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Edition of Sunday, May 20, 2012
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RECENT NEWS
'Ramping' forecast for new RAH
ABC Online
A specialist in emergency medicine says the design of the new Royal Adelaide Hospital may lead to problems similar to those at the Flinders Medical Centre. The State Government has ordered an inquiry into overcrowding at the centre, with patients ...

Cumberland, Apple, NovaLogic-Activision: Intellectual Property
Bloomberg
Cumberland Pharmaceuticals, the maker of prescription drugs for emergency medicine, accused generic- drug makers Perrigo Co. and InnoPharma Inc. of infringing its patent 8148356., which covers the acetaminophen overdose treatment Acethetadote.

Dateline Pittsburgh for 05/20/12
Pittsburgh Post Gazette
They are: Donald M. Yealy, MD, chair of the department of emergency medicine at the University of Pittsburgh School of Medicine and UPMC, is the recipient of the Society for Academic Emergency Medicine Leadership Award, which honors a SAEM member who ...

Exodus looms for A&E medics
Hong Kong Standard
The poll, conducted by the Hong Kong Society for Emergency Medicine and Surgery of some 500 A&E doctors and nurses in public hospitals, indicates that 65 percent say there is a possibility they will ask for a transfer to another department, ...

Aghababian elected president of Mass. Medical Society
Worcester Telegram
By Lisa Eckelbecker TELEGRAM & GAZETTE STAFF WORCESTER — Dr. Richard V. Aghababian, founding chairman of the emergency medicine department at the University of Massachusetts Medical School in Worcester, was elected president of the Massachusetts ...
Mass. Medical Society elects UMass Memorial's Aghababian its next prezBoston Business Journal

About 130 U.S. kids die annually on ATVs
UPI.com
Dr. Joshua Ross, medical director of pediatric emergency medicine at American Family Children's Hospital in Madison, Wis., said five children were treated in March and April for injuries at the hospital's pediatric emergency department and one died ...

Seven in 10 Americans Oppose Health Plan Efforts to Deny Payments for ER ...
MarketWatch (press release)
After an outcry from physician and other groups, including ACEP and the Emergency Medicine Action Fund, Governor Chris Gregoire suspended the plan. "We need to remain vigilant, but this was an important victory, not only for emergency patients in ...

[VIDEO] Emergency docs get front-line training
The Tribune-Democrat
AP JOHNSTOWN — Johnstown city firefighters provided some hands-on training today for physicians in Conemaugh emergency medicine residency program. Simulated emergencies included a multi-vehicle traffic accident with entrapment. For a full story, ...

Death from marathon running low
GoErie.com
"It's very dramatic when someone dies on the course, but it's not common," Julius Cuong Pham, the study's lead author and an associate professor of emergency medicine and anesthesiology and critical care medicine at the Johns Hopkins University School ...

Dr. Richard V. Aghababian to lead Mass. Medical Society
Boston.com (blog)
By Chelsea Conaboy, Globe Staff Dr. Richard V. Aghababian, the founding chairman of the Department of Emergency Medicine at the University of Massachusetts Medical School who is now retired, was elected to lead the Massachusetts Medical Society at the ...
UMass MD elected president of state Medical SocietyWorcester Telegram

Use of Interpreters in Emergency Department May Reduce Errors
Renal and Urology News
Using professional translators for non-English speaking patients in the emergency department (ED) of hospitals may reduce miscommunications and errors, according to a recent study published online ahead of print in the Annals of Emergency Medicine.
Psychiatric Patients Get the Short End of the ER StickJD Supra (press release)

Young ER doctors gain insight from mock crash
The Tribune-Democrat
City firefighters rescued two people as part of a crash simulation sponsored by Memorial's emergency medicine residency program. The drill took place near the firefighter's training facility off Iron Street. “We tried to make this as realistic as ...

Study finds value in counseling problem drinkers during emergency-room visits
Washington Post
In the study, published online in the Annals of Emergency Medicine, nearly 600 emergency department patients who were identified as hazardous or harmful drinkers (defined for men as drinking more than 14 drinks per week or more than four on any single ...

