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Edition of Monday, May 20, 2013
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RECENT NEWS
EMT students explore careers in emergency medicine
Franklin News Post
EMT students explore careers in emergency medicine. Dual enrollment class qualifies for college credits. Click to Enlarge Staff Photo by Stacey Hairston: Carilion's Lifeguard 10 helicopter flew into Franklin County to let FCHS's EMT class get a first ...

Audio-Digest Foundation Announces the Release of Emergency Medicine ...
PR Web (press release)
Andrew W. Asimos, MD, Professor of Emergency Medicine, University of North Carolina School of Medicine at Chapel Hill, and Director of Emergency Stroke Care, Carolinas Medical Center, Charlotte, NC, presented When Dizziness Is a Disaster: Vertigo and ...

Loyola Physician Named to Board of Illinois College of Emergency Medicine ...
Newswise (press release)
Newswise — Dr. Mark Cichon, DO, chair of the Department of Emergency Medicine of Loyola University Medical Center, has been named to the board of directors of the Illinois College of Emergency Physicians (ICEP). ICEP is the state medical specialty ...

Emergency medicine specialist: race against death
People's Daily Online
"We take saving lives as the overriding priority, which means that we must race against time," said Chen Xiangyu, an emergency medicine specialist of Southwest Hospital in southwest China's Chongqing. Unlike others jobs, emergency medicine specialist ...

Emergency Medicine App palmEM is Updated and Expanded - prMac
prMac (press release)
[prMac.com] Wilmington, Delaware - PalmER Worldwide today is thrilled to announce a major update to their top-selling Universal iOS emergency medicine app palmEM: Emergency Medicine Essentials Quick Reference Guide. With detailed information on ...

Hospital emergency departments play growing role in US health care system
News-Medical.net
RAND was asked by the Emergency Medicine Action Fund, a consortium of emergency medicine physician organizations, to develop a more-complete picture of how hospital emergency departments contribute to the U.S. health care system. Researchers ...
ER's Account for Half of Hospital Admissions, Study SaysNew York Times
Primary care physicians rely more on ER docs to evaluate their patientsFierceHealthcare
ER Docs are Key to Reducing Health Care CostsHealthCanal.com

Top 10 emergency medicine audit defense strategies
Family Practice News Digital Network
SAN DIEGO – If you or your emergency medicine group is audited, one strategy is to use the Marshfield Clinic Tool to help explain medical decision making – specifically how comorbidities, the differential diagnosis, and special studies affected the ...

Emergency Medicine Grand Rounds with former chief medical officer for ...
IUPUI Newscenter
Jeffrey Runge, M.D., will present grand rounds sponsored by the Department of Emergency Medicine and MESH at 8 to 9 a.m. Wednesday, May 1, in IU Health Neuroscience Center Auditorium (Goodman Hall, Room 1030). Dr. Runge was the assistant ...

Analysis: U.S. emergency care cost estimates are too low - Science Daily
Science Daily (press release)
Lee, who had a prior career in economics and finance before training in emergency medicine, co-wrote the analysis with Dr. Brian Zink, professor and chair of the Department of Emergency Medicine at the Alpert Medical School, and Dr. Jeremiah Schuur, ...

Learn Tactical Emergency Medicine: One Way To Prepare for Tragedy
Patch.com
The next such class, "Tactical Emergency Medicine," is set for 1-5 p.m. Sunday at the studio, 1414 Reisterstown Road. The cost is $50. BK Blankchtein, owner of Masada Tactical, and a former member of the Israel Defense Forces in counterintelligence and ...

Emergency Medicine Physicians Issues Statement on St. Rose Dominican ...
Becker's Hospital Review
Editors note: On April 19, Becker's Hospital Review received the following statement from Emergency Medicine Physicians in regards to an article regarding St. Rose Dominican Hospitals' decision to end its contact with EMP. The full-length statement ...

Study finds improved CPR quality saves lives - Medical Xpress
Medical Xpress
(Medical Xpress)—Life-saving CPR has been a foundation of emergency medicine for more than a half century. But researchers at the University of Arizona College of Medicine-Phoenix are continuing to refine the procedure, with a new study concluding ...

Research roundup: Surgical care at critical access hospitals; Digging into the ...
News-Medical.net
Annals Of Emergency Medicine: Owning The Cost Of Emergency Medicine: Beyond 2% – Emergency room care is often cited as overused and one of the drivers of the increasing health spending. However, emergency room physicians have countered that ...

New medicine | Heart attack app might help diagnose patients before they reach ...
The Courier-Journal
To address the issue, Dr. David Burt, an associate professor of emergency medicine at the University of Virginia, challenged a class of systems engineering students to develop an app that could shrink images to make them faster to send, but still ...

Global Conference on Emergency Medicine set for successful second edition
AME Info (press release)
Noted as the largest gathering of Emergency Medical professionals in the region, the Second Global Conference Network on Emergency Medicine in association with the First Emirates Society for Emergency Medicine Conference, will be held at the Al Bustan ...

Giving up cushy gigs to save lives in mid-air
Fortune
Life Flight team members Joshua Sparks and Ed Shoemaker discuss what it's like to provide emergency medicine on a helicopter. 130517133654-umass-memorial-ed-shoemaker-joshua-sparks-614xa. Ed Shoemaker (left) and Josh Sparks (right). FORTUNE ...

Audio-Digest Foundation Announces the Release of Internal Medicine Volume ...
DigitalJournal.com (press release)
Audio-Digest Foundation, the largest independent publisher of Continuing Medical Education in the world, records over 10,000 hours of lectures every year in anesthesiology, emergency medicine, family practice, gastroenterology, general surgery ...

Increase in ICU Admissions From Emergency Departments
Doctors Lounge
From 2002/2003 to 2008/2009, there was a considerable increase in the number of patients admitted to intensive care units from emergency departments, according to research published in the May issue of Academic Emergency Medicine. MONDAY, May 20 ...

Penn Medicine Study Suggests New Role for ECMO in Treating Patients With ...
Penn: Office of University Communications
The new findings were presented today at the Society for Academic Emergency Medicine annual meeting in Atlanta, Ga. ECMO directly oxygenates and removes carbon dioxide from the blood, and is conventionally used for both respiratory and cardiac failure ...

Punched and Poked by Their Pride and Joy
New York Times (blog)
One reason: “Kids can be very curious about glasses,” said Dr. Ramona Sunderwirth, pediatric emergency medicine attendee at St. Luke's-Roosevelt Hospital Center in New York. (She speaks from experience; as a toddler, she scratched her mother's cornea.) ...

Teen thanks paramedics who treated him after gruesome bike accident
Buffalo News
She also noted that her son is now considering a career in emergency medicine. Caide received emergency treatment from Rural/Metro field supervisor Jason Rutecki, paramedic Nicholas Akromas and emergency medical technician Carlina Barbero, who ...

Locum SPR Emergency Medicine East Midlands
Mediplacements
Job Description. We are recruiting for a flexible SpR, specialising in A&E to cover a 3 months job assignment within a Hospital in East Midlands. The successful SpR will be working within a busy Emergency Medicine department and must have good previous ...

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Ann Emerg Med
Automated Detection Using Natural Language Processing of Radiologists Recommendations for Additional Imaging of Incidental Findings. (Mar 2013)
The Effect of Computerized Provider Order Entry Systems on Clinical Care and Work Processes in Emergency Departments: A Systematic Review of the Quantitative Literature. (Jun 2013)
Acad Emerg Med
Prospective pilot derivation of a decision tool for children at low risk for testicular torsion. (Mar 2013)
Emergency research: using exception from informed consent, evaluation of community consultations. (Jan 2013)
Emerg Med Clin North Am
Critical ENT skills and procedures in the emergency department. (Feb 2013)
Critical urologic skills and procedures in the emergency department. (Feb 2013)
Am J Emerg Med
Microwave oven-related injuries treated in hospital EDs in the United States, 1990 to 2010. (Apr 2013)
Impact of first contact on symptom onset-to-door time in patients presenting for primary percutaneous coronary intervention. (Apr 2013)
Pediatr Emerg Care
Amoxicillin renal toxicity: how often does it occur? (May 2013)
Value of Rapid Antigen Test for Pandemic Influenza A (H1N1) 2009 in the Pediatric Emergency Department. (May 2013)
Eur J Emerg Med
Effects of a standard operating procedure on prehospital emergency care of patients presenting with symptoms of the acute coronary syndrome. (Feb 2013)
Characteristics of patients with acute ischemic stroke intubated before imaging. (Feb 2013)
JAMA
A regional prospective study of in-hospital mortality associated with coronary artery bypass grafting. The Northern New England Cardiovascular Disease Study Group. (Aug 1991)
Should a moratorium be placed on sublingual nifedipine capsules given for hypertensive emergencies and pseudoemergencies? (Oct 1996)
N Engl J Med
Use of a rapid assay of subforms of creatine kinase-MB to diagnose or rule out acute myocardial infarction. (Sep 1994)
The effects of self-administering emergency contraception. (Jul 1998)
BMJ
Caesarean section in Malawi: prospective study of early maternal and perinatal mortality. (Sep 2003)
Short term impact of smoke-free legislation in England: retrospective analysis of hospital admissions for myocardial infarction. (2010)
Prehosp Emerg Care
Paramedic ability to recognize ST-segment elevation myocardial infarction on prehospital electrocardiograms. (Apr-Jun 2013)
An Assessment of Depression, Anxiety, and Stress Among Nationally Certified EMS Professionals. (Feb 2013)
Air Med J
2012 critical care transport workplace and salary survey. (Nov 2012)
The Airtraq Optical Laryngoscope in helicopter emergency medical services: a pilot trial. (Mar-Apr 2013)
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
RECENT BLOG POSTINGS
Emergency Medicine residency celebrates 40th anniversary | P.R.N. ...
P.R.N. | UMKC School of Medicine
The UMKC School of Medicine Emergency Medicine Resdiency Program celebrated its 40th anniversary with a weekend of activities that included many of its nearly 350 alumni on May 3-4. The celebration began with the ...
EMT students explore careers in emergency medicine - EMS1.com
EMS1 Daily News
By Stacey Hairston The Franklin News-Post. FRANKLIN COUNTY, Va. � Franklin County High School's Emergency Medical Technician (EMT) class got a first-hand look at the equipment on board Carilion's Lifeguard 10 last ...
Leader in emergency medicine delivers McNabney Lectureship ...
P.R.N. | UMKC School of Medicine
Peter Rosen, M.D., F.A.C.S., F.A.C.E.P., F.A.A.E.M., a senior lecturer on medicine at Harvard School of Medicine and attending emergency physician at Beth Israel/Deaconess Medical Center took a look back at the evolution of ...
Academic Life in Emergency Medicine: Patwari Academy video ...
Academic Life in Emergency Medicine
This blog aims to give you a "behind the scenes" peek into this exciting specialty of Emergency Medicine. We aim to bridge the traditional world of academia and the modern world of social media as medical educators ...
Emergency Medicine Procedures Refresher for Graduating Class of ...
Department of Emergency Medicine
Jonathan Holloway and Brandon Allen, were both inducted into The Chapman Chapter of the Gold Humanism Honor Society. Come find out how you can be a medical scribe! (JUNE 3rd & 4th) → ...
Workshop for EMS Gathering - Emergency Medicine Ireland
Emergency Medicine Ireland
Anatomy for Emergency Medicine · CEM Anatomy · FOAM Resources · Lytics in stroke · The Numbers and the references · NINDS · SITS & ATLANTIS · ECASS Trials · MAST & ASK & a quote · DIAS-2 & EPITHET · What does it ...
Primer for Clinical Research in the Emergency Department
Life in the Fast Lane medical education blog
A Primer for Clinical Researchers in emergency is a FREE a five part series in EMA guest edited by Professor Franz Babl.
Emergency Medicine Literature of Note: Fewer CTs, More ...
Emergency Medicine Literature of Note
This is a retrospective review from the Medical University of South Carolina that describes their implementation of an imaging protocol designed to encourage ultrasound use. They report before-and-after statistics for their ...
Health News - Hospital Emergency Department Use, Importance ...
Health News from HealthCanal.com
Hospital Emergency Department Use, Importance Rises in U.S. Health Care System.
LMC opens expanded emergency department | The-Dispatch.com
Local News from The Dispatch
Hospital officials say an emergency department that once displayed a "1980s feel" now boasts nothing of the sort.
Loyola Physician Named to Board of Illinois College of Emergency ...
Newswise: Latest News
Dr. Mark Cichon, DO, chair of the Department of Emergency Medicine of Loyola University Medical Center, has been named to the board of directors of the Illinois College of Emergency Physicians (ICEP).
Harvard Affiliated Emergency Medicine Residency (HAEMR) at BIDMC
Medical Education
This three-year program (PGY-1 to PGY-3) is affiliated with Harvard Medical School and is based at BIDMC, a 57000 visit per year Level I trauma center. Residents rotate at Boston Children's Hospital, Brockton Hospital, South Shore Hospital, ...
Emergency medicine takes honors at state meeting - The University ...
The University of Texas Medical School at Houston
The Department of Emergency Medicine reigned as champions at the Texas College of Emergency Physicians Annual Meeting held in Frisco, Texas, April 11-14. The department received two first-place group awards and two individual ...
Emergency Medical Services Study Awarded Society for Clinical ...
Arizona BioIndustry Association
In all, RAMPART involved more than 4,000 paramedics, 33 emergency medical services (EMS) agencies and 79 hospitals across the United States to test the efficacy of intramuscular auto-injectors filled with the medication ...
Emergency Medicine Nurse Practitioner / Physician Assistant job in ...
Opportunity Health Care
Join a dynamic small hospital in southeastern Illinois that is seeking a Nurse Practitioner or Physician Assistant to join their emergency room staff. They are offering full benefits and a great salary.
Emergency Medicine Nurse Practitioner Job In Washington ...
Opportunity Health Care
Join a brand new hospital in Eastern Washington practicing as an Emergency Medicine Nurse Practitioner. This is a full time position will full benefits and a competitive salary.
Emergency Medicine Literature of Note: Here Comes Copeptin
Emergency Medicine Literature of Note
Upon presentation to the Emergency Department, 40 were STEMI. 281 patients had cTnI greater than 40ng/L, 97 of whom were subsequently diagnosed with nSTEMI. 1646 had cTnI less than 40ng/L, 19 of whom eventually ...
EMERGENCY MEDICINE IN NEPAL: AN OVERVIEW | ISTIH
ISTIH
Developing Emergency Medicine in Nepal. Australian and international doctors are engaged in aiding the development of the specialty of emergency medicine within Nepal. Associate Professor Chris Curry, a Fremantle ...
Why they gave up cushy gigs to save lives in mid-air - Fortune ...
Fortune Management & Career Blog
Life Flight team members Joshua Sparks and Ed Shoemaker discuss what it's like to provide emergency medicine on a helicopter.
Emergency Medicine App palmEM is Updated and Expanded ...
MacMegasite
Wilmington based, palmER Worldwide LLC today announces palmEM: Emergency Medicine Essentials Quick Reference Guide 3.6, a major update to their top-selling...
Daily Question


What medication, often given in critical care and emergency department settings, can cause cyanide toxicity when administered for a prolonged length of time?
Answer
See More

Daily Aphorism

I was born not knowing and have had only a little time to change that here and there.
Daily Eponym

Numerous small veins in the retroperitoneum that connect the retroperitoneal viscera to the posterior abdominal wall; dilated in portal hypertension.

Daily Phobia

Fear of drinking.

Historical Terms

Inflammation of cerebrum, usually due to lead poisoning

Mnemonics

Big Mess
  • B - Barbituates
  • I - Iron
  • G - Glutethemide
  • M - Meprobamate
  • E - Extended release theophylline
  • SS - Salicylates

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Algorithms
iBradycardia treatment algorithm
iGI bleed complication risk
iMyocardial infarction probability (Goldman)
iRash diagnosis algorithm
Calculators
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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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