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Edition of Wednesday, August 20, 2014
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RECENT NEWS
Emergency Medicine Partners with Ghanaian Hospital for Training, Education
University of Cincinnati
With a new international partnership, two University of Cincinnati emergency medicine physicians are working to improve the training and provision of emergency medical care in Ghana, and provide new opportunities for UC trainees at home. Assistant ...

Nason let emergency medicine board certification lapse in 2008
Charleston Post Courier
Dr. Barron Nason has not been board-certified in emergency medicine since 2008, his spokesman confirmed Friday, despite at least one recent television commercial claiming that he was. "In 2008 he elected not to renew his board certification since he ...

Emergency Medicine Foundation launched today
ABC Online (blog)
But you won't find a philanthropist with buckets of money or a celebrity at its helm. Instead, it's being run by people who are busy saving lives every day. They are the doctors and nurses who work inside our emergency departments. Terri Begley reports ...

River Hospital to receive emergency medicine support from Syracuse group
WatertownDailyTimes.com
That is because River Hospital, 4 Fuller St., recently announced it has entered into an agreement with the Emergency Medicine Medical Service Group of Upstate Medical University, Syracuse, to provide emergency medical physicians in provider and ...

Upstate Medical criticized for using live pigs to train emergency doctors
The Post-Standard - syracuse.com
The group filed a complaint Thursday with the Animal and Plant Health Inspection Service, a division of the U.S. Department of Agriculture, asking the agency to investigate the use of live pigs in Upstate's emergency medicine residency program. Upstate ...

LSU Health news
Shreveport Times
Jeffrey Aufman, MD, clinical assistant professor, pathology; Julie Babb, MD, clinical assistant professor, radiology; Stephen Baker Jr., MD, clinical assistant professor, emergency medicine; Marc Chaudoir, MD, clinical instructor, family medicine ...

"Boarding" Of Psychiatric Patients In Emergency Departments Unconstitutional ...
Forbes
“While we respect the state court's decision, federal law (Emergency Medicine Treatment and Labor Act) still prevents hospital emergency departments from discharging unstable patients — for example suicidal or homicidal patients — back into ...

College Students Learn Lessons About Rural Medicine
WWNY TV 7
"I am interested in pursuing a career in emergency medicine, either in a hospital or as a paramedic or a flight paramedic, so, this was a pretty cool experience," said student Kyle Admire. "Usually we see the doctors once the patients are brought in ...

Appendicitis warning: Emergency Medicine Australasia
New Zealand Doctor Online
One in 10 children presenting to the emergency department with severe abdominal pain will have acute appendicitis which can be fatal if not treated promptly, a new study published in Emergency Medicine Australasia, the journal for the Australasian ...

Maseno Launches Family and Emergency Medicine Course
AllAfrica.com
Vice chancellor Dominic Makawiti said the programme will train physicians on effective management of acute and chronic illnesses. Speaking during the launch yesterday, he said the training will focus on disease prevention. Makawiti said Maseno will be ...

Many older emergency department patients are malnourished
EurekAlert (press release)
What is surprising in our study is that most of the malnourished patients had never been told that they were malnourished," said Timothy F. Platts-Mills, MD, MSc, assistant professor of emergency medicine in the UNC School of Medicine and senior author ...

Civilian ER Physicians Help Train New York National Guard Medics
JEMS.com
Dr. Anar Patel, an emergency medicine associate professor and Dr. Erica Igbindghene, another emergency medicine specialist, took a day away from their regular jobs at Albany Medical Center in New York, to share their specialist skills with the Medical ...

The MRI Enigma in Spine Injury Clearance
MedPage Today
Rory Spiegel, MD, is the chief resident in emergency medicine at Newark Beth Israel Medical Center in New Jersey. In his free time he enjoys riding in TARDISes, defending the Wall, and "chasing the wind." He is a self-described nerd who blogs regularly ...

Johnson County Emergency Medical Services System introduces new trauma ...
GardnerEDGE
The protocol was approved by the Johnson County EMS Physicians Committee of the Johnson/Wyandotte County Medical Society, made up of physicians specializing in Emergency Medicine, Trauma Surgery, Pediatric Emergency Medicine, Cardiology and ...

Florida should allow pharmacists to administer more vaccines
Highlands Today
Expanding pharmacist-provided vaccines just makes sense. I am an emergency medicine physician who strongly believes physicians and pharmacists must work together to meet the needs of today's patients. Florida, like many other states, has too few ...

Rare DC house-call doctor straddles two Washingtons
Washington Post
Isak Mauritzon, 11, and his family, visiting the District from Sweden, were set to visit museums in the city last Wednesday when Isak complained that his ear hurt. His parents, looking for a doctor, called the hotel receptionist, who gave them Ernest ...

Patient sues Norton over ads and malpractice
The Courier-Journal
One of the ads, for example, said, "Physicians specializing in emergency medicine practice the most current techniques in quality, responsive patient- and family-centered care." Another said, "Our ER department is open around the clock, treating ...

