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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 ...

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 ...

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 ...

Emergency medicine physician leads this week's walk
Tyler Morning Telegraph
Dr. Evans Smith, an emergency room physician at East Texas Medical Center and medical director 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 ...

Medscape Emergency Medicine Physician Lifestyle Report 2015
Medscape
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377-1385. http://archinte.jamanetwork.com/article.aspx?articleid=1351351 Accessed ...

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 ...

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 ...

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 ...

MCC hosts health competition for area students
Meridian Star
Ryan Sullivan, 17, from Madison Career and Tech, was one of the hundreds of students registered to vie in categories such as dental assisting, veterinary assisting, nursing assisting, emergency medicine, and leadership events that include career health ...

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 ...

Advances in supraglottic airway devices
EMS1.com
Mean placement time was significantly reduced for the King tube compared to the ET tube when inserted by emergency medicine resident physicians, fourth year medical students, and paramedic students (19). In a series of trauma scenarios, paramedics ...

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 ...

More than a tube: Capnography as an every day tool
EMS1.com
Journal Of Emergency Medicine (0736-4679) 45.4 (2013): 626-632. 6. Howe, Teo Aik, et al. "The Use Of End-Tidal Capnography To Monitor Non-Intubated Patients Presenting With Acute Exacerbation Of Asthma In The Emergency Department." Journal Of ...

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, ...

NCEMI for PDAs (Palm, Web Phones, WinCE)


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Literature Abstracts
Daily Sample
of Abstracts
Ann Emerg Med
A Randomized Trial on Subject Tolerance and the Adverse Effects Associated With Higher- vs Lower-Flow Oxygen Through a Standard Nasal Cannula. (Nov 2014)
Efficacy of Methylene Blue in an Experimental Model of Calcium Channel Blocker-Induced Shock. (Oct 2014)
Acad Emerg Med
A research agenda for gender and substance use disorders in the emergency department. (Dec 2014)
You've Got Mail … and Need Follow-up: The Effect and Patient Perception of E-mail Follow-up Reminders After Emergency Department Discharge. (Jan 2015)
Emerg Med Clin North Am
Pressors and inotropes. (Nov 2014)
Organophosphate and carbamate poisoning. (Feb 2015)
Am J Emerg Med
Significance of the vacuum phenomenon in patients with trauma evaluated by whole-body computed tomography. (Dec 2014)
The role of inferior vena cava diameter in the differential diagnosis of dyspneic patients; best sonographic measurement method? (Dec 2014)
Pediatr Emerg Care
Incomplete lemierre syndrome. (Jan 2015)
Preparing for international classification of diseases, 10th revision, clinical modification implementation: strategies for maintaining an efficient workflow. (Jan 2015)
Eur J Emerg Med
Chest pain: if it hurts a lot, is heart attack more likely? (Oct 2014)
Psychoactive substance (drugs and alcohol) use by Emergency Department patients before injury. (Aug 2014)
JAMA
An outbreak of designer drug--related deaths in Pennsylvania. (Feb 1991)
Surgical standby for coronary balloon angioplasty. (Aug 1992)
N Engl J Med
Skull x-ray examinations after head trauma. Recommendations by a multidisciplinary panel and validation study. (Jan 1987)
Ruling out acute myocardial infarction. A prospective multicenter validation of a 12-hour strategy for patients at low risk. (May 1991)
BMJ
Deprivation and emergency admissions for cancers of colorectum, lung, and breast in south east England: ecological study. (Jul 1998)
Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. (Nov 2000)
Prehosp Emerg Care
Design of the Study of Tranexamic Acid during Air Medical Prehospital Transport (STAAMP) Trial: Addressing the Knowledge Gaps. (January-March 2015)
A Better START for Low-acuity Victims: Data-driven Refinement of Mass Casualty Triage. (Aug 2014)
Air Med J
Specialty pediatric transport in primary care or urgent care settings. (Mar-Apr 2014)
Review of respiratory management of extremely premature neonates during 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


A patient presents with bleeding from a pyogenic granuloma which is not controleed by direct pressure or packing with a vasoconstrictor agent (such as tetracaine with adrenaline). What is the next option?
Answer
See More

Daily Aphorism

If a free society cannot help the many who are poor, it cannot save the few who are rich.
Daily Eponym

Perivascular spaces in brain; become unusually widened in edema of the brain.

Daily Phobia

Fear of shock.

Historical Terms

Primary tuberculosis of the lymphatic glands, especially those in the neck. A disease of children and young adults, it represents a direct extension of tuberculosis into the skin from underlying lymph nodes. It evolves into cold abscesses, multiple skin ulcers, and draining sinus tracts. Synonym: king's evil.

Mnemonics

Numbered event for each week
  • Week Two: Bilaminar germ disc.
  • Week Three: Trilaminar germ disc.
  • Week Four: Four limbs appear.

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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