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emergency medicine on the web
Edition of Thursday, September 3, 2015
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RECENT NEWS
News: Solving the Problem of Delivering Oxygen during Needle Cricothyroidotomy
LWW Journals
Dr. Mellick is a professor of emergency medicine and pediatrics at Georgia Regents University in Augusta, the former chairman of emergency medicine at Georgia Regents Health System, and a professor of emergency medicine and pediatrics at Georgia ...

Home > Current Issue > News: Bounceback Rate Higher than Expected, Reflecting ...
LWW Journals
Michael Weinstock, MD, a clinical associate professor of emergency medicine at the Ohio State University College of Medicine who has written extensively about bouncebacks, pointed out that the problem is tricky. “The first step is to determine which ...

Home > Current Issue > The Speed of Sound: Avoid Errors Using Oblique Approach ...
LWW Journals
Dr. Butts is the director of the division of emergency ultrasound and a clinical assistant professor of emergency medicine at Louisiana State University at New Orleans. Follow her @EMNSpeedofSound, and read her past columns at ...

Viewpoint: Protecting Good Physicians
LWW Journals
Dr. Bailey holds a bachelor's degree in molecular biology from Hampton University, a law degree from Georgetown University, a medical degree from George Washington University, and a master's in health law from the University of Houston Law Center.

Home > Current Issue > Special Report: Has the Glasgow Coma Scale Outlived its ...
LWW Journals
Last October, Steven Green, MD, the deputy editor of the Annals of Emergency Medicine and a professor of emergency medicine at Loma Linda University, sent a proposal to the American College of Emergency Physicians' EMS committee, calling for the ...

After the Match: The Arms Race in ED Nursing
LWW Journals
Dr. Cook is the program director of the emergency medicine residency at Palmetto Health Richland in Columbia, SC. He is also the founder of 3rd Rock Ultrasound (http://emergencyultrasound.com). Friend him at www.facebook.com/3rdRockUltrasound, ...

News: Drones: The (Possible) Future of Medicine
LWW Journals
A 2014 survey analysis in the Journal of Emergency Medical Services concluded that EMS agencies in the 200 most populous U.S. cities are improving patient care despite domestic economic hardships, which is a stark contrast to a 2005 USA Today analysis ...

Out of Sight, Not Out of Mind
LWW Journals
Dr. Roberts is a professor of emergency medicine and toxicology at the Drexel University College of Medicine in Philadelphia. Read the Procedural Pause, a blog by Dr. Roberts and his daughter, Martha Roberts, ACNP, CEN, at http://bit.ly/ProceduralPause ...

Essentia Health welcomes medical staff to Family Medicine, Emergency Medicine ...
Walker Pilot Independent
Family Medicine Physician Dr. Sarah Osborne, Emergency Medicine Physician Dr. Tyler Verworn and Urgent Care Physician Dr. Leah Novak Urgent Care are three of 12 new medical staff who are moving to the Brainerd Lakes Area to expand services and ...

Franklin: Emergency medicine, for the pre-Yelp generation
Boston Herald
Yelp, the company that publishes crowd-sourced reviews on everything from restaurants to car mechanics, has added emergency room waiting times to its review pages. Upon reading that, my mind drifted back to one night more than 35 years ago when I ...

Time in the bank: A Stanford plan to save doctors from burnout
Washington Post
All of it is courtesy of the Stanford Department of Emergency Medicine. As was Gilbert's freshly cleaned condo, the gift cards he'd given his assistant to thank her for her work, and the life coach he's worked with to find better balance in his life ...

HIE Critical to Emergency Medicine, But Info Lacking in ERs
Health Data Management
HIE Critical to Emergency Medicine, But Info Lacking in ERs. Care standards and protocols to support data exchange in emergency department electronic health records need to be developed, including workflow optimizations and pushing of important ...
ED Physician Work Group Outlines Recommendations for National HIEiHealthBeat

Epidemiologist Tomas Nuño, PhD, Joins UA Department of Emergency Medicine
Inside Tucson Business
Tomas Nuño, PhD, has joined the University of Arizona Department of Emergency Medicine as research assistant professor. With expertise in epidemiology and biostatistics, Nuño's work will focus on providing research support for department faculty ...

Health System Seeks Aid for Emergency Medicine Strategy
Hospitals & Health Networks
Centura Health is teaming up with a freestanding ED developer from Texas, looking to speed up the rollout of such facilities. As hospital leaders continue to respond to evolving community needs, many are realizing that they can't go it alone ...

Quick Consult: Symptoms: Poor Feeding, Weakness, Constipation
LWW Journals
Dr. Quinlan is a third-year emergency medicine resident at the University of Colorado School of Medicine in Aurora. Dr. Smalley is an assistant professor of emergency medicine and emergency ultrasound there. Follow her on Twitter @SmallsUSDenver.

