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Edition of Saturday, May 25, 2013
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RECENT NEWS
EMT students explore careers in emergency medicine
Franklin News Post
EMT students explore careers in emergency medicine. Dual enrollment class qualifies for college credits. Click to Enlarge Staff Photo by Stacey Hairston: Carilion's Lifeguard 10 helicopter flew into Franklin County to let FCHS's EMT class get a first ...

Audio-Digest Foundation Announces the Release of Emergency Medicine ...
PR Web (press release)
Andrew W. Asimos, MD, Professor of Emergency Medicine, University of North Carolina School of Medicine at Chapel Hill, and Director of Emergency Stroke Care, Carolinas Medical Center, Charlotte, NC, presented When Dizziness Is a Disaster: Vertigo and ...

Loyola Physician Named to Board of Illinois College of Emergency Medicine ...
Newswise (press release)
Newswise — Dr. Mark Cichon, DO, chair of the Department of Emergency Medicine of Loyola University Medical Center, has been named to the board of directors of the Illinois College of Emergency Physicians (ICEP). ICEP is the state medical specialty ...

Medicine grad discovered love of science on tour with his band
Temple University News
This May, Kleinberg, 33, will graduate from Temple's School of Medicine bound for a residency in emergency medicine at Temple University Hospital. His path to medicine was sparked by those seven years on the road, specifically by the 1974 Greyhound bus ...

Emergency Medicine App palmEM is Updated and Expanded
prMac (press release)
[prMac.com] Wilmington, Delaware - PalmER Worldwide today is thrilled to announce a major update to their top-selling Universal iOS emergency medicine app palmEM: Emergency Medicine Essentials Quick Reference Guide. With detailed information on ...

Top 10 emergency medicine audit defense strategies
Family Practice News Digital Network
SAN DIEGO – If you or your emergency medicine group is audited, one strategy is to use the Marshfield Clinic Tool to help explain medical decision making – specifically how comorbidities, the differential diagnosis, and special studies affected the ...

Emergency Medicine Grand Rounds with former chief medical officer for ...
IUPUI Newscenter
Jeffrey Runge, M.D., will present grand rounds sponsored by the Department of Emergency Medicine and MESH at 8 to 9 a.m. Wednesday, May 1, in IU Health Neuroscience Center Auditorium (Goodman Hall, Room 1030). Dr. Runge was the assistant ...

Emergency medicine specialist: race against death
People's Daily Online
"We take saving lives as the overriding priority, which means that we must race against time," said Chen Xiangyu, an emergency medicine specialist of Southwest Hospital in southwest China's Chongqing. Unlike others jobs, emergency medicine specialist ...

Learn Tactical Emergency Medicine: One Way To Prepare for Tragedy
Patch.com
The next such class, "Tactical Emergency Medicine," is set for 1-5 p.m. Sunday at the studio, 1414 Reisterstown Road. The cost is $50. BK Blankchtein, owner of Masada Tactical, and a former member of the Israel Defense Forces in counterintelligence and ...

Analysis: U.S. emergency care cost estimates are too low
Science Daily (press release)
Lee, who had a prior career in economics and finance before training in emergency medicine, co-wrote the analysis with Dr. Brian Zink, professor and chair of the Department of Emergency Medicine at the Alpert Medical School, and Dr. Jeremiah Schuur, ...

Emergency room services changing to meet needs of baby boomers
YNN
"Their needs are very different than perhaps the needs of someone in their 20's or 30's,” said Timothy Lum, M.D., Highland Hospital Chief of Emergency Medicine. So, hospital emergency rooms are changing. "I think we've made a lot of efforts ...

Research roundup: Surgical care at critical access hospitals; Digging into the ...
News-Medical.net
Annals Of Emergency Medicine: Owning The Cost Of Emergency Medicine: Beyond 2% – Emergency room care is often cited as overused and one of the drivers of the increasing health spending. However, emergency room physicians have countered that ...

Global Conference on Emergency Medicine set for successful second edition
AME Info (press release)
Noted as the largest gathering of Emergency Medical professionals in the region, the Second Global Conference Network on Emergency Medicine in association with the First Emirates Society for Emergency Medicine Conference, will be held at the Al Bustan ...

