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emergency medicine on the web
Edition of Sunday, November 23, 2014
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RECENT NEWS
Improving global emergency medicine to save lives
Scope (blog)
Mahadevan, founder of Stanford Emergency Medicine International, explains in the video how important early interventions can be made in the chain of survival to save thousands of lives in low-resource countries. Watch the full lecture to learn more ...

Smart watch app big winner at first Emergency Medicine Hackathon
JEMS.com
ACEP and the Emergency Medicine Residents' Association teamed up with Hacking Medicine at MIT, Chicago Health 2.0 and Grand Sponsor AllScripts to conduct this 3-day event involving emergency physicians, computer programmers, engineers and other ...
Push in Emergency Medicine to Cut Back on Unnecessary CTMedscape

TeamHealth Announces Dr. Kevin Klauer as Chief Medical Officer, Emergency ...
MarketWatch
Reporting to Miles Snowden, MD, MPH, chief medical officer, TeamHealth, Dr. Klauer will be responsible for providing clinical leadership to TeamHealth's emergency medicine division and its associated physicians and advanced practice clinicians.

Emergency Medicine: Aggressive treatments can sicken patients, too
Columbus Dispatch
The young man said he felt awful, but I immediately saw that that was an understatement. He held a sickness bag in his hands, and his head hung low. His complexion was sallow, and his brown hair, disheveled. His listed vital signs were normal — just a ...

The bk3000 System - A New Level of Performance in Emergency Medicine ...
Nasdaq
The new system will allow the flagship BK Ultrasound brand, powered by Analogic, to enter the demanding and fast growing market of Emergency Medicine, as a result of superb Ultra High Resolution imaging and Doppler capabilities enabled by TriCore(TM) ...

Life in Emergistan--New Ebook from the Pages of Emergency Medicine News
Newswise (press release)
Edwin Leap, MD, award-winning columnist for Emergency Medicine News, tells his stories in his new ebook, Life in Emergistan. Emergency Medicine News is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. Life in Emergistan is ...

NES Health Expands Emergency Medicine Staffing and Management Services ...
PR Web (press release)
NES Health, a leading national provider of outsourced emergency physician staffing and management solutions for hospitals, announced the expansion of its emergency medicine staffing and management services with a new contract at Trinitas Regional ...

Emergency Medicine Residents Potentially Deficient in Differential Diagnosis ...
Infectious Disease Special Edition
PHILADELPHIA—Insufficient knowledge of the parameters for the differential diagnosis for HIV among residents in emergency medicine programs may ultimately result in missed opportunities for early diagnosis and treatment of the disease, a new study has ...

PDF: Deakiger Amos Duncan Petition Vs Emergency Medicine Consultants
NBC 5 Dallas-Fort Worth
The family of Dallas Ebola patient Thomas Eric Duncan filed a petition in court Tuesday night asking for monetary relief above the jurisdictional limits and a demand for judgment for other relief they believed they were entitled. Wednesday the family ...

Emergency Physicians Aren't to Blame for Opioid Abuse
Medscape
"While we are sensitive to the need to develop strategies to reduce opioid abuse, emergency medicine physicians contribute little to these dangerous prescribing practices," said lead investigator Michael Menchine, MD, from the University of Southern ...

Torrington's Charlotte Hungerford Hospital holds emergency triage drill
Torrington Register Citizen
“The kids had a blast, and the drill came off very well,” said Brady. A retired school teacher, Brady said he had been participating in the various disaster drills for 20 years. Region 5 Coordinator of the Department of Emergency Medicine Homeland ...

Two Cents Worth
Columbia Daily Herald
Omar L. Hamada, has been appointed Director of Emergency Medicine at Maury Regional Medical Center. Hamada is associated with Team Health, the providers of physicians, nurse practitioners and physician assistants for the MRMC emergency ...

Omg! stp texting while u walk b4 u gt hrt
The Journal News | LoHud.com
"I have lots of orthopedic injuries that occur when people are walking and get tripped up on the sidewalk and fall, hitting their head," said Dr. Barry Smith, director of emergency medicine at St. Joseph's Medical Center in Yonkers. People can tumble ...

Emergency Department teams at UM, Ohio State square off in mini Blood Battle
University of Michigan Health System News (press release)
Each Emergency Medicine department is attempting to get the most ED team members to donate blood (or try) during the remaining Blood Battle drives, including the Be a Hero at the Big House event this Sunday, Nov. 16 from 8 a.m. to 6 p.m. at Michigan ...

OUTDOORS: Make deer hunting a safe activity
Clarksville Leaf Chronicle
Although falls and errant gunshots are obvious risks for deer hunters, heart attacks can also be a danger, according to emergency medicine physician Eric Grube of the Mayo Health Clinic. “I am a hunter and always need to remind myself to lead by ...

Dudley C. Backup, emergency physician
Philly.com
Dudley C. Backup, 60, of West Chester, an emergency medicine specialist for 30 years, died Sunday, Nov. 2, at Neighborhood Hospice of brain injuries he suffered in a Nov. 9, 2013, bicycling accident. Before his accident, Dr. Backup was a respected ...

