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emergency medicine on the web
Edition of Wednesday, April 1, 2015
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RECENT NEWS
Someone to hold your hand
The Economist
EVERYONE arriving at a hospital's emergency room (ER) wishes to be seen quickly, but for stroke patients it can be a matter of life or death. The most common stroke involves a blood clot blocking vessels in the brain, killing brain cells nearby almost ...

Odisha's IMS & SUM Hospital opens geriatric clinic, emergency medicine dept
Odisha Sun Times
The Emergency Medicine department was inaugurated by the Vice-Chancellor who laid stress on involving young doctors in attending to emergency situations. A serious patient, requiring urgent attention, could be treated in this department which has all ...

EB Medicine Partners With AgileMD on Mobile Application for Emergency ...
PR Web (press release)
EB Medicine, leading publisher of clinical journals, Emergency Medicine Practice, Pediatric Emergency Medicine Practice, and Hospital Medicine Practice, is pleased to announce that it has partnered with AgileMD to provide the content from its flagship ...

Emergency medicine physicians urge colleagues to help prevent gun violence
Medical Xpress
In an editorial posted online today in the Annals of Emergency Medicine, two practicing emergency medicine physicians from the University of California, Davis, and Brown University—both thought leaders at the forefront of finding solutions to the ...

AHC Media Announces Emergency Medicine Reports Summit
Nevada Business Magazine
Atlanta, GA – AHC Media, the healthcare industry's most accomplished medical media and publishing company, announces the Emergency Medicine Reports' Summit, an interactive seminar highlighting the key issues emergency medicine providers face ...

AHC Media Set to Launch Emergency Medicine Reports' Summit
TSNN Trade Show News (blog)
AHC Media, a medical media and publishing company, will launch the Emergency Medicine Reports' Summit, an interactive seminar highlighting the key issues emergency medicine providers face every day. The two-day summit will be held Aug. 28-29 at ...

Campbell, Southeastern Health to create emergency medicine residency program
Fayetteville Observer
"This is the first emergency medicine residency created in collaboration with the school and will supply caring and expert emergency department physicians the state so desperately needs," said Dr. Robert Hasty, associate dean of postgraduate affairs at ...

IU Richard M. Fairbanks School of Public Health Alumni Association honors two ...
IUPUI Newsroom
The 2015 Early Careerist Award was presented to Dr. Jen Walthall, division chief of emergency medicine and pediatrics at the IU School of Medicine and deputy health commissioner at the Indiana State Department of Health. The 2015 Distinguished Alumni ...

Emergency medicine fraternity must stands up and tell NHS managers and ...
Herald Scotland
The four-hour target is solely an indication of the status of the specialty of emergency medicine in the UK. The function of a British A&E is to stick a temporary plaster on a wound to buy a little time, and get the "casualty" to some location where ...

AHC Media Announces Inaugural Emergency Medicine Reports' Summit
PharmiWeb.com (press release)
ATLANTA March 17 2015 /PRNewswire/ -- AHC Media the healthcare industry's most accomplished medical media and publishing company announces today the Emergency Medicine Reports' Summit an interactive seminar highlighting the key issues ...

Test:Emergency medicine physicians urge colleagues to help prevent gun ...
BABW News
(SACRAMENTO, Calif.) — In an editorial posted online today in the Annals of Emergency Medicine, two practicing emergency medicine physicians from the University of California, Davis, and Brown University — both thought leaders at the forefront of ...

Cardiac arrest patient rushed to Baton Rouge General emergency room minutes ...
The Advocate
He also said around 300 doctors have been trained at Baton Rouge General as part of the hospital's partnership with Louisiana State University for an emergency medicine training residency program. The number of patients has also shot up over time, as ...

Blood test may identify concussion, new study shows
The Brown Daily Herald
The project, which was funded by donor Diane Weiss and the Department of Emergency Medicine, implemented a novel biomarker method, Chodobski said. The traditional biomarker approach involves examination of proteins released by dying brain cells ...

New campaign aims to improve quality and safety of emergency care
stv.tv
The body which represents A&E doctors has launched a campaign aimed at improving the quality and safety of emergency care in Scotland's NHS. The Royal College of Emergency Medicine's (RCEM) Step campaign sets out a series of measures to address ...