Health Network Launches Fundraising Campaign
Voices News
The new Emergency Department at Danbury Hospital will be named the Anna-Maria and Stephen Kellen Department of Emergency Medicine, while the Emergency Department at New Milford Hospital will be named the Arnhold Department of Emergency ...

Serenity HospiceCare gets new medical director
Daily Journal Online
His directorship experience ranges from Chief of Medical Staff at Parkland Hospital, Corporate and Regional Medical Director in Emergency Medicine, and Facility Director at numerous locations. Arguably his most impressive experience comes from ...

Emergency department at Mercy Memorial announces partnership
Urbana Daily Citizen
Mercy Memorial Hospital, which treats more than 18,000 patients in the emergency department each year, has announced a new partnership with Emergency Medicine Physicians (EMP) that begins May 21. With the new partnership taking effect, Dr. Joan ...

Diagnosing heart attacks? There's an app for that.
The Huntsville Times - al.com (blog)
"Simple cellular technology can save lives," said David R. Burt, M.D., the study's lead author and an associate professor of emergency medicine at the University of Virginia School of Medicine in Charlottesville. "This system may make pre-hospital ECG ...

Peer-Referral Programs Can Increase HIV-Testing in Emergency Departments
Infection Control Today
Co-author and assistant professor of emergency medicine Michael Lyons, MD, says public health officials study multiple approaches to increasing early diagnosis of HIV. These approaches include a recent emphasis on expanding testing in healthcare ...

Penn Medicine Study Suggests New Role for ECMO in Treating Patients With ...
Penn: Office of University Communications
The new findings were presented today at the Society for Academic Emergency Medicine annual meeting in Atlanta, Ga. ECMO directly oxygenates and removes carbon dioxide from the blood, and is conventionally used for both respiratory and cardiac failure ...

Emergency departments now account for half of all hospital inpatient admissions
Healthcare Finance News
The study was conducted on behalf of the Emergency Medicine Action Fund, a consortium of emergency medicine physician organizations, in order to provide a more complete picture of the role EDs play in the U.S. healthcare system. “Use of hospital ...
ER's Account for Half of Hospital Admissions, Study SaysNew York Times
RAND: As hospital gatekeepers, ER docs play a critical role in controlling ...MedCity News
Primary care physicians rely more on ER docs to evaluate their patientsFierceHealthcare

Locum SPR Emergency Medicine East Midlands
Mediplacements
Job Description. We are recruiting for a flexible SpR, specialising in A&E to cover a 3 months job assignment within a Hospital in East Midlands. The successful SpR will be working within a busy Emergency Medicine department and must have good previous ...

18 hurt when bus, truck crash near Atlanta airport
Columbus Dispatch
One passenger suffered a collapsed lung, and another suffered fractures to both shoulders, said Leon Haley, chief of emergency medicine at Grady Memorial. Stanley said he did not know whether the bus was equipped with seat belts and, if so, whether ...
18 hurt in shuttle bus crash near Atlanta airport - 0 Minutes AgoThe Herald Bulletin
Sixteen people were injured in a crash involving a hotel shuttle bus and a ...WSB Atlanta
Bus, truck collide at Atlanta airportUPI.com

