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Edition of Saturday, December 20, 2014
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RECENT NEWS
Dr. Marcus Martin, Founder of UVa's Emergency Medicine Center
Charlottesville Tomorrow
It is an extraordinary person who achieves great things in two. Marcus Martin's commitment to justice and opportunity has made him not only a national authority on emergency medicine, but he is also a great champion of diversity at the University of ...

The Most Life-Saving Emergency Medicine Articles of 2014
Medscape
The past year has once again been an outstanding one for emergency medicine (EM) research. When I solicited my colleagues for their opinions on the best and most useful journal publications of the year, I received more than three dozen selections to ...

24-hour Immediate Coverage by Emergency Medicine Physicians Available at ...
Cape Gazette
The Trauma Center at Beebe Healthcare in Lewes has once again been verified as a Level III Trauma Center by the Verification Review Committee, an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS).

Improving global emergency medicine to save lives
Scope (blog)
Mahadevan, founder of Stanford Emergency Medicine International, explains in the video how important early interventions can be made in the chain of survival to save thousands of lives in low-resource countries. Watch the full lecture to learn more ...

GRU emergency medicine residents get rescue training
McDuffie Mirror
As an emergency medicine resident at Georgia Regents University, Andy Hall usually gets his first look at crash victims at the hospital. He and other GRU residents got a chance Wednesday to see what happens before a victim gets to the emergency room.

Ga. emergency medicine residents get lesson in rescue training
EMS1.com
Gregory Hartshorne said the Augusta Fire Department frequently works with emergency medicine residents to give them exposure to “the other side” of emergency rescue. During the event Wednesday morning, about 30 residents learned about removing ...

Affordable Care Act increases reliance on emergency rooms, WSU study finds
Science Codex
Co-authors and study researchers include Daniel Overbeek, a fourth-year student graduating in May and applying to residency programs in emergency medicine; Justin Bedford, a second-year student and a coordinator for the student Emergency Medicine ...
Affordable Care Act Increases Reliance on Emergency RoomsBayoubuzz

Thoracotomy in Blunt Trauma: What's the Harm?
Medscape
The emergency department (ED) thoracotomy for traumatic arrest is one of the smost dramatic procedures in emergency medicine. It is the procedure that every emergency medicine trainee looks forward to performing during the trauma rotation and is often ...

Advance Directives May Be Hazardous to Your Health
Medscape
Robert Glatter, MD: Good afternoon. My name is Dr Robert Glatter. I am an attending physician in the Department of Emergency Medicine at the Lenox Hill Hospital in New York City, and a member of the Medscape Emergency Medicine Editorial Board.

Virginia-Maryland College of Veterinary Medicine students address end-of-life ...
Augusta Free Press
Waltz became familiar with some of the situations surrounding euthanasia when she worked in emergency medicine. One day at the clinic, a client whose dog was dead on arrival after being hit by a car embraced and thanked Waltz. “I couldn't understand ...

Wilton doctor will lead new Stamford pediatrics institute
Wilton Bulletin
“The folks that are going to be in the pediatric emergency department first do three years of pediatric training, then three years in a fellowship doing pediatric emergency medicine… its really an order of magnitude difference,” he said. While ...

Golden Hour Thrombolysis on Wheels
Medscape
The STEMO includes a CT scanner, point-of-care laboratory and telemedicine connection, neurologist trained in emergency medicine, paramedic, and technician. The study sample consisted of 6182 consecutive adult patients identified through a stroke ...

The 2014 Health Trends We Can't Wait To Leave Behind
Bay Net
It will absorb anything in your gut, good and bad," Linda Fan, M.D., attending physician in the department of emergency medicine at SUNY Downstate Medical Center told Life by Daily Burn. "I wouldn't use it without a medical professional's advice ...

Hunt named full-time EMT program instructor at SGTC
Americus Times-Recorder
In addition to his employment as paramedic and EMT program instructor, he was also a guest lecturer for emergency medicine for the South Georgia Police Academy in Tifton from 1993 until 2004. “Hunt's extensive background in paramedics, as well as ...

