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emergency medicine on the web
Edition of Friday, November 28, 2014
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RECENT NEWS
Improving global emergency medicine to save lives
Scope (blog)
Mahadevan, founder of Stanford Emergency Medicine International, explains in the video how important early interventions can be made in the chain of survival to save thousands of lives in low-resource countries. Watch the full lecture to learn more ...

Push in Emergency Medicine to Cut Back on Unnecessary CT
Medscape
The board made these recommendations after input from an expert panel of emergency medicine physicians. To make the list, a recommendation must be one that physicians have control over, must not be dictated by hospitals or trauma system protocols, ...
Smart watch app big winner at first Emergency Medicine HackathonJEMS.com

TeamHealth Announces Dr. Kevin Klauer as Chief Medical Officer, Emergency ...
MarketWatch
Reporting to Miles Snowden, MD, MPH, chief medical officer, TeamHealth, Dr. Klauer will be responsible for providing clinical leadership to TeamHealth's emergency medicine division and its associated physicians and advanced practice clinicians.

Emergency Medicine Residents Potentially Deficient in Differential Diagnosis ...
Infectious Disease Special Edition
PHILADELPHIA—Insufficient knowledge of the parameters for the differential diagnosis for HIV among residents in emergency medicine programs may ultimately result in missed opportunities for early diagnosis and treatment of the disease, a new study has ...

PDF: Deakiger Amos Duncan Petition Vs Emergency Medicine Consultants
NBC 5 Dallas-Fort Worth
The family of Dallas Ebola patient Thomas Eric Duncan filed a petition in court Tuesday night asking for monetary relief above the jurisdictional limits and a demand for judgment for other relief they believed they were entitled. Wednesday the family ...

NES Health Expands Emergency Medicine Staffing and Management Services ...
PR Web (press release)
NES Health, a leading national provider of outsourced emergency physician staffing and management solutions for hospitals, announced the expansion of its emergency medicine staffing and management services with a new contract at Trinitas Regional ...

CDC Cautions Against Thanksgiving Dangers, but Data on Prevalence Is Scarce
U.S. News & World Report
"It's surprising to me that there isn't a lot of data to support what we know to be true," says Dr. Maria Raven, an assistant professor of emergency medicine at the University of California-San Francisco School of Medicine. "Usually during the holidays ...

Emergency Physicians Aren't to Blame for Opioid Abuse
Medscape
"While we are sensitive to the need to develop strategies to reduce opioid abuse, emergency medicine physicians contribute little to these dangerous prescribing practices," said lead investigator Michael Menchine, MD, from the University of Southern ...

Google Glass and the power to revolutionize medicine
mHealthNews
“As the emergency medicine physician observes the patient's skin condition, the consulting dermatologist will be able to see identical images on a tablet in real time, giving the dermatologist the ability to offer appropriate advice, diagnosis and ...

Heavy drinking raises women's injury risk more than men's
Reuters
Dr. Maria Raven, an assistant professor of Emergency Medicine at the University of California, San Francisco, said that she and her colleagues routinely look for injuries whenever an intoxicated person comes to the emergency department. “Maintaining ...

Emergency Medical Personnel Face Unique Ethical Challenges
JEMS.com
In a small rural West Virginia community, a paramedic and his partner are called to the home of an elderly gentleman who appears to have suffered a heart attack. They're met at the door by the patient's frantic wife and find the patient on the living ...

Shenandoah University to host Ebola panel discussion on Dec. 2
Augusta Free Press
Prior to his work with the Virginia Department of Health, Devine completed a 23-year career in emergency medicine. He has served as medical director of the City of Norfolk Fire and Paramedic Department, and of the Nightingale helicopter ambulance ...

COUNTDOWN: Greater Cincinnati's Busiest Emergency Rooms
Cincinnati Business Courier (blog)
A 2014 report in the Annals of Emergency Medicine from the University of Michigan Medical School found that bigger is generally better when it comes to ER operations— the patients with the most life-threatening conditions have a notably higher chance ...

Narberth Ambulance marks 70 years of saving lives
Main Line
Three 30-year members and leaders were honored at Narberth Ambulance's 70th Anniversary celebration. Pictured with Assistant Chief Robert Weber, second from left, are, left to right, Assistant Chief and Immediate Past President David Zaslow, Chief of ...

Drugging our kids: The Rx alliance that medicates our kids
Daily Democrat
"Many people claim that 'science is science,' but it's not that hard to find what you want with most research studies," said Jerome Hoffman, a emergency medicine specialist at UCLA and critic of the pharmaceutical industry's influence. "Even negative ...

