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Edition of Thursday, May 23, 2013
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RECENT NEWS
EMT students explore careers in emergency medicine
Franklin News Post
EMT students explore careers in emergency medicine. Dual enrollment class qualifies for college credits. Click to Enlarge Staff Photo by Stacey Hairston: Carilion's Lifeguard 10 helicopter flew into Franklin County to let FCHS's EMT class get a first ...

Audio-Digest Foundation Announces the Release of Emergency Medicine ...
PR Web (press release)
Andrew W. Asimos, MD, Professor of Emergency Medicine, University of North Carolina School of Medicine at Chapel Hill, and Director of Emergency Stroke Care, Carolinas Medical Center, Charlotte, NC, presented When Dizziness Is a Disaster: Vertigo and ...

Loyola Physician Named to Board of Illinois College of Emergency Medicine ...
Newswise (press release)
Newswise — Dr. Mark Cichon, DO, chair of the Department of Emergency Medicine of Loyola University Medical Center, has been named to the board of directors of the Illinois College of Emergency Physicians (ICEP). ICEP is the state medical specialty ...

Medicine grad discovered love of science on tour with his band
Temple University News
This May, Kleinberg, 33, will graduate from Temple's School of Medicine bound for a residency in emergency medicine at Temple University Hospital. His path to medicine was sparked by those seven years on the road, specifically by the 1974 Greyhound bus ...

Emergency Medicine App palmEM is Updated and Expanded
prMac (press release)
[prMac.com] Wilmington, Delaware - PalmER Worldwide today is thrilled to announce a major update to their top-selling Universal iOS emergency medicine app palmEM: Emergency Medicine Essentials Quick Reference Guide. With detailed information on ...

Top 10 emergency medicine audit defense strategies
Family Practice News Digital Network
SAN DIEGO – If you or your emergency medicine group is audited, one strategy is to use the Marshfield Clinic Tool to help explain medical decision making – specifically how comorbidities, the differential diagnosis, and special studies affected the ...

Emergency medicine specialist: race against death
People's Daily Online
"We take saving lives as the overriding priority, which means that we must race against time," said Chen Xiangyu, an emergency medicine specialist of Southwest Hospital in southwest China's Chongqing. Unlike others jobs, emergency medicine specialist ...

Emergency Medicine Grand Rounds with former chief medical officer for ...
IUPUI Newscenter
Jeffrey Runge, M.D., will present grand rounds sponsored by the Department of Emergency Medicine and MESH at 8 to 9 a.m. Wednesday, May 1, in IU Health Neuroscience Center Auditorium (Goodman Hall, Room 1030). Dr. Runge was the assistant ...

Learn Tactical Emergency Medicine: One Way To Prepare for Tragedy
Patch.com
The next such class, "Tactical Emergency Medicine," is set for 1-5 p.m. Sunday at the studio, 1414 Reisterstown Road. The cost is $50. BK Blankchtein, owner of Masada Tactical, and a former member of the Israel Defense Forces in counterintelligence and ...

Analysis: U.S. emergency care cost estimates are too low
Science Daily (press release)
Lee, who had a prior career in economics and finance before training in emergency medicine, co-wrote the analysis with Dr. Brian Zink, professor and chair of the Department of Emergency Medicine at the Alpert Medical School, and Dr. Jeremiah Schuur, ...

Emergency Medicine Physicians Issues Statement on St. Rose Dominican ...
Becker's Hospital Review
Editors note: On April 19, Becker's Hospital Review received the following statement from Emergency Medicine Physicians in regards to an article regarding St. Rose Dominican Hospitals' decision to end its contact with EMP. The full-length statement ...

Peer-Referral Programs Can Increase HIV-Testing in Emergency Departments
Infection Control Today
Co-author and assistant professor of emergency medicine Michael Lyons, MD, says public health officials study multiple approaches to increasing early diagnosis of HIV. These approaches include a recent emphasis on expanding testing in healthcare ...

Study finds jump in hospital ER-related admissions
Crain's Detroit Business
In a February interview, Dr. Leon Haley, chief of emergency medicine, noted that the system had just finished a 12-week engagement with a consulting firm on its emergency department. With fewer emergency rooms across the country handling a greater ...

Research roundup: Surgical care at critical access hospitals; Digging into the ...
News-Medical.net
Annals Of Emergency Medicine: Owning The Cost Of Emergency Medicine: Beyond 2% – Emergency room care is often cited as overused and one of the drivers of the increasing health spending. However, emergency room physicians have countered that ...

Global Conference on Emergency Medicine set for successful second edition
AME Info (press release)
Noted as the largest gathering of Emergency Medical professionals in the region, the Second Global Conference Network on Emergency Medicine in association with the First Emirates Society for Emergency Medicine Conference, will be held at the Al Bustan ...

Emergency department at Mercy Memorial announces partnership
Urbana Daily Citizen
Mercy Memorial Hospital, which treats more than 18,000 patients in the emergency department each year, has announced a new partnership with Emergency Medicine Physicians (EMP) that begins May 21. With the new partnership taking effect, Dr. Joan ...

