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Edition of Wednesday, April 16, 2014
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RECENT NEWS
Ohio firm to manage Allegheny Health Network emergency departments
Pittsburgh Business Times
Canton, Ohio-based Emergency Medicine Physicians will manage the emergency departments at Allegheny General Hospital, West Penn Hospital, Canonsburg Hospital and Saint Vincent Hospital in Erie, the company said. The joint venture will also manage ...
AHN expands relationship with emergency medicine management companyWashington Observer Reporter
Allegheny Health Network and Emergency Medicine Physicians Form Joint ...Newswire Today (press release)
Highmark's network partners with Ohio company on ER managementTribune-Review
New Castle News
GuideWell Health and Crucial Care Launch GuideWell Emergency Medicine ...
SYS-CON Media (press release)
JACKSONVILLE, Fla. and ORLANDO, Fla., April 11, 2014 /PRNewswire/ -- GuideWell Health has formed GuideWell Emergency Medicine Doctors, LLC, which will serve as a stand-alone medical facility serving the Orlando metropolitan area from its premier ...
Florida Blue to open urgent-care center near Winter Park Trader Joe'sOrlando Business Journal (blog)

Tennessee's First Emergency Medicine Fellowship Begins At Erlanger And UTC
The Chattanoogan
Mr. Spiegel, Erlanger Chief Medical Officer Jim Creel, MD, and UTCOMC Dean David C. Seaberg, MD, presented white coats to the new faculty of the Division of EMS under the Department of Emergency Medicine during a recent ceremony at Erlanger.

UAB emergency medicine doctor says people should have a plan to deal with ...
al.com (blog)
"Flooding can occur quickly, and we need to prepare for it, just as we need to prepare for other weather events, such as hurricanes and tornadoes," said Sarah Nafziger, an emergency medicine physician at UAB and assistant director of state emergency ...

Initiative Aims To Spur Use of Health IT in Emergency Medicine
iHealthBeat
The HHS Office of the Assistant Secretary for Preparedness and Response and the Office of the National Coordinator for Health IT have launched a new initiative designed to help spur the use of health IT in emergency medical services, EHR Intelligence ...

An emergency medicine physician's take on honoring your emotions
Scope (blog)
But how do you really feel? Over on KevinMD.com, Anoop Kumar, MD, reflects on his personal and professional experiences with cancer. The emergency physician cares for people with acute complications from cancer and related treatments. In the post ...

Middle East Emergency Exhibition & Conference to be launched in Dubai in ...
Free Press Release Center (press release)
Middle East Emergency Medicine Exhibition and Conference to be held in Dubai for the first time in its history in June. informa. Dubai, United Arab Emirates - April 16, 2014 /MarketersMedia/ --. Increasing pressure on emergency services in the region ...

Nitroglycerin, a Staple of Emergency Rooms, Is in Short Supply
New York Times
Since the restrictions were imposed in January, the hospital is limited to no more than 24 a month, said Dr. Robert E. O'Connor, the chairman of the emergency medicine department at the University of Virginia School of Medicine. He said the hospital's ...

High-altitude medicine
The Durango Herald
TELLURIDE – A doctor here with a background in emergency medicine is treating patients sensitive to high altitude before, instead of after, they get in real trouble. Dr. Peter Hackett, the founder of the Institute for Altitude Medicine, treats and ...

California Doctor Thomas F. Minahan, Director of Emergency Medicine ...
PR Web (press release)
Director of Emergency Medicine and attending Physician at one of the busiest trauma centers in Southern California. Dr. Minahan is Board certified in Emergency Medicine and has been practicing for over 15 years. He knows firsthand the devastating ...

ECG Lifesaver, Nasal Narcan: The FOAMed Report
MedPage Today
Here are six must-reads curated from the globally crowd-sourced emergency medicine online education community called Free Open Access Meducation (FOAMed): Watch a powerful personal story from an ED nurse about lapses in crisis management ...

