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Edition of Tuesday, June 16, 2009
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RECENT NEWS
Case reports describing treatments in the emergency medicine ...
7thSpace Interactive (press release), NY
Although randomized trials and systematic reviews provide the "best evidence"for guiding medical practice, many emergency medicine journals still publish case reports (CRs). The quality of the reporting in these publications has not been assessed. ...
Drink spiking claims rejected
The Australian, Australia
The study, published in the journal Emergency Medicine Australasia, found the most common form of drink spiking was the addition of extra alcohol to a drink. Five patients had blood alcohol levels higher than their consumption, indicating drink spiking ...
Drink spiking a myth: WA study The West Australian
Drink spiked? Maybe you're just drunk ABC Online
Study finds most 'drink spiking victims' are actually just drunk LIVENEWS.com.au
inthemix - NEWS.com.au
all 36 news articles
Emergency room doctors want say in health care reform
Scripps News, DC
"The problem the ACEP sees is that we are not at the table," said Dr. Larry Hobbs, president of the Lee County, Fla., Medical Society and chairman of the Department of Emergency Medicine for the Lee Memorial Health System. "We haven't heard 'boo' about ...
Who failed nb's ers? Telegraph-Journal
all 3 news articles
Geriatric NP Supplements Senior Citizen ED Care
Nurse.com, VA
A study published in the college's Annals of Emergency Medicine in December 2007 found the ED visit rate by people age 65 and older increased faster than any other age group over the 11-year period of the study. The report concluded that ED visits by ...
BUSINESS PEOPLE
South Bend Tribune, IN
He received his Doctor of Osteopathic Medicine degree from West Virginia School of Osteopathic Medicine, and completed his residency in emergency medicine at Akron General Medical Center. ELKHART — Tim Kuppler has been named president of both AL-KO ...
PEOPLE ON THE MOVE Kalamazoo Gazette - MLive.com
all 2 news articles
People in business
Press of Atlantic City, NJ
Henry L. Souto, DO, has joined with privileges in emergency medicine. Souto received his bachelor's degree in pharmaceutical sciences at St John's University College of Pharmacy in Queens, NY, in 1990 and his medical degree from the University of ...
LRMC awarded for achievements in emergency stroke care
The County Press, MI
This study, supported by the National Institutes of Health, is a clinical trial testing methods to increase stroke treatment and is led by Phillip A. Scott, MD, Associate Professor of Emergency Medicine at the University of Michigan. ...
For Every Blow to the Head, Quick Action Is Urged
Atlanta Journal Constitution,  USA
Dr. Rade Vukmir, an emergency department physician, clinical professor of emergency medicine at the University of Pittsburgh and a spokesman for the American College of Emergency Physicians, credits media coverage of Richardson's accident and death ...
Cinergy Health Appoints Dr. Erika Schwartz as Medical Director
PR Newswire (press release), NY
She served as Director of Emergency Medicine at Westchester County Medical Center (University Hospital of New York Medical College) in Valhalla, NY, a world-renowned trauma center. She has been in private practice, in Internal Medicine, for the last 17 ...
Calgary's beleaguered MDs try new triage system to deal with delays
Calgary Herald,  Canada
The head of emergency medicine for the city's hospitals said the new system is necessary so physicians can see patients more quickly, acknowledging some Calgarians with serious illnesses are deteriorating in waiting rooms because of long lineups. ...
Is it an emergency or just a bump on the head?
Omaha World-Herald, NE
“The obvious things would be respiratory distress (trouble breathing), uncontrolled pain and uncontrolled bleeding,” says Dr. David Tolo, emergency department physician and clinical service chief of Pediatric Emergency Medicine at Children's Hospital ...
Crowded Emergency Departments Pose Greater Risks For Patients With ...
Science Daily (press release)
“What shocked us is that these complications were not explained by what goes on in the ED, like getting aspirin or a rapid electrocardiogram,” says lead author Jesse M. Pines, MD, MBA, an assistant professor of emergency medicine and epidemiology at ...
H1N1 Flu Pandemic: UT Health Science Center at Houston Experts ...
Newswise (press release)
He is chairman of the Department of Emergency Medicine at The University of Texas Medical School at Houston and provides emergency medical care to both children and adults at Memorial Hermann–Texas Medical Center, Children's Memorial Hermann Hospital ...