Cumberland Pharmaceuticals Sues Perrigo and InnoPharma
Bloomberg
Cumberland Pharmaceuticals (CPIX), the maker of prescription drugs for emergency medicine, accused generic- drug makers Perrigo Co. (PRGO) and InnoPharma Inc. of infringing a patent for Acetadote, used to treat acetaminophen overdoses.

EMR Tool Cuts CT Scans in Emergency Room Patients
Diagnostic Imaging
Their study was presented at the annual meeting for the Society for Academic Emergency Medicine this week. Using the records of 11176 patients, the researchers assessed the effectiveness of a new tool that was embedded in patients' EMRs.
Electronic medical record tool cuts down on unnecessary CT scans in ER ...Medical Xpress
Study: Accountability at a glance—new tool may cut unnecessary CT exams in EDCMIO

Priority Emergency Room Using CRM as its Information System Technology Solution
HealthTechZone
CMR has been designed to let ED professionals instantly access medical information and efficiently document clinical activities, and was developed by Cris Mandry, MD, founding program director of the Louisiana State University Emergency Medicine ...
CMR selected by Priority Emergency Room as information system technology solutionHealthcare IT News

exercise to evaluate new strategy for protecting public during health emergency
Monte News
This coming weekend, the Minnesota Department of Health (MDH) and the US Postal Service (USPS) will try out a new strategy for delivering emergency medicine to the public. On Sunday morning, postal personnel will fan out into neighborhoods in four ...

University of Illinois College of Medicine celebrates graduates
Rockford Register Star
Ammar M. Ali, Greenfield, Wis., University of Wisconsin at Madison, Emergency Medicine, Beaumont Health System, Royal Oak, Mich. Jimena B. Alvarez Soto, Lima, Peru, Brigham Young University, Obstetrics-Gynecology, Baylor College of Medicine, Houston, ...

Danielle Birrer, Erik Syvertsen
New York Times
Her father, a family practitioner and emergency medicine physician, is the executive director of employee health services at the Saudi Arabian Oil Company headquarters in Dhahran. Her mother is the assistant vice president for corporate digital ...

Penn-Developed Electronic Medical Record Tool Cuts Down on Unnecessary CT ...
Penn: Office of University Communications
... room patients with abdominal pain, according to a study from researchers at the Perelman School of Medicine at the University of Pennsylvania that will be presented today at the annual meeting of the Society for Academic Emergency Medicine.
EHR Tool Could Help Reduce Unnecessary CT Scans, Study FindsiHealthBeat
'Accountability tool' reduces CT scans in the ERFierceEMR
Decision tool reduces ER CT examsHospital IT Europe (subscription)

Lake Regional contracts with new emergency department management
Lakenewsonline.com
The Schumacher Group has retained current ED physicians who elected to continue working at Lake Regional and has hired additional physicians who have emergency medicine experience. The Schumacher Group is the third largest and fastest growing emergency ...