St. Joseph Mercy Saline urgent care facility to open Tuesday; replaces 24-hour ...
The Ann Arbor News
“We look forward to providing continued care for Saline and the surrounding communities, and satisfying patients' health care needs and expectations,” Michael Mikhail, the regional vice president at EPMG and the regional director for emergency medicine ...

US emergency rooms adopting made-in-Ottawa diagnostic procedures
Exchange Morning Post (press release)
“We were not surprised that three of the five top-ranked items were based on clinical decision tools developed in Ottawa,” said Dr. Jeremiah Schuur of Brigham and Women's Hospital Department of Emergency Medicine in Boston, Massachusetts.

Rising emergency department visits driving demand for nurses
Stillwater Gazette
While disasters such as these are rare, emergency medicine plays a pivotal role in our nation's health care system every day. Emergency nurses, in particular, play an integral role in minimizing devastation when tragedy strikes. Nursing-1 In addition ...

Science & Research Roundup: April 16, 2014
The Brown Daily Herald
The study's authors, which included Traci Green, assistant professor of emergency medicine and epidemiology, and Josiah Rich, professor of medicine and epidemiology, called for a similar multi-pronged approach to addressing the addiction and overdose ...

RIP, Cervical Collar? The FOAMed Report
MedPage Today
Here are five must-reads curated from the globally crowd-sourced emergency medicine and critical care online education community called Free Open Access Meducation (FOAMed): 1. Why emergency medicine should bury the cervical collar 6-feet under. 2.

Officer Griffin saves one life; helps bring another into the world
Wicked Local Burlington
Thanks to our fast-acting ER staff, we were able to deliver the baby and care for the mother,” said Malcom A. Creighton, MD, Chairman of the Emergency Medicine Department at Lahey Hospital & Medical Center. “We are also tremendously grateful for the ...

Penn professors interact with Obamacare through health care research
The Daily Pennsylvanian
Polsky worked in conjunction with Karen Rose, a doctor in emergency medicine at Presbyterian Medical Center, to conduct a survey of over 13,000 physicians to see whether they could sufficiently accommodate patients. “We posed as a patient, and we asked ...

Dr. Murray Feingold: Physician burnout — all too common
Wicked Local Saugus
Those with the highest rate of burnout were doctors in emergency medicine, critical care and family practice. Physicians in the specialties of pathology, psychiatry, ophthalmology and pediatrics had the lowest percentages of burnout. The most common ...

Poots addresses emergency care summit
U.TV
Organised by the College of Emergency Medicine, Northern Ireland's most senior representatives from areas such as hospital medicine, nursing and general practice attended on Wednesday, along with managers and representatives of Trade Unions.

Beach Business: Beginning April 7
Beach Reporter
Hockberger, a Redondo Beach resident, is a legend in the field of emergency medicine for the many contributions he's made to improving emergency care and to training the next generation of emergency room physicians, according to David Meyer, ...
LA BioMed celebrates the accomplishments of 2 'Legends'EurekAlert (press release)

$45K raised at Bristol Hospital fundraiser
Bristol Press
The event was co-chaired by John Walker, MD, of Radiologic Associates, PC; and Craig Mittleman, MD, FACEP, of Medical Emergency Professionals, who also serves as chairman of emergency medicine at Bristol Hospital. Bristol Hospital extended a special ...

