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Edition of Thursday, April 17, 2014
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RECENT NEWS
Ohio firm to manage Allegheny Health Network emergency departments
Pittsburgh Business Times
Canton, Ohio-based Emergency Medicine Physicians will manage the emergency departments at Allegheny General Hospital, West Penn Hospital, Canonsburg Hospital and Saint Vincent Hospital in Erie, the company said. The joint venture will also manage ...
AHN expands relationship with emergency medicine management companyWashington Observer Reporter
Allegheny Health Network and Emergency Medicine Physicians Form Joint ...Newswire Today (press release)
Highmark's network partners with Ohio company on ER managementTribune-Review

GuideWell Health and Crucial Care Launch GuideWell Emergency Medicine ...
SYS-CON Media (press release)
JACKSONVILLE, Fla. and ORLANDO, Fla., April 11, 2014 /PRNewswire/ -- GuideWell Health has formed GuideWell Emergency Medicine Doctors, LLC, which will serve as a stand-alone medical facility serving the Orlando metropolitan area from its premier ...
Florida Blue to open urgent-care center near Winter Park Trader Joe'sOrlando Business Journal (blog)

Audio-Digest Foundation Announces the Release of Emergency Medicine ...
PR Web (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 ...

Tennessee's First Emergency Medicine Fellowship Begins At Erlanger And UTC
The Chattanoogan
Mr. Spiegel, Erlanger Chief Medical Officer Jim Creel, MD, and UTCOMC Dean David C. Seaberg, MD, presented white coats to the new faculty of the Division of EMS under the Department of Emergency Medicine during a recent ceremony at Erlanger.

UAB emergency medicine doctor says people should have a plan to deal with ...
al.com (blog)
"Flooding can occur quickly, and we need to prepare for it, just as we need to prepare for other weather events, such as hurricanes and tornadoes," said Sarah Nafziger, an emergency medicine physician at UAB and assistant director of state emergency ...

Initiative Aims To Spur Use of Health IT in Emergency Medicine
iHealthBeat
The HHS Office of the Assistant Secretary for Preparedness and Response and the Office of the National Coordinator for Health IT have launched a new initiative designed to help spur the use of health IT in emergency medical services, EHR Intelligence ...

An emergency medicine physician's take on honoring your emotions
Scope (blog)
But how do you really feel? Over on KevinMD.com, Anoop Kumar, MD, reflects on his personal and professional experiences with cancer. The emergency physician cares for people with acute complications from cancer and related treatments. In the post ...

Nitroglycerin, a Staple of Emergency Rooms, Is in Short Supply
New York Times
Since the restrictions were imposed in January, the hospital is limited to no more than 24 a month, said Dr. Robert E. O'Connor, the chairman of the emergency medicine department at the University of Virginia School of Medicine. He said the hospital's ...

High-altitude medicine
The Durango Herald
TELLURIDE – A doctor here with a background in emergency medicine is treating patients sensitive to high altitude before, instead of after, they get in real trouble. Dr. Peter Hackett, the founder of the Institute for Altitude Medicine, treats and ...

Middle East Emergency Exhibition & Conference to be launched in Dubai in ...
Free Press Release Center (press release)
Middle East Emergency Medicine Exhibition and Conference to be held in Dubai for the first time in its history in June. informa. Dubai, United Arab Emirates - April 16, 2014 /MarketersMedia/ --. Increasing pressure on emergency services in the region ...

California Doctor Thomas F. Minahan, Director of Emergency Medicine ...
PR Web (press release)
Director of Emergency Medicine and attending Physician at one of the busiest trauma centers in Southern California. Dr. Minahan is Board certified in Emergency Medicine and has been practicing for over 15 years. He knows firsthand the devastating ...

ECG Lifesaver, Nasal Narcan: The FOAMed Report
MedPage Today
Here are six must-reads curated from the globally crowd-sourced emergency medicine online education community called Free Open Access Meducation (FOAMed): Watch a powerful personal story from an ED nurse about lapses in crisis management ...