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Ann Emerg Med
Errors of Medical Interpretation and Their Potential Clinical Consequences: A Comparison of Professional Versus Ad Hoc Versus No Interpreters. (Mar 2012)
Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. (Apr 2012)
Acad Emerg Med
Building a better mousetrap for chest pain. (May 2012)
The Ethics of Health Care Reform: Impact on Emergency Medicine. (Apr 2012)
Emerg Med Clin North Am
Aortic emergencies. (Nov 2011)
Cardiac arrest: a public health perspective. (Feb 2012)
Am J Emerg Med
Accuracy of emergency physicians using ultrasound measurement of crown-rump length to estimate gestational age in pregnant females. (Feb 2012)
Comparing the efficacy of intravenous tenoxicam, lornoxicam, and dexketoprofen trometamol for the treatment of renal colic. (Feb 2012)
Pediatr Emerg Care
Is pediatric emergency department utilization by pregnant adolescents on the rise? (Apr 2012)
Induction dose of propofol for pediatric patients undergoing procedural sedation in the emergency department. (May 2012)
Eur J Emerg Med
Horizontal subxiphoid landmark optimizes probe placement during the Focused Assessment with Sonography for Trauma ultrasound exam. (Oct 2011)
Chief complaints in medical emergencies: do they relate to underlying disease and outcome? The Charité Emergency Medicine Study (CHARITEM). (Mar 2012)
JAMA
Traumatic dislocation of the hip. (Jun 1983)
Staphylococcal food poisoning associated with an Easter egg hunt. (Aug 1984)
N Engl J Med
Public Health Service study on Reye's syndrome and medications. Report of the pilot phase. (Oct 1985)
A comparison of surfactant as immediate prophylaxis and as rescue therapy in newborns of less than 30 weeks' gestation. (Mar 1991)
BMJ
Call to needle times after acute myocardial infarction in urban and rural areas in northeast Scotland: prospective observational study. (Aug 1998)
Influence of general practice opening hours on delay in seeking medical attention after transient ischaemic attack (TIA) and minor stroke: prospective population based study. (2008)
Prehosp Emerg Care
Work-related stress and posttraumatic stress in emergency medical services. (Jan 2012)
Paramedic-Performed Digital Nerve Block To Facilitate Field Reduction Of A Dislocated Finger. (Apr 2012)
Air Med J
Fixed-wing medical transport crashes: characteristics associated with fatal outcomes. (May-Jun 2011)
Severity of cardiovascular disease patients transported by air ambulance. (Nov-Dec 2011)
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
RECENT BLOG POSTINGS
Emergency Medicine Mobile App Competition
Life in the Fast Lane Medical Blog
Emergency Medicine Diagnosis and Management 6e is now an eBook on SkyScape Medical resources and we are giving one licence away FREE...
Cool Technology of the Week: Emergency Medical Services run ...
KINSHIP - Knowledge INformed Support for Health Improved Practice
�I've often been asked how Emergency Medical Services (EMS) run sheets can be automatically integrated to emergency department information systems so that the transition of care between the ambulance and the hospital ...
Anatomy for Emergency Medicine #15 � SMA Syndrome |