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Ann Emerg Med
Methodologic Standards for Interpreting Clinical Decision Rules in Emergency Medicine: 2014 Update. (Feb 2014)
Lack of Association Between Press Ganey Emergency Department Patient Satisfaction Scores and Emergency Department Administration of Analgesic Medications. (Mar 2014)
Acad Emerg Med
Effect of MicroEEG on Clinical Management and Outcomes of Emergency Department Patients With Altered Mental Status: A Randomized Controlled Trial. (Mar 2014)
The Microcirculation Is Preserved in Emergency Department Low-acuity Sepsis Patients Without Hypotension. (Feb 2014)
Emerg Med Clin North Am
Marine envenomations. (Feb 2014)
Toxicologic acid-base disorders. (Feb 2014)
Am J Emerg Med
Setting wait times to achieve targeted left-without-being-seen rates. (Apr 2014)
Day-of-the-week variations in myocardial infarction onset over a 27-year period: the importance of age and other risk factors. (Feb 2014)
Pediatr Emerg Care
Development of a survey of teamwork and task load among medical providers: a measure of provider perceptions of teamwork when caring for critical pediatric patients. (Mar 2014)
The use of alternate light sources in the clinical evaluation of child abuse and sexual assault. (Mar 2014)
Eur J Emerg Med
Acute complications and outcomes of acute head injury in adult patients with haemophilia. (Nov 2013)
Role of masked coronary heart disease in patients with recent-onset atrial fibrillation and troponin elevations. (Feb 2014)
JAMA
Staphylococcal food poisoning associated with an Easter egg hunt. (Aug 1984)
A multifactorial system for equitable selection of cadaver kidney recipients. (Jun 1987)
N Engl J Med
Early treatment of acute biliary pancreatitis by endoscopic papillotomy. (Jan 1993)
Emergency duties and deaths from heart disease among firefighters in the United States. (Mar 2007)
BMJ
Simulated descent v dexamethasone in treatment of acute mountain sickness: a randomised trial. (May 1995)
Somatostatin v placebo in bleeding oesophageal varices: randomised trial and meta-analysis. (Jun 1995)
Prehosp Emerg Care
EMSC Program Manager Survey on Education of Prehospital Providers. (Feb 2014)
Acute Coronary Ischemia Identified by EMS Providers in a Standing Middle-aged Male with Atypical Symptoms. (Mar 2014)
Air Med J
Blood administration in helicopter emergency medical services patients associated with hypothermia. (Jan-Feb 2013)
2013 aircrew, avionics, and operations survey, part 1. (Nov-Dec 2013)
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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
Causes of reduced conscious level in North Dublin - Emergency ...
Emergency Medicine Ireland
As a result you become an expert in inner city emergency medicine which has its own specific problems. Here's a list of differentials for the unconscious patient in my current context. Feel free to suggest any other important ...
Best of BEEM (BoB) Talk SRPC 2014 | The Skeptics Guide to ...
The Skeptics Guide to Emergency Medicine
The BoB Talk was very well attended and we covered 6 of the practice changing papers published in the emergency medicine literature in the last few years. There were 3 paediatric studies and 3 adult studies. The papers covered included:.
Allegheny Health Network and Emergency Medicine Physicians ...
EMP News
Allegheny Health Network and Emergency Medicine Physicians (EMP) announced today the formation of a joint venture to manage the emergency departments at eight hospitals in western Pennsylvania. The joint venture ...
3rd ICPEM | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
The fantastic super pediatric conference is over ladies and gentlemen. We learned, taught, eat and laughed for three days with the world's leaders in emergency medicine from all over the globe. If you have attended the ...
The palliative care discussion starts in the emergency department
KevinMD.com
Palliative care and hospice are rooted in the philosophy that good patient care extends beyond a disease and its symptoms.
PEITHO Trial: Fibrinolysis for Intermediate-Risk Pulmonary Embolism
ALiEM
Half of the cases of pulmonary embolism (PE) in the United States are diagnosed in the Emergency Department and follow ACS as the second most common cause of sudden unexpected death in outpatients. PE is typically ...
Top 10 reasons NOT to order a CT scan for suspected renal colic
ALiEM
It appears that the excitement and utilization of computed tomography (CT) imaging in the emergency department (ED) has far outpaced our concern for the short- and long-term consequences of increased reliance on this ...
Head injury | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