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Ann Emerg Med
Automated Detection Using Natural Language Processing of Radiologists Recommendations for Additional Imaging of Incidental Findings. (Mar 2013)
Medically Significant Late Bleeding After Treated Crotaline Envenomation: A Systematic Review. (Apr 2013)
Acad Emerg Med
Focusing a gender lens on emergency medicine research: 2012 update. (Mar 2013)
Interobserver agreement in the clinical assessment of children with blunt abdominal trauma. (May 2013)
Emerg Med Clin North Am
Earache. (May 2013)
Ocular inflammation and infection. (May 2013)
Am J Emerg Med
Determinants of timely management of acute bacterial meningitis in the ED. (May 2013)
Hemodynamic consequences of ketamine vs etomidate for endotracheal intubation in the air medical setting. (May 2013)
Pediatr Emerg Care
Sitting or tilt position for infant lumbar puncture does not increase ultrasound measurements of lumbar subarachnoid space width. (May 2013)
Eur J Emerg Med
Diagnosing pulmonary edema: lung ultrasound versus chest radiography. (Dec 2012)
JAMA
Tricyclic antidepressant overdose. A review. (Jan 1987)
Risk of infection during CPR training and rescue: supplemental guidelines. The Emergency Cardiac Care Committee of the American Heart Association. (Nov 1989)
N Engl J Med
Emergency coronary angioplasty in refractory unstable angina. (Aug 1985)
Prevention of myocardial damage in acute myocardial ischemia by early treatment with intravenous streptokinase. (Nov 1985)
BMJ
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. (Dec 2004)
Mortality in patients with and without colectomy admitted to hospital for ulcerative colitis and Crohn's disease: record linkage studies. (Nov 2007)
Prehosp Emerg Care
The performances of standard and ResMed masks during bag-valve-mask ventilation. (Apr-Jun 2013)
Exposure to Carbon Monoxide for Patients and Providers in an Urban Emergency Medical Service. (Mar 2013)
Air Med J
Air medical repatriation: compassionate and palliative care consideration during transport. (Sep-Oct 2012)
Blood administration in helicopter emergency medical services patients associated with hypothermia. (Jan-Feb 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
RECENT BLOG POSTINGS
EMT students explore careers in emergency medicine - EMS1.com
EMS1 Daily News
By Stacey Hairston The Franklin News-Post. FRANKLIN COUNTY, Va. � Franklin County High School's Emergency Medical Technician (EMT) class got a first-hand look at the equipment on board Carilion's Lifeguard 10 last ...
Leader in emergency medicine delivers McNabney Lectureship | PRN
P.R.N. | UMKC School of Medicine
Peter Rosen, M.D., F.A.C.S., F.A.C.E.P., F.A.A.E.M., a senior lecturer on medicine at Harvard School of Medicine and attending emergency physician at Beth Israel/Deaconess Medical Center took a look back at the evolution of ...
Academic Life in Emergency Medicine: Review: Emergency ...
Academic Life in Emergency Medicine
In the book Emergency Medicine: Avoiding the Pitafalls and Improving the Outcomes edited by Dr. Amal Mattu along with Dr. Deepi Goyal, you can find many pitfalls that should be considered when managing patients in the ...
Emergency Medicine residency celebrates 40th anniversary | P.R.N. ...
P.R.N. | UMKC School of Medicine
The UMKC School of Medicine Emergency Medicine Resdiency Program celebrated its 40th anniversary with a weekend of activities that included many of its nearly 350 alumni on May 3-4. The celebration began with the ...
Guest post: Choosing part-time work in emergency medicine
Mothers in Medicine
Guest post: Choosing part-time work in emergency medicine. First I want to tell you all how grateful I am to have found your site. I now check it regularly and see it as my "lifeline" to others who have been through (and are ...
Emergency Medicine Update May 2013 - Life in the Fast Lane ...
Life in the Fast Lane medical education blog
Yosef Leibman's Emergency Medicine Update May 2013 is here!
ACEP Showcase: UF EM-CCM Program and Faculty | Department of ...
Department of Emergency Medicine
One of the biggest fears I had prior to accepting the fellowship spot at University of Florida was how the other physicians would welcome emergency medicine residents training in the ICU. From my 2 years here as a fellow and ...
Emergency Medicine Procedures Refresher for Graduating Class of ...
Department of Emergency Medicine
Jonathan Holloway and Brandon Allen, were both inducted into The Chapman Chapter of the Gold Humanism Honor Society. Come find out how you can be a medical scribe! (JUNE 3rd & 4th) → ...
Emergency Medicine Literature of Note: Autopulse Advertisement in ...
Emergency Medicine Literature of Note
Assistant Professor of Emergency Medicine at The University of Texas Health Science Center at Houston and AHRQ Patient Safety and Quality Keck Fellow. This blog serves primarily as a repository to organize my thoughts ...
The Crashing Asthmatic - Emergency Medicine Ireland
Emergency Medicine Ireland
UPDATE: Since making this, StEmlyns have scuppered my take on Mag by reporting the 3MG trial which gave a big great 'hmpph' to mag and suggest very little, if any benefit. Check out their take. In my current dept, there's a ...