Rising emergency department visits driving demand for nurses
Stillwater Gazette
While disasters such as these are rare, emergency medicine plays a pivotal role in our nation's health care system every day. Emergency nurses, in particular, play an integral role in minimizing devastation when tragedy strikes. Nursing-1 In addition ...

CSU's Vet Teaching Hospital sees rise in animals ingesting pot
Rocky Mountain Collegian
CSU's Veterinary Teaching Hospital sees a few cases a month and extreme cases just a few times a year, according to CSU Veterinary Hospital director Tim Hackett, who specializes in small animal emergency medicine. Other facilities in the state have ...

Beth Israel uses Google Glass for emergency care
Daily Free Press (subscription)
Beth Israel Deaconess Medical Center announced Wednesday the expanded use of Google Glass to its entire emergency department, becoming the first hospital in the United States to do so. Dr. Steven Horng, who specializes in emergency medicine, ...

Dr. Murray Feingold: Physician burnout — all too common
McPherson Sentinel
Those with the highest rate of burnout were doctors in emergency medicine, critical care and family practice. Physicians in the specialties of pathology, psychiatry, ophthalmology and pediatrics had the lowest percentages of burnout. The most common ...

Auxiliary pledges $1 million to York Hospital
York Daily Record
Currently, York Hospital's emergency department cares for about 78,000 patients a year in a facility designed to treat about 50,000 patients, said Dr. David Vega, chair of emergency medicine at York Hospital. The project slated to be complete by the ...

Follow us for the latest news
Dorset Echo
Consultant in emergency medicine Dr Rachel Wharton, who features in the film, said: “We hope the film helps explain when it is appropriate to attend your emergency department and what other options are available. “Your ED is always here to help people ...

St. Joseph Mercy Saline urgent care facility to open Tuesday; replaces 24-hour ...
The Ann Arbor News
“We look forward to providing continued care for Saline and the surrounding communities, and satisfying patients' health care needs and expectations,” Michael Mikhail, the regional vice president at EPMG and the regional director for emergency medicine ...

RIP, Cervical Collar? 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): 1. Why emergency medicine should bury the cervical collar 6-feet under. 2.

Beach Business: Beginning April 7
Beach Reporter
Hockberger, a Redondo Beach resident, is a legend in the field of emergency medicine for the many contributions he's made to improving emergency care and to training the next generation of emergency room physicians, according to David Meyer, ...
LA BioMed celebrates the accomplishments of 2 'Legends'EurekAlert (press release)