Yuma doctor, wife, shot to death near Point Loma
Yuma Sun
SAN DIEGO — San Diego authorities say a man is in custody after a Yuma doctor and his wife were fatally shot in a home near Point Loma early Friday. Officers responded to reports of a shooting at 3:11 a.m. Friday in the Sunset Cliffs neighborhood ...

Emergency Department teams at UM, Ohio State square off in mini Blood Battle
University of Michigan Health System News (press release)
Each Emergency Medicine department is attempting to get the most ED team members to donate blood (or try) during the remaining Blood Battle drives, including the Be a Hero at the Big House event this Sunday, Nov. 16 from 8 a.m. to 6 p.m. at Michigan ...

Tweet of the Week: A Hungry Patient Walks Into a Hospital
MedPage Today
Mike Abernethy, a chief flight physician and associate professor of emergency medicine at the University of Wisconsin. He shared this photo of a protocol message sent to inform hospital staff of a possible ... zombie!? Or cannibal? Or zombie-cannibal?

Corrections and clarifications
The Guardian
Dr Cliff Mann, the president of the College of Emergency Medicine, pointed out in the article that 500 of the A&E doctors his organisation represents have relocated to Australia, thereby reducing the capacity of the NHS. However, the Department of ...

Get the Scoop on Winter Safety
NEWS.GNOM.ES
According to the American Journal of Emergency Medicine, snow shoveling alone accounts for more than 11,500 emergency room visits each year. The most common problems are muscle strains, back injuries, including herniated discs, and tendinitis.

MOMENTS AFTER HIKER TOOK THIS PHOTO Hiker was mauled to death
Sky Valley Chronicle
Two doctors, in an article titled "Grizzly Bear Attack" published in the Journal of Emergency Medicine, wrote there were 162 bear-inflicted injuries reported in the United States between 1900 and 1985. This constitutes approximately two reported bear ...

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Ann Emerg Med
Variation in charges for emergency department visits across California. (Aug 2014)
Randomized Controlled Trial of Intravenous Antivenom Versus Placebo for Latrodectism: The Second Redback Antivenom Evaluation (RAVE-II) Study. (Jul 2014)
Acad Emerg Med
Intravenous Lipid Emulsion Therapy Does Not Improve Hypotension Compared to Sodium Bicarbonate for Tricyclic Antidepressant Toxicity: A Randomized, Controlled Pilot Study in a Swine Model. (Nov 2014)
Low-dose Ketamine Improves Pain Relief in Patients Receiving Intravenous Opioids for Acute Pain in the Emergency Department: Results of a Randomized, Double-blind, Clinical Trial. (Nov 2014)
Emerg Med Clin North Am
Central nervous system toxicity. (Feb 2014)
Acute leukemia. (Aug 2014)
Am J Emerg Med
Clinical effectiveness of bougienage for esophageal coins in a pediatric ED. (Oct 2014)
Edaravone protects brain tissue from apoptosis and oxidative stress after acute carbon monoxide poisoning. (Sep 2014)
Pediatr Emerg Care
Educating Health Care Professionals on Human Trafficking. (Nov 2014)
Pediatric Psychiatric Emergency Department Visits During a Full Moon. (Nov 2014)
Eur J Emerg Med
e-Learning versus lecture-based courses in ECG interpretation for undergraduate medical students: a randomized noninferiority study. (Nov 2014)
Bedside lung ultrasound for monitoring the effectiveness of prehospital treatment with continuous positive airway pressure in acute decompensated heart failure. (Sep 2014)
JAMA
Forcible administration of antipsychotic medication. (May 1983)
Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. (Jan 2000)
N Engl J Med
Multifactorial index of cardiac risk in noncardiac surgical procedures. (Oct 1977)
Ruling out acute myocardial infarction. A prospective multicenter validation of a 12-hour strategy for patients at low risk. (May 1991)
BMJ
Somatostatin v placebo in bleeding oesophageal varices: randomised trial and meta-analysis. (Jun 1995)
Impact of case management (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data. (Jan 2007)
Prehosp Emerg Care
Description of the 2012 NEMSIS Public-Release Research Dataset. (Oct 2014)
Fatigue in Air Medical Clinicians Undertaking High-acuity Patient Transports. (Jul 2014)
Air Med J
A 10-year analysis of 214 HEMS backcountry hoist rescues. (Mar-Apr 2013)
Analyzing communication errors in an air medical transport service. (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
Daily Question


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Daily Aphorism

Without action, information is overhead.
Daily Eponym

In alcoholic cirrhosis, residual parenchymal nodules that protrude like "hobnails" from the surface of the liver.

Daily Phobia

Fear of wet dreams.

Historical Terms

Short lived fever which sometimes accompanies lactation

Mnemonics

PICK
  • Progressive degeneration of neurons
  • Intracytoplasmic Pick bodies
  • Cortical atrophy
  • Knife edge gyri

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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