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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 ...

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.

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 ...

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 ...

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 ...

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 ...

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 ...

Realism the focus of A.R. Johnson CERT Program training
The Augusta Chronicle
Bennett, alongside Emergency Management Division officials and A.R. Johnson teachers, brought the program to the school as part of its emergency medicine pathway to expose young people to the rigors and opportunities of disaster preparedness.

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Ann Emerg Med
Cost-effectiveness of the PECARN Rules in Children With Minor Head Trauma. (Nov 2014)
Return Visits to the Emergency Department: The Patient Perspective. (Aug 2014)
Acad Emerg Med
Gender Differences in Patient-described Pain, Stress, and Anxiety Among Patients Undergoing Treatment for Painful Conditions in the Emergency Department. (Dec 2014)
Emerg Med Clin North Am
The clinical manifestations, diagnosis, and treatment of adrenal emergencies. (May 2014)
Pediatric oncologic emergencies. (Aug 2014)
Am J Emerg Med
Acute coronary syndrome without critical epicardial coronary disease: prevalence, characteristics, and outcome. (Nov 2014)
Severe thinness is associated with mortality in patients with community-acquired pneumonia: a prospective observational study. (Nov 2014)
Pediatr Emerg Care
Fatal Anaphylactic Shock Ceftriaxone-Induced in a 4-Year-Old Child. (Dec 2014)
Orbeez: The Magic Water Absorbing Bead-Risk of Pediatric Bowel Obstruction? (Dec 2014)
Eur J Emerg Med
Predictors of intensive care unit transfer or death in emergency department patients with suspected infection. (Aug 2014)
Prediction of bacteremia in the emergency department: an external validation of a clinical decision rule. (Sep 2014)
JAMA
The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations. (Dec 1994)
Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study. (May 1997)
N Engl J Med
The usefulness of chest radiographs in first asthma attacks. (Aug 1983)
A computer protocol to predict myocardial infarction in emergency department patients with chest pain. (Mar 1988)
BMJ
Safety and effectiveness of nurse telephone consultation in out of hours primary care: randomised controlled trial. The South Wiltshire Out of Hours Project (SWOOP) Group. (Oct 1998)
Community falls prevention for people who call an emergency ambulance after a fall: randomised controlled trial. (2010)
Prehosp Emerg Care
Children's Safety Initiative: A National Assessment of Pediatric Educational Needs among Emergency Medical Services Providers. (Oct 2014)
Prehospital Trauma Care in Singapore. (Dec 2014)
Air Med J
Stimulated saliva aminotransaminase alteration after experiencing acute hypoxia training. (Jul-Aug 2014)
Nonurgent commercial air travel after acute coronary syndrome: a review of 288 patient events. (Sep-Oct 2014)
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
Daily Question


How can you rapidly rewarm a frostbitten body part?
Answer
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Daily Aphorism

People might not get all they work for in this world, but they must certainly work for all they get.
Daily Eponym

Visible peristalsis of the ureter in response to squeezing or retraction; used to identify the ureter during surgery.

Daily Phobia

Fear of hearing a certain word or of names.

Historical Terms

Short lived fever which sometimes accompanies lactation

Mnemonics

seNsitivity of a test: related to the rate of false Negatives.
  • sPecificity of a test: related to the rate of false Positives.
  • seNsitive: No Non-Negatives.
  • sPecific: Puny Psuedo-Positives.

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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