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emergency medicine on the web
Edition of Thursday, August 27, 2015
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RECENT NEWS
Time in the bank: A Stanford plan to save doctors from burnout
Washington Post
All of it is courtesy of the Stanford Department of Emergency Medicine. As was Gilbert's freshly cleaned condo, the gift cards he'd given his assistant to thank her for her work, and the life coach he's worked with to find better balance in his life ...

HIE Critical to Emergency Medicine, But Info Lacking in ERs
Health Data Management
Care standards and protocols to support data exchange in emergency department electronic health records need to be developed, including workflow optimizations and pushing of important information to the clinician through “flags” in the EHR. Those are ...
ED Physician Work Group Outlines Recommendations for National HIEiHealthBeat

Special Report: Can We Reduce ED Visits? Should We?
LWW Journals
You come home from a hard day at work and reach down to feed your cat. Pain suddenly shoots through your lower back, and though it doesn't radiate to your leg, it hurts. A lot. Where would you go for treatment?

Franklin: Emergency medicine, for the pre-Yelp generation
Boston Herald
Yelp, the company that publishes crowd-sourced reviews on everything from restaurants to car mechanics, has added emergency room waiting times to its review pages. Upon reading that, my mind drifted back to one night more than 35 years ago when I ...

Epidemiologist Tomas Nuño, PhD, Joins UA Department of Emergency Medicine
Inside Tucson Business
Tomas Nuño, PhD, has joined the University of Arizona Department of Emergency Medicine as research assistant professor. With expertise in epidemiology and biostatistics, Nuño's work will focus on providing research support for department faculty ...

Health System Seeks Aid for Emergency Medicine Strategy
Hospitals & Health Networks
Centura Health is teaming up with a freestanding ED developer from Texas, looking to speed up the rollout of such facilities. As hospital leaders continue to respond to evolving community needs, many are realizing that they can't go it alone ...

Quick Consult: Symptoms: Poor Feeding, Weakness, Constipation
LWW Journals
Dr. Quinlan is a third-year emergency medicine resident at the University of Colorado School of Medicine in Aurora. Dr. Smalley is an assistant professor of emergency medicine and emergency ultrasound there. Follow her on Twitter @SmallsUSDenver.

DocAPProvED: Devices Worth a 'Look'
LWW Journals
Dr. Mohseni is an emergency physician in the Washington, D.C., metropolitan area and the chief innovation officer of Emergency Medicine Associates. He is the editor of his own blog, http://CreativeHealthLabs.com. Follow him @amohseni, and read his past ...

The Speed of Sound: Ultrasound Complications in Placing Central Lines
LWW Journals
Dr. Butts is the director of the division of emergency ultrasound and a clinical assistant professor of emergency medicine at Louisiana State University at New Orleans. Follow her @EMNSpeedofSound, and read her past columns at ...

Stay tuned for emergency medicine doco beaming in from Oamaru
New Zealand Doctor Online
Oamaru Hospital comes under the spotlight on Thursday night in a TV3 documentary made by a man who knows all about the business – rural hospital medicine doctor Paul Trotman. Dr Trotman works part-time at Gore Hospital but has previously worked at ...

Length of Stay in Emergency Department Makes No Real Difference in Trauma ...
Newswise (press release)
Newswise — ST. LOUIS -- The amount of time a trauma patient stays in the emergency department (ED) makes no real difference in the patient's mortality, researchers at Saint Louis University found in a recent study. "Does emergency medicine length of ...

New recommendations to improve HIE for emergency physicians
News-Medical.net
The recommendations were published online Tuesday in Annals of Emergency Medicine ("Health Information Exchange in Emergency Medicine"). "HIE helps emergency physicians - who usually do not have much information about their patients - access ...

UNM joins national emergency care research group
HSC Newsbeat
The University of New Mexico's Division of Pediatric Emergency Medicine and the UNM Emergency Medical Service Consortium will collaborate with multiple sites and investigators to conduct research studies that improve emergency medical care for ill and ...

EB Medicine Launches Mobile Application for Pediatric Emergency Medicine
PR Web (press release)
EB Medicine, leading publisher of clinical journals, Emergency Medicine Practice, Pediatric Emergency Medicine Practice, and Hospital Medicine Practice, is pleased to announce that it has partnered with AgileMD to release Pediatric Emergency Medicine ...

Florida Hospital North Pinellas is Opening a New Free-Standing Emergency Room ...
Benzinga
Florida Hospital North Pinellas, located in Tarpon Springs, is a 168-bed, full-service hospital specializing in cardiovascular medicine, emergency medicine, orthopedics, wound healing, sleep medicine and general surgery including minimally invasive and ...

Hospitals team up to enhance emergency care in Salem County
NJ.com
"This alliance will bring not only a higher level of specialized care to our community, but also provide continuity of care for patients and physicians by having a dedicated team of hospitalists working hand-in-hand with emergency medicine specialists ...

