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Edition of Tuesday, June 30, 2015
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RECENT NEWS
MedicalMine and Emergency Medicine & Disaster Institute to Launch ChARM ...
Business Wire (press release)
MANAMA, Bahrain & PLEASANTON, Calif.--(BUSINESS WIRE)--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 ...

MONOC to Utilize Pediatric Emergency Medicine Physicians to Provide ...
JEMS.com
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.

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 (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original ...

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 ...

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.

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 ...

Many older adults have persistent pain after car crashes
WHTC
Car crashes are the second most common form of trauma among older adults, the researchers write in Annals of Emergency Medicine. Lead author Timothy Platts-Mills, of the University of North Carolina at Chapel Hill, said his team's long-term goal is to ...

Sugar Land launched ambulance service without common medications
Houston Chronicle (subscription)
"I've never heard of an EMS service saying we don't need controlled substances because they're close to hospitals," said Dr. Richard Bradley, who worked as a paramedic before becoming a doctor and chief of emergency medicine at the University of Texas ...

Wilderness Medicine Training Prepares Emergency Doctors
HealthNewsDigest.com
(HealthNewsDigest.com) - 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.

Dangers Behind Laundry Pods Stump Poison-Control Experts
Nasdaq
Knowing why this particular detergent delivery system can be so harmful, meanwhile, would help emergency-medicine experts better treat injured children, doctors say. But there isn't a lot of information to go by. Consumer-product manufacturers have ...

Wilderness Medical Society offers wilderness first aid class
Mountain Mail Newspaper
“A WFA class gives people the confidence and skills to get out there and safely explore Colorado's awesome backcountry,” said Dr. Jay Lemery, associate professor of emergency medicine at the University of Colorado School of Medicine. “The instructors ...

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 ...

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Ann Emerg Med
Successful Tobacco Dependence Treatment in Low-Income Emergency Department Patients: A Randomized Trial. (Apr 2015)
Transport and Management of Patients With Confirmed or Suspected Ebola Virus Disease. (May 2015)
Acad Emerg Med
Diagnostic Accuracy of Ultrasonography in Retained Soft Tissue Foreign Bodies: A Systematic Review and Meta-analysis. (Jun 2015)
Shared Decision-making in the Emergency Department: Respecting Patient Autonomy When Seconds Count. (Jun 2015)
Emerg Med Clin North Am
Resources for toxicologic and radiologic information and assistance. (Feb 2015)
Evaluation and management of traumatic knee injuries in the emergency department. (May 2015)
Am J Emerg Med
Achieving regionalization through rural interhospital transfer. (May 2015)
The prognostic value of serum pregnancy-associated plasma protein A level at the initial ED presentation in elderly patients with community-acquired pneumonia. (Jun 2015)
Pediatr Emerg Care
Assessing physician-parent communication during emergency medical procedures in children: an observational study in a low-literacy Latino patient population. (May 2015)
Necrotizing Fasciitis of the Chest Wall: Report of Pediatric Cases. (Apr 2015)
Eur J Emerg Med
Mortality and prognostic factors of patients who have blood cultures performed in the emergency department: a cohort study. (Feb 2015)
Diagnosing fractures: pain intensity and subjective functional impairment are unreliable markers for initial assessment of possible extremity fractures. (Apr 2015)
JAMA
The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations. (Dec 1994)
N Engl J Med
Effect of a short course of prednisone in the prevention of early relapse after the emergency room treatment of acute asthma. (Mar 1991)
Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population. (Sep 1992)
BMJ
Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. (Nov 2000)
Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. (2011)
Prehosp Emerg Care
Recovery between Work Shifts among Emergency Medical Services Clinicians. (Jul-Sep 2015)
A Comparison of Invasive Airway Management and Rates of Pneumonia in Prehospital and Hospital Settings. (Apr 2015)
Air Med J
A 48-year-old man with severe shortness of breath. (Sep-Oct 2014)
The lethargic diabetic: cerebral edema in pediatric patients in diabetic ketoacidosis. (Mar-Apr 2015)
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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
Daily Question


What are some complications of acute sinusitis, and which is seen more commonly in children?
Answer
See More

Daily Aphorism

Honest differences are often a healthy sign of progress.
Daily Eponym

Obesity is associated with abdominal striae (d.t. protein catabolic state) & hirsutism (d.t. associated sex hormone excess).

Daily Phobia

Fear of Fever.

Historical Terms

Poisoning resulting from the drinking of milk produced by a cow who had eaten a plant known as white snake root (also known as "milk sickness")

Mnemonics

SOFT PAINS
  • Skin infections
  • Osteomyelitis
  • Food poisoning
  • Toxic shock syndrome
  • Pneumonia
  • Acute endocarditis
  • Infective arthritis
  • Necrotizing fasciitis
  • Sepsis

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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