emergency medicine on the web
Edition of Sunday, July 5, 2015
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Milton S. Hershey Medical Center and Carlisle Regional partnering
HERSHEY, PA— Beginning August 1, the Milton S. Hershey Medical Center's Department of Emergency Medicine will assist in managing the operations of the Emergency Department at Carlisle Regional Medical Center. The agreement between the two ...

MedicalMine and Emergency Medicine & Disaster Institute to Launch ChARM ...
Zawya (registration)
MedicalMine Inc. and EMDI Emergency Medicine & Disaster Institute today announced a strategic partnership whereby EMDI will resell, implement, market and promote ChARM EHR and the ChARM product suite in the Gulf Cooperation Council region.

MONOC to Utilize Pediatric Emergency Medicine Physicians to Provide ...
Wall, NJ – June 10, 2015 --- On June 16, 2015, MONOC will begin utilizing Pediatric Emergency Medicine Physicians at Newark Beth Israel Medical Center to provide prehospital medical consultation to Paramedics caring for children under 13 years of age.

Metabolic networks in a porcine model of trauma and hemorrhagic shock ...
BMC Blogs Network
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original ...

Chiang Rai hosts meeting on emergency medicine during disasters
Pattaya Mail
According to Dr. Anuchar Sethasathien, secretary-general of the National Institute for Emergency Medicine (NIEM), the meeting in Chiang Rai has been held to bolster emergency medicine preparedness in the event of disasters on the international scale.

MILITARY UPDATE: Doctor skills factor in plan to streamline inpatient care
Sierra Vista Herald
For example, military emergency medicine physicians in the busy National Capitol Region performed only 31 percent of the median number of procedures done by civilian emergency medicine doctors. Another way to express that is these emergency docs ...

Boswell marks 30 years of certification in medicine
Rockwall County Herald Banner
On moving to Texas in 1992, he was medical director of Life Flight at UTMB and has been an assistant professor of emergency medicine at the University of Alabama Birmingham and in the University of Texas system. In the 1990s, he worked under a grant to ...

Free-standing ERs eye lobbying to win state approval for growth
Conference organizers acknowledged the controversial nature of their industry with a session called “FECs—Boon or Bane of Emergency Medicine?” That session was billed as a “debate-like” panel discussion exploring an “admittedly disruptive” emergency ...

Week in Review
Dr. Kyle Kingsley admits it's hard for him to believe he walked away from his career in emergency medicine to lead one of the state's first medical marijuana distribution companies. "If you had told me 18 months ago that I'd be doing this, I'd say you ...

'Epi' injection may still be good after a freeze
Business Insider
“It's definitely a small study, but it gives us pretty conclusive evidence that the freeze-thaw does not seem to degrade the epinephrine,” said Dr. William Smith, an emergency medicine physician at St. John's Medical Center in Jackson Hole, Wyoming ...

Fireworks: Have fun, but be safe or risk serious injury
York Daily Record/Sunday News
The chairman of emergency medicine at Memorial Hospital in Spring Garden Township knows too well what can happen if something goes wrong with the seasonal pyrotechnics. This time of year, children come in to the emergency room with burns on their ...

Simulation training on the rise in pediatric emergency fellowship programs
The use of simulation training is gaining popularity in the absence of real-world opportunities to practice necessary emergency procedures in most pediatric emergency medicine fellowship programs, according to a recent study.

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Ann Emerg Med
Treating Gastritis, Peptic Ulcer Disease, and Dyspepsia in the Emergency Department: The Feasibility and Patient-Reported Outcomes of Testing and Treating for Helicobacter pylori Infection. (Mar 2015)
The Patient Protection and Affordable Care Act's Effect on Emergency Medicine: A Synthesis of the Data. (May 2015)
Acad Emerg Med
Clinical Risk Factors for In-hospital Adverse Cardiovascular Events After Acute Drug Overdose. (May 2015)
Prescription Errors Before and After Introduction of Electronic Medication Alert System in a Pediatric Emergency Department. (Jun 2015)
Emerg Med Clin North Am
Emergency department evaluation and treatment of acute hip and thigh pain. (May 2015)
Emergency department evaluation and treatment of wrist injuries. (May 2015)
Am J Emerg Med
Serum ubiquitin C-terminal hydrolase L1 as a biomarker for traumatic brain injury: a systematic review and meta-analysis. (May 2015)
Determination of radiography requirement in wrist trauma. (Jun 2015)
Pediatr Emerg Care
Ultrasound findings of the elbow posterior fat pad in children with radial head subluxation. (May 2015)
Acute Gastric Volvulus in a 16-Year-Old Male Adolescent: A Case Report. (May 2015)
Eur J Emerg Med
Education, exposure and experience of prehospital teams as quality indicators in regional trauma systems. (Feb 2015)
Training paramedics in focussed echo in life support. (Feb 2015)
Traumatic dislocation of the hip. (Jun 1983)
Blood contacts during surgical procedures. (Mar 1991)
N Engl J Med
Prevention of myocardial damage in acute myocardial ischemia by early treatment with intravenous streptokinase. (Nov 1985)
A comparison of surfactant as immediate prophylaxis and as rescue therapy in newborns of less than 30 weeks' gestation. (Mar 1991)
Cross sectional study of primary care groups in London: association of measures of socioeconomic and health status with hospital admission rates. (Oct 2000)
Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. (Jan 2008)
Prehosp Emerg Care
Taking the Blood Bank to the Field: The Design and Rationale of the Prehospital Air Medical Plasma (PAMPer) Trial. (Jul-Sep 2015)
Research in Prehospital Care: Overcoming the Barriers to Success. (May 2015)
Air Med J
In-flight auscultation during medical air evacuation: comparison between traditional and amplified stethoscopes. (Nov-Dec 2014)
Rural trauma patients cannot wait: tranexamic Acid administration by helicopter emergency medical services. (Jan-Feb 2015)
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
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
Q Fever
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

How might you expect the presentation of a patient in northern Spain with symptomatic acute Q fever to differ from that of a patient with the same disease process in southern Spain?
See More

Daily Aphorism

Nothing is a waste of time if you use the experience wisely.
Daily Eponym

In aortic regurgitation, systolic murmur heard over the femoral artery when it is compressed proximally and a diastolic murmur when it is compressed distally.

Daily Phobia

Fear of cats. (Ailurophobia, Elurophobia, Galeophobia, Gatophobia)

Historical Terms

Thrombosis of veins in the thigh usually seen after childbirth, believed to be due to excessive breast milk settling in the thighs


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  • Infection/ Icterus/ Ischemia
  • Diabetes
  • Nutrition
  • Oxygen (hypoxia)
  • Toxins
  • Hypothermia/ Hyperthermia
  • EtOH
  • Acidosis
  • Local anesthetics


iBradycardia treatment algorithm
iGI bleed complication risk
iMyocardial infarction probability (Goldman)
iRash diagnosis algorithm
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
iAcetaminophen Toxicity Nomogram
iAcid-base disturbance graph
iBenign Positional Vertigo: Bedside Treatment
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
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
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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