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emergency medicine on the web
Edition of Friday, August 22, 2014
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RECENT NEWS
Emergency Medicine Partners with Ghanaian Hospital for Training, Education
University of Cincinnati
With a new international partnership, two University of Cincinnati emergency medicine physicians are working to improve the training and provision of emergency medical care in Ghana, and provide new opportunities for UC trainees at home. Assistant ...

Nason let emergency medicine board certification lapse in 2008
Charleston Post Courier
Dr. Barron Nason has not been board-certified in emergency medicine since 2008, his spokesman confirmed Friday, despite at least one recent television commercial claiming that he was. "In 2008 he elected not to renew his board certification since he ...

Upstate Medical criticized for using live pigs to train emergency doctors
The Post-Standard - syracuse.com
The group filed a complaint Thursday with the Animal and Plant Health Inspection Service, a division of the U.S. Department of Agriculture, asking the agency to investigate the use of live pigs in Upstate's emergency medicine residency program. Upstate ...

Emergency Medicine Foundation launched today
ABC Online (blog)
But you won't find a philanthropist with buckets of money or a celebrity at its helm. Instead, it's being run by people who are busy saving lives every day. They are the doctors and nurses who work inside our emergency departments. Terri Begley reports ...

'The World Needs Mercy' is subject of special presentation by Dr. Schneider ...
College Misericordia
In 2001, she traveled to Kosovo where she provided lectures daily for four weeks to attending and resident doctors and staff on pediatric emergency medicine, clinical teaching in the emergency center, developed pediatric curriculum for emergency ...

Appendicitis warning: Emergency Medicine Australasia
New Zealand Doctor Online
One in 10 children presenting to the emergency department with severe abdominal pain will have acute appendicitis which can be fatal if not treated promptly, a new study published in Emergency Medicine Australasia, the journal for the Australasian ...

"Boarding" Of Psychiatric Patients In Emergency Departments Unconstitutional ...
Forbes
“While we respect the state court's decision, federal law (Emergency Medicine Treatment and Labor Act) still prevents hospital emergency departments from discharging unstable patients — for example suicidal or homicidal patients — back into ...

Fire board approves change to island emergency medical system
Vashon-Maury Island Beachcomber
“It's not a perfect plan, but it's hard in emergency medicine to plan for everything because it's the nature of the job,” said Mark Brownell, a paramedic and the battalion chief for emergency medical services at VIFR. Officials with VIFR and King ...

Covenant Healthcare unveils new $6.5 million emergency care center
The Ann Arbor News
However, the additional rooms as well as 40 emergency medicine physicians and more than 150 nurses and assistants means patients and families will get the best care possible. Covenant Health Care is the only level II trauma center in the Great Lakes ...

Maseno Launches Family and Emergency Medicine Course
AllAfrica.com
Vice chancellor Dominic Makawiti said the programme will train physicians on effective management of acute and chronic illnesses. Speaking during the launch yesterday, he said the training will focus on disease prevention. Makawiti said Maseno will be ...

'Feeding tube diet' making a difference, bariatric doctors say
Sun Sentinel
"The danger is that if they're not self-restricting their own calorie intake and making sure they have balanced nutrition, they may not be getting all the electrolytes and nutrition their body needs to function," said Dr. Nabil El Sanadi, chief of ...

Cryopreservation: 'I freeze people to cheat death'
BBC News
Those who die today could be cured tomorrow. Cryonics is a way to bridge the gap between today's medicine and tomorrow's. “We see it as an extension of emergency medicine,” More says. “We're just taking over when today's medicine gives up on a patient.

Monmouth Medical Center to host 3rd annual tree lighting event
Asbury Park Press
The hospital is routinely recognized by HealthGrades, the nation's largest premier independent health care quality company, for excellence in both emergency medicine and maternity care. U.S. News & World Report has recognized Monmouth as a regional ...

Health Watch: School allergy and asthma checklist
Wicked Local Belmont
More than half of American seniors seen at emergency rooms are either malnourished or at risk for malnutrition, a study in the Annals of Emergency Medicine indicates. Of in-study ER patients aged 65 and older, 60 percent were either already ...

Unicorp offers parking solution for new Winter Park urgent-care center
Orlando Business Journal (blog)
Unicorp is required to secure additional parking for the development in order to complete buildout on the 7,500-square-foot GuideWell Emergency Medicine Doctors facility at Lakeside. The city last month revoked a building permit for interior ...

Report Cautions of Future Overdoses Linked to Legal, Heroin-like Opiates
HCPLive
A recent article published in the Annals of Emergency Medicine has warned emergency physicians of an increase in heroin overdoses that are actually tied to acetyl fentanyl, an opiate having effects mirroring heroin. Acetyl fentanyl, an opiate analgesic ...