Dr. Michael Gerardi Assumes Presidency of ACEP
Insurance News Net
"Emergency medicine is essential to America and to the nation's readiness for disasters and infectious disease outbreaks, as demonstrated when an Ebola patient sought medical care in an emergency department in Dallas ," said Dr. Gerardi . "Society's ...

Womack Army Medical Center to renovate emergency department
Southern Pines Pilot
Womack Army Medical Center is renovating the Department of Emergency Medicine to better serve soldiers, their families, and other beneficiaries in the Fort Bragg and Fayetteville area. Womack Army Medical Center's Emergency Department is among the ...

Vanderbilt study finds nationwide decline in one type of serious heart attack
EurekAlert (press release)
Senior author Wesley Self, M.D., MPH, assistant professor of Emergency Medicine, added, "Health care has been trying very hard over the last couple of decades to reduce heart attacks, and although more people have cardiovascular disease than ever, the ...

Abu Dhabi Police reviews London's Air Ambulance ExperienceStressed the ...
Zawya (registration)
This measure aims at ensuring better preparation for the Emergency Medicine Conference, to be organized by the Emergency and Public Safety Department at the Directorate General of Central Operations in Abu Dhabi next year. A delegation led by ...

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We search MEDLINE every Monday for new abstracts and deliver results by email free!
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Literature Abstracts
Daily Sample
of Abstracts
Ann Emerg Med
Efficacy and Safety of Out-of-Hospital Intravenous Metoprolol Administration in Anterior ST-Segment Elevation Acute Myocardial Infarction: Insights From the METOCARD-CNIC Trial. (Aug 2014)
Malnutrition Among Cognitively Intact, Noncritically Ill Older Adults in the Emergency Department. (Aug 2014)
Acad Emerg Med
Effect of a Checklist on Advanced Trauma Life Support Task Performance During Pediatric Trauma Resuscitation. (Oct 2014)
Association Between the Seat Belt Sign and Intra-abdominal Injuries in Children With Blunt Torso Trauma in Motor Vehicle Collisions. (Nov 2014)
Emerg Med Clin North Am
Central nervous system toxicity. (Feb 2014)
The clinical manifestations, diagnosis, and treatment of adrenal emergencies. (May 2014)
Am J Emerg Med
National specialty trends in billable diagnostic ultrasound in the Emergency Department setting: analysis of Medicare claims data. (Sep 2014)
A new strategy for difficult airway management with visual needle cricothyroidotomy: a manikin study. (Aug 2014)
Pediatr Emerg Care
Extra-adrenal Paraganglioma Presenting as Acute Chest Pain Mimicking Acute Myocardial Infarction in a 10-Year-Old Boy. (Nov 2014)
Pediatric Psychiatric Emergency Department Visits During a Full Moon. (Nov 2014)
Eur J Emerg Med
Acute stroke: why do some patients arrive in time and others do not? (Sep 2014)
Emergency department procedural sedation: the London experience. (Sep 2014)
JAMA
Abdominal aortic thrombosis in association with an attempted Heimlich maneuver. (Mar 1983)
Staphylococcal food poisoning associated with an Easter egg hunt. (Aug 1984)
N Engl J Med
A comparison of sclerotherapy with staple transection of the esophagus for the emergency control of bleeding from esophageal varices. (Sep 1989)
Outcomes of medical emergencies on commercial airline flights. (May 2013)
BMJ
Barking mad? another lunatic hypothesis bites the dust. (Dec 2000)
A qualitative study of action plans for asthma. (Apr 2002)
Prehosp Emerg Care
Continuous Infusion of Ketamine for Out-of-hospital Isolated Orthopedic Injuries Secondary to Trauma: A Randomized Controlled Trial. (Jun 2014)
Rationale, Methodology, and Implementation of a Dispatcher-assisted Cardiopulmonary Resuscitation Trial in the Asia-Pacific (Pan-Asian Resuscitation Outcomes Study Phase 2). (Aug 2014)
Air Med J
Helicopter emergency medical service scene communications made easy. (Sep-Oct 2014)
Nonurgent commercial air travel after acute coronary syndrome: a review of 288 patient events. (Sep-Oct 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


Relative to the general population, what is the incidence of epidural hematomas in the elderly truama patient?
Answer
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Daily Aphorism

Opportunity is missed by most people because it is dressed in overalls and looks like work.
Daily Eponym

A rare form of periodic hypersomnia, occurring in males aged 10 to 25 years, characterized by periods of ravenous binge eating alternating with prolonged sleep (as long as 18 hours), along with behavioral disturbances, impaired thought processes, and hallucinations; acute illness or fatigue may precede an episode, which may occur as often as several times a year; thought to be a disorder of hypothalamically mediated satiety.

Daily Phobia

Fear of suffering and disease.

Historical Terms

Lung disease caused by inhalation of coal dust. A form of pneumoconiosis.

Mnemonics

ABC, ABC
  • Alcohol
  • B (Hepatitis)
  • C (Hepatitis)
  • Autoimmune
  • Biliary cirrhosis
  • Copper (Wilson's)

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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