Cool strategy saves runner
Charleston Post Courier, SC
Dr. Edward Jauch, an associate professor of emergency medicine and neuroscience at MUSC, said that 40000 Americans who suffer emergency heart attacks could be saved every year by employing the therapeutic hypothermia, yet Charleston County EMS is among ...
Local company looks to tech to tamp down health care costs
The Bozeman Daily Chronicle, MT
Swift MD charges $18 to join and $9 per month to access 38 certified emergency medicine specialists. The service links folks immediately to a doctor able to diagnose ailments and prescribe medication. After making sure the patient is not having an ...
Board of Health has new member
Clinton Herald, IA
Malcom, a graduate of Des Moines University, Iowa's only school of osteopathic medicine, said she has always worked in emergency medicine. As an independent contractor she has worked in various emergency rooms in rural Iowa, including in Carlisle for ...
AspenBio Pharma Forms Medical Advisory Board for AppyScore TM ...
Market Wire (press release)
The independent members of AspenBio's MAB are recognized leading thinkers and innovators in the fields of surgery, emergency medicine and health research and policy, the disciplines most directly involved with diagnosing and treating appendicitis. ...
University of Texas Medical Branch Emergency Room Scheduled to Reopen
DOTmed.com (press release), NY
At the same time, officials are recruiting staff before the August deadline -- hiring outsourcing firm EmCare to rebuild a team of 17 emergency medicine faculty that are no longer on staff, as well as replacing nurses who were laid off along with 2500 ...
Hospitals, including S&W, work to cut ER wait times
Temple Daily Telegram, TX
Wait times happen for a number of reasons, said Scott & White physician Dr. Robert Greenberg, vice-chair of the Department of Emergency Medicine and director of the Division of Prehospital Medicine. The backup in emergency departments tends to be more ...
Dr. Hoskins signs four year contract with NHLC
Lusk Herald, WY
Hoskins is Board Certified in family medicine and has been exclusively practicing family and emergency medicine in Wyoming, Colorado, California and Illinois over the past thirty years. He is a graduate of the University of Illinois, ...
Crowded Emergency Rooms Trouble for Heart Patients
eMaxHealth.com, NC
The findings, published in the journal Academic Emergency Medicine, show that patients with chest pain are three to five times more likely to develop complications when admitted to the hospital through a busy and crowded emergency room. ...
Utilizing our emergency rooms wisely Laconia Citizen
all 7 news articles
1200 physicians to attend medical meet in India
Hindu, India
The three-day meet of the American Academy for Emergency Medicine in India (AAEMI), Emcon 2009 will be held in Assam in November. Briefing the media in Consulate General of India, Dr Kumar Alagappan, president of the Academy, said the AAEMI is making ...
People in business
Dubuque Telegraph Herald, IA
Steven M. Hopkins, DO, formerly of Dubuque, has received his doctor of osteopathic medicine from Touro University, Henderson, Nev., and has joined the Emergency Medicine Residency Training Program at Maricopa Medical Center in Phoenix. ...
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Ann Emerg Med
Validation of a Prediction Rule for the Identification of Children With Intra-abdominal Injuries After Blunt Torso Trauma. (Feb 2009)
The Prevalence and Factors Associated With QTc Prolongation Among Emergency Department Patients. (May 2009)
Acad Emerg Med
Prescriptions for Schedule II Opioids and Benzodiazepines Increase after the Introduction of Computer-generated Prescriptions. (Apr 2009)
Promoting Diversity in Emergency Medicine: Summary Recommendations from the 2008 Council of Emergency Medicine Residency Directors (CORD) Academic Assembly Diversity Workgroup. (Mar 2009)
Emerg Med Clin North Am
Emergency treatment of status epilepticus: current thinking. (Feb 2009)
Vertigo and dizziness in the emergency department. (Feb 2009)
Am J Emerg Med
A systematic review of cardiovascular effects after atypical antipsychotic medication overdose. (Jun 2009)
Acute ruptured appendicitis and peritonitis with pseudomyocardial infarction. (Jun 2009)
Pediatr Emerg Care
Serious adverse events during procedural sedation with ketamine. (May 2009)
Severe hypersensitivity reactions to corticosteroids in children. (May 2009)
Eur J Emerg Med
Plain abdomen radiographs: the right view? (Mar 2009)