Study suggests new role for ECMO in treating patients with cardiac arrest and ...
Medical Xpress
For the study, the research team used a collaborative approach between clinicians in the Department of Emergency Medicine and surgeons within the Division of Cardiovascular Surgery at Penn to assess the outcomes for select patients undergoing ECMO ...

ER docs always there to help
York Daily Record
The medical response after the recent Boston Marathon bombings highlighted the very best of emergency medicine and the value it provides. Emergency departments are the hub for medical issues that come up suddenly, whether it's a mass casualty event, ...

Armada students advance to national EMT competition in Nashville
New Baltimore Voice Newspapers
HOSA organizes annual leadership conferences at the regional, state and national levels, where students compete in medical events, including veterinary medicine, dental spelling, medical math and emergency medicine. The Armada duo placed first at the ...

Hospital emergency departments gaining in importance, study finds
Science Codex
RAND was asked by the Emergency Medicine Action Fund, a consortium of emergency medicine physician organizations, to develop a more-complete picture of how hospital emergency departments contribute to the U.S. health care system. Researchers ...

ER's Account for Half of Hospital Admissions, Study Says
New York Times
The report by the RAND Corporation, a nonprofit research group, was done for a consortium of emergency medicine physician organizations. RAND, which says it was chosen for its independence, says the sponsors had no say in the report's findings.

National EMS Week Honors Those on Medicine's Front Lines
WSAW
It's National Emergency Medical Services week and in addition to honoring those who provide lifesaving services on medicine's front lines, they're asking you to help them out by learning some basic emergency medicine skills. Tony Stange, an EMT for the ...

