MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Annals of Emergency Medicine' source. Sun, 21 Mar 2010 14:59:44 +0100 http://www.medworm.com/index.php?rid=3295864&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441000137X%2Fabstract%3Frss%3Dyes MISSOURI: UMC School of Medicine-Emergency Medicine is seeking a full-time physician to join the department at the Clinical Assistant Professor level. Applicants should be BC/BP in EM or PC. UMC is the only Level 1 trauma center in mid-Missouri with 35K visits per year, dedicated CT scanner, and an active helicopter service. The position offers excellent benefits, very reasonable hours, and competitive salary, as well as an ideal location in the university town of Columbia, Missouri. The University of Missouri is an Equal Opportunity/Affirmative Action Employer. Reply to: John Yanos, MD, Department of Emergency Medicine DC029.00, One Hospital Drive, Columbia MO 65212 yanos@missouri.edu (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295864 Tue, 23 Feb 2010 14:15:48 +0100 3295864 http://www.medworm.com/index.php?rid=3295863&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410001368%2Fabstract%3Frss%3Dyes Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295863 Tue, 23 Feb 2010 14:15:48 +0100 3295863 http://www.medworm.com/index.php?rid=3295862&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410001356%2Fabstract%3Frss%3Dyes Introduction to Emergency Medicine Ultrasound. March 1-3, 2010. St Pete Beach, FL. Sponsor: Gulfcoast Ultrasound Institute Inc. Fee: $1,695.00 – $1,735.00. Contact: Lori Green, 4615 Gulf Blvd #205, St Pete Beach, FL 33706. Email: Lori.Green@gcus.com. 727-363-4500. (20) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295862 Tue, 23 Feb 2010 14:15:48 +0100 3295862 http://www.medworm.com/index.php?rid=3295861&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000570%2Fabstract%3Frss%3Dyes MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295861 Tue, 23 Feb 2010 14:15:48 +0100 3295861 http://www.medworm.com/index.php?rid=3295860&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000594%2Fabstract%3Frss%3Dyes Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295860 Tue, 23 Feb 2010 14:15:48 +0100 3295860 http://www.medworm.com/index.php?rid=3295859&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000387%2Fabstract%3Frss%3Dyes The new 8th edition of the Advanced Trauma Life Support (ATLS) course manual contains a small but significant change. The phrase, “trauma is a surgical disease,” long a point of contention with other specialties caring for trauma patients, has been removed. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295859 Tue, 23 Feb 2010 14:15:48 +0100 3295859 http://www.medworm.com/index.php?rid=3295858&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018344%2Fabstract%3Frss%3Dyes Americans have drive-through everythings: fast food, coffee, banks, weddings, prayer and now, thanks to the inventiveness of a pair of California emergency physicians, even drive-through emergency care. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295858 Tue, 23 Feb 2010 14:15:47 +0100 3295858 http://www.medworm.com/index.php?rid=3295857&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000545%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295857 Tue, 23 Feb 2010 14:15:47 +0100 3295857 http://www.medworm.com/index.php?rid=3295856&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000521%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295856 Tue, 23 Feb 2010 14:15:47 +0100 3295856 http://www.medworm.com/index.php?rid=3295855&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000508%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295855 Tue, 23 Feb 2010 14:15:47 +0100 3295855 http://www.medworm.com/index.php?rid=3295854&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018034%2Fabstract%3Frss%3Dyes Otolaryngologic complaints are frequently seen in the emergency department (ED). For those working in academic medical centers, in-house consultants often arrive promptly and manage the patient. However, in the real world, such in-house ED consultations are often neither indicated nor available. Unfortunately, residents training in such an environment both lose experience treating some of these ENT complaints, and at times, fail to truly learn to identify those complaints that require an emergent ED consult as opposed to those which may be followed urgently, or even routinely, in the ambulatory setting. For those who have trained in such a setting (and those who have not), 10 Minute ENT Consult by Hamid Djalilian is an excellent clinical reference. Djalilian was spot on for his target audi... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295854 Tue, 23 Feb 2010 14:15:47 +0100 3295854 http://www.medworm.com/index.php?rid=3295853&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017405%2Fabstract%3Frss%3Dyes While welcoming the commentator's thoughts on the subject and appreciating his close, clear attention to both this article and the surrounding research on work hours limits, I would call attention to a genre distinction. The News & Perspective department, as the editors' introduction has pointed out, treats its topics journalistically rather than academically; it occasionally makes room for views that are frankly somewhat contrarian; presenting “more perspective than news” is not a lapse but its acknowledged mission. It often places these discussions in the context of peer-reviewed literature (including in this case the IOM report, with its thorough references), but it does not aspire to the comprehensiveness of a full, rigorous literature review. The department serves a different and ... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295853 Tue, 23 Feb 2010 14:15:47 +0100 3295853 http://www.medworm.com/index.php?rid=3295852&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017417%2Fabstract%3Frss%3Dyes The News & Perspective section recently published a piece, “For Whom the Bell Commission Tolls: Unintended Effects of Limiting Residents' Hours,” which purports to address potential negative implications of limits on resident work hours and of the Institute of Medicine (IOM) report's recommendations for stronger enforcement and stricter regulations. In doing so, the article unfortunately puts aside the abundant evidence on the importance of duty hours regulations and the significant effort and expertise which went into the report, and, instead, relies on extensive commentary of a few emergency physicians and citations of a single, poorly designed study as the basis for the piece. In doing so, this would seem to fall below the standard one would expect in an Annals of Emergency Medicine... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295852 Tue, 23 Feb 2010 14:15:47 +0100 3295852 http://www.medworm.com/index.php?rid=3295851&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901703X%2Fabstract%3Frss%3Dyes We present a case of a woman who chewed and swallowed Embeda. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295851 Tue, 23 Feb 2010 14:15:47 +0100 3295851 http://www.medworm.com/index.php?rid=3295850&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006477%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:302.] A 53-year-old man presented with a painful skin lesion on his left lower leg, without trauma. The lesion was initially pruritic and had appeared spontaneously 2 weeks earlier. The patient had been evaluated 1 week earlier and was prescribed clindamycin for presumed cellulitis. Despite this, the lesion continued to grow. The patient had a history of peripheral vascular disease and had resumed receiving warfarin sodium for this 1 week before appearance of the lesion. On physical examination, the patient was afebrile, with a 5-cm-×-7-cm nonraised area of ecchymosis with an erythematous border on the anterior left lower leg (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295850 Tue, 23 Feb 2010 14:15:45 +0100 3295850 http://www.medworm.com/index.php?rid=3295849&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014413%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:301.] We laughed at Father's sentimental side, (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295849 Tue, 23 Feb 2010 14:15:45 +0100 3295849 http://www.medworm.com/index.php?rid=3295844&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409019027%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:282-283.] The above article highlights the reemergence of B quintana infection in the urban homeless population. It appears that infection with B quintana is found exclusively in patients with louse infestation. Risk factors for louse infestation include homelessness, alcoholism, and living in cooler climates. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295844 Tue, 23 Feb 2010 14:15:45 +0100 3295844 http://www.medworm.com/index.php?rid=3295843&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409019015%2Fabstract%3Frss%3Dyes Bartonella quintana in Body Lice and Head Lice From Homeless Persons, San Francisco, California, USA [Bonilla DL, Kabeya H, Henn J, et al. Bartonella quintana in body lice and head lice from homeless persons, San Francisco, California, USA. Emerg Infect Dis. 2009;15:912-915.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295843 Tue, 23 Feb 2010 14:15:45 +0100 3295843 http://www.medworm.com/index.php?rid=3295837&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441000003X%2Fabstract%3Frss%3Dyes This study suggests that in our current out-of hospital and emergency care system time may be less crucial than once thought. Routine lights-and-sirens transport for trauma patients, with its inherent risks, may not be warranted. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295837 Tue, 23 Feb 2010 14:15:40 +0100 3295837 http://www.medworm.com/index.php?rid=3195298&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441000020X%2Fabstract%3Frss%3Dyes FLORIDA: Multi-System Hospital-Administrative and Staff Positions. A premier physician-owned, physician-run group dedicated to providing the best clinical and operational service seeks high-quality full-time and part-time emergency medicine physicians at a multi-system facility with volume ranges between 25k and 38k located in Melbourne and Rockledge, FL. Physicians must be BC/BP and residency trained in Emergency Medicine. Melbourne and Rockledge are only one hour from Orlando and 45 minutes from Cocoa Beach, FL. No Noncompete and flexible scheduling, Growth and advancement opportunities are also available. Physician pay higher than the National average; A-rated malpx & tail included; Equal member-Partner day-one. Email CV to Heather Chappell, at hchappell@apollomd.com or call 919-461-713... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195298 Fri, 22 Jan 2010 14:15:26 +0100 3195298 http://www.medworm.com/index.php?rid=3195297&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000193%2Fabstract%3Frss%3Dyes Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195297 Fri, 22 Jan 2010 14:15:26 +0100 3195297 http://www.medworm.com/index.php?rid=3195296&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410000168%2Fabstract%3Frss%3Dyes 9th Annual Emergency and Critical Care Medicine: The Cutting Edge. February 1-5, 2010. Palm Beach, ARUBA. Sponsors: Texas ACEP/Medical Symposiums Inc. Fee: $500.00 – $850.00. Contact: Melanie Levine, 4546 Elm St, Bellaire, TX 77401. Email: mymposiums@gmail.com. 800-583-4181. ext 5. (24) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195296 Fri, 22 Jan 2010 14:15:25 +0100 3195296 http://www.medworm.com/index.php?rid=3195295&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901854X%2Fabstract%3Frss%3Dyes Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195295 Fri, 22 Jan 2010 14:15:25 +0100 3195295 http://www.medworm.com/index.php?rid=3195294&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018526%2Fabstract%3Frss%3Dyes MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195294 Fri, 22 Jan 2010 14:15:25 +0100 3195294 http://www.medworm.com/index.php?rid=3195293&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018137%2Fabstract%3Frss%3Dyes Jack Coulehan's ordeal began on a Long Island beach. During an Easter sunrise service in 2008, a pain that had first appeared in his left eye the previous night flared to excruciating levels within a few moments. As he ticked through his symptoms–normal vision, normal eye movement, left side of his forehead prickly and burning–Dr. Coulehan drew upon his decades as a primary care physician to diagnose himself with shingles. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195293 Fri, 22 Jan 2010 14:15:25 +0100 3195293 http://www.medworm.com/index.php?rid=3195292&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018496%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195292 Fri, 22 Jan 2010 14:15:25 +0100 3195292 http://www.medworm.com/index.php?rid=3195291&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018472%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195291 Fri, 22 Jan 2010 14:15:25 +0100 3195291 http://www.medworm.com/index.php?rid=3195290&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018459%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195290 Fri, 22 Jan 2010 14:15:25 +0100 3195290 http://www.medworm.com/index.php?rid=3195289&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015078%2Fabstract%3Frss%3Dyes This soft cover book is a concise manual that covers a broad variety of ophthalmic disorders, many of which will be encountered in the emergency department (ED). This atlas is presented in a user-friendly design that is divided into 12 chapters, the first 11 of which are based on anatomic regions from external to internal (orbit, cornea, anterior chamber, etc) and the last chapter is on visual acuity, refractive procedures, and sudden vision loss. The reader is quickly guided through the diagnosis and management. I really liked the color-coded tabbing of each chapter and the highlighting of key components. For example, where appropriate, sections have red-bordered boxes listing “Ophthalmic Emergency.” These boxes highlight immediate actions to be taken to treat the condition. Additiona... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195289 Fri, 22 Jan 2010 14:15:25 +0100 3195289 http://www.medworm.com/index.php?rid=3195288&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015054%2Fabstract%3Frss%3Dyes The author addresses rapid sequence intubation and has created an excellent primer for any provider learning about rapid sequence intubation. The book is easy to understand and generally well written in a conversational style. The material is focused on those providing emergent airway management and is particularly useful for out-of-hospital providers. This is not, nor does it claim to be, a definitive text for airway management. The ideal audiences for this book are providers with some understanding of airway management who are ready to learn about rapid sequence intubation. This includes paramedics, nurses, respiratory therapists, physician trainees and those physicians who practice emergency airway management who may not have had formal training in the technique. (Source: Annals of Emer... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195288 Fri, 22 Jan 2010 14:15:25 +0100 3195288 http://www.medworm.com/index.php?rid=3195287&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017387%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:230.] The practice of the pharmaceutical and medical device industries to give gifts to physicians has come under increasing scrutiny in recent years. Prominent professional associations have issued reports recommending a ban on accepting gifts from industry. Many US academic medical centers have implemented policies prohibiting acceptance by physicians, other health care professionals, and trainees, of any gifts from industry representatives. The leading trade associations of the pharmaceutical and medical device industries have adopted revised guidelines for interaction with health care professionals that impose new voluntary restrictions on the practice of giving gifts. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195287 Fri, 22 Jan 2010 14:15:25 +0100 3195287 http://www.medworm.com/index.php?rid=3195286&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016151%2Fabstract%3Frss%3Dyes We are hardly surprised that the only letters published in response to our article are from advocates of tPA. Regardless of the topic, there is almost always a cadre of vocal proponents and a group of unknown size whose silence reflects a lack of belief. This pattern affects the way that medical therapies are adopted; proponents, better funded and more highly motivated than all others, often carry the day. Industry and special interest groups organized around a particular disease actively lobby for each new treatment; we have never seen the “Society Against the Use of Treatment X for Condition Y.” Such a system lacks adequate checks and balances. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195286 Fri, 22 Jan 2010 14:15:25 +0100 3195286 http://www.medworm.com/index.php?rid=3195285&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016163%2Fabstract%3Frss%3Dyes We read with interest the article by Hoffman and Schriger, “A Graphic Reanalysis of the NINDS Trial” in the September issue of Annals. The authors have used a post hoc complex graphical analysis of the relationship between treatment with recombinant tissue plasminogen activator (rtPA) and a secondary outcome measure, the National Institutes of Health Stroke Scale scores (NIHSS) obtained at 90 days in the NINDS trial. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195285 Fri, 22 Jan 2010 14:15:25 +0100 3195285 http://www.medworm.com/index.php?rid=3195284&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901614X%2Fabstract%3Frss%3Dyes When performed correctly, graphical display of clinical trial data can provide useful additional insights regarding treatments that statistically demonstrate benefit, like fibrinolytic therapy for acute ischemic stroke. Unfortunately, in their article graphically analyzing the 2 NINDS tPA trials, Drs. Hoffman and Schriger depart from best practices appropriate for the visual display of quantitative information. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195284 Fri, 22 Jan 2010 14:15:25 +0100 3195284 http://www.medworm.com/index.php?rid=3195283&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006441%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;10;55:225.] A 60-year-old man with a history of hypertension and renal insufficiency presented to the emergency department (ED) after a single generalized tonic-clonic seizure. On awakening, he complained of a headache and blurred vision. According to his family, he was lethargic and vomited that morning and had not taken his blood pressure medications for several days. In the ED, the patient's blood pressure was 220/130 mm Hg. He was arousable to voice and displayed no neurologic deficits. A computed tomographic scan revealed bilateral posterior hypodensities without mass effect (). Magnetic resonance imaging showed increased fluid-attentuated inversion recovery signal in the same region (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195283 Fri, 22 Jan 2010 14:15:24 +0100 3195283 http://www.medworm.com/index.php?rid=3195282&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016175%2Fabstract%3Frss%3Dyes A well-designed clinical trial will be meaningless if the outcome measure is inappropriate, irrelevant, or unhelpful. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195282 Fri, 22 Jan 2010 14:15:24 +0100 3195282 http://www.medworm.com/index.php?rid=3195281&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409005356%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;10;55:215.] I stuff my white coat pockets with Saltines and ginger candy to forestall “evening sickness” on night shifts, hiding dry heaves with a discreet hand over my mouth. Nurses giggle as I audibly retch during an intubation. And I shelf a pregnancy book after it starts with, “Get eight hours of sleep each night, stay off your feet, eat frequently, and avoid stressful situations.” My husband (Jimmy, a surgical resident) worries about my I's and O's at work, while secretaries force hydration with ginger ale. Security guards become increasingly watchful as I examine agitated patients. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195281 Fri, 22 Jan 2010 14:15:24 +0100 3195281 http://www.medworm.com/index.php?rid=3195280&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018071%2Fabstract%3Frss%3Dyes [McKay MP. Commentary: Women and alcohol: increasingly willing to drive while impaired? Ann Emerg Med. 2010;55:211-214.] As I began to write this, I got to thinking about women and alcohol and driving and started to recall the voices of patients I've cared for over the years: (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195280 Fri, 22 Jan 2010 14:15:24 +0100 3195280 http://www.medworm.com/index.php?rid=3195279&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901806X%2Fabstract%3Frss%3Dyes [National Highway Traffic Safety Administration. Alcohol impaired drivers involved in fatal crashes, by gender and state, 2007-2008. Ann Emerg Med. 2010:55:211.] In response to recent data from the Federal Bureau of Investigation indicating an increase in the number of female drivers arrested for driving under the influence (DUI) of alcohol, the National Highway Traffic Safety Administration (NHTSA) undertook a study of fatal crashes in which the driver was impaired by alcohol intake. Data from the Fatality Analysis Reporting System (FARS) from 2007 and 2008 were analyzed with respect to alcohol involvement, driver sex, and the state in which the crash occurred. Alcohol-impaired drivers were defined as drivers with a blood alcohol concentration (BAC) of 0.08 g/dL or greater. Estimates of ... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195279 Fri, 22 Jan 2010 14:15:24 +0100 3195279 http://www.medworm.com/index.php?rid=3295842&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018009%2Fabstract%3Frss%3Dyes This article explores the use of health information exchange networks, which enable the secure flow of clinical data among otherwise unaffiliated providers across entire regions for the purposes of clinical care, as a tool for automated biosurveillance reporting. Additionally, this article uses a health information exchange to assess H1N1's effect on ED visit rates and discusses preparedness recommendations and lessons learned from the spring 2009 H1N1 experience across 11 geographically distinct EDs in New York City that participate in the health information exchange. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295842 Mon, 18 Jan 2010 00:00:00 +0100 3295842 http://www.medworm.com/index.php?rid=3295841&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017995%2Fabstract%3Frss%3Dyes Conclusion: The drive-through model is a feasible alternative to a traditional walk-in ED or clinic and is associated with rapid throughput times. It provides a social distancing strategy, using the patient's vehicle as an isolation compartment to mitigate person-to-person spread of infectious diseases. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295841 Mon, 18 Jan 2010 00:00:00 +0100 3295841 http://www.medworm.com/index.php?rid=3116777&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901751X%2Fabstract%3Frss%3Dyes MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116777 Thu, 24 Dec 2009 14:07:50 +0100 3116777 http://www.medworm.com/index.php?rid=3116776&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018290%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116776 Thu, 24 Dec 2009 14:07:50 +0100 3116776 http://www.medworm.com/index.php?rid=3116775&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018289%2Fabstract%3Frss%3Dyes Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116775 Thu, 24 Dec 2009 14:07:50 +0100 3116775 http://www.medworm.com/index.php?rid=3116774&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409018265%2Fabstract%3Frss%3Dyes ACOEP Intense Review. January 6–11, 2010. Chicago, IL. Sponsor: Am College of Osteopathic Emerg Phys. Fee: $500.00 – $1,200.00. Contact: Krsitin Wattonville, 142 E Ontario St #1500, Chicago, IL 60611. Email: kwattonville@acoep.org. 312-445-5710. (41.25) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116774 Thu, 24 Dec 2009 14:07:50 +0100 3116774 http://www.medworm.com/index.php?rid=3116773&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017533%2Fabstract%3Frss%3Dyes Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116773 Thu, 24 Dec 2009 14:07:50 +0100 3116773 http://www.medworm.com/index.php?rid=3116772&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017193%2Fabstract%3Frss%3Dyes Emergency physicians reporting for work this autumn kept an ear cocked for an unwelcome sound: the symphony of coughing that signaled a waiting room full of flu patients. The novel H1N1 influenza overloaded emergency departments (EDs) when it arrived in April 2009, and in many EDs remained a problem through the summer. With the advent of cooler weather, children's return to school, and the expected start of the regular flu season, doctors and department directors forecasted an onslaught, and wondered whether their units could summon the surge capacity to work through the crisis without increasing boarding or lengths of stay. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116772 Thu, 24 Dec 2009 14:07:50 +0100 3116772 http://www.medworm.com/index.php?rid=3116771&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901748X%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116771 Thu, 24 Dec 2009 14:07:50 +0100 3116771 http://www.medworm.com/index.php?rid=3116770&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017466%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116770 Thu, 24 Dec 2009 14:07:50 +0100 3116770 http://www.medworm.com/index.php?rid=3116769&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017442%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116769 Thu, 24 Dec 2009 14:07:50 +0100 3116769 http://www.medworm.com/index.php?rid=3116768&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012785%2Fabstract%3Frss%3Dyes Public health is concerned with populations, epidemiology, and prevention. It differs significantly from the training we all received in medical sciences where the focus was on patients, usually after the fact. Public health is concerned with identifying risks and then instituting ways to reduce or eliminate these risks. The title of the book, While We Were Sleeping, is based on the premise that most of what happens in public health is behind the scenes. But, it has done much to improve the health and welfare of everyone. The author states that he wrote this book for his students of public health to be able to give to their parents for when they ask “Now, what exactly is public health?” (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116768 Thu, 24 Dec 2009 14:07:50 +0100 3116768 http://www.medworm.com/index.php?rid=3116767&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012797%2Fabstract%3Frss%3Dyes Acute Management of Hand Injuries was written by orthopedic surgeons and accomplishes its intent of being an easy-to-use, succinct quick reference for medical professionals who have not had formal hand surgery training. Its small size and affordable price ($49.95) make it easy to use as a quick bedside reference. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116767 Thu, 24 Dec 2009 14:07:50 +0100 3116767 http://www.medworm.com/index.php?rid=3116766&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901508X%2Fabstract%3Frss%3Dyes At a time when excitement for adopting new ultrasonography applications is at a high, Stein et al are to be congratulated for applying critical judgment to the application of real-time ultrasonography for peripheral venous access. With the advent of higher quality, mobile machines, the use of ultrasound for vascular access and other procedural services is being enthusiastically encouraged for physicians, nurses and emergency medicine technicians. At our institution, Cedars-Sinai Medical Center, our Procedure Center is responsible for the vast majority of peripherally inserted central catheters, thoracenteses, paracenteses, and lumbar punctures, and we also frequently get asked to assist with peripheral IV access. We use ultrasonography for all of these applications, as endorsed by Blacksto... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116766 Thu, 24 Dec 2009 14:07:49 +0100 3116766 http://www.medworm.com/index.php?rid=3116765&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014437%2Fabstract%3Frss%3Dyes I thank Lugassy et al for their interest in our study. However, they provide poor reasoning for citalopram overdoses requiring prolonged monitoring. Although the metabolite didesmethylcitalopram has been associated with cardiac toxicity in dogs, this has not been shown in humans and Lugassy et al confirm this in the case they reference where only citalopram and desmethylcitalopram were detected. In a full pharmacokinetic-pharmacodynamic analysis of citalopram in overdose there was a delay in peak QT prolongation compared to peak drug concentrations. However, simulations based on the model showed that after 13 hours the chance of an abnormal QT occurring in a patient with a normal QT was less than 1%. In the single case reported by Tarabar et al the patient had QT prolongation on admission ... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116765 Thu, 24 Dec 2009 14:07:49 +0100 3116765 http://www.medworm.com/index.php?rid=3116764&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014425%2Fabstract%3Frss%3Dyes We read with great interest the recent paper discussing escitalopram overdose. Because serotonin syndrome constitutes a well-described set of recognizable symptoms, we were most interested in QT prolongation given that it is often asymptomatic but has grave implications. Many patients who ingest citalopram warrant prolonged telemetry monitoring because the QT prolonging effect of the metabolite didesmethylcitalopram can be delayed. Since it is unclear if delayed QT prolongation also occurs following escitalopram ingestion, we therefore commend the authors for their effort to investigate the clinical effects of this drug and for attempting to confirm ingestion with quantitative analysis. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116764 Thu, 24 Dec 2009 14:07:49 +0100 3116764 http://www.medworm.com/index.php?rid=3116763&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014346%2Fabstract%3Frss%3Dyes A 44-year-old woman with a history of opiate dependence presented with right shoulder pain and redness 3 days after injecting heroin into her right deltoid. On physical examination, she had a temperature of 37.9°C (100.3°F), blood pressure of 130/70 mm Hg, pulse rate of 80 beats/min, respiratory rate of 18 breaths/min, and a room air oxygen saturation of 98%. Erythema was observed over the medial aspect of her right shoulder, but there was no evidence of fluctuance or crepitus. She had full range of motion of her shoulder joint. The rest of her physical examination results were unremarkable. Radiographs of the shoulder showed no soft tissue foreign body, gas, or bony abnormality. Her basic metabolic panel result was normal, and CBC count revealed a mild increase in her WBC count (11 × 1... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116763 Thu, 24 Dec 2009 14:07:49 +0100 3116763 http://www.medworm.com/index.php?rid=3116762&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409005253%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:127.] A 53-year-old man complained of right arm weakness. He “jammed” his right arm by yanking on a heavy machine at work several weeks earlier. The arm continued to feel weak, and he mentioned the problem in “quick care,” where he has presented for a cough and nasal congestion. He has no other medical problems. He smokes and drinks alcohol moderately. He takes no medications of any kind. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116762 Thu, 24 Dec 2009 14:07:49 +0100 3116762 http://www.medworm.com/index.php?rid=3116761&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409004831%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:125-126.] “I have a confession to make.” (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116761 Thu, 24 Dec 2009 14:07:49 +0100 3116761 http://www.medworm.com/index.php?rid=3116760&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409004806%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:123-124.]Give me a bad position, I will defend it. Openings, endgames, complicated positions, dull draws, I love them and I will do my very best.—Hein Donner, Chess player, 1950 Not only does God play dice, but… he sometimes throws them where they cannot be seen.—Stephen Hawking (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116760 Thu, 24 Dec 2009 14:07:49 +0100 3116760 http://www.medworm.com/index.php?rid=3116757&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016448%2Fabstract%3Frss%3Dyes Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee): Wyatt W. Decker, MD (Co-Chair 2006-2007, Chair 2007-2009) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116757 Thu, 24 Dec 2009 14:07:49 +0100 3116757 http://www.medworm.com/index.php?rid=3116755&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017132%2Fabstract%3Frss%3Dyes Editor's Capsule Summary for Hlibczuk et al What is already known on this topic: Abdominal computed tomography (CT) is widely used for evaluation of suspected appendicitis, but the utility of CT without contrast remains controversial.What question this study addressed: What is the diagnostic accuracy of noncontrast CT in the emergency department (ED) evaluation of adults with suspected appendicitis?What this study adds to our knowledge: This 7-study systematic review of noncontrast CT yielded pooled estimates of sensitivity 93%, specificity 96%, positive likelihood ratio 24, and negative likelihood ratio 0.08, which are comparable to findings of previously published reviews.How this might change clinical practice: Noncontrast CT has high sensitivity and specificity in the ED diagnosis of a... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116755 Thu, 24 Dec 2009 14:07:48 +0100 3116755 http://www.medworm.com/index.php?rid=3116753&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017120%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2010;55:49-50.] Foodborne illness continues to be a significant cause of morbidity and mortality throughout the world. In the United States, 76 million illnesses, 325,000 hospitalizations, and 5,000 deaths are estimated by the CDC each year. Emergency physicians are one of the front-line providers encountering these illnesses. Therefore, it is important for emergency physicians to recognize foodborne illness, be knowledgeable about treatment, report suspected cases, and be aware of the