InFocus: Synthetic Cannabinoids: Treating Toxicity
LWW Journals
Dr. Roberts is a professor of emergency medicine and toxicology at the Drexel University College of Medicine in Philadelphia. Read the Procedural Pause, a blog by Dr. Roberts and his daughter, Martha Roberts, ACNP, CEN, at http://bit.ly/ProceduralPause ...

​Exclusive: Palm Harbor will get its own freestanding ER
Tampa Bay Business Journal
The new 24-bed facility will be a full-service emergency room providing emergency care 24/7. It will be staffed with physicians and nurses who specialize in emergency medicine, and will also include on-site X-ray, ultrasound, CT-scan, and laboratory ...

Diagnosis Deconstructed: A Recipe for Encephalopathy
LWW Journals
Dr. Morchi is an associate professor of emergency medicine at UCLA's David Geffen School of Medicine. Read his past columns at http://bit.ly/MorchiCollection. Any organ failure can be broken down into pre-organ, intra-organ, and post-organ. Walking the ...

Toxicology Rounds: Calcium Channel Blocker ODs Still Scare EPs
LWW Journals
Dr. Gussow is a voluntary attending physician at the John H. Stroger Hospital of Cook County in Chicago, an assistant professor of emergency medicine at Rush Medical College, a consultant to the Illinois Poison Center, and a lecturer in emergency ...

Home > Current Issue > News: Eggs and Peppercorns: A New, Low-Tech Simulation ...
LWW Journals
Dr. Rega, left, is an assistant professor of public health and preventive medicine in the department of emergency medicine; Dr. Fink, second from left, is an associate professor of public health, the coordinator of MD/MPH program and public health ...

Life in Emergistan: Another Stupid Clause in the Contract
LWW Journals
Dr. Leap is a member of Blue Ridge Emergency Physicians, an emergency physician at Oconee Memorial Hospital in Seneca, SC, a member of the board of directors for the South Carolina College of Emergency Physicians, and an op-ed columnist for the ...

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We search MEDLINE every Monday for new abstracts and deliver results by email free!
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Literature Abstracts
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Ann Emerg Med
Injury Severity Score Inflation Resulting From Pan-Computed Tomography in Patients With Blunt Trauma. (May 2015)
Laryngospasm With Apparent Aspiration During Sedation With Nitrous Oxide. (May 2015)
Acad Emerg Med
Emergency Department Crowding and the Performance of Damage Control Resuscitation in Major Trauma Patients With Hemorrhagic Shock. (Aug 2015)
There Are Sex Differences in the Demographics and Risk Profiles of Emergency Department (ED) Patients With Atrial Fibrillation and Flutter, but no Apparent Differences in ED Management or Outcomes. (Aug 2015)
Emerg Med Clin North Am
Evaluation and treatment of acute back pain in the emergency department. (May 2015)
Human Immunodeficiency Virus Infection-Related Heart Disease. (Aug 2015)
Am J Emerg Med
Heel compressions quadruple the number of bystanders who can perform chest compressions for 10 minutes. (Jul 2015)
Pediatric acute osteomyelitis in the postvaccine, methicillin-resistant Staphylococcus aureus era. (Jul 2015)
Pediatr Emerg Care
Distraction Injury of the Thoracic Spine With Spinal Cord Transection and Vascular Injury in a 5-Week-Old Infant Boy: A Case of Child Physical Abuse. (Jul 2015)
Implementation of an Advanced Nursing Directive for Children With Right Lower Quadrant Pain: Identifying Those Requiring Further Investigation and Improving Flow Metrics. (Jul 2015)
Eur J Emerg Med
Evaluation of nasogastric tubes to enable differentiation between upper and lower gastrointestinal bleeding in unselected patients with melena. (Mar 2015)
Influence of case-based e-learning on students' performance in point-of-care ultrasound courses: a randomized trial. (Apr 2015)
JAMA
Traumatic dislocation of the hip. (Jun 1983)
Informed consent in emergency research. Prehospital thrombolytic therapy for acute myocardial infarction. (Jul 1989)
N Engl J Med
The usefulness of chest radiographs in first asthma attacks. (Aug 1983)
Emergency hospitalizations for adverse drug events in older Americans. (Nov 2011)
BMJ
Pregnant teenagers' knowledge and use of emergency contraception. (Jun 1995)
Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. (2009)
Prehosp Emerg Care
Intubation in Pediatric/Neonatal Critical Care Transport: National Performance. (Jul-Sep 2015)
Immediate Lower Extremity Tourniquet Application to Delay Onset of Reperfusion Injury after Prolonged Crush Injury. (Aug 2015)
Air Med J
Paramedic specialization: a strategy for better out-of-hospital care. (Nov-Dec 2014)
Medical Emergency Workload of a Regional UK HEMS Service. (May-Jun 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


What is physiologic jaundice and when does it present?
Answer
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Daily Aphorism

Being in the army is like being in the Boy Scouts, except that the Boy Scouts have adult supervision.
Daily Eponym

For hemorrhoids - "open" technique of hemorrhoidectomy

Daily Phobia

Fear of sexual abuse.

Historical Terms

Epilepsy

Mnemonics

When you hear holosystolic murmurs, think MR-THEM ARE holosystolic murmurs.

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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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