LSU Health news
Shreveport Times
Jeffrey Aufman, MD, clinical assistant professor, pathology; Julie Babb, MD, clinical assistant professor, radiology; Stephen Baker Jr., MD, clinical assistant professor, emergency medicine; Marc Chaudoir, MD, clinical instructor, family medicine ...

Coalition Launched to Fight Doctor-Replacement Plan at California Hospitals
MarketWatch
“California ACEP is surprised and alarmed to learn of a corporate plan by Tenet to replace local contracted providers of emergency medicine with a single contract at all Tenet hospitals in California without enough input from the affected medical ...
Coalition is formed to resist Tenet's proposal for outsourced medical servicesModesto Bee

Hospital coalition speaks out on Tenet contract moves
FierceHealthcare
Members of the coalition include the American Academy of Emergency Medicine (AAEM), whose president, Mark Reiter, M.D., said in a letter to Tenet last week that the proposal is "bad for Tenet, bad for its hospitals, bad for its physicians, bad for its ...

College Students Learn Lessons About Rural Medicine
WWNY TV 7
"I am interested in pursuing a career in emergency medicine, either in a hospital or as a paramedic or a flight paramedic, so, this was a pretty cool experience," said student Kyle Admire. "Usually we see the doctors once the patients are brought in ...

AHA Clarifies When Non-MDs May Supervise Cardiac Stress Tests
Medscape
... nonphysician healthcare professionals who are fully trained in cardiopulmonary resuscitation and supported by a nearby physician skilled in exercise testing or emergency medicine who can make pretest risk assessments and deal with any complications.

New UW medical program bolsters Northwoods health care
Wausau Daily Herald
Brown will be teaching bio-ethics and Wyne emergency medicine. (Photo: Dan Young/Daily Herald Media ). 85 CONNECT 7 TWEETLINKEDINCOMMENTEMAILMORE. WAUSAU – Health care providers and educators on Thursday celebrated the launch of a ...

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Ann Emerg Med
Out-of-Hospital Stroke Screen Accuracy in a State With an Emergency Medical Services Protocol for Routing Patients to Acute Stroke Centers. (Apr 2014)
Views of Paramedics on Their Role in an Out-of-Hospital Ambulance-Based Trial in Ultra-Acute Stroke: Qualitative Data From the Rapid Intervention With Glyceryl Trinitrate in Hypertensive Stroke Trial (RIGHT). (Apr 2014)
Acad Emerg Med
Creating an infrastructure for comparative effectiveness research in emergency medical services. (May 2014)
Scope of practice and autonomy of physician assistants in rural versus urban emergency departments. (May 2014)
Emerg Med Clin North Am
Alcoholic metabolic emergencies. (May 2014)
Approach to metabolic alkalosis. (May 2014)
Am J Emerg Med
Improper defibrillator pad usage by emergency medical care providers for children: an opportunity for reeducation. (Nov 2013)
Pediatr Emerg Care
Observational study of family member presence for pediatric emergency department procedures. (Jul 2014)
Neurologic deterioration in a child undergoing treatment for tuberculosis meningitis. (Aug 2014)
Eur J Emerg Med
Acute sore throat in children at the emergency department: best medical practice? (Jul 2014)
Psychoactive substance (drugs and alcohol) use by Emergency Department patients before injury. (Aug 2014)
JAMA
Abdominal aortic thrombosis in association with an attempted Heimlich maneuver. (Mar 1983)
Role of early fluid resuscitation in pediatric septic shock. (Sep 1991)
N Engl J Med
A comparison of surfactant as immediate prophylaxis and as rescue therapy in newborns of less than 30 weeks' gestation. (Mar 1991)
Early treatment of acute biliary pancreatitis by endoscopic papillotomy. (Jan 1993)
BMJ
Use of computer terminals on wards to access emergency test results: a retrospective audit. (May 2001)
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
Accuracy of EMS Trauma Transport Destination Plans in North Carolina. (May 2014)
Rationale, Methodology, Implementation, and First Results of the French Out-of-hospital Cardiac Arrest Registry. (May 2014)
Air Med J
Pneumothorax volume expansion in helicopter emergency medical services transport. (May-Jun 2013)
Perceived patient safety culture in a critical care transport program. (Jul-Aug 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


What is the correlation (if any) between the QRS width and the likelihood of seizures in patients with cyclic antidepressant overdose?
Answer
See More

Daily Aphorism

The right to be let alone is indeed the beginning of all freedom.
Daily Eponym

Initially described on greek island of naxos, synrome of arrhythmogenic right ventricular cardiomyopathy, non-epidermolytic palmoplantar keratoderma, and woolly hair, due to deletion in plakoglobin, a constituent protein in adherens and desmosomal junctions.

Daily Phobia

Fear of ants.

Historical Terms

Boil, tumour or swelling

Mnemonics


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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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