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Ann Emerg Med
Hemorrhagic complications in emergency department patients who are receiving dabigatran compared with warfarin. (Apr 2013)
Critical Care Management ofVerapamil and Diltiazem Overdose With a Focus on Vasopressors: A 25-Year Experience at a Single Center. (May 2013)
Acad Emerg Med
Improving Telephone Follow-up for Patients Discharged from the Emergency Department: Results of a Randomized Controlled Trial. (May 2013)
Weekday psychiatry faculty rounds on emergency department psychiatric patients reduces length of stay. (May 2013)
Emerg Med Clin North Am
Critical obstetric and gynecologic procedures in the emergency department. (Feb 2013)
Emergency evaluation and management of the sore throat. (May 2013)
Am J Emerg Med
Cytidine diphosphate choline improves the outcome of cardiac arrest vs epinephrine in rat model. (May 2013)
Different duration of high-altitude pre-exposure associated with the incidence of acute mountain sickness on Jade Mountain. (May 2013)
Pediatr Emerg Care
Encephalitis. (Feb 2013)
Eur J Emerg Med
Peripheral venous and arterial lactate agreement in septic patients in the Emergency Department: a pilot study. (Apr 2013)
Oxygen therapy for sepsis patients in the emergency department: a little less? (Apr 2013)
JAMA
An analysis of time of presentation after stroke. (Jan 1990)
Endoscopic hemostasis. An effective therapy for bleeding peptic ulcers. (Jul 1990)
N Engl J Med
Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population. (Sep 1992)
Persons found in their homes helpless or dead. (Jun 1996)
BMJ
Pregnant teenagers' knowledge and use of emergency contraception. (Jun 1995)
Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90. (2008)
Prehosp Emerg Care
National characteristics of emergency medical services responses in the United States. (Jan-Mar 2013)
Assessing the Validity of the Cincinnati Prehospital Stroke Scale and the Medic Prehospital Assessment for Code Stroke in an Urban Emergency Medical Services Agency. (Mar 2013)
Air Med J
2012 critical care transport workplace and salary survey. (Nov 2012)
A blueprint for critical care transport research. (Jan-Feb 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
EMT students explore careers in emergency medicine - EMS1.com
EMS1 Daily News
By Stacey Hairston The Franklin News-Post. FRANKLIN COUNTY, Va. � Franklin County High School's Emergency Medical Technician (EMT) class got a first-hand look at the equipment on board Carilion's Lifeguard 10 last ...
Enhancing emergency medical care for soldiers - Ministry of Defence
cyberpioneer News
The Ng Teng Fong General Hospital, which will be located close to the Singapore Armed Forces' (SAF's) major training areas in western Singapore, will provide hospital emergency medical care to SAF personnel training in ...
Academic Life in Emergency Medicine: Review: Emergency ...
Academic Life in Emergency Medicine
In the book Emergency Medicine: Avoiding the Pitafalls and Improving the Outcomes edited by Dr. Amal Mattu along with Dr. Deepi Goyal, you can find many pitfalls that should be considered when managing patients in the ...
The Crashing Asthmatic - Emergency Medicine Ireland
Emergency Medicine Ireland
UPDATE: Since making this, StEmlyns have scuppered my take on Mag by reporting the 3MG trial which gave a big great 'hmpph' to mag and suggest very little, if any benefit. Check out their take. In my current dept, there's a ...
Leader in emergency medicine delivers McNabney Lectureship | PRN
P.R.N. | UMKC School of Medicine
Peter Rosen, M.D., F.A.C.S., F.A.C.E.P., F.A.A.E.M., a senior lecturer on medicine at Harvard School of Medicine and attending emergency physician at Beth Israel/Deaconess Medical Center took a look back at the evolution of ...
Emergency Medicine residency celebrates 40th anniversary | P.R.N. ...
P.R.N. | UMKC School of Medicine
The UMKC School of Medicine Emergency Medicine Resdiency Program celebrated its 40th anniversary with a weekend of activities that included many of its nearly 350 alumni on May 3-4. The celebration began with the ...
Emergency Medicine Update May 2013 - Life in the Fast Lane ...
Life in the Fast Lane medical education blog
Yosef Leibman's Emergency Medicine Update May 2013 is here!
Emergency Medicine Procedures Refresher for Graduating Class of ...
Department of Emergency Medicine
Jonathan Holloway and Brandon Allen, were both inducted into The Chapman Chapter of the Gold Humanism Honor Society. Come find out how you can be a medical scribe! (JUNE 3rd & 4th) → ...
Workshop for EMS Gathering - Emergency Medicine Ireland
Emergency Medicine Ireland
What's the deal? Free, Open-Acces Meducation (FOAM). Ranting and raving on all things Emergency Medicine. Get involved and start ranting and raving back. emergencymedicineireland [at] gmail [dot] com ...
Management of Pain in the Emergency Department
Hindawi Publishing Corporation
ISRN Emergency Medicine is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies in all areas of emergency medicine.
America Spends More on Emergency Medicine Than Previously ...
HealthWorks Collective - The world's best thinkers on healthcare
With 130 million visits, 28% of all acute-care visits, and accounting for nearly half of all admissions, emergency medicine should be expected to represent a large share of health care spending�.More attention should be ...
Harvard Affiliated Emergency Medicine Residency (HAEMR) at BIDMC
Medical Education
This three-year program (PGY-1 to PGY-3) is affiliated with Harvard Medical School and is based at BIDMC, a 57000 visit per year Level I trauma center. Residents rotate at Boston Children's Hospital, Brockton Hospital, South Shore Hospital, ...
Dr. Brian O'Neil appointed chair of WSU Emergency Medicine
Prognosis
Brian O'Neil, M.D., the Edward S. Thomas Endowed Professor and associate chair of Research for the Department of Emergency Medicine at the Wayne State University School of Medicine, has been appointed chair of the ...
It is National Emergency Medical Services Week! | Mercy Hospital
Mercy Hospital
During National Emergency Medical Services Week, we recognize the tremendous role that EMS practitioners make to improve health in communities across the nation. Emergency care professionals are committed to ...
Emergency Medicine Literature of Note: Fewer CTs, More ...
Emergency Medicine Literature of Note
This is a retrospective review from the Medical University of South Carolina that describes their implementation of an imaging protocol designed to encourage ultrasound use. They report before-and-after statistics for their ...
Primer for Clinical Research in the Emergency Department
Life in the Fast Lane medical education blog
A Primer for Clinical Researchers in emergency is a FREE a five part series in EMA guest edited by Professor Franz Babl.
Loyola Physician Named to Board of Illinois College of Emergency ...
Newswise: Latest News
Dr. Mark Cichon, DO, chair of the Department of Emergency Medicine of Loyola University Medical Center, has been named to the board of directors of the Illinois College of Emergency Physicians (ICEP).
Emergency Medicine Nurse Practitioner / Physician Assistant job in ...
Opportunity Health Care
Join a dynamic small hospital in southeastern Illinois that is seeking a Nurse Practitioner or Physician Assistant to join their emergency room staff. They are offering full benefits and a great salary.
Emergency Medical Services Study Awarded Society for Clinical ...
Arizona BioIndustry Association
In all, RAMPART involved more than 4,000 paramedics, 33 emergency medical services (EMS) agencies and 79 hospitals across the United States to test the efficacy of intramuscular auto-injectors filled with the medication ...
Emergency medicine takes honors at state meeting - The University ...
The University of Texas Medical School at Houston
The Department of Emergency Medicine reigned as champions at the Texas College of Emergency Physicians Annual Meeting held in Frisco, Texas, April 11-14. The department received two first-place group awards and two individual ...
Daily Question


Can potassium be given orally in patients with hypokalemic periodic paralysis?
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Daily Aphorism

Never explain--your friends do not need it and your enemies will not believe you anyway.
Daily Eponym

In multifocal langerhans' cell histiocytosis, triad of calvarial bone defects, diabetes insipidus, and exophthalmos.

Daily Phobia

Fear of clothing.

Historical Terms

Hyponatremia

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SHIFT MAID
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iBradycardia treatment algorithm
iGI bleed complication risk
iMyocardial infarction probability (Goldman)
iRash diagnosis algorithm
Calculators
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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
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iEstimated creatinine clearance for males
iFactor IX dosing
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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
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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
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Decision rules
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iTPA for acute stroke - indications/contraindications
Diagrams
iAcetaminophen Toxicity Nomogram
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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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