Workshop for EMS Gathering - Emergency Medicine Ireland
Emergency Medicine Ireland
What's the deal? Free, Open-Acces Meducation (FOAM). Ranting and raving on all things Emergency Medicine. Get involved and start ranting and raving back. emergencymedicineireland [at] gmail [dot] com ...
Management of Pain in the Emergency Department
Hindawi Publishing Corporation
Abstract. Since pain is a primary impetus for patient presentation to the Emergency Department (ED), its treatment should be a priority for acute care providers. Historically, the ED has been marked by shortcomings in both the evaluation and ...
Harvard Affiliated Emergency Medicine Residency (HAEMR) at BIDMC
Medical Education
This three-year program (PGY-1 to PGY-3) is affiliated with Harvard Medical School and is based at BIDMC, a 57000 visit per year Level I trauma center. Residents rotate at Boston Children's Hospital, Brockton Hospital, South Shore Hospital, ...
Academic Life in Emergency Medicine: On the Horizon: Propofol for ...
Academic Life in Emergency Medicine
This will possibly be a new practice in emergency medicine, although it has been known for some time. Propofol, when given at procedural sedation doses, seems to miraculously terminate migraines refractory to usual ...
Dr. Brian O'Neil appointed chair of WSU Emergency Medicine
Prognosis
Brian O'Neil, M.D., the Edward S. Thomas Endowed Professor and associate chair of Research for the Department of Emergency Medicine at the Wayne State University School of Medicine, has been appointed chair of the ...
Emergency Medicine Doctors with the Boston Expert Witness Group ...
The Boston Expert Witness Group
The Boston Expert Witness Group now has a team of expert emergency medicine physicians who are prepared to work as expert witnesses and expert consultants in Massachusetts malpractice litigation for both plaintiffs and ...
America Spends More on Emergency Medicine Than Previously ...
HealthWorks Collective - The world's best thinkers on healthcare
With 130 million visits, 28% of all acute-care visits, and accounting for nearly half of all admissions, emergency medicine should be expected to represent a large share of health care spending�.More attention should be ...
Sharp Rise in ICU Admissions From U.S. Emergency Rooms - Drugs ...
Drugs.com - Daily MedNews
Dr. Jesse Pines, an emergency physician and associate professor of emergency medicine and health policy at the university, said more research is needed to figure out how to reduce the amount of time critically ill patients ...
Emergency Medicine Literature of Note: Fewer CTs, More ...
Emergency Medicine Literature of Note
This is a retrospective review from the Medical University of South Carolina that describes their implementation of an imaging protocol designed to encourage ultrasound use. They report before-and-after statistics for their ...
Emergency Medicine Nurse Practitioner / Physician Assistant job in ...
Opportunity Health Care
Join a dynamic small hospital in southeastern Illinois that is seeking a Nurse Practitioner or Physician Assistant to join their emergency room staff. They are offering full benefits and a great salary.
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If a hordeolum points internally rather than externally on the lid, how does your stab incision change?
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If the fans don't come out to the ball park, you can't stop them.
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Zoonosis caused by protozoan parasite trypanosoma cruzi; causes destruction of the myenteric plexus of the esophagus, duodenum, colon, and ureter, with resultant dilatation of these structures as well as cardiac disease; transmitted by excreta of hematophagous organisms of the family reduiviidae.

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Algorithms
iBradycardia treatment algorithm
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iRash diagnosis algorithm
Calculators
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iAlveolar-arterial oxygen gradient (A-a gradient)
iAminoglycoside clearance in females
iAminoglycoside clearance in males
iAmylase fractional excretion
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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
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iEstimated creatinine clearance for males
iFactor IX dosing
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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
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iLow Density Lipoprotein
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iOsmolar Clearance
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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
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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
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iPittsburgh knee rule
iTPA for acute stroke - indications/contraindications
Diagrams
iAcetaminophen Toxicity Nomogram
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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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