DocAPProvED: Devices Worth a 'Look'
LWW Journals
Dr. Mohseni is an emergency physician in the Washington, D.C., metropolitan area and the chief innovation officer of Emergency Medicine Associates. He is the editor of his own blog, http://CreativeHealthLabs.com. Follow him @amohseni, and read his past ...

UC San Diego Health to Manage Emergency Services at El Centro Regional Medical ...
UCSD Medical Center
“UC San Diego Health is honored to be part of the effort to improve the delivery of patient care by consulting ECRMC personnel and participating in teaching opportunities,” said Ted Chan, MD, chair of Emergency Medicine at UC San Diego Health. “Sharing ...

Mindful EM
LWW Journals (blog)
Using his general theory of relativity, Einstein devised a formula that predicted the universe was expanding. This was an unfathomable idea, though. How could the universe expand with all the gravitational forces pulling the heavenly bodies together?

Home > Current Issue > Toxicology Rounds: Calcium Channel Blocker ODs Still ...
LWW Journals
Dr. Gussow is a voluntary attending physician at the John H. Stroger Hospital of Cook County in Chicago, an assistant professor of emergency medicine at Rush Medical College, a consultant to the Illinois Poison Center, and a lecturer in emergency ...

Stay tuned for emergency medicine doco beaming in from Oamaru
New Zealand Doctor Online
Hospital staff and patients were filmed over the course of a year for Emergency Medicine which screens on Thursday at 9.30pm. It shows staff facing numerous issues, many of them budget-related. “Balancing the books and 'ticking the boxes' can be as ...

Arabs or Jews, Children Who Need Pain Relief in the ER Get It
PR Newswire (press release)
Annals of Emergency Medicine is the peer-reviewed scientific journal for the American College of Emergency Physicians, the national medical society representing emergency medicine. ACEP is committed to advancing emergency care through continuing ...

InFocus: Synthetic Cannabinoids: Treating Toxicity
LWW Journals
Dr. Roberts is a professor of emergency medicine and toxicology at the Drexel University College of Medicine in Philadelphia. Read the Procedural Pause, a blog by Dr. Roberts and his daughter, Martha Roberts, ACNP, CEN, at http://bit.ly/ProceduralPause ...

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Ann Emerg Med
Intravenous Lipid Emulsion Therapy for Severe Diphenhydramine Toxicity: A Randomized, Controlled Pilot Study in a Swine Model. (Jul 2015)
Imaging Foreign Bodies: Ingested, Aspirated, and Inserted. (Aug 2015)
Acad Emerg Med
Ultrasound Accurately Identifies Soft Tissue Foreign Bodies in a Live Anesthetized Porcine Model. (Aug 2015)
Comparison of Clinician Suspicion Versus a Clinical Prediction Rule in Identifying Children at Risk for Intra-abdominal Injuries After Blunt Torso Trauma. (Aug 2015)
Emerg Med Clin North Am
Emergency department evaluation and treatment of acute hip and thigh pain. (May 2015)
Chameleons: Electrocardiogram Imitators of ST-Segment Elevation Myocardial Infarction. (Aug 2015)
Pediatr Emerg Care
Grisel Syndrome: An Unusual and Often Unrecognized Cause of Torticollis. (Aug 2015)
Impact of an Institutional Guideline on the Care of Neonates at Risk for Herpes Simplex Virus in the Emergency Department. (Aug 2015)
Eur J Emerg Med
A comparison of pediatric basic life support self-led and instructor-led training among nurses. (Jul 2015)
Opportunities and barriers to cardiopulmonary resuscitation training in English secondary schools. (Aug 2015)
JAMA
Traumatic dislocation of the hip. (Jun 1983)
Bedside diagnostic blood testing. Its accuracy, rapidity, and utility in blood conservation. (Jul 1991)
N Engl J Med
A computer protocol to predict myocardial infarction in emergency department patients with chest pain. (Mar 1988)
Management of emergencies. I. Management of the unconscious patient. (Apr 1966)
BMJ
Interval between decision and delivery by caesarean section-are current standards achievable? Observational case series. (Jun 2001)
Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. (2009)
Air Med J
Critical Care Transport Training: New Strides in Simulating the Austere Environment. (Jul-Aug 2015)
Safety and Effectiveness of Whole Body Cooling Therapy for Neonatal Encephalopathy on Transport. (Jul-Aug 2015)
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


Name the five stages of Legg-Calve-Perthes disease seen on radiography of the hip.
Answer
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Daily Aphorism

If you can't imitate him, don't copy him.
Daily Eponym

Serum-sickness like illness caused in acute schistosomiasis when the adult worms start producing eggs - fever, Lnpathy, urticaria, arthritis,edema.

Daily Phobia

Fear of mind.

Historical Terms

Rabies

Mnemonics

LAMB
  • Lidocaine
  • Amiodarone
  • Mexiltene/ Magnesium
  • Beta-blocker

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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
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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