Anatomy for Emergency Medicine #15 � SMA Syndrome. Posted on May 16, 2012 by Andy Neill. AFEM SMA. Nothing to do with milk formula. This is yet another Zebra diagnosis but it's a great one for illustrating some of the relevant anatomy.
Emergency Medicine Literature of Note: The Papermate Flexgrip ...
Emergency Medicine Literature of Note
Emergency Medicine has more than a little MacGyver instinct to it - and one of the semi-urban legend aspects of EM is the ability to perform a cricothyroidotomy as a life-saving measure in any situation. The most commonly ...
Military-Civilian: Onsite OHS � Emergency Medicine or Family ...
Military-Civilian
Emergency Medicine or Family Practice Physician Location: Various Non U.S. including Afghanistan and Kuwait Onsite OHS World-Class Compensation Package! Medical Coverage-100% Covered for Employee Progressive ...
Irvine Emergency Medicine 2010 - 2012 - free
free
University of California-Irvine Emergency Medicine 2010-2012 English | MP4 | H264 273 kbps 15 fps | 720x544 | AAC 128 kbps 48 KHz | 7.52 GB These Video lectures are released between 2010-2012 by.
Tintinalli's Emergency Medicine: A Comprehensive Study Guide ...
Music City News
Tintinalli's Emergency Medicine: A Comprehensive Study Guide, Seventh Edition (Book and DVD) (Emergency Medicine (Tintinalli)). The Historical Atlas of Political Parties in the United States Congress, 1789-1989 · Body ...
Episode 23: Vaginal Bleeding in Early ... - Emergency Medicine Cases
Emergency Medicine Cases
In this episode Dr. David Dushenski & Dr. Ross Claybo discuss the very common presentation of vaginal bleeding in the first half of pregancy. They run.
ED Physicians | Emergency Medicine
HHN Daily News Feed
A shortage of emergency medicine specialists means many hospitals will need to use physicians trained in primary care. For critical access facilities, such physicians may be a better fit.
Tintinalli's Emergency Medicine: A Comprehensive Study Guide ...
Music City News
Tintinalli's Emergency Medicine: A Comprehensive Study Guide, Seventh Edition (Book and DVD) (Emergency Medicine (Tintinalli)). Wehrtechnik Wt · International Silver Presidential Spoons No Box, Collectible · Wahl Senior ...
Suburb of Montgomery Looking for Emergency Medicine Help ...
Physician Jobs RSS Feed | MDJobSite.com
Emergency Medicine need in Alabama. A community hospital setting, with at top 5 medical system in the nation. Below you will find some basic details: 30K volume - Level 4 trauma Shift times are 7a-7p or 7p-7a Adding an ...
Teach, MD: SAEM's Emergency Medicine Milestones
Teach, MD
The SAEM released its educational milestones on their website this week; these are a comprehensive set of skills that every emergency physician should possess by the time they graduate residency. The resident's level of ...
Chicago Area Emergency Medicine
Physician Assistant Forum and Jobs
Hello.. I am new to the forum. I am looking to relocate to the Chicago area, however I am unfamiliar with the practice climate. Can anyone share their experience in the ED in and around Chicago? Any input would be greatly ...
Academic Life in Emergency Medicine: Paucis Verbis: Upper GI ...
Academic Life in Emergency Medicine
What is academic emergency medicine all about? What's new in the specialty of EM? This blog aims to give you a "behind the scenes" peek into this exciting world. My perspective comes from that of a medical educator with ...
Emergency Medicine Literature of Note: Azithromycin - Not Guilty of ...
Emergency Medicine Literature of Note
Assistant Professor of Emergency Medicine at The University of Texas Health Science Center at Houston and AHRQ Patient Safety and Quality Keck Fellow. This blog serves primarily as a repository to organize my thoughts ...
Emergency Medicine - Louisiana | Physician job in Louisiana ...
Physician Jobs RSS Feed | MDJobSite.com
Find Emergency Medicine (EM) Jobs in LA. ... Emergency Medicine - General. Job Location. Louisiana. ASAP-ongoing BC or BE 6a-6p 12 hour guarantee ATLS, ACLS and BLS required Level 4 facility Low volume 1-2 weeks ...
Emergency Medicine - Georgia | Physician job in Georgia - 8974507
Physician Jobs RSS Feed | MDJobSite.com
Find Emergency Medicine (EM) Jobs in GA. ... Emergency Medicine - General. Job Location. Georgia. "The Peach State" 7a-7p or 7p-7a 12 hour guarantee 20-22 patients/shift IM, FP or EM BC or BE Competitive pay Travel ...
Emergency Medicine - 30 Miles from St. Louis, MO | Physician job in ...
Physician Jobs RSS Feed | MDJobSite.com
Emergency Medicine need with negotiating rate starting at $150 an hour in a great suburb 30 miles from St. Louis, MO 39K Annual ER volume 10 hour shifts available (7A-5P, 10A-7P, 12P-10P, 5P-1A, 7P-7A) Triple Physician ...
Emergency Medicine in Upstate New York! | Physician job in New ...
Physician Jobs RSS Feed | MDJobSite.com
Find Emergency Medicine (EM) Jobs in NY. ... Emergency Medicine - General. Job Location. New York. 19K volume BC or BE ABEM or AOBEM, or PC trained with ED experience ATLS, ACLS, PALS MLP coverage 24 hours a ...
Emergency Medicine PA/NP need in VA | Physician job in Virginia ...
Physician Jobs RSS Feed | MDJobSite.com
Emergency Medicine PA/NP Norfolk/VA Beach area Hospital 50 beds in the ER (10 are in the fast track)2 pts per hour; then seen by doctorVery collaborative staff, and competent nursing staff Ideal candidate can do 15-17 ...
Daily Question


Abscessed anterior maxillary teeth can spread infection to the canine space. What is the most serious complication of this type of spread, other than simply overwhelming sepsis?
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MTV is the lava lamp of the 1980's.
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Fear of technology.

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Angioneurotic oedema

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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
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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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