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emergency medicine on the web
Edition of Wednesday, August 27, 2014
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RECENT NEWS
Emergency Medicine Partners with Ghanaian Hospital for Training, Education
University of Cincinnati
Assistant professors of emergency medicine Jason McMullan, MD, and Dustin Calhoun, MD, spent a week in Ghana this spring learning about the emergency medicine and EMS systems and training in the West African country.

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 ...

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 ...

Norman Regional gets nod as teaching hospital
Norman Transcript
“We actually will be considered a teaching hospital for emergency medicine,” Whitaker said. “It's a strong statement for the state." Whitaker and Dr. Patrick Cody, medical director for the Health System's EMSStat Services, are issued a formal release ...

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 ...

'Starting to look like the picture:' See CMU College of Medicine Saginaw building
The Saginaw News
The College of Medicine is designed to train doctors to work in Michigan's under-served rural and urban communities in emergency medicine, family practice, pediatrics, internal medicine, general surgery and obstetrics and gynecology. The Association of ...

Psychiatric "Boarding" in Emergency Departments Ruled Unconstitutional in ...
SYS-CON Media (press release)
"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 ...

UI to honor AirCare, Emergency Department
Iowa Now
The event also marks the 10-year anniversary of the University of Iowa Department of Emergency Medicine becoming a formal academic department. AirCare became the 11th helicopter ambulance service in the nation on April 1, 1979. Since then, more than ...

Swap Your Body's Blood for Antifreeze
The Atlantic
Those who die today could be cured tomorrow. Cryonics is a way to bridge the gap between today's medicine and tomorrow's. “We see it as an extension of emergency medicine,” More says. “We're just taking over when today's medicine gives up on a patient.

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 ...

Covenant unveils expanded Emergency Care Center
Midland Daily News
Dr. Matt Deibel, director of emergency medicine, said the department has 40 physicians, 30 residents and hundreds of other staff who serve patients. “The word is out, Covenant is an excellent, or I'd say, extraordinary place for emergency care,” he said.

New Veterinarians Join Burr Ridge Veterinary Clinic in Darien
Chicago Tribune
Dr. Sexton is primarily interested in Internal Medicine, finds Cardiology and Emergency Medicine fascinating, and appreciates that veterinary medicine continues to evolve as new treatment recommendations and medications are developed. Dr. Sexton is a ...

New system medical director for emergency departments appointed at Lake Health
News-Herald.com
She was appointed system medical director by Emergency Medicine Physicians, whom Lake Health contracts with to provide emergency medicine coverage for its three emergency departments. Bradstreet, a medical doctor, comes to Lake Health after ...

Accident involves multi-agency, multi-state response
Gallipolis Daily Tribune
This care includes each juvenile patient having multiple adults with them at all times in the hospital, including their own nurse, lab technician, someone from registration and doctors trained in emergency medicine, Call said. In addition, PVH offers ...

New Guidelines Rein In Prescription Pain Drugs in Pa. Emergency Rooms
CBS Local
PHILADELPHIA (CBS) — New statewide guidelines have been issued in Pennsylvania for how pain drugs should be administered to non-cancer patients in emergency departments throughout the Commonwealth. Dr. Ted Christopher, who was on the ...
Pennsylvania Pa. unveils new ER guidelines for dispensing pain medicationsThe Intelligencer

Once-Obese Texas Girl Returns to School 'Reborn'
Bayoubuzz
A Texas pre-teen, 50 pounds lighter after life-saving obesity surgery, returned to class Monday — a joyous yet jittery milestone as a school nurse stood ready with a walkie-talkie, emergency medicine and a muscle-piercing needle. Just in case. Alexis ...

Proposed Senate bill seeks to establish narcotics database in Pa.
Uniontown Herald Standard
Dr. Robert Whipkey, part of the emergency medicine physicians at Excela Health and vice president of the Pennsylvania Chapter of the American College of Emergency Physicians, said his organization and the Pennsylvania Medical Society will make ...

Heroin: Additive makes it even more dangerous
The Journal News / Lohud.com
According to a recently published study in the Annals of Emergency Medicine, acetyl fentanyl is a "quasi-legal" synthetic opiate often mixed with heroin sold on the street. It's potent stuff — five to 15 times stronger than heroin — but users ...

