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emergency medicine on the web
Edition of Monday, June 1, 2015
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RECENT NEWS
Event recap: Next steps for integrated emergency medicine
Brookings Institution (blog)
Recently, the Richard Merkin Initiative on Payment Reform and Clinical Leadership hosted, “MEDTalk – Reimagining emergency medicine: How to integrate care for the acutely ill and injured.” Emergency medicine includes a range of care, from a child ...

Take time to thank emergency medicine personnel
Herald & Review (blog)
In our busy lives, we try to take time to recognize those who play important and often unrecognized roles. Last week was National EMS Week and we in the world of emergency medicine want to take a moment to publicly thank all those who play such an ...

EB Medicine Expands Partnership With AgileMD To Launch Hospital Medicine ...
Benzinga
June 1, 2015 – Atlanta, GA – EB Medicine, leading publisher of clinical journals in the areas of hospital medicine, emergency medicine, and pediatric emergency medicine, is pleased to announce that it has expanded upon its partnership with AgileMD to ...

Addressing Emergency Department Flow, Inside and Out
HealthLeaders Media
Alex Rosenau, DO, FACEP, CPE, is senior vice chair of the department of emergency medicine for the Lehigh Valley Health Network of Allentown, Pennsylvania, which includes five hospitals, five emergency rooms, 17 community clinics, 12 health centers, ...

Noteworthy Emergency Medicine Advancements: A 20-Year Review
Medscape
Of all the improvements in the practice of emergency medicine (EM) during the past two decades, the advent of ultrasound has probably had the greatest impact on our ability to more rapidly and accurately triage patients presenting to the emergency ...

Dubai Health Authority organises symposium on emergency medicine and ...
Zawya (registration)
Dubai Health Authority organises symposium on emergency medicine and surgery. The symposium known as Emergency Surgery and Trauma Symposium (REST) was attended by 200 medical residents from the UAE and GCC region. Dubai - The Medical ...

Vast trove of Medicare data details spending on care provided by hospitals and ...
Minneapolis Star Tribune
WASHINGTON — Joint replacement was the most common hospital procedure that Medicare paid for in 2013, accounting for nearly 450,000 inpatient admissions and $6.6 billion in payments. Among physicians, cancer specialists received the largest ...

Veterinarian Brieana Tunison Joins Emergency Animal Hospital of Northwest ...
GlobeNewswire (press release)
AUSTIN, Texas, May 31, 2015 (GLOBE NEWSWIRE) -- Emergency Animal Hospital of Northwest Austin announced that veterinarian Dr. Brieana Tunison has joined the veterinary hospital. Dr. Tunison graduated magna cum laude from Texas A&M Veterinary ...

Schools require emergency allergy medicine, but doctors balk
EdSource
When a Murietta Valley Unified School District elementary student bit into a cupcake made with peanut butter in April, she quickly struggled to breathe. A school health aide grabbed a pre-loaded syringe of adrenaline from the supply cabinet, injected ...

Construction begins on new UCHealth ER
The Coloradoan
The new UCHealth ER in Fort Collins will be staffed by nurses and advanced care practitioners with specialized emergency medicine training; pharmacists; imaging experts; laboratory scientists; and board-certified ER doctors from Emergency Physicians of ...

Refresher course in emergency medicine
Yahoo! Maktoob News
The Medical Education Department of the Dubai Health Authority recently organised a symposium on emergency medicine and surgery to update medical residents with the latest in the field. The aim of the programme was to provide residents with an ...

To Be Sued Less, Doctors Should Consider Talking to Patients More
New York Times
A short while ago, the Annals of Emergency Medicine published a study that examined patient-physician communication in the emergency room on the management of acute coronary syndrome, which is chest pain caused by decreased blood flow to the heart ...

Why Shape Matters: The Rise Of 3D Printing In Pharma
Forbes
I also serve as an adviser to Medscape Emergency Medicine, an educational portal for physicians, and an affiliate of WebMD. My other time is spent with my private house call practice called DR 911, providing medical care to both travelers and residents ...

Doctors despair over 'degraded medicine'
Las Vegas Review-Journal (blog)
One study in the American Journal of Emergency Medicine found that emergency-room doctors spend 43 percent of their time entering electronic records information, 28 percent with patients. Another study found that family-practice physicians spend on ...