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Ann Emerg Med
Systematic Review and Meta-analysis of the Benefits of Out-of-Hospital 12-Lead ECG and Advance Notification in ST-Segment Elevation Myocardial Infarction Patients. (Dec 2013)
Extension Test and Ossal Point Tenderness Cannot Accurately Exclude Significant Injury in Acute Elbow Trauma. (Feb 2014)
Acad Emerg Med
Adult Scaphoid Fracture. (Feb 2014)
Emerg Med Clin North Am
Nuances in pediatric trauma. (Aug 2013)
Pediatric ultrasound: applications in the emergency department. (Aug 2013)
Am J Emerg Med
National differences between ED and ambulatory visits for suicidal ideation and attempts and depression. (Dec 2013)
Rising rates of proton pump inhibitor prescribing in US ED. (Mar 2014)
Pediatr Emerg Care
All that wheezes is not asthma: cognitive bias in pediatric emergency medical decision making. (Feb 2014)
Listeria and enterococcal infections in neonates 28 days of age and younger: is empiric parenteral ampicillin still indicated? (Apr 2014)
Eur J Emerg Med
Emergency airway management by paramedics: comparison between standard endotracheal intubation, laryngeal mask airway, and I-gel. (Dec 2013)
Air versus ground transport of patients with acute myocardial infarction: experience in a rural-based helicopter medical service. (Apr 2014)
JAMA
Prevention of excess mortality in refugee and displaced populations in developing countries. (Jun 1990)
Transmission of infectious diseases in outpatient health care settings. (May 1991)
N Engl J Med
A randomized trial of immediate versus delayed elective angioplasty after intravenous tissue plasminogen activator in acute myocardial infarction. (Sep 1987)
Persons found in their homes helpless or dead. (Jun 1996)
BMJ
Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. (Nov 2000)
Using vital signs to diagnose impaired consciousness: cross sectional observational study. (Oct 2002)
Prehosp Emerg Care
Community consultation for prehospital research: experiences of study coordinators and principal investigators. (Apr-Jun 2014)
Motor Vehicle Crash Severity Estimations by Physicians and Prehospital Personnel. (Mar 2014)
Air Med J
Pneumothorax volume expansion in helicopter emergency medical services transport. (May-Jun 2013)
Prehospital use of tranexamic acid for hemorrhagic shock in primary and secondary air medical evacuation. (Sep-Oct 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
ALiEM - Academic Life in Emergency Medicine
ALiEM
Over the last 5 years, the use of neuraminidase inhibitors for the treatment of influenza has skyrocketed. Emergency physicians have been pushed to prescribe these medications under the belief that they reduced symptoms, ...
What emergency medicine can teach emergency managers ...
Cambridge Medicine
When a tsunami hit Japan in 2011 and crippled the Fukushima Daiichi nuclear power plant, the American Ambassador called in a team of radiation, health, communications, and nuclear power plant experts to join him in ...
Best of BEEM (BoB) Talk SRPC 2014 | The Skeptics Guide to ...
The Skeptics Guide to Emergency Medicine
The BoB Talk was very well attended and we covered 6 of the practice changing papers published in the emergency medicine literature in the last few years. There were 3 paediatric studies and 3 adult studies. The papers covered included:.
3rd ICPEM | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
The fantastic super pediatric conference is over ladies and gentlemen. We learned, taught, eat and laughed for three days with the world's leaders in emergency medicine from all over the globe. If you have attended the ...
Allegheny Health Network and Emergency Medicine Physicians ...
EMP News
Allegheny Health Network and Emergency Medicine Physicians (EMP) announced today the formation of a joint venture to manage the emergency departments at eight hospitals in western Pennsylvania. The joint venture ...
Head injury | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
The original presentation for the latest activity. It is a �not so organized� presentation but people are requesting a quick release so here you go. It is provided for educational purposes only, all copyrights are reserved for the ...
May 2014 Emergency Medicine Conferences | Saudi Program of ...
Saudi Program of Emergency Medicine Resident's blog
Salam! Here I am again ,, but this time it's early enough for you to plan attending one of the conferences some time ahead.I'll list them down here. Ready ? lets GO ! ↓↓↓↓↓ ...
PEITHO Trial: Fibrinolysis for Intermediate-Risk Pulmonary Embolism
ALiEM
Half of the cases of pulmonary embolism (PE) in the United States are diagnosed in the Emergency Department and follow ACS as the second most common cause of sudden unexpected death in outpatients. PE is typically ...
Top 10 reasons NOT to order a CT scan for suspected renal colic
ALiEM
It appears that the excitement and utilization of computed tomography (CT) imaging in the emergency department (ED) has far outpaced our concern for the short- and long-term consequences of increased reliance on this ...
Emergency Medicine Procedure Workshop | EmergencyPedia
EmergencyPedia
EMIG Procedure Workshop Welcome to the pre-reading (flipped classroom) for the Emergency Medicine Interest Group (EMIG) Procedures Workshop. This is scheduled for next week (Monday 31st of March - Tuesday 1st of ...
The palliative care discussion starts in the emergency department
KevinMD.com
Palliative care and hospice are rooted in the philosophy that good patient care extends beyond a disease and its symptoms.
(Yet more) reflections on SMACC Gold - Emergency Medicine Ireland
Emergency Medicine Ireland
Lots of other folk have put their reflections on SMACC Gold online and I'm here to join the crowd. I missed the first SMACC as purse strings were a little tight. They're a little tight this year too but I really wasn't going to miss two ...
Another flight, another Louisiana congressman/doctor provides ...
New Orleans Health and Health Care
Another flight, another Louisiana congressman/doctor provides emergency medical care. images (1)fleming.jpeg. Rep. John Fleming uses his medical skills to treat a sick passenger on a Delta flight Thursday. Print.
Emergency Medicine Literature of Note: The Troponin to End All ...
Emergency Medicine Literature of Note
These patients were then followed through the central Swedish Health Registry for subsequent hospital admissions or death for 30, 180, and 365 days following their Emergency Department Visit. Of this cohort, 8,883 had an ...
Thrombolysis for Acute Stroke | The Skeptics Guide to Emergency ...
The Skeptics Guide to Emergency Medicine
Members of BEEM were asked to speak at their National Emergency Medicine conference while in Stockholm. I was invited to debate the evidence for thrombolysis in acute CVA with Dr. Kjell Asplund. Being Canadian, it was ...
An emergency medicine physician's take on honoring your emotions ...
Scope Blog
But how do you really feel? Over on KevinMD.com, Anoop Kumar, MD, reflects on his personal and professional experiences with cancer. The emergency physician cares for people with acute complications from cancer and ...
New Emergency Medicine Training Program in Kampot, Cambodia ...
Global Emergency Care
The University of Massachusetts Department of Emergency Medicine, in partnership with GECC, is working to establish a long term partnership with Sonja Kill Hospital in Kampot, Cambodia with the goal of helping build a ...
Emergency Medicine Veterinarian, Employment | AVMA
AVMA Veterinary Career Center Search Results
AVMA Veterinary Career Center: Private Practice, , Windsor, Colorado , Emergency Medicine Veterinarian at Peak Veterinary Specialists & Emergency Hospital.
State's First Emergency Medicine Fellowship begins at Erlanger ...
Erlanger News
Chattanooga, TN - The Accreditation Council for Graduate Medical Education recently approved the first Emergency Medicine Fellowship in the state of Tennessee for the UT College of Medicine Chattanooga (UTCOMC), ...
EmCrit | Saudi Program of Emergency Medicine Resident's blog
Saudi Program of Emergency Medicine Resident's blog
Alrighty, second episode of the famous beloved regular mini project, PODCAST OF THE WEEK. Today is a special day as we will be talking about one of the most recommended podcasts of all times. EmCrit podcast and its ...
Daily Question


If a patient who initially has a pH of 4.0 becomes acutely alkalemic, changing his pH from 7.40 to 7.60, how much do you expect the serum potassium to decrease?
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Daily Aphorism

Small failures are punished, but big failures are rewarded lavishly.
Daily Eponym

Esophageal strictures and epithelial metaplasia from squamous epithelium to a specialized columnar epithelium with intestinal metaplasia in 10% of severe gerd.

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Fear of the number 13.

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Bubonic Plague

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EVAL My Pumper
  • Epinephrine
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iBradycardia treatment algorithm
iGI bleed complication risk
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iRash diagnosis algorithm
Calculators
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iAminoglycoside clearance in females
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iBasal Energy Expenditure for males
iBlood alcohol concentration
iBlood oxygen content
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iCSF IgG Index
iCardiac Output
iCelsius to fahrenheit conversion
iCerebrospinal white blood cell correction in traumatic lumbar puncture
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iCorrected CSF Protein in Traumatic LP
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iFactor IX dosing
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iFahrenheit to celsius conversion
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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
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iOsmolar Clearance
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iPredicted peak expiratory flow (PEF, peak flow) - females
iPredicted peak expiratory flow (PEF, peak flow) - males
iPregnancy Wheel
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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
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iBenign Positional Vertigo: Bedside Treatment
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iHow to Tie a Bow-Tie
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iSalicylate toxicity nomogram
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iAlvarado appendicitis score
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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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