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emergency medicine on the web
Edition of Monday, October 20, 2014
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RECENT NEWS
When you're an ER doctor and the answer to how you're doing is “Ebola”
Quartz
To an emergency medicine doctor, Ebola is just another danger, albeit one that is unusually contagious and virulent. Every year, we face off against the seasonal flu and whatever special influenza-like illness nature devises for us, whether swine or avian.

College students get firsthand experience in emergency medicine
USA TODAY College
TEMS is a state licensed Emergency Medicine organization that is open 24/7 and has serviced the Tufts community since 1985. The program is similar to many student-run emergency medical services that assist their college communities and TEMS is one of ...

U of Maryland Emergency Medicine releases free educational pearls app
iMedicalApps
Since 2007, the Department of Emergency medicine at the University of Maryland has been developing useful clinical pearls for Emergency Medicine, and has been making them available via their website: UMEM educational pearls. The pearls contain high ...

Top 10 Emergency Medicine Apps for iPhone & Android
MedPage Today (blog)
iMedicalApps finds the 10 essential medical apps that emergency medicine physicians should have on their iPhone or Android device. A recent trial published in JAMA shows blood pressure medication "self-titration" by patients using connected mobile ...

Emergency medicine physician returns to Wyoming to expand medical services
County 10
(Fremont County, Wyo.) – SageWest Health Care is pleased to announce that Kristy Rahimi, M.D., has joined its staff and is offering emergency medicine services to patients at SageWest Health Care in Riverton. Dr. Rahimi, a Wyoming native, is one of six ...

Emergency medicine need of time
The News International
He informed the health advisor that the CPSP has started training in emergency medicine but so far, only two teaching hospitals both in private sector namely Shifa International Hospital in Islamabad and Aga Khan University Hospital in Karachi are ...

Hospital shows documentary on emergency medicine
Mail Tribune
A documentary on Los Angeles County Hospital's trauma department and the plight of overburdened emergency rooms will be shown from 6:30 to 9 p.m. Thursday, Oct. 23, at the Asante Smullin Health Education Center, 2825 E. Barnett Road, Medford.

U.S. department of emergency medicine seeks community input
KVOA Tucson News
TUCSON- The University of Arizona Department of Emergency Medicine is turning to the community for input regarding a clinical trial that requires a medical procedure to be performed without patient consent. The study will determine if an investigations ...

Palliative care faces barriers in emergency medicine
Brazosport Facts (subscription)
“Even the ordinary methods of treating disease and prolonging life have changed the context in which men die. Fewer and fewer people die in the familiar surroundings of home or in the company of family and friends. At the time of life where there is ...

An Innovative Approach to Emergency Medicine Resident Ultrasound Education
Journal of Ultrasound in Medicine (subscription)
SonoGames was created by the Academy of Emergency Ultrasound for the 2012 annual meeting of the Society for Academic Emergency Medicine. The assessment of resident knowledge and of the performance of point-of-care ultrasound examinations is an ...

Emergency Physicians Need More Resources to Manage Ebola
PR Newswire (press release)
"In this rapidly changing environment, we are in daily contact with our members and have convened a panel of emergency medicine infectious disease experts to provide advice on a continuous basis about best practices for managing patients with suspected ...

W.Va. Capitol Complex employees to participate in exercise dispensing ...
Greenfield Daily Reporter
CHARLESTON, West Virginia — People who work at the West Virginia Capitol Complex are set to participate in an emergency medical drill. The exercise is set for Tuesday on the Capitol grounds. The state Department of Military Affairs and Public Safety ...

Emergency Physicians Find their Telemedicine Niche
Healthcare Informatics
One is the physician perspective: Stat Doctors partners with a single large medical group, Emergency Medicine Physicians, Canton, Ohio, with a network of about 800 emergency medicine physicians who serve 15 states. Working with a single medical group ...

Lafayette-based medicine firm Schumacher Group refinances debt
Bayoubuzz
Lafayette-based Schumacher Group, one of the country's largest emergency medicine firms, has refinanced its debt with a $120 million in credit through GE Capital's Healthcare Financial Services. The senior credit facility consists of a $40 million line ...