Local ER medical research may lack patient OK
The Courier-Journal
Dr. Clifton Callaway, a professor of emergency medicine at the University of Pittsburgh, which is leading the study, said it would be a lot easier if researchers didn't have to get by on shoestring notification budgets. A January study in the Journal ...

Medicaid patients need support to use primary care rather than emergency rooms
Medical Xpress
... one place is likely more cost effective than going to a [primary care provider] clinic and having gone elsewhere to get further testing," writes Roberta Capp, assistant professor of emergency medicine at the CU School of Medicine in the journal ...
How to get Medicaid patients to use primary care rather than emergency roomsScience Codex

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Ann Emerg Med
Point-of-care ultrasonography by pediatric emergency physicians. (Apr 2015)
The Safety and Effectiveness of Droperidol for Sedation of Acute Behavioral Disturbance in the Emergency Department. (Apr 2015)
Acad Emerg Med
Emergency department performance measures updates: proceedings of the 2014 emergency department benchmarking alliance consensus summit. (May 2015)
Association Between Male Sex and Increased Mortality After Falls. (May 2015)
Emerg Med Clin North Am
Assessment and treatment of the trauma patient in shock. (Nov 2014)
Pressors and inotropes. (Nov 2014)
Am J Emerg Med
Comparison of clinical characteristics of drowning patients between those who commit intentionally and accidentally. (Apr 2015)
The ımpact of goal-directed transvaginal ultrasonography on clinical decision-making for emergency physicians. (Apr 2015)
Pediatr Emerg Care
Extraocular cranial nerve palsies in children. (May 2015)
Acute Gastric Volvulus in a 16-Year-Old Male Adolescent: A Case Report. (May 2015)
Eur J Emerg Med
Bradykinin-mediated angioedema: factors associated with admission to an intensive care unit, a multicenter study. (Feb 2015)
Management of body stuffers presenting to the emergency department. (May 2015)
JAMA
Abdominal aortic thrombosis in association with an attempted Heimlich maneuver. (Mar 1983)
Prevention of excess mortality in refugee and displaced populations in developing countries. (Jun 1990)
N Engl J Med
A comparison of surfactant as immediate prophylaxis and as rescue therapy in newborns of less than 30 weeks' gestation. (Mar 1991)
BMJ
Randomised controlled trial of general practitioner versus usual medical care in an urban accident and emergency department: process, outcome, and comparative cost. (May 1996)
Barking mad? another lunatic hypothesis bites the dust. (Dec 2000)
Prehosp Emerg Care
Identification of factors integral to designing community-based CPR interventions for high-risk neighborhood residents. (Apr-Jun 2015)
Simulation Use in Paramedic Education Research (SUPER): A Descriptive Study. (Feb 2015)
Air Med J
Paramedic specialization: a strategy for better out-of-hospital care. (Nov-Dec 2014)
The lethargic diabetic: cerebral edema in pediatric patients in diabetic ketoacidosis. (Mar-Apr 2015)
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


Several years ago, President Bush was diagnosed with atrial fibrillation. Imagine that he presented to an emergency department with an acute episode of atrial fibrillation, and was treated with verapamil. What is the likelihood that he would convert to sinus rhythm shortly after this drug?
Answer
See More

Daily Aphorism

You can't have a light without a dark to stick it in.
Daily Eponym

Regularly irregular pattern characterized by a progressive increase in the depth and at times frequency of respiration with a crescendo-decrescendo shape that eventually culminates in an apneic phase; seen in chf but also in meningitis, cva, pontine damage.

Daily Phobia

Fear of amphibians, such as frogs, newts, salamanders, etc.

Historical Terms

Writer's cramp

Mnemonics

DISK MASS (since near vertebral disc)
  • Degeneration (DJD, osteoporosis, spondylosis)
  • Infection (UTI, PID, Pott's disease, osteomyelitis, prostatitis)/ Injury, fracture or compression fracture
  • Spondylitis (ankylosing spondyloarthropathies such as rheumatoid arthritis, Reiters, SLE)
  • Kidney (stones, infarction, infection)
  • Multiple myeloma/ Metastasis (from cancers of breast, kidney, lung, prostate, thyroid)
  • Abdominal pain (referred to the back)/ Aneurysm
  • Skin (herpes zoster)/ Strain/ Scoliosis and lordosis
  • Slipped disk/ Spondylolisthesis

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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