FIFA Medic Trains Club Doctors On Emergency Medicine
Leadership Newspapers
Given the spate of sudden health developments in the world of sports, Nigerian football club doctors have been trained on emergency medicine, so as to enable them deal with sudden developments on the pitch and outside. The pre-season workshop, held at ...

Zotec Partners' Ronald Stunz, MD, FACEP Appointed to New National ACEP ...
Business Wire (press release)
INDIANAPOLIS--(BUSINESS WIRE)--Zotec Partners, a national firm providing billing and practice management services to emergency medicine practices and hospital-based physicians, announces that its Medical Director, Ronald Stunz, MD, FACEP has ...

FEATURE-Battlefield lessons transform US emergency care
Reuters
Improved transfusions and airway tubes, a focus on stopping blood loss, and training to coordinate and improve care from injury site to operating room have also been critical to the new approach in emergency medicine in U.S. streets and hospitals. "All ...

New hospital fellowship to focus on addiction medicine
The Providence Journal
The American Board of Addiction Medicine has been working to gain specialty recognition from the ABMS so that it becomes a recognized specialty of preventative medicine the same as cardiology or emergency medicine is a sub-specialty of internal ...

Too much health care? Waste cited by insurer
Buffalo News
Nearly all emergency room doctors in a recent survey said they order unneeded MRI or CT scans for fear of missing something or of being sued, according to a new report in the journal Academic Emergency Medicine. Patient expectations also play a role.

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Literature Abstracts
Daily Sample
of Abstracts
Ann Emerg Med
Repeated Emergency Department Visits Among Children Admitted With Meningitis or Septicemia: A Population-Based Study. (Nov 2014)
Prolonged QT Risk Assessment in Antipsychotic Overdose Using the QT Nomogram. (Jan 2015)
Acad Emerg Med
The effect of traumatic lumbar puncture on hospitalization rate for febrile infants 28 to 60 days of age. (Feb 2015)
Emergency department quality improvement activity: an inventory from the american board of emergency medicine maintenance of certification program. (Mar 2015)
Emerg Med Clin North Am
Oncologic mechanical emergencies. (Aug 2014)
Resources for toxicologic and radiologic information and assistance. (Feb 2015)
Am J Emerg Med
Incidence of advanced intravenous access in 2 urban EDs. (Feb 2015)
Independent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath. (Jan 2015)
Pediatr Emerg Care
Stridor is not always croup. (Feb 2015)
Point-of-Care Ultrasound Detection of Acute Scaphoid Fracture. (Mar 2015)
Eur J Emerg Med
Education, exposure and experience of prehospital teams as quality indicators in regional trauma systems. (Feb 2015)
Ketamine for procedural sedation by a doctor-paramedic prehospital care team: a 4-year description of practice. (Jan 2015)
JAMA
Should a moratorium be placed on sublingual nifedipine capsules given for hypertensive emergencies and pseudoemergencies? (Oct 1996)
Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. (Jan 2000)
N Engl J Med
Emergency coronary angioplasty in refractory unstable angina. (Aug 1985)
Skull x-ray examinations after head trauma. Recommendations by a multidisciplinary panel and validation study. (Jan 1987)
BMJ
Complications with shunts in adults with spina bifida. (Jul 1995)
Incidence of fires and related injuries after giving out free smoke alarms: cluster randomised controlled trial. (Nov 2002)
Prehosp Emerg Care
Characteristics of Patients Transported by a Paramedic-staffed Helicopter Emergency Medical Service in Victoria, Australia. (Feb 2015)
Intubation in Pediatric/Neonatal Critical Care Transport: National Performance. (Feb 2015)
Air Med J
Nonurgent commercial air travel after acute coronary syndrome: a review of 288 patient events. (Sep-Oct 2014)
Ethical considerations for conducting a randomized controlled trial in transport. (Nov-Dec 2014)
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 role of H2-blockade (i.e. treatment with cimetidine) in the emergency department for a patient with an acute upper GI bleed?
Answer
See More

Daily Aphorism

To invent, you need a good imagination and a pile of junk.
Daily Eponym

Left axillary adenopathy associated with metastatic disease, e.g. Gastric ca.

Daily Phobia

Fear of speed.

Historical Terms

Hay fever or nasal symptoms of an allergy

Mnemonics

Al-K-loss, Al-Ca-loss
  • There is loss of K+ (hypokalemia) and Ca++ (hypocalcemia) in state of alkalosis.

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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