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Edition of Monday, December 22, 2014
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RECENT NEWS
Dr. Marcus Martin, Founder of UVa's Emergency Medicine Center
Charlottesville Tomorrow
It is an extraordinary person who achieves great things in two. Marcus Martin's commitment to justice and opportunity has made him not only a national authority on emergency medicine, but he is also a great champion of diversity at the University of ...

The Most Life-Saving Emergency Medicine Articles of 2014
Medscape
The past year has once again been an outstanding one for emergency medicine (EM) research. When I solicited my colleagues for their opinions on the best and most useful journal publications of the year, I received more than three dozen selections to ...

24-hour Immediate Coverage by Emergency Medicine Physicians Available at ...
Cape Gazette
The Trauma Center at Beebe Healthcare in Lewes has once again been verified as a Level III Trauma Center by the Verification Review Committee, an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS).

GRU emergency medicine residents get rescue training
McDuffie Mirror
As an emergency medicine resident at Georgia Regents University, Andy Hall usually gets his first look at crash victims at the hospital. He and other GRU residents got a chance Wednesday to see what happens before a victim gets to the emergency room.

Ga. emergency medicine residents get lesson in rescue training
EMS1.com
Gregory Hartshorne said the Augusta Fire Department frequently works with emergency medicine residents to give them exposure to “the other side” of emergency rescue. During the event Wednesday morning, about 30 residents learned about removing ...

Affordable Care Act increases reliance on emergency rooms, WSU study finds
Science Codex
Co-authors and study researchers include Daniel Overbeek, a fourth-year student graduating in May and applying to residency programs in emergency medicine; Justin Bedford, a second-year student and a coordinator for the student Emergency Medicine ...
Affordable Care Act Increases Reliance on Emergency RoomsBayoubuzz

Thoracotomy in Blunt Trauma: What's the Harm?
Medscape
The emergency department (ED) thoracotomy for traumatic arrest is one of the smost dramatic procedures in emergency medicine. It is the procedure that every emergency medicine trainee looks forward to performing during the trauma rotation and is often ...

Advance Directives May Be Hazardous to Your Health
Medscape
Robert Glatter, MD: Good afternoon. My name is Dr Robert Glatter. I am an attending physician in the Department of Emergency Medicine at the Lenox Hill Hospital in New York City, and a member of the Medscape Emergency Medicine Editorial Board.

Worst Flu Outbreak In 4 Years Hits Minnesota
CBS Local
“Our volumes have been increasing, especially of our pediatric patients,” Emergency Medicine Dr. Stephen Dunlop of the Hennepin County Medical Center. Dunlop says typically every year there's a major spike in the number of flu cases — and it's a week ...

Golden Hour Thrombolysis on Wheels
Medscape
The STEMO includes a CT scanner, point-of-care laboratory and telemedicine connection, neurologist trained in emergency medicine, paramedic, and technician. The study sample consisted of 6182 consecutive adult patients identified through a stroke ...

NES Health Launches Stipend Program for Emergency Physicians in Training to ...
IT Business Net
Emergency medicine residents, fellows, and training program directors can learn more by calling the programs Coordinator, Ruth Ann Sheets, at 1-800-394-6376. Adds Chris Pepin, RN, CEN, CCRN, NES Healths Director of the Stipend Program, Our program ...

Family physicians find high recognition
Orlando Sentinel
The GuideWell Emergency Medicine Doctors clinic is a hybrid between an urgent care center and an emergency department, but it's not affiliated with any hospital system here. That differentiates it from hospitals' freestanding emergency departments or ...

Preview party offers first glimpse of new Weslaco emergency room
Monitor
The emergency room, which will also house separate outpatient and emergency entrances and waiting areas, will be open 24 hours a day and on holidays with emergency medicine physicians and ancillary staff. The emergency room is scheduled to open ...

