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Edition of Tuesday, June 18, 2013
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RECENT NEWS
Emergency Medicine Residence Conference
WLNS
(WLNS)- The Delta Fire Department is turning up the heat today at the Emergency Medicine Residency Conference at the fire station. Residents will be learning first-hand about cars, car safety, and how to tear apart a vehicle with the jaws of life ...

Akron General leads nation in emergency medicine training: Hospital boasts ...
Akron Beacon Journal
Dr. Nick Jouriles (right) the chair of emergency medicine, and Dr. Nick Reinhart, a third year resident talk with patient Clara McCauley of Philippi, West Virginia in the emergency department at the Akron General Medical Center Monday in Akron, Ohio ...

Akron General ER doctor honored
Akron Beacon Journal
Dr. Thomas Hetrick, an emergency physician at Akron General Medical Center was recently named Emergency Medicine Physician of the Year by the Ohio chapter of the American College of Emergency Physicians. (Phil Masturzo/Akron Beacon Journal).

'Emergency Medicine Jeopardy' Brings Out the Best In Jefferson Med Residents
KYW Newsradio
PHILADELPHIA (CBS) — Residents studying emergency medicine at Thomas Jefferson University Hospital are playing their own version of a popular TV game to help hone their skills. A second-floor classroom was buzzing today as four teams played ...

Kowalenko to serve as emergency medicine chair
Hometownlife.com
ROYAL OAK - Terry Kowalenko, M.D., of Brighton, has been appointed as health system chair, Emergency Medicine at Beaumont Hospital, effective June 1. The announcement was made by Ananias Diokno M.D., chief medical officer of Beaumont Health ...

Emergency medicine: Extreme workouts can be dangerous
Columbus Dispatch
Origins gaming convention · AP Video Channel · Share your American Girl doll photos · Severe weather · Farmers markets · Home · News; Emergency medicine: Extreme workouts can be dangerous. Emergency medicine: Extreme workouts can be dangerous ...

Changing the way emergency medicine is practiced
nwitimes.com
Changing the way emergency medicine is practiced. Print Email. « Methodist Lobby · Trauma Room · Doctor. » 2013-06-02T00:00:00Z 2013-06-07T12:27:03Z Changing the way emergency medicine is practiced nwitimes.com. June 02, 2013 12:00 am.

New Emergency Medicine App from Elsevier Australia Gives Students the Edge
Watch List News (press release)
Students studying for Australasian College for Emergency Medicine fellowship program exams are set to gain an edge with an invaluable new app from Elsevier Australia. The Practice Exams in Emergency Medicine app is structured to reflect the topics ...

Life & Health: Campaign for Emergency Medicine
WTAJ
The hospital recently launched the "Campaign for Emergency Medicine" to help ensure the continued strength of this first-rate emergency department. Donations made to the cause will go straight towards staying current with first-class technology, and ...

Under Obamacare, Emergency Rooms May Get Even More Crowded
Businessweek
The overcrowding “we see now is going to pale in comparison with what we'll see” once the health-care overhaul takes full effect starting in 2014, says Ryan Stanton, director of emergency medicine at UK HealthCare Good Samaritan Hospital in Lexington ...

Audio-Digest Foundation Announces the Release of Emergency Medicine ...
PR Web (press release)
Peter C. Brown, Executive Director, Institute for Behavioral Healthcare Improvement, Castleton, NY, presented on How to Improve Care for Patients with Behavioral Health Emergencies. Patricia Lee, MD, Chair, Emergency Medicine, Advocate Illinois Masonic ...

EMT students explore careers in emergency medicine
Franklin News Post
EMT students explore careers in emergency medicine. Dual enrollment class qualifies for college credits. Click to Enlarge Staff Photo by Stacey Hairston: Carilion's Lifeguard 10 helicopter flew into Franklin County to let FCHS's EMT class get a first ...

Emergency medicine not being given due importance in Pakistan
The News International
Emergency medicine, an emerging new discipline of medicine, is now very well established in the developed world, though in Pakistan this important specialty has not been given due attention and it has not been recognised and introduced at any of the ...

