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emergency medicine on the web
Edition of Thursday, November 27, 2014
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RECENT NEWS
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 ...

Push in Emergency Medicine to Cut Back on Unnecessary CT
Medscape
The board made these recommendations after input from an expert panel of emergency medicine physicians. To make the list, a recommendation must be one that physicians have control over, must not be dictated by hospitals or trauma system protocols, ...
Smart watch app big winner at first Emergency Medicine HackathonJEMS.com

The bk3000 System - A New Level of Performance in Emergency Medicine ...
Nasdaq
The new system will allow the flagship BK Ultrasound brand, powered by Analogic, to enter the demanding and fast growing market of Emergency Medicine, as a result of superb Ultra High Resolution imaging and Doppler capabilities enabled by TriCore(TM) ...

TeamHealth Announces Dr. Kevin Klauer as Chief Medical Officer, Emergency ...
MarketWatch
Reporting to Miles Snowden, MD, MPH, chief medical officer, TeamHealth, Dr. Klauer will be responsible for providing clinical leadership to TeamHealth's emergency medicine division and its associated physicians and advanced practice clinicians.

Emergency Medicine Residents Potentially Deficient in Differential Diagnosis ...
Infectious Disease Special Edition
PHILADELPHIA—Insufficient knowledge of the parameters for the differential diagnosis for HIV among residents in emergency medicine programs may ultimately result in missed opportunities for early diagnosis and treatment of the disease, a new study has ...

PDF: Deakiger Amos Duncan Petition Vs Emergency Medicine Consultants
NBC 5 Dallas-Fort Worth
The family of Dallas Ebola patient Thomas Eric Duncan filed a petition in court Tuesday night asking for monetary relief above the jurisdictional limits and a demand for judgment for other relief they believed they were entitled. Wednesday the family ...

NES Health Expands Emergency Medicine Staffing and Management Services ...
PR Web (press release)
NES Health, a leading national provider of outsourced emergency physician staffing and management solutions for hospitals, announced the expansion of its emergency medicine staffing and management services with a new contract at Trinitas Regional ...

Google Glass and the power to revolutionize medicine
mHealthNews
“As the emergency medicine physician observes the patient's skin condition, the consulting dermatologist will be able to see identical images on a tablet in real time, giving the dermatologist the ability to offer appropriate advice, diagnosis and ...

Emergency Physicians Aren't to Blame for Opioid Abuse
Medscape
"While we are sensitive to the need to develop strategies to reduce opioid abuse, emergency medicine physicians contribute little to these dangerous prescribing practices," said lead investigator Michael Menchine, MD, from the University of Southern ...

COUNTDOWN: Greater Cincinnati's Busiest Emergency Rooms
Cincinnati Business Courier (blog)
A 2014 report in the Annals of Emergency Medicine from the University of Michigan Medical School found that bigger is generally better when it comes to ER operations— the patients with the most life-threatening conditions have a notably higher chance ...

Emergency Medical Personnel Face Unique Ethical Challenges
JEMS.com
In a small rural West Virginia community, a paramedic and his partner are called to the home of an elderly gentleman who appears to have suffered a heart attack. They're met at the door by the patient's frantic wife and find the patient on the living ...

Harm From Baseball Concussions May Linger: Study
WebMD
... [Major League Baseball] protocol to return to play, the residual effects of concussion on the complex motor skills required for batting may still be a problem," said principal investigator Dr. Jeffrey Bazarian, an associate professor of emergency ...

Narberth Ambulance marks 70 years of saving lives
Main Line
Three 30-year members and leaders were honored at Narberth Ambulance's 70th Anniversary celebration. Pictured with Assistant Chief Robert Weber, second from left, are, left to right, Assistant Chief and Immediate Past President David Zaslow, Chief of ...

Beware of Nutmeg This Thanksgiving
TIME
“People have told me that it feels like you are encased in mud,” Dr. Edward Boyer, Professor of Emergency Medicine at the University of Massachusetts Medical School, told the Times. “You're not exactly comatose, but you feel really sluggish. And your ...