Experts Believe Missionaries Deserved Access To Experimental Ebola Drugs
Forbes
Two separate opinions written by experts and published online August 18 in the Annals of Internal Medicine support the decision that provided the untested drug, ZMapp, to the two US missionary healthcare workers in West Africa. And, as the WHO declared ...
Media Advisory: Hopkins Bioethicist Defends Treatment of American Ebola ...Newswise (press release)

Malnutrition Prevalent Among Seniors Presenting to Emergency Room
HCPLive
FRIDAY, Aug. 15, 2014 (HealthDay News) -- More than half of older patients presenting to the emergency department are malnourished or at risk of malnutrition, according to a study published online Aug. 12 in the Annals of Emergency Medicine. Greg F.
Stay alert for malnutrition in older patientsClinical Advisor

Dr. John Charles joins McLeod Loris Seacoast as chief medical officer
Myhorrynews
A graduate of the medical school at George Washington University in Washington, D.C., Charles completed his residency in emergency medicine at the Georgetown University Hospital and The George Washington University Hospital, and is board certified.

Review of Clinical Treatment of Bronchiolitis in Infants Reveals Overreliance ...
HealthCanal.com
The study examined how pediatric emergency medicine physicians treat a respiratory tract infection called bronchiolitis in infants, and how they incorporate factors such as respiratory exam, imaging tools and blood tests when deciding on treatment ...
Pediatric Bronchiolitis: Improved Oxygen Saturation Reduced HospitalizationsMedical Research News and Interviews_ MedicalResearch.com

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Ann Emerg Med
Global emergency medicine journal club: social media responses to the march 2014 annals of emergency medicine journal club on targeted temperature management. (Aug 2014)
Optimizing the Patient Handoff Between EMS and the Emergency Department. (Aug 2014)
Acad Emerg Med
Predictors of failure of empiric outpatient antibiotic therapy in emergency department patients with uncomplicated cellulitis. (May 2014)
Comparison of Emergency Care Delivered to Children and Young Adults With Complex Chronic Conditions Between Pediatric and General Emergency Departments. (Jul 2014)
Emerg Med Clin North Am
Hyperthyroidism and thyrotoxicosis. (May 2014)
Hypothyroidism: causes, killers, and life-saving treatments. (May 2014)
Am J Emerg Med
Effects of uninterrupted chest compressions on the rescuer's physical condition. (Aug 2014)
The cost-effectiveness analysis of video capsule endoscopy compared to other strategies to manage acute upper gastrointestinal hemorrhage in the ED. (Aug 2014)
Pediatr Emerg Care
Observational study of family member presence for pediatric emergency department procedures. (Jul 2014)
A 6-year-old girl with undiagnosed hemophagocytic lymphohistiocytosis and takotsubo cardiomyopathy: a case report and review of the literature. (Aug 2014)
Eur J Emerg Med
Emergency ultrasound of acute scrotal pain. (Jun 2014)
Factors affecting blood sample haemolysis: a cross-sectional study. (Aug 2014)
JAMA
The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations. (Dec 1994)
Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study. (May 1997)
N Engl J Med
Prevention of myocardial damage in acute myocardial ischemia by early treatment with intravenous streptokinase. (Nov 1985)
Videos in clinical medicine: Laryngeal mask airway in medical emergencies. (Nov 2013)
BMJ
Screening for abdominal aortic aneurysms: single centre randomised controlled trial. (Apr 2005)
Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. (2010)
Prehosp Emerg Care
Physician and Nonphysician Health-care Provider Perspectives on Resuscitation of Suspected Drug-related Out-of-Hospital Cardiac Arrest. (May 2014)
Fatigue in Air Medical Clinicians Undertaking High-acuity Patient Transports. (Jul 2014)
Air Med J
2013 aircrew, avionics, and operations survey, part 2. (Nov-Dec 2013)
Intraosseous Access in Trauma by Air Medical Retrieval Teams. (July 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
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Botulism
Brucellosis
Chemical Decontamination
Chemical Detection Equipment
Chemical Warfare Agents
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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


If a patient is penicillin allergic, what are three CDC recommended alternative regimens for treating primary or secondary syphilis?
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Daily Aphorism

Do not believe in anything simply because you have heard it. Do not believe in anything simply because it is spoken and rumored by many. Do not believe in anything simply because it is found written in your religious books. Do not believe in anything merely on the authority of your teachers and elders. Do not believe in traditions because they have been handed down for many generations. But after observation and analysis, when you find that anything agrees with reason and is conducive to the good and benefit of one and all, then accept it and live up to it.
Daily Eponym

In pulmonary embolism, right ventricular failure causing septum to bulge into and compromise left ventricular filling.

Daily Phobia

Fear of crossing streets.

Historical Terms

Seizures/trances

Mnemonics

There's 3 V's in your Voicebox
  • Vestibular fold
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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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