emergency medicine on the web
Edition of Tuesday, June 30, 2015
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MedicalMine and Emergency Medicine & Disaster Institute to Launch ChARM ...
Zawya (registration)
MedicalMine Inc. and EMDI Emergency Medicine & Disaster Institute today announced a strategic partnership whereby EMDI will resell, implement, market and promote ChARM EHR and the ChARM product suite in the Gulf Cooperation Council region.

Metabolic networks in a porcine model of trauma and hemorrhagic shock ...
BMC Blogs Network
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original ...

MONOC to Utilize Pediatric Emergency Medicine Physicians to Provide ...
Wall, NJ – June 10, 2015 --- On June 16, 2015, MONOC will begin utilizing Pediatric Emergency Medicine Physicians at Newark Beth Israel Medical Center to provide prehospital medical consultation to Paramedics caring for children under 13 years of age.

ICD-10-CM Challenges ID'd for Emergency Medicine Physicians
Monthly Prescribing Reference (registration)
(HealthDay News) — The transition to the expanded International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) system is likely to be associated with considerable challenges for emergency medicine physicians, according to ...

Boswell marks 30 years of certification in medicine
Rockwall County Herald Banner
On moving to Texas in 1992, he was medical director of Life Flight at UTMB and has been an assistant professor of emergency medicine at the University of Alabama Birmingham and in the University of Texas system. In the 1990s, he worked under a grant to ...

Chiang Rai hosts meeting on emergency medicine during disasters
Pattaya Mail
According to Dr. Anuchar Sethasathien, secretary-general of the National Institute for Emergency Medicine (NIEM), the meeting in Chiang Rai has been held to bolster emergency medicine preparedness in the event of disasters on the international scale.

Wilderness Medicine Training Prepares Emergency Doctors
( - Identifying poisonous snakes and knotting climbing ropes to form a makeshift litter are not typically taught in medical school. But emergency medicine doctors need to be creative, flexible and have a broad knowledge base.

Vanderbilt Doctors Urge Caution with Fourth of July Fireworks
Newswise (press release)
“Fireworks are explosives and need to be treated as such,” said Corey Slovis, M.D., professor and chair of the Department of Emergency Medicine. The three most common types of fireworks that keep hospital emergency departments busy during this holiday ...

Simulation training on the rise in pediatric emergency fellowship programs
The use of simulation training is gaining popularity in the absence of real-world opportunities to practice necessary emergency procedures in most pediatric emergency medicine fellowship programs, according to a recent study.

Every day in the emergency room is new as UMC acts as valley's medical 'catchall'
Las Vegas Sun
Obert, assistant medical director of the emergency medicine department, tries to predict the intensity of his day by scanning the highway billboards that list wait times at other local emergency rooms. Thirty-nine minutes. That alarms Obert because it ...

Health, safety officials preach against backyard fireworks
Columbus Dispatch
“There is no safe way to use consumer fireworks,” said Dr. Gary Smith, an emergency medicine physician and director of the Center for Injury Research and Policy at Nationwide Children's Hospital. “Every type of legally available firework in this ...

Climb Every Mountain, Without Altitude Sickness
Wall Street Journal
Acute mountain sickness might go unrecognized because it is easily confused with fatigue or migraine, says Paul Auerbach, a professor of emergency medicine at Stanford University. If headache and other symptoms start, experts recommend people ...

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Literature Abstracts
Daily Sample
of Abstracts
Ann Emerg Med
A Systematic Review and Meta-analysis of D-dimer as a Rule-out Test for Suspected Acute Aortic Dissection. (Mar 2015)
Global Emergency Medicine Journal Club: A Social Media Discussion About the Outpatient Management of Patients With Spontaneous Pneumothorax by Using Pigtail Catheters. (Jun 2015)
Acad Emerg Med
Measurement and Monitoring of Nausea Severity in Emergency Department Patients: A Comparison of Scales and Exploration of Treatment Efficacy Outcome Measures. (Jun 2015)
Abdominal Computed Tomography Utilization and 30-day Revisitation in Emergency Department Patients Presenting With Abdominal Pain. (Jun 2015)
Emerg Med Clin North Am
Critical care ultrasonography. (Nov 2014)
Lung-protective ventilation strategies and adjunctive treatments for the emergency medicine patient with acute respiratory failure. (Nov 2014)
Am J Emerg Med
Visits by the elderly to United States EDs for alcohol-related disorders. (Apr 2015)
Hypoxic hepatitis in survivors of out-of-hospital cardiac arrest. (May 2015)
Pediatr Emerg Care
Ultrasound in the Diagnostics of Metaphyseal Forearm Fractures in Children: A Systematic Review and Cost Calculation. (Jun 2015)
Eur J Emerg Med
The effect of the introduction of a regional major trauma network on triage decisions made by a physician-staffed helicopter emergency medical service. (Apr 2015)
Diagnosis of ruptured abdominal aortic aneurysm: a multicentre cohort study. (May 2015)
Surgical standby for coronary balloon angioplasty. (Aug 1992)
The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations. (Dec 1994)
N Engl J Med
Multifactorial index of cardiac risk in noncardiac surgical procedures. (Oct 1977)
The effects of self-administering emergency contraception. (Jul 1998)
Deprivation and emergency admissions for cancers of colorectum, lung, and breast in south east England: ecological study. (Jul 1998)
Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department: randomised controlled trial. (Jan 2003)
Prehosp Emerg Care
Taking the Blood Bank to the Field: The Design and Rationale of the Prehospital Air Medical Plasma (PAMPer) Trial. (Jul-Sep 2015)
Acceptability of Alternatives to Traditional Emergency Care: Patient Characteristics, Alternate Transport Modes, and Alternate Destinations. (May 2015)
Air Med J
Past and current trends in intravenous therapy for hemorrhagic shock. (Jul-Aug 2014)
Ethical considerations for conducting a randomized controlled trial in transport. (Nov-Dec 2014)
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
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
Q Fever
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

An elderly patient exhibits sundowning and progressive dementia. What vitamin deficiency can cause these symptoms, and are they reversible?
See More

Daily Aphorism

In answer to the question of why it happened, I offer the modest proposal that our Universe is simply one of those things which happen from time to time.
Daily Eponym

Paradoxical rise in JVP on inspiration - seen in pericardial effusion, constrictive pericarditis, COPD.

Daily Phobia

Fear of saints or holy things.

Historical Terms

Paralysis due to stroke


  • Anterograde amnesia is usually first sign
  • Life expectancy increase shows more cases in recent years
  • Zapped (loss of) acetylcholinergic neurons
  • Hereditary disease
  • Entire hippocampus becomes affected
  • Identified by neurofibrillary tangles
  • Mutation in amyloid genes associated w/ disease
  • Entorhinal areas degenerate first
  • Retrograde amnesia ultimaltely develops
  • Senile plaques are formed at synapse


iBradycardia treatment algorithm
iGI bleed complication risk
iMyocardial infarction probability (Goldman)
iRash diagnosis algorithm
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
iAcetaminophen Toxicity Nomogram
iAcid-base disturbance graph
iBenign Positional Vertigo: Bedside Treatment
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
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
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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