Phoebe Putney Memorial Hospital reviews medical applicants, onboarding ...
The Albany Herald
5, it listed several medical staff applicants in various specialties including nephrology, internal medicine, teleradiology, critical care, emergency medicine, family medicine, obstetrics and gynecology and pediatric cardiology. They are Drs. Dina ...

Weigh Becoming a Physician Assistant Instead of a Medical Doctor
U.S. News & World Report
Students are immersed in a medical specialty, such as pediatrics or emergency medicine, ​and interact with patients. After graduation, students become nationally certified and obtain a license that permits them to work. [Consider going to school online ...

2 Your Health Trident Medical says patients suffer due to psychiatric bed shortage
WCBD
ER's are often used as waiting rooms for people in need of a psychiatric hospital bed. The result is backed up hospital system and compromised medical care. Trident has created a solution, a new mental health unit, but state red tape is preventing them ...

'The World Needs Mercy' is subject of special presentation by Dr. Schneider ...
College Misericordia
In 2001, she traveled to Kosovo where she provided lectures daily for four weeks to attending and resident doctors and staff on pediatric emergency medicine, clinical teaching in the emergency center, developed pediatric curriculum for emergency ...

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 ...

Covenant Healthcare unveils new $6.5 million emergency care center
The Ann Arbor News
However, the additional rooms as well as 40 emergency medicine physicians and more than 150 nurses and assistants means patients and families will get the best care possible. Covenant Health Care is the only level II trauma center in the Great Lakes ...

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Literature Abstracts
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of Abstracts
Ann Emerg Med
American Board of Emergency Medicine report on residency training information (2013-2014), American Board of Emergency Medicine. (May 2014)
Hyperkalemia, Hyperphosphatemia, Acute Kidney Injury, and Fatal Dysrhythmias After Consumption of Palytoxin-Contaminated Goldspot Herring. (Jul 2014)
Acad Emerg Med
Pulmonary embolism workup in five steps. (Jul 2014)
Ultrasound Competency Assessment in Emergency Medicine Residency Programs. (Jul 2014)
Emerg Med Clin North Am
Neonatal endocrine emergencies: a primer for the emergency physician. (May 2014)
Neutropenic Fever. (Aug 2014)
Am J Emerg Med
Epinephrine use and outcomes in anaphylaxis patients transported by emergency medical services. (May 2014)
Cardiology clinic follow-up did not decrease return visits to the ED for chest pain patients. (Jul 2014)
Pediatr Emerg Care
Life-threatening pneumonitis complicating low-dose methotrexate treatment for juvenile idiopathic arthritis in a child. (Jun 2014)
Pneumonia and Purulent Pericarditis Caused by Streptococcus pneumoniae: An Uncommon Association in the Antibiotic Era. (Aug 2014)
Eur J Emerg Med
Predictors of intensive care unit transfer or death in emergency department patients with suspected infection. (Aug 2014)
Acute testicular pain in children: collaboration in timely management. (Aug 2014)
JAMA
The total artificial heart as a bridge to transplantation. A report of two cases. (Dec 1986)
Should a moratorium be placed on sublingual nifedipine capsules given for hypertensive emergencies and pseudoemergencies? (Oct 1996)
N Engl J Med
Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population. (Sep 1992)
Use of a rapid assay of subforms of creatine kinase-MB to diagnose or rule out acute myocardial infarction. (Sep 1994)
BMJ
Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. (Nov 2000)
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. (Dec 2004)
Air Med J
The Airtraq Optical Laryngoscope in helicopter emergency medical services: a pilot trial. (Mar-Apr 2013)
Identification of dynamic prehospital changes with continuous vital signs acquisition. (Jan-Feb 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


Name some non-abdominal causes of vagus nerve irritation that can cause hiccups.
Answer
See More

Daily Aphorism

I wanted to change the world. But I have found that the only thing one can be sure of changing is oneself.
Daily Eponym

Micrognathia and abnormal smallness of the tongue, often with cleft palate, severe myopia, congenital glaucoma, and retinal detachment; french pediatrician, 1867-1950.

Daily Phobia

1) Fear of work or functioning. 2) Surgeon's fear of operating.

Historical Terms

Influenza

Mnemonics

Tom's Hairy ANd Dirty Pistol
  • T: Tibialis anterior
  • H: extensor Hollicis longus
  • AN: anterior tibial Artery & deep fibular Nerve
  • D: extensor Digitorum longus
  • P: Peronius tertius [aka fibularis tertius]

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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