Trial. (Aug 2014)
Emerg Med Clin North Am
Pediatric toxicology: specialized approach to the poisoned child. (Feb 2014)
Chemotherapeutic medications and their emergent complications. (Aug 2014)
Am J Emerg Med
Factors influencing the development of antibiotic associated diarrhea in ED patients discharged home: risk of administering intravenous antibiotics. (Jul 2014)
Cardiology electrocardiogram overreads rarely influence patient care outcome. (Aug 2014)
Pediatr Emerg Care
Central cord syndrome in a 7-year-old boy secondary to standing high jump. (Sep 2014)
Outpatient management of young febrile infants with urinary tract infections. (Sep 2014)
Eur J Emerg Med
The predictive validity of RETTS-HEV as an acuity triage tool in the emergency department of a Danish Regional Hospital. (May 2014)
Predictors of intensive care unit transfer or death in emergency department patients with suspected infection. (Aug 2014)
JAMA
Use of sedating drugs and neuromuscular blocking agents in patients requiring mechanical ventilation for respiratory failure. A national survey. (Nov 1991)
Comparison of on-demand vs planned relaparotomy strategy in patients with severe peritonitis: a randomized trial. (Aug 2007)
N Engl J Med
Skull x-ray examinations after head trauma. Recommendations by a multidisciplinary panel and validation study. (Jan 1987)
Persons found in their homes helpless or dead. (Jun 1996)
BMJ
Interval between decision and delivery by caesarean section-are current standards achievable? Observational case series. (Jun 2001)
Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90. (2008)
Prehosp Emerg Care
Outcome of trauma patients immobilized by emergency department staff, but not by emergency medical services providers: a quality assurance initiative. (Oct-Dec 2014)
Care for Cardiac Arrest on Golf Courses: Still Not up to Par? (Aug 2014)
Air Med J
Stratification of patients in long-distance, international, fixed-wing aircraft. (May-Jun 2013)
Prehospital use of tranexamic acid for hemorrhagic shock in primary and secondary air medical evacuation. (Sep-Oct 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
Daily Question


Ultrasound is a popular modality for imaging children with suspected appendicitis. In the hands of an experienced ultrasonographer, what is the sensitivity and specificity of the test in the pediatric population?
Answer
See More

Daily Aphorism

Any universe simple enough to be understood is too simple to produce a mind able to understand it.
Daily Eponym

In acute pulmonary embolism, distinct regional pattern of rv dysfunction, with akinesia of the mid-free wall but normal motion at the apex, 77% sensitive, 94% specific for pe.

Daily Phobia

Fear of thunder.

Historical Terms

Chronic bronchitis

Mnemonics

Four L's
  • Larger hat size
  • Loss of hearing: due to compression of nerve
  • Leontiasis ossea (lion-like face)
  • Light-headed (Paget's steal)

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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