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Edition of Monday, September 1, 2014
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RECENT NEWS
Emergency Medicine: Never store dangerous things in food containers
Columbus Dispatch
Food safety is a big issue, whether it concerns spoiled potato salad at a hot summer picnic, tainted spinach or strawberries in a nationwide product recall, or food-supply issues in developing countries. But one case I saw years ago illustrated to me a ...

GP practice closures will worsen urgent care crisis, warn emergency medicine ...
Pulse
The increasing number of GP practice closures is exacerbating an ongoing crisis in urgent and emergency care, according to emergency medicine doctors. Dr Clifford Mann, president of the College of Emergency Medicine, has lent his organisation's support ...

Emergency Medical Associates Now Provides Emergency Medicine ...
DigitalJournal.com
PARSIPPANY, NJ--(Marketwired - Aug 28, 2014) - Emergency Medical Associates (EMA) recently contracted with New York Hospital Queens, Flushing, N.Y., to provide emergency medicine professional services. A member of the NewYork-Presbyterian ...
Emergency Medical Associates Named to Modern Healthcare's Best Places to ...Broadway World

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 ...

Central Florida soon will have 4 stand-alone emergency rooms
Orlando Sentinel
It was very clear that a significant portion of our patient population was coming from here in Hunter's Creek," Dr. Craig Mitchell, associate director of Osceola Regional emergency medicine, said in June when that facility opened. "And in order to ...

BGU teaches health emergency management to Chinese and advanced nursing ...
Jerusalem Post
During the course, participants will be exposed to cutting- edge knowledge in disaster management, said Dr. Bruria Adini of BGU's emergency medicine department. They will participate in lectures presented by leading local professionals and visit many ...

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 ...

Narcan overdose kit helps save life in Manville
The Star-Ledger
The training was conducted by Dr. Kenneth Lavelle, an EMS Medical Director and a Clinical Instructor of Emergency Medicine at Sidney Kimmel Medical College in Philadelphia, Pennsylvania. Dr. Lavelle served as medical advisor to the Ocean County ...

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 ...

Not Here to Feed On Ebola Spoils
AllAfrica.com
Dr. Sirleaf obtained his Doctor of Medicine degree from Meharry Medical College, Nashville, TN and completed his emergency medicine residency at Metropolitan Hospital Center, New York, N.Y. He completed his Pre-Med studies at Atlanta University, ...

Dispatch From Liberia: An Epidemic of Fear
Huffington Post
Adam Levine is an Assistant Professor of Emergency Medicine and Director of the Global Emergency Medicine Fellowship at Brown University. He currently serves as the Clinical Advisor for Emergency and Trauma Care for Partners In Health/Inshuti Mu ...

State police being trained to stop severe bleeding
Norwich Bulletin
The scene was ghastly when state troopers arrived at Lisbon home last November: A woman had severely wounded her arms on a table saw in a suicide attempt and was bleeding profusely. Calling on his first aid training, Trooper Paul Piper was able to stop ...
Connecticut cops expand training to stop bleedingWestport News

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 ...

"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 ...

Work Smarter, Not Harder: The FOAMed Report
MedPage Today
Here are five must-reads curated from the globally crowd-sourced emergency medicine and critical care online education community called Free Open Access Meducation (FOAMed): Free tools to help you work smarter, not harder. Brush up on this proposed ...

Rollins kicks off new health lecture series
Orlando Sentinel
The Emergency Medicine Learning & Resource Center, building a new headquarters in Orlando to host continuing education, announced it has received its largest grant yet toward construction of that facility, $150,000 from the Findeiss Family Foundation, ...

Ebola Vaccine Trials Fast-Tracked By International Consortium
AllAfrica.com
... the School is regarded as one of the leading biomedical research institutions in the U.S. with top-tier faculty and programs in cancer, brain science, surgery and transplantation, trauma and emergency medicine, vaccine development and human ...

You Can Pay $200000 to Replace Your Blood With Antifreeze
Gizmodo
Or you can pay $80,000 for just the brain. So far, 984 people have signed up with Alcor. When your body is (literally) chilling, it will be kept in a refrigerator with four other patients. "We see it as an extension of emergency medicine," Alcor ...

Doctors with iPhones carry lighter load
BurlingtonFreePress.com
"This has transformed emergency medicine," Leffler said. Putting vital photos into a patient's chart used to be the biggest time-consuming hassle, according to Lin. Photos that document skin changes over time, for example, are of paramount importance ...

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 ...

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Ann Emerg Med
Antiemetic Use for Nausea and Vomiting in Adult Emergency Department Patients: Randomized Controlled Trial Comparing Ondansetron, Metoclopramide, and Placebo. (May 2014)
Optimizing the Patient Handoff Between EMS and the Emergency Department. (Aug 2014)
Acad Emerg Med
Troponin Elevations Only Detected With a High-sensitivity Assay: Clinical Correlations and Prognostic Significance. (Jul 2014)
Ultrasound Competency Assessment in Emergency Medicine Residency Programs. (Jul 2014)
Emerg Med Clin North Am
Calcium, magnesium, and phosphate abnormalities in the emergency department. (May 2014)
Acute Leukemia. (Aug 2014)
Am J Emerg Med
Disparities in bystander cardiopulmonary resuscitation provision and survival from out-of-hospital cardiac arrest according to neighborhood ethnicity. (Jun 2014)
Resource utilization and health care charges associated with the most frequent ED users. (Jul 2014)
Pediatr Emerg Care
Unusual sequela from a pencil stab wound reveals a retained graphite foreign body. (Aug 2014)
Emergency Department Recognition Program for Pediatric Services: Does It Make a Difference? (Aug 2014)
Eur J Emerg Med
Analysis of a data-fusion system for continuous vital sign monitoring in an emergency department. (Jul 2014)
Sex differences in the effort indicators during cardiopulmonary resuscitation manoeuvres on manikins. (Jul 2014)
JAMA
Deferred consent. A new approach for resuscitation research on comatose patients. (May 1986)
The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations. (Dec 1994)
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)
Persons found in their homes helpless or dead. (Jun 1996)
BMJ
Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. (Jul 1995)
A qualitative study of action plans for asthma. (Apr 2002)
Prehosp Emerg Care
Survivors Perceptions of Recovery following Air Medical Transport Accidents. (Jun 2014)
EMS-STARS: Emergency Medical Services "Superuser" Transport Associations: An Adult Retrospective Study. (Aug 2014)
Air Med J
Flight vibrations and bleeding in helicoptered patients with pelvic fracture. (Mar-Apr 2013)
Ketamine sedation during air medical retrieval of an agitated patient. (Mar-Apr 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


What gastrointestinal symptoms are nearly universally seen with adrenal crisis?
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Daily Aphorism

Civilization is a slow process of adopting the ideas of minorities.
Daily Eponym

Microdochectomy - done for persistent nipple discharge from 1 or few ducts.

Daily Phobia

Fear of anything new, novelty.

Historical Terms

Reduced appetite

Mnemonics

ABC
  • Aetiology:
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  • Cirrhosis
  • AFP increased (classic marker)
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  • Commonest primary liver tumor

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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