Baylor College of Medicine team provides Ebola training in Nigeria
Baylor College of Medicine News (press release)
Dr. Bobby Kapur, physician leader and associate professor of medicine – emergency medicine at Baylor, said it was interesting that Nigeria's situation was similar to that in the United States. One person traveled from Liberia to Nigeria and then had ...

Johns Hopkins issues guidance on travel to West Africa amid Ebola outbreak
The Hub at Johns Hopkins
The new travel guidance was announced Friday in an email message from Gabor D. Kelen, director of the Office of Critical Event Preparedness and Response and director of the Department of Emergency Medicine at Johns Hopkins Medicine; and Trish Perl, ...

NCEMI for PDAs (Palm, Web Phones, WinCE)


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Literature Abstracts
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of Abstracts
Ann Emerg Med
Global emergency medicine journal club: social media responses to the January 2014 online emergency medicine journal club on subarachnoid hemorrhage. (Jul 2014)
Identifying Patients With Problematic Drug Use in the Emergency Department: Results of a Multisite Study. (Jul 2014)
Acad Emerg Med
Patient returns to the emergency department: the time-to-return curve. (Aug 2014)
Ultrasound Assistance for Central Venous Catheter Placement in a Pediatric Emergency Department Improves Placement Success Rates. (Sep 2014)
Emerg Med Clin North Am
Anemia. (Aug 2014)
Pediatric oncologic emergencies. (Aug 2014)
Am J Emerg Med
Optic nerve sheath diameter and lumbar puncture opening pressure in nontrauma patients suspected of elevated intracranial pressure. (Sep 2014)
Comorbidities and complications influence the diagnosis and management of geriatric supraglottitis. (Aug 2014)
Pediatr Emerg Care
Efficacy of vibration on venipuncture pain scores in a pediatric emergency department. (Oct 2014)
Imaging of pediatric head injury in the emergency department. (Oct 2014)
Eur J Emerg Med
Blood cultures in emergency medical admissions: a key patient cohort. (Aug 2014)
The epidemiology and management of recent-onset atrial fibrillation and flutter presenting to the Emergency Department. (Sep 2014)
JAMA
Effectiveness of pharmacist care for patients with reactive airways disease: a randomized controlled trial. (Oct 2002)
Managing an acute pain crisis in a patient with advanced cancer: "this is as much of a crisis as a code". (Mar 2008)
N Engl J Med
Emergency management of blunt trauma in children. (May 1991)
Videos in clinical medicine: Laryngeal mask airway in medical emergencies. (Nov 2013)
BMJ
Prospective evaluation of eligibility for thrombolytic therapy in acute myocardial infarction. (Jun 1996)
Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals. (2009)
Prehosp Emerg Care
Assessment of the Safety and Effectiveness of Emergency Department STEMI Bypass by Defibrillation-only Emergency Medical Technicians/Primary Care Paramedics. (Oct 2014)
Retrospective Validation of a Protocol to Limit Unnecessary Transport of Assisted-living Residents Who Fall. (Jul 2014)
Air Med J
An investigation of pilot fatigue in helicopter emergency medical services. (Sep-Oct 2013)
Identification of dynamic prehospital changes with continuous vital signs acquisition. (Jan-Feb 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


You have intubated a patient, and you are asked to set an I:E (inspiration to expiration time) ratio. What is the usual initial I:E setting? How does this change in patients with obstructive airway disease?
Answer
See More

Daily Aphorism

Imagination is more important than knowledge.
Daily Eponym

In acute pancreatitis, sudden and severe loss of vision due to posterior retinal artery occlusion with aggregated granulocytes; discrete flame-shaped hemorrhages with cotton-wool spots; also seen in fat embolization; first described in 1919 by othmar purtscher.

Daily Phobia

Fear of choking of being smothered.

Historical Terms

A contraction for hydropsy (Oedema)

Mnemonics

DIAPER
  • Delirium
  • Infection
  • Atrophic urethritis and vaginitis
  • Pharmaceuticals/ Psychologic
  • Excessive urine output
  • Restricted mobility
  • Stool impaction

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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