The Evolving Role Of ER Doctors And Emergency Departments In Delivery Of ...
Forbes
The study was commissioned by the Emergency Medicine Action Fund (EMAF), an advocacy group with ACEP, and carried out by the RAND Corporation. The take-home message is that hospital administrators, insurers and policy makers should place greater ...

Cutting wait time in LCMH emergency room
KPLC-TV
"We see everything from the very minor sprains, coughs and colds to the very serious medical patients or trauma patients," said emergency medicine physician, Dr. Jon Gray. Dr. Gray has worked in this ER for 15 years and has seen the number of patients ...

Medical residents to train at MTMC
The Daily News Journal
MTMC's family medicine residency program will start with six students in 2015 and grow to 18 in 2017, and an emergency medicine residency will begin with eight and grow to 25 in that period, according to Ferguson. Physicians in training also will work ...

Hospital Emergency Department Use, Importance Rises in US Health Care System
HealthCanal.com
RAND was asked by the Emergency Medicine Action Fund, a consortium of emergency medicine physician organizations, to develop a more-complete picture of how hospital emergency departments contribute to the U.S. health care system. Researchers ...
ER's Account for Half of Hospital Admissions, Study SaysNew York Times
Emergency departments now account for half of all hospital inpatient admissionsHealthcare Finance News
ER Docs are Key to Reducing Health Care CostsWall Street Journal (press release)
Senior Housing News
Emergency medicine taskforce established under health education 'mandate'
Health Service Journal
It includes announcing the emergency medicine taskforce. HSJ understands the taskforce will produce its recommendations this summer and seek to tackle the long-term shortage of doctors working in A&E departments, as instructed by the mandate.

Pilot Program Using Telemedicine to Decrease Emergency Room Wait Times
UCSD Medical Center
“This telemedicine study will determine if we can decrease wait times while reducing the number of patients who leave the ED without being seen by a physician,” said David Guss, MD, principal investigator and chair of the department of emergency ...

Two New Doctors Join Mesa View Hospital Staff
Mesquite Citizen Journal
... outpatient hospital services including an Intensive Care Unit, Medical, Surgical, Infusion Therapy, Orthopedics - Total Joint and Sports Medicine Program, Women's Health, Laboratory, Cardiopulmonary Testing, Imaging and Emergency Medicine Services.

Emergency room telemedicine tested by UCSD
U-T San Diego
Called Emergency Department Telemedicine Initiative to Rapidly Accommodate in Times of Emergency (EDTITRATE), the study is paid for by a $50,000 grant given to Dr. Vaishal Tolia, an emergency medicine physician at UCSD Health System. If the study is ...
Telemedicine pilot aims to reduce ER wait timesFierceHealthIT

MOH to hire more emergency medicine specialists
The Borneo Post
KUALA LUMPUR: The Ministry of Health (MOH) will hire more emergency medicine specialists to treat accident victims and address the shortage of medical specialists at government hospitals. Deputy Health Minister Datuk Seri Dr Hilmi Yahaya said the ...

Audio-Digest Foundation Announces the Release of Otolaryngology Volume 46 ...
DigitalJournal.com (press release)
Audio-Digest Foundation, the largest independent publisher of Continuing Medical Education in the world, records over 10,000 hours of lectures every year in anesthesiology, emergency medicine, family practice, gastroenterology, general surgery ...

Silicon Valley urgent care clinic In Los Gatos run by father and son dispenses ...
Contra Costa Times
Instead, they drove a few blocks to a new urgent care clinic with an old-school approach to emergency medicine. "I feel fabulous," Shafer said, plunking down a credit card for the $45 office visit. So did her daughter, Katie, who left with a ...

New concussion data: 2 biomarkers better than 1
EurekAlert (press release)
Jeffrey J. Bazarian, M.D., M.P.H., an associate professor of Emergency Medicine at URMC, believes he's the first to show that measuring a combination of two proteins released into the bloodstream after a head injury might be the best way to diagnose a ...

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Ann Emerg Med
Factors associated with 90-day death after emergency department discharge for atrial fibrillation. (May 2013)
A Multicenter Study of the Risk of Intra-Abdominal Injury in Children After Normal Abdominal Computed Tomography Scan Results in the Emergency Department. (Apr 2013)
Acad Emerg Med
The importance of first pass success when performing orotracheal intubation in the emergency department. (Jan 2013)
Ambulance Use Is Associated With Higher Self-rated Illness Seriousness: User Attitudes and Perceptions. (Jun 2013)
Emerg Med Clin North Am
Ultrasound-guided procedures in the emergency department-diagnostic and therapeutic asset. (Feb 2013)
Epistaxis: an overview. (May 2013)
Am J Emerg Med
Effectiveness of therapeutic plasma exchange in patients with intermediate syndrome due to organophosphate intoxication. (Jun 2013)
Comparison of success and pain levels of supination-flexion and hyperpronation maneuvers in childhood nursemaid's elbow cases. (May 2013)
Pediatr Emerg Care
Comparison of cosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations. (Jun 2013)
Interfacility transfer of pediatric trauma patients by helicopter does not predict the need for urgent intervention. (Jun 2013)
Eur J Emerg Med
Delays in the administration of antimicrobials in the emergency department and the impact of an educational intervention to improve this administration. (Sep 2012)
Old age and chronic disease: is the emergency medical system the appropriate provider for the elderly? (Jun 2013)
JAMA
Endoscopic hemostasis. An effective therapy for bleeding peptic ulcers. (Jul 1990)
Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. (Mar 2003)
N Engl J Med
The usefulness of chest radiographs in first asthma attacks. (Aug 1983)
Mifepristone (RU 486) compared with high-dose estrogen and progestogen for emergency postcoital contraception. (Oct 1992)
BMJ
Cross sectional study of primary care groups in London: association of measures of socioeconomic and health status with hospital admission rates. (Oct 2000)
Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. (2011)
Prehosp Emerg Care
Assessing the validity of the cincinnati prehospital stroke scale and the medic prehospital assessment for code stroke in an urban emergency medical services agency. (Jul-Sep 2013)
Evaluation of ambulance decontamination using gaseous chlorine dioxide. (Jul-Sep 2013)
Air Med J
Medical flight crew perceived work-related musculoskeletal symptoms and related characteristics. (Jan-Feb 2012)
A blueprint for critical care transport research. (Jan-Feb 2013)
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
The 3MG Trial - Emergency Medicine Ireland
Emergency Medicine Ireland
Authors · Disclaimer · Anatomy · Anatomy for Emergency Medicine · CEM Anatomy · FOAM Resources · Lytics in stroke ... The Lancet Respiratory Medicine 1, no. 4 (June 2013): 293�300. doi:10.1016/S2213-2600(13)70070-5.
Akron General leads nation in emergency medicine training ...
Featured stories
News and sports coverage from Akron, Cuyahoga Falls, Stow, Copley, Fairlawn, Green, Hudson, Tallmadge, Bath Township, Summit County, Portage County, Kent, Stark County, Canton, Jackson, Wadsworth, Medina County ...
ALiEM � Academic Life in Emergency Medicine � Sim Case ...
Academic Life in Emergency Medicine
Emerg Med Clin North Am. 2012 Nov;30(4):903-17. PMID 23137402; Selvidge R, Dart R. Emergencies in the second and third trimesters: hypertensive disorders and antepartum hemorrhage. Emergency Medicine Practice.
'Emergency Medicine Jeopardy' Brings Out the Best In Jefferson ...
CBS Philly
A second-floor classroom was buzzing on Thursday as four teams played "Jeopardy" with a decidedly medical twist.
ALiEM � Academic Life in Emergency Medicine � Trick of the Trade ...
Academic Life in Emergency Medicine
This blog aims to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in Emergency Medicine and medical education.
ALiEM � Academic Life in Emergency Medicine � Paucis Verbis ...
Academic Life in Emergency Medicine
This blog aims to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in Emergency Medicine and medical education.
Prepping for EM oral boards - Academic Life in Emergency Medicine
Academic Life in Emergency Medicine
ABEM. For those of you in an EM residency program, the American Board of Emergency Medicine oral board exam looms in the not-too-distance future. I came across the University of Maryland's EM Oral Boards Training ...
ALiEM � Academic Life in Emergency Medicine � Creating a ...
Academic Life in Emergency Medicine
A blog run by an emergency physician who explores and gives his opinion on primary literature. www.sinaiem.org - A website run by Mount Sinai Emergency Medicine Residency, they explore and give their impression on ...
POC Ultrasound Guide - Academic Life in Emergency Medicine
Academic Life in Emergency Medicine
This blog aims to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in Emergency Medicine and medical education.
ALiEM � Academic Life in Emergency Medicine � What's the 'Code ...
Academic Life in Emergency Medicine
This blog aims to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in Emergency Medicine and medical education.
Vanderbilt Emergency Medicine physician offers spring cleaning ...
Vanderbilt News
Vanderbilt Emergency Medicine physician offers spring cleaning ladder safety tips. Spring cleaning sometimes takes intrepid householders to new heights. Unfortunately, ladders can be among the most hazardous of common ...
Pilot Program Using Telemedicine to Decrease Emergency Room Wait
Releases: Pages
Emergency department (ED) overcrowding has been a major issue nationally for 20 years and continues to increase in severity. To address this issue, a pilot study has been launched at UC San Diego Health System's ED to ...
ALiEM � Academic Life in Emergency Medicine � Article Review ...
Academic Life in Emergency Medicine
Brain The brain is a mysterious thing. How do we learn? Can we apply what we know about the neurobiology and sociology of learning towards medical education? This review article in Academic Medicine presents 10 ...
ALiEM � Academic Life in Emergency Medicine � Chest Pain: What ...
Academic Life in Emergency Medicine
Every year there are 6 million visits to the Emergency Department (ED) for chest pain, and approximately 2 million hospital admissions each year. [1] This is approximately about 10% of ED visits and 25% of hospital ...
ALiEM � Academic Life in Emergency Medicine � Trick of the Trade ...
Academic Life in Emergency Medicine
A 25 year old woman presents to the Emergency Department having syncopized in the waiting room, where she was triaged with the chief complaint of abdominal pain. Ectopic pregnancy immediately bubbles to the top of ...
ALiEM � Academic Life in Emergency Medicine � Poll: Disability ...
Academic Life in Emergency Medicine
This blog aims to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in Emergency Medicine and medical education.
ALiEM � Academic Life in Emergency Medicine � Coming soon ...
Academic Life in Emergency Medicine
This blog aims to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in Emergency Medicine and medical education.
Emergency medicine faculty honored at national meeting
ExcitingAds! System
Three members of the UC Davis Department of Emergency Medicine were honored recently for their achievements and leadership at this year's annual Society for Academic Emergency Medicine (SAEM) meeting in Atlanta.
ALiEM � Academic Life in Emergency Medicine � Trick of the Trade ...
Academic Life in Emergency Medicine
Sepsis Does your Emergency Department have computerized spectrophotometric catheters to measure continuous central venous oxygen saturation (ScvO2) in early goal directed therapy (EGDT) for severe sepsis?
Doctor From Wexford to Lead Emergency Medicine Research at ...
Pine-Richland Patch
Dr. Arvind Venkat's research and academic work has been widely lauded.
Daily Question


How long does the hematocrit take to equilibrate after bolus crystalloid infusions?
Answer
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Daily Aphorism

Where a calculator on the ENIAC is equipped with 18,000 vaccuum tubes and weighs 30 tons, computers in the future may have only 1,000 vaccuum tubes and perhaps weigh as little as 1 1/2 tons.
Daily Eponym

Partial pancreatectomy with duodenectomy.

Daily Phobia

Fear of bad men, burglars.

Historical Terms

Swelling with itching and burning sensation of the extremities caused by exposure to cold.

Mnemonics

PVT. TIM HALL
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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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