Former F1 doctor attacks FIA over hospital visit
PaddockTalk
Since then, he has been clinical professor of anaesthesia and emergency medicine at the university hospital in Liege, which last week reportedly received a visit from Gerard Saillant. Working at the FIA Institute, Saillant is a mutual friend of both ...

Virginia-Maryland College of Veterinary Medicine students address end-of-life ...
Augusta Free Press
Waltz became familiar with some of the situations surrounding euthanasia when she worked in emergency medicine. One day at the clinic, a client whose dog was dead on arrival after being hit by a car embraced and thanked Waltz. “I couldn't understand ...

Wilton doctor will lead new Stamford pediatrics institute
Wilton Bulletin
“The folks that are going to be in the pediatric emergency department first do three years of pediatric training, then three years in a fellowship doing pediatric emergency medicine… its really an order of magnitude difference,” he said. While ...

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Ann Emerg Med
Cost-effectiveness of the PECARN Rules in Children With Minor Head Trauma. (Nov 2014)
Barriers to Calling 911 and Learning and Performing Cardiopulmonary Resuscitation for Residents of Primarily Latino, High-Risk Neighborhoods in Denver, Colorado. (Dec 2014)
Acad Emerg Med
Gender Differences in Patient-described Pain, Stress, and Anxiety Among Patients Undergoing Treatment for Painful Conditions in the Emergency Department. (Dec 2014)
Injury Due to Mechanical Falls: Future Directions in Gender-specific Surveillance, Screening, and Interventions in Emergency Department Patients. (Dec 2014)
Emerg Med Clin North Am
End of Life/Palliative Care/Ethics. (Nov 2014)
Lung-protective Ventilation Strategies and Adjunctive Treatments for the Emergency Medicine Patient with Acute Respiratory Failure. (Nov 2014)
Am J Emerg Med
External validation of the Ottawa subarachnoid hemorrhage clinical decision rule in patients with acute headache. (Dec 2014)
Effects of ultrasound-guided radial artery catheterization: an updated meta-analysis. (Jan 2015)
Pediatr Emerg Care
Penetrating foreign body to the cranial vault in a young child. (Dec 2014)
RNA Transcriptional Biosignature Analysis for Identifying Febrile Infants With Serious Bacterial Infections in the Emergency Department: A Feasibility Study. (Dec 2014)
Eur J Emerg Med
Self-referrals in a Dutch Emergency Department: how appropriate are they? (Nov 2014)
Traumatic cardiac arrest: a unique approach. (Aug 2014)
JAMA
Use of sedating drugs and neuromuscular blocking agents in patients requiring mechanical ventilation for respiratory failure. A national survey. (Nov 1991)
Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. (Mar 2003)
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A controlled trial of methylprednisolone in the emergency treatment of acute asthma. (Jan 1986)
A comparison of surfactant as immediate prophylaxis and as rescue therapy in newborns of less than 30 weeks' gestation. (Mar 1991)
BMJ
Extracontractual referrals: safety valve or administrative paperchase? (Jun 1995)
Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90. (2008)
Prehosp Emerg Care
Over-commitment of EMS Personnel in North Carolina with Implications for Disaster Planning. (Oct 2014)
Rationale, Methodology, and Implementation of a Dispatcher-assisted Cardiopulmonary Resuscitation Trial in the Asia-Pacific (Pan-Asian Resuscitation Outcomes Study Phase 2). (January-March 2015)
Air Med J
Assessing satisfaction and quality in the EMS/HEMS working relationship. (Nov-Dec 2013)
Ketamine sedation during air medical retrieval of an agitated patient. (Mar-Apr 2014)
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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


Why are those who abuse cocaine and marijuana at increased risk for developing a pneumothorax?
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Daily Aphorism

Never confuse motion with action.
Daily Eponym

In aortic regurgitation, pulsation of the spleen in the presence of splenomegaly.

Daily Phobia

Fear of symmetry.

Historical Terms

Quinsy (peritonsillar cellulitis or abscess)

Mnemonics

Virgil Can Not Make My Pet Zebra Laugh
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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
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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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