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emergency medicine on the web
Edition of Saturday, January 24, 2015
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RECENT NEWS
Emergency medicine physician leads this week's walk
Tyler Morning Telegraph
Dr. Evans Smith, an emergency medicine physician at ETMC Wound Healing Center, leads this week's Walk With a Doc event on Thursday and will discuss environmental health hazards. Walk With a Doc is a project of the Smith County Medical Society.

Emergency medicine column: Standard exams not good enough for seniors
Columbus Dispatch
One of the physiological changes we must consider in older patients is their sense of balance and how well they can walk, and one of the first tenets of emergency medicine is that a patient has to be able to walk to go home. We hadn't proved this in ...

Film details development of emergency medicine
The Brown Daily Herald
In a single day, over 300,000 people will go to emergency rooms across the country seeking medical attention in the United States. The new documentary film “24|7|365: The Evolution of Emergency Medicine” explores the experience of the people who ...

EM Everywhere: 2nd Annual NorCal Emergency Medicine Student Symposium ...
Synapse
It has been only 35 years since emergency medicine was officially recognized as a specialty, and yet in that time it has spread to almost every aspect of medicine and society. Emergency medicine is the first line facing Ebola, the safety net for the ...

Heed "Caution Falling Ice" Signs, Says Loyola Emergency Medicine Chair
Newswise (press release)
“An icicle is like a sharp, stiletto-shoe heel-like dagger,” says Mark Cichon, DO, chair, Department of Emergency Medicine at Loyola University Health System. “Coupled with the forceful dynamics of impact from falling a sizeable distance, a person can ...

TRIBUTE: In memory of Dr. Benjamin Lankheet, emergency medicine's advocate
Fairport-E.Rochester Post
Dr. Benjamin Lankheet, a lifelong innovator and dedicated physician at Thompson Health, passed away on Jan. 3, surrounded by family at his Bristol home after a 10-year battle with multiple myeloma. Lankheet helped shape the face of medical care for ...

Emergency Medicine: Knowing risk from mono can save a life
Columbus Dispatch
They had been called to a house near the Ohio State University campus where they found a 21-year-old man who was unresponsive. When they arrived, he was in cardiac arrest, and their initial efforts to resuscitate him were unsuccessful. They tried to ...

Chinese hospitals to purchase emergency medicine online
Shanghai Daily (subscription)
Provincial-level medicine procurement organs should ensure qualified pharmaceutical companies, which produce emergency medicine, have an online presence to ease the purchasing process for public hospitals, said a circular issued by the National ...

Emergency Room has also become Primary Care
Cranston Herald
While we have heard a lot lately about the emergency room as the primary care provided for people who don't have medical insurance, we have not heard how emergency medicine assumed that role relatively recently. “When you dial 911 from any phone, ...

Emergency Department a good place to help people who want to quit smoking
News from the University of Massachusetts
“We demonstrated that we could deliver a very simple intervention with volunteers who were not health care professionals,” said Dr. Boudreaux, professor of emergency medicine, psychiatry and quantitative health sciences, vice chair of research for the ...

Parsippany-based Emergency Medical Associates has been acquired by EmCare
NJBIZ
Parsippany-based emergency medicine partnership Emergency Medical Associates announced Friday that it has been acquired by EmCare Inc., a subsidiary of Envision Healthcare Holdings Inc. "I am incredibly excited about the future," Dr. Raymond ...

When to seek emergency medical help for flu
Victoria Advocate
"Beyond feeling miserable, flu can develop into something much more serious, particularly for individuals who are at higher risk," said Dr. Todd Francis, an emergency medicine physician at DeTar Healthcare System. "It's important for these individuals ...

It's icicle season so heed 'falling ice' signs, says Loyola emergency medicine ...
HealthCanal.com
“An icicle is like a sharp, stiletto-heel dagger,” said Mark Cichon, DO, chair, Department of Emergency Medicine. “Coupled with the forceful dynamics of impact from falling a distance, a person can sustain serious injury." He wanted to remind ...

Berkshire Medical Center set to reopen concussion clinic
Berkshire Eagle
Kulberg decided to re-open the clinic due to his interest in treating head injuries. "My original work was in pediatric emergency medicine," he said. "Neurology, and concussions in general, is a special interest of mine. "When Ellen announced she was ...

On Demand Urgent Care to open in Feb. 3
Montgomery Newspapers
Her training was focused on Emergency Medicine and Family Practice Medicine with additional Emergency and Urgent Care training at Children's Hospital of Philadelphia as well as training in Integrative and Alternative Medicine. Kirksey is board ...

Trahan named director of Lane Wound Center
The Advocate
Trahan, who has more than 26 years of experience in emergency medicine, replaces Dr. Howard Martin, who recently retired. Prior to this position, Trahan was medical director of the Department of Emergency Medicine at Lane Regional, according to a news ...

Public Release: 23-Jan-2015 Acute heart failure patients bounce back to ERs ...
EurekAlert (press release)
The patient survey, designed by researchers at Vanderbilt University, was published online Tuesday in Annals of Emergency Medicine, along with patient responses that shed light on the non-medical issues that limit patients' ability to care for themselves.

ED Bed Coordinator Speeds Patient Admissions
Medscape
The intervention also reduced periods of dangerous and critical overcrowding at the public hospital and level 1 trauma center, Ross J. Fleishman, MD, from the medical center's Department of Emergency Medicine, and colleagues report in an article ...

Themes for 2015: As QE spreads, could emergency medicine become the norm?
GlobalCapital
The US has ended QE without serious damage, even in emerging markets. But Japan is going for it with abandon, and the eurozone is very likely to start buying government bonds. This unconventional policy is becoming common – but its effects and even ...

NCEMI for PDAs (Palm, Web Phones, WinCE)


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Literature Abstracts
Daily Sample
of Abstracts
Ann Emerg Med
Debriefing in the Emergency Department After Clinical Events: A Practical Guide. (Nov 2014)
Repeated Emergency Department Visits Among Children Admitted With Meningitis or Septicemia: A Population-Based Study. (Nov 2014)
Acad Emerg Med
Gender-specific Research for Emergency Diagnosis and Management of Ischemic Heart Disease: Proceedings from the 2014 Academic Emergency Medicine Consensus Conference Cardiovascular Research Workgroup. (Dec 2014)
Sex- and Gender-specific Research Priorities in Cardiovascular Resuscitation: Proceedings from the 2014 Academic Emergency Medicine Consensus Conference Cardiovascular Resuscitation Research Workgroup. (Dec 2014)
Emerg Med Clin North Am
Oncologic mechanical emergencies. (Aug 2014)
Sickle cell disease in the emergency department. (Aug 2014)
Am J Emerg Med
Is heart rate variability better than routine vital signs for prehospital identification of major hemorrhage? (Dec 2014)
Exploratory study on Association of Single-Nucleotide Polymorphisms with Hydromorphone Analgesia in ED. (Dec 2014)
Pediatr Emerg Care
Out of the frying pan, into the fire: a case of heat shock and its fatal complications. (Dec 2014)
Verapamil-sensitive idiopathic left ventricular tachycardia in a 6-month-old: unique considerations in diagnosis and management in an infant. (Jan 2015)
Eur J Emerg Med
Chest pain: if it hurts a lot, is heart attack more likely? (Oct 2014)
In a difficult access scenario, supraglottic airway devices improve success and time to ventilation. (Dec 2014)
JAMA
Cardiac arrest due to anesthesia. A study of incidence and causes. (Apr 1985)
Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. (Mar 2003)
N Engl J Med
Prevention of myocardial damage in acute myocardial ischemia by early treatment with intravenous streptokinase. (Nov 1985)
Use of a rapid assay of subforms of creatine kinase-MB to diagnose or rule out acute myocardial infarction. (Sep 1994)
BMJ
Prospective evaluation of eligibility for thrombolytic therapy in acute myocardial infarction. (Jun 1996)
A qualitative study of action plans for asthma. (Apr 2002)
Prehosp Emerg Care
Intentional Drug Poisoning Care in a Physician-manned Emergency Medical Service. (Oct 2014)
Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. (January-March 2015)
Air Med J
Air travel of patients with abdominal aortic aneurysm: urgent air medical evacuation and nonurgent commercial air repatriation. (May-Jun 2014)
Placement of a central venous catheter in the antecubital vein using a modified seldinger technique. (Nov-Dec 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


Ultrasound is a popular modality for imaging children with suspected appendicitis. In the hands of an experienced ultrasonographer, what is the sensitivity and specificity of the test in the pediatric population?
Answer
See More

Daily Aphorism

The press can't tell you what to think, but they can tell you what to think about.
Daily Eponym

Injury to superior cerebellar peduncle causing ipsilateral oculomotor palsy and contralateral cerebellar ataxia.

Daily Phobia

Fear of computers or working on a computer.

Historical Terms

Croup

Mnemonics

3P 3C 3M
  • 3P's: Three Pulmonary's: Pneumothorax, PE, Pulmonary edema
  • 3C's: Three Cardiacs: Cardiogenic pulmonary edema, Cardiac ischemia, Cardiac tamponade
  • 3M's: Three Metabolics: (DOC) DKA, Organophosphates, Carbon monoxide poisoning

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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