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emergency medicine on the web
Edition of Sunday, February 1, 2015
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RECENT NEWS
Film details development of emergency medicine
The Brown Daily Herald
In a single day, over 300,000 people will go to emergency rooms across the country seeking medical attention in the United States. The new documentary film “24|7|365: The Evolution of Emergency Medicine” explores the experience of the people who ...

Physician Burnout: It Just Keeps Getting Worse
Medscape
The 2015 Medscape survey results reflect this same pattern, with the highest burnout rates found in critical care (53%) and emergency medicine (52%), and with half of all family physicians, internists, and general surgeons reporting burnout. Of even ...

Emergency medicine column: Standard exams not good enough for seniors
Columbus Dispatch
Taking care of healthy older patients is a privilege and among the most rewarding parts of my day. It's a delight to see octogenarians who are fit, sharp, active and engaged and simply need help with an isolated issue, be it medical or surgical. A ...

Emergency medicine physician leads this week's walk
Tyler Morning Telegraph
Dr. Evans Smith, an emergency medicine physician at ETMC Wound Healing Center, leads this week's Walk With a Doc event on Thursday and will discuss environmental health hazards. Walk With a Doc is a project of the Smith County Medical Society.

EM Everywhere: 2nd Annual NorCal Emergency Medicine Student Symposium ...
Synapse
It has been only 35 years since emergency medicine was officially recognized as a specialty, and yet in that time it has spread to almost every aspect of medicine and society. Emergency medicine is the first line facing Ebola, the safety net for the ...

Heed "Caution Falling Ice" Signs, Says Loyola Emergency Medicine Chair
Newswise (press release)
“An icicle is like a sharp, stiletto-shoe heel-like dagger,” says Mark Cichon, DO, chair, Department of Emergency Medicine at Loyola University Health System. “Coupled with the forceful dynamics of impact from falling a sizeable distance, a person can ...

TAMMY CROCKER, Appellant v. THOMAS BABCOCK, IV, MD, LONGVIEW ...
Texas Lawyer
Tammy Crocker brings this permissive, interlocutory appeal from the entry of summary judgment in a medical malpractice lawsuit against Thomas Babcock, IV, M.D. (Babcock), Longview Emergency Medicine Associates, Inc. (LEMA), and Good Shepherd ...

TRIBUTE: In memory of Dr. Benjamin Lankheet, emergency medicine's advocate
Penfield Post
Dr. Benjamin Lankheet, a lifelong innovator and dedicated physician at Thompson Health, passed away on Jan. 3, surrounded by family at his Bristol home after a 10-year battle with multiple myeloma. Lankheet helped shape the face of medical care for ...

College Town: AMC now offering masters in health emergency management
Worcester Telegram
In addition to Ms. Kenary, Dr. Gregory R. Ciottone, director of the BIDMC Disaster Medicine Fellowship and associate professor of emergency medicine at Harvard Medical School, serves as the program's medical director. Mustapha S. Fofana, director of ...

Lifesaving Tips to Survive the Blizzard of 2015
WJBD Online
As the temperature starts to drop, people start to use devices they haven't used before to keep warm, such as space heaters and other fuel-burning devices, said Dr. Corey Slovis, who chairs emergency medicine at the Vanderbilt University Medical Center ...

Chinese hospitals to purchase emergency medicine online
Shanghai Daily (subscription)
Provincial-level medicine procurement organs should ensure qualified pharmaceutical companies, which produce emergency medicine, have an online presence to ease the purchasing process for public hospitals, said a circular issued by the National ...

New Emergency Department opens in Webster
Worcester Telegram
From left, at forefront, Harrington Assistant Nurse Manager Beth Dowd, Emergency Medicine physician Lisa Bienia and respiratory therapist James Foley stayed busy treating patients and getting last minute details in order during the opening. By Brian ...
Harrington opens new Webster emergency departmentWorcester Business Journal

Study finds that opioids administered in the ER don't influence patient ...
Insurance News Net
"Right now there is an epidemic of opioid related deaths and the FDA has identified prescribers as essential to the reduction of opioid misuse," said study author Kavita Babu , MD, associate professor of emergency medicine and director of the medical ...

Parsippany-based Emergency Medical Associates has been acquired by EmCare
NJBIZ
Parsippany-based emergency medicine partnership Emergency Medical Associates announced Friday that it has been acquired by EmCare Inc., a subsidiary of Envision Healthcare Holdings Inc. "I am incredibly excited about the future," Dr. Raymond ...

Themes for 2015: As QE spreads, could emergency medicine become the norm?
GlobalCapital
The US has ended QE without serious damage, even in emerging markets. But Japan is going for it with abandon, and the eurozone is very likely to start buying government bonds. This unconventional policy is becoming common – but its effects and even ...

Public Release: 28-Jan-2015 Communication is key to emergency department ...
EurekAlert (press release)
A commentary published today in Emergency Medicine Australasia offers strategies to ED residents and nursing staff on how to improve communication, trust and efficiency, even before a challenging case comes through the doors. "Working in the ED can be ...

Goldberg named NHCH chief medical officer
Hawaii 24/7 (press release)
He has provided Emergency Medicine services at NHCH since 2000 and has served as the NHCH Emergency Medicine Physician Director since 2005. Goldberg received his Doctor of Medicine Degree from the University of Miami Medical School in Miami, ...

How much money do doctors make? Way more in rural areas, report says
Healthcare Finance News
In emergency medicine, Texas, Florida and Minnesota reported the highest compensation, while Massachusetts, New York and California were found to have the lowest salaries in the field. Physicians in major urban centers make nearly $1,500 less on ...

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Literature Abstracts
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of Abstracts
Ann Emerg Med
Apneic Oxygenation Was Associated With Decreased Desaturation Rates During Rapid Sequence Intubation by an Australian Helicopter Emergency Medicine Service. (Dec 2014)
Revisiting the "Golden Hour": An Evaluation of Out-of-Hospital Time in Shock and Traumatic Brain Injury. (Jan 2015)
Acad Emerg Med
Gender- and sex-specific sports-related injury research in emergency medicine: a consensus on future research direction and focused application. (Dec 2014)
Gender-specific research for emergency diagnosis and management of ischemic heart disease: proceedings from the 2014 Academic Emergency Medicine Consensus Conference Cardiovascular Research Workgroup. (Dec 2014)
Emerg Med Clin North Am
Acquired bleeding disorders. (Aug 2014)
Hemorrhage and coagulopathy in the critically ill. (Nov 2014)
Am J Emerg Med
Should unobstructed gasping be facilitated and confirmed before administering adrenaline, otherwise, give titrated vasopressin? (Oct 2014)
Impact of clinical decision support on head computed tomography use in patients with mild traumatic brain injury in the ED. (Nov 2014)
Pediatr Emerg Care
Fatal Anaphylactic Shock Ceftriaxone-Induced in a 4-Year-Old Child. (Dec 2014)
Identification of a Pediatric Intra-abdominal Cystic Lymphangioma Using Point-of-Care Ultrasonography. (Jan 2015)
Eur J Emerg Med
Self-referrals in a Dutch Emergency Department: how appropriate are they? (Nov 2014)
Ethically justified treatment limitations in emergency situations. (Jan 2015)
JAMA
Use of sedating drugs and neuromuscular blocking agents in patients requiring mechanical ventilation for respiratory failure. A national survey. (Nov 1991)
Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. (Mar 2003)
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)
Use of a rapid assay of subforms of creatine kinase-MB to diagnose or rule out acute myocardial infarction. (Sep 1994)
BMJ
Efficacy of a small single dose of oral dexamethasone for outpatient croup: a double blind placebo controlled clinical trial. (Jul 1996)
Interval between decision and delivery by caesarean section-are current standards achievable? Observational case series. (Jun 2001)
Prehosp Emerg Care
A Consensus-based Gold Standard for the Evaluation of Mass Casualty Triage Systems. (Oct 2014)
Children's Safety Initiative: A National Assessment of Pediatric Educational Needs among Emergency Medical Services Providers. (Oct 2014)
Air Med J
Air travel of patients with abdominal aortic aneurysm: urgent air medical evacuation and nonurgent commercial air repatriation. (May-Jun 2014)
Air medical retrieval of acute psychiatric patients. (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 percentage of patients will develop a pancreatic abscess after an episode of acute pancreatitis?
Answer
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Daily Aphorism

At Christmas I no more desire a rose Than wish a snow in May's new-fangled mirth; But like of each thing that in season grows.
Daily Eponym

Lid retraction in lesion of posterior commissure.

Daily Phobia

Fear of the figure 8.

Historical Terms

Sciatica

Mnemonics

SLIPR
  • Swelling
  • Loss of function
  • Increased heat
  • Pain
  • Redness

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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