Complete recovery from aneurysmal subarachnoid hemorrhage associated with out-of-hospital cardiopulmonary arrest. (Jun 2009)
JAMA
Association of volume with outcome of coronary artery bypass graft surgery. Scheduled vs nonscheduled operations. (Feb 1987)
Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. (Mar 2003)
N Engl J Med
Emergency coronary angioplasty in refractory unstable angina. (Aug 1985)
A randomized trial of immediate versus delayed elective angioplasty after intravenous tissue plasminogen activator in acute myocardial infarction. (Sep 1987)
BMJ
Explaining differences in English hospital death rates using routinely collected data. (Jun 1999)
Use of computer terminals on wards to access emergency test results: a retrospective audit. (May 2001)
Prehosp Emerg Care
Assessing continued cognitive competence among rural emergency medical technicians. (Jul-Sep 2009)
Air Med J
Reverse transport of children from a tertiary pediatric hospital. (Jul-Aug 2007)
Quantifying the value of AMPA membership services. (Mar-Apr 2009)
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
RECENT BLOG POSTINGS
Text of Obama's Speech to the AMA « The ACUTE CARE Blog: Non-Urban ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
Drive-through medical experiment conducted at Stanford Hospital & Clinics · Become a Virtual Activist for Emergency Medicine · ICD Saves Soccer Player – With Video · FAA to impose safety rules on medical, rescue helicopters ...
Become a Virtual Activist for Emergency Medicine « The ACUTE CARE ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
Health care reform has taken center stage and the Obama Administration has promised to move quickly, leaving no time to waste in making sure emergency medicine is part of what promises to be the largest overhaul our nation's health care ...
First Batch of Swine Flu Vaccine Already Here: Company « The ACUTE ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS ... Chan made the much-anticipated announcement that swine flu had now reached pandemic status. She did so immediately after an emergency teleconference with flu experts from a number of countries. “The world is moving into the early days of its first influenza pandemic in the 21st century,” Chan said in Geneva, according to the Associated Press. “The [swine flu] virus is now unstoppable.” ...
Securosis Blog | The Laws of Emergency Medicine—Security Style
Securosis Blog
The Laws of Emergency Medicine—Security Style. Thanks to some bad timing on the part of our new daughter, I managed to miss the window to refresh my EMT certification and earned the privilege of spending two weekends in a refresher ...
Encouraging Signs for Emergency Medicine « The Central Line
The Central Line
ACEP has worked hard to include emergency medicine in the current debate. It has been a struggle, but fortunately, the ACEP-supported “Access to Emergency Medical Services Act of 2009″ enjoys bipartisan support in the House and Senate. ...
An ACEP Report from the AMA Annual Meeting « The Central Line
The Central Line
In addition to the work being done by Dr. Wiler, members of ACEP's AMA Section Council continue their outstanding representation of emergency medicine at the AMA House of Delegates meeting, where final voting on a number of resolutions ...
Drive-through medical experiment conducted at Stanford Hospital ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS ... In what is believed to be the first training exercise in the country, a team of health care professionals at Stanford Hospital & Clinics turned the first floor of a parking garage into a drive-through emergency room Friday morning in hopes of creating a more efficient way to treat a large number of patients during an influenza pandemic or other emergency. Dr. Eric Weiss, medical director ...
EMS transport and chest pain complaint = desired meds? « The ACUTE ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS ... “When you are admitted to an emergency room with chest pains, most doctors are going to want to administer nitroglycerin right away. By putting up a strong stance and saying you need something stronger, your wish might be granted.” And what if things do go as planned? “You get the heck out of there. We had a rule that if you felt it wasn't your day, demand the AMA (Against Medical Advice) ...
STEMI networks save lives, reduce D2B times in all regions « The ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
That's according to Ivan Rokos, MD, of the Department of Emergency Medicine at the Olive View-UCLA Medical Center. Rokos and his colleagues are the authors of a new study on specialized regional networks' reperfusion times for patients ...
ICD Saves Soccer Player – With Video « The ACUTE CARE Blog: Non ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS. Flickr Photos. windom er room 2 · windom er room · windom er entrance · windom er desk · Vandalia ER Desk · windom ct · More Photos. Archives ...
Consultant Emergency Medicine | International Healthcare Jobs for ...
Atlas Medical International
Atlas Medical International is a retained and contingency search firm to the healthcare industry recruiting jobs for physicians, nurses, allied health, executive, accounting and finance.
FAA to impose safety rules on medical, rescue helicopters « The ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS ... The U.S. Federal Aviation Administration (FAA) has launched a rulemaking effort to codify safety best practices for the helicopter emergency medical services (HEMS) industry. The action comes in response from continued pressure from the National Transportation Safety Board (NTSB) for new rules, accentuated by a “spike” in fatal HEMS accidents in 2008 when eight helicopters were involved in ...
Dr.Pritesh's Blog: Atlas of Emergency Medicine :2nd ed
Dr.Pritesh's Blog
Text alone is simply not sufficient for assimilating the enormous amount of clinical knowledge necessary in today's practice of emergency medicine. Volumes of well-written text simply cannot replace what our eyes experience. ...
Immediate prehospital hypothermia protocol in comatose survivors ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
From The American Journal of Emergency Medicine, via ScienceDirect: Therapeutic hypothermia (TH) improves the outcomes of cardiac arrest (CA) survivors. The aim of this study was to evaluate retrospectively the efficacy and safety of an ...
Emergency airway management in critically injured patients: A ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS ... (AAMS) Resource Guide from 2005 to 2006 was utilized to identify the e-mail addresses of all directors of U.S. aero-medical transport programs. Program directors from 182 U.S. aero-medical programs were asked to participate in an anonymous, web-based survey of emergency airway management protocols and practices. Non-responders to the initial request were contacted a second time by e-mail. ...
“Hyper Use” of ED « The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine
This study aims to describe the population that averages one or more emergency department (ED) visits per month and compare them to the general ED population to determine if there are associated characteristics. ...
New Anesthesiology and Emergency Medicine Resources
UIC Library News
Textbook such as Tintinalli's Emergency Medicine and Atlas of Emergency Medicine. CME for completing video library modules. CORD Cases; Image Index. These resources are available on the Databases A-Z list and will be available on the ...
Massachusetts, Model for Universal Health Care, Sees Ups and Downs ...
The ACUTE CARE Blog: Non-Urban Emergency Medicine
The ACUTE CARE Blog: Non-Urban Emergency Medicine · Entries RSS | Comments RSS ... The authors concluded that the high rejection rates helped explain another important finding: that there has been little change in the use of emergency rooms for non-emergency treatment. Among low-income residents — defined as those with incomes of less than three times the federal poverty level, or $66150 for a family of four — 23 percent said their last trip to an emergency room had been ...
USMLE Road Map: Emergency Medicine, International Edition ...
EgyMedicine.Net for free medical books (70000 members)
USMLE Road Map: Emergency Medicine, International Edition SMLE Road Map: Emergency Medicine (LANGE USMLE Road Maps) By Scott C. Sherman, Joseph M. Weber Publisher: McGraw-Hill Medical Number Of Pages:
Western Journal of Emergency Medicine
eScholarship Repository
Images in Emergency Medicine: Painful Red Eye Travis R. Eastin MD, Indiana University School of Medicine, Department of Emergency Medicine Lee G. Wilbur MD, Indiana University School of Medicine, Department of Emergency Medicine ...
Daily Question


What are the two first line topical treatments for jellyfish sting? Patient example: 15 yo walking along beach barefoot gets stung by jellyfish.
Answer
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Daily Aphorism

It's all very well in practice, but it will never work in theory.
Daily Eponym

Absence of vagina from abnormality of mllerian development.

Daily Phobia

Fear of horses.

Historical Terms

A midwife

Mnemonics

AGUA PURa
  • Adenine and GUAnine are PURines.

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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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