The original presentation for the latest activity. It is a �not so organized� presentation but people are requesting a quick release so here you go. It is provided for educational purposes only, all copyrights are reserved for the ...
Emergency Medicine Procedure Workshop | EmergencyPedia
EmergencyPedia
EMIG Procedure Workshop Welcome to the pre-reading (flipped classroom) for the Emergency Medicine Interest Group (EMIG) Procedures Workshop. This is scheduled for next week (Monday 31st of March - Tuesday 1st of ...
Emergency Medicine Literature of Note: The Troponin to End All ...
Emergency Medicine Literature of Note
These patients were then followed through the central Swedish Health Registry for subsequent hospital admissions or death for 30, 180, and 365 days following their Emergency Department Visit. Of this cohort, 8,883 had an ...
Another flight, another Louisiana congressman/doctor provides ...
New Orleans Health and Health Care
Another flight, another Louisiana congressman/doctor provides emergency medical care. images (1)fleming.jpeg. Rep. John Fleming uses his medical skills to treat a sick passenger on a Delta flight Thursday. Print.
Emergency Medicine Literature of Note: Go Ahead, Age-Adjust the D ...
Emergency Medicine Literature of Note
If you include D-dimer as part of your practice to exclude pulmonary embolism, you're probably already aware background levels gradually increase with age. This results in further deterioration of the already poor specificity.
ALiEM - Academic Life in Emergency Medicine
ALiEM
Over the last 5 years, the use of neuraminidase inhibitors for the treatment of influenza has skyrocketed. Emergency physicians have been pushed to prescribe these medications under the belief that they reduced symptoms, ...
(Yet more) reflections on SMACC Gold - Emergency Medicine Ireland
Emergency Medicine Ireland
Lots of other folk have put their reflections on SMACC Gold online and I'm here to join the crowd. I missed the first SMACC as purse strings were a little tight. They're a little tight this year too but I really wasn't going to miss two ...
Thrombolysis for Acute Stroke | The Skeptics Guide to Emergency ...
The Skeptics Guide to Emergency Medicine
Members of BEEM were asked to speak at their National Emergency Medicine conference while in Stockholm. I was invited to debate the evidence for thrombolysis in acute CVA with Dr. Kjell Asplund. Being Canadian, it was ...
An emergency medicine physician's take on honoring your emotions ...
Scope Blog
But how do you really feel? Over on KevinMD.com, Anoop Kumar, MD, reflects on his personal and professional experiences with cancer. The emergency physician cares for people with acute complications from cancer and ...
Emergency Medicine Literature of Note: Head Injury Showdown ...
Emergency Medicine Literature of Note
Most are familiar with the Pediatric Emergency Care Applied Research Network (PECARN) decision instrument for children with mild traumatic brain injury. While they enrolled the largest number of patients in their derivation, ...
New Emergency Medicine Training Program in Kampot, Cambodia ...
Global Emergency Care
The University of Massachusetts Department of Emergency Medicine, in partnership with GECC, is working to establish a long term partnership with Sonja Kill Hospital in Kampot, Cambodia with the goal of helping build a ...
May 2014 Emergency Medicine Conferences | Saudi Program of ...
Saudi Program of Emergency Medicine Resident's blog
Salam! Here I am again ,, but this time it's early enough for you to plan attending one of the conferences some time ahead.I'll list them down here. Ready ? lets GO ! ↓↓↓↓↓ ...
Emergency Medicine Veterinarian, Employment | AVMA
AVMA Veterinary Career Center Search Results
AVMA Veterinary Career Center: Private Practice, , Windsor, Colorado , Emergency Medicine Veterinarian at Peak Veterinary Specialists & Emergency Hospital.
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It behooves every man to remember that the work of the critic is of altogether secondary importance, and that, in the end, progress is accomplished by the man who does things.
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Characteristic in women, but not in men, represent prominent osteophytes at the dip joints in oa (enlargements of tubercles at the articular extremities of the distal phalanges.

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Fear of large things.

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iEthanol effects in non-alcoholics
iOpioid Potency Comparison
iPediatric Resuscitation Equipment - Sizing by Age
iPediatric Vital Signs
iSynovial Fluid Classification
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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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