Durham startup TouchCare's telemedicine service gains key backer
Insurance News Net
Biese, a professor of emergency medicine and internal medicine at the UNC School of Medicine , is a paid consultant to TouchCare, as the young company seeks to gain traction with insurers, doctors and health care systems. Earlier this month, TouchCare ...

Federal Aviation Administration restricts landings at Daniel Field, citing ...
The Augusta Chronicle
Roland said emergency medicine flights, such as transportation for organ donations, fly into Daniel Field. She said the airport is closer to the area's hospitals than Augusta Regional Airport, the city's commercial airport, which also has a general ...

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Ann Emerg Med
Poisoning in the United States: 2012 Emergency Medicine Report of the National Poison Data System. (Dec 2014)
Pediatric Cervical Spine Injury Evaluation After Blunt Trauma: A Clinical Decision Analysis. (Oct 2014)
Acad Emerg Med
The Association of Injury With Substance Use Disorder Among Women of Reproductive Age: An Opportunity to Address a Major Contributor to Recurrent Preventable Emergency Department Visits? (Dec 2014)
Untying the Gordian Knot: What We Do and Don't Know About Gender-specific Medicine-Keynote Address for the 2014 Academic Emergency Medicine Consensus Conference. (Dec 2014)
Emerg Med Clin North Am
The clinical manifestations, diagnosis, and treatment of adrenal emergencies. (May 2014)
Critical Care Ultrasonography. (Nov 2014)
Am J Emerg Med
A randomized controlled trial of capnography during sedation in a pediatric emergency setting. (Jan 2015)
Inaccuracy of patient care reports for identification of critical resuscitation events during out-of-hospital cardiac arrest. (Jan 2015)
Pediatr Emerg Care
Temporal artery thermometry in children younger than 5 years: a comparison with rectal thermometry. (Dec 2014)
Ability of Pediatric Emergency Medicine Physicians to Identify Anatomic Landmarks With the Assistance of Ultrasound Prior to Lumbar Puncture in a Simulated Obese Model. (Dec 2014)
Eur J Emerg Med
The management of suspected scaphoid fractures in English hospitals: a national survey. (Nov 2014)
Factors affecting blood sample haemolysis: a cross-sectional study. (Aug 2014)
JAMA
An analysis of time of presentation after stroke. (Jan 1990)
Management of hypertensive crises. (Aug 1991)
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The usefulness of chest radiographs in first asthma attacks. (Aug 1983)
Prevention of myocardial damage in acute myocardial ischemia by early treatment with intravenous streptokinase. (Nov 1985)
BMJ
Explaining differences in English hospital death rates using routinely collected data. (Jun 1999)
A qualitative study of action plans for asthma. (Apr 2002)
Prehosp Emerg Care
Chest Compression Injuries Detected via Routine Post-arrest Care in Patients Who Survive to Admission after Out-of-hospital Cardiac Arrest. (January-March 2015)
The Use of Prehospital Ketamine for Control of Agitation in a Metropolitan Firefighter-based EMS System. (January-March 2015)
Air Med J
Evaluation of Dutch Helicopter Emergency Medical Services in transporting children. (May-Jun 2014)
Past and current trends in intravenous therapy for hemorrhagic shock. (Jul-Aug 2014)
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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
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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 treatment is most effective in decreasing the risk of infection from an animal bite?
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Daily Aphorism

People will listen a great deal more patiently while you explain your mistakes than when you explain your successes.
Daily Eponym

Rare special variant of cutaneous t-cell lymphoma characterized by generalized or universal erythroderma, peripheral lymphadenopathy, and cellular infiltrates of atypical lymphocytes (szary cells) in the skin and blood.

Daily Phobia

fear of puppets

Historical Terms

Delirium tremens

Mnemonics

All Of My Blood Has Taken Some Poison
  • Aplastic anaemias
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  • Megaloblastic anaemias
  • Bone marrow infiltration
  • Hypersplenism
  • TB
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  • Paroxysmal nocturnal haemoglobinuria

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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