Physician Assistants A Solution to Health Care Woes in Canada
NorthumberlandView.ca
PAs can work in a variety of specialties and have yielded significant results in primary care, emergency medicine and orthopaedic settings. CAPA took the opportunity of National PA Day to issue a national report card rating the different regions across ...

Emergency Department teams at UM, Ohio State square off in mini Blood Battle
University of Michigan Health System News (press release)
Each Emergency Medicine department is attempting to get the most ED team members to donate blood (or try) during the remaining Blood Battle drives, including the Be a Hero at the Big House event this Sunday, Nov. 16 from 8 a.m. to 6 p.m. at Michigan ...

Defying the odds makes this Thanksgiving particularly poignant
Tribune-Review
“It was a pretty dire situation,” said Dr. Vincent Mosesso, professor of emergency medicine at Pitt. “They gave her zero percent chance of living,” said her mother, Laurie Galfond. Teams of doctors took turns doing CPR for more than an hour — the ...

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Literature Abstracts
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of Abstracts
Ann Emerg Med
The Effect of Ketamine on Intracranial and Cerebral Perfusion Pressure and Health Outcomes: A Systematic Review. (Jul 2014)
Acad Emerg Med
Organization, Execution and Evaluation of the 2014 Academic Emergency Medicine Consensus Conference on Gender-Specific Research in Emergency Care - An Executive Summary. (Nov 2014)
The Effect of Fat Emulsion on Hemodynamics Following Treatment With Propranolol and Clonidine in Anesthetized Rats. (Nov 2014)
Emerg Med Clin North Am
Calcium, magnesium, and phosphate abnormalities in the emergency department. (May 2014)
Sickle cell disease in the emergency department. (Aug 2014)
Am J Emerg Med
Edaravone protects brain tissue from apoptosis and oxidative stress after acute carbon monoxide poisoning. (Sep 2014)
Comorbidities and complications influence the diagnosis and management of geriatric supraglottitis. (Aug 2014)
Pediatr Emerg Care
Educating Health Care Professionals on Human Trafficking. (Nov 2014)
Temporal Artery Thermometry in Children Younger Than 5 Years: A Comparison With Rectal Thermometry. (Nov 2014)
Eur J Emerg Med
Do physiological scoring and a novel point of care metabolic screen predict 48-h outcome in admissions from the emergency department resuscitation area? (Nov 2014)
Predictors of intensive care unit transfer or death in emergency department patients with suspected infection. (Aug 2014)
JAMA
Traumatic dislocation of the hip. (Jun 1983)
Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. (Jan 2000)
N Engl J Med
Mifepristone (RU 486) compared with high-dose estrogen and progestogen for emergency postcoital contraception. (Oct 1992)
Management of emergencies. I. Management of the unconscious patient. (Apr 1966)
BMJ
Pregnant teenagers' knowledge and use of emergency contraception. (Jun 1995)
Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. (2011)
Prehosp Emerg Care
Survivors Perceptions of Recovery following Air Medical Transport Accidents. (Jun 2014)
Fatigue in Air Medical Clinicians Undertaking High-acuity Patient Transports. (Jul 2014)
Air Med J
Ketamine sedation during air medical retrieval of an agitated patient. (Mar-Apr 2014)
Air travel of patients with abdominal aortic aneurysm: urgent air medical evacuation and nonurgent commercial air repatriation. (May-Jun 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


The classic test for detecting ketones in serum or urine is the nitroprusside test. Why was this test not used by Soffer and Hamburger when they developed criteria to define alcoholic ketoacidosis?
Answer
See More

Daily Aphorism

It is the mark of an educated mind to be able to entertain a thought without accepting it.
Daily Eponym

In aortic regurgitation, visible pulsations of the retinal arterioles.

Daily Phobia

Fear of society or people in general.

Historical Terms

Feebleness specifically due to old age

Mnemonics

TALE of the hypothalamus
  • Temperature
  • Appetite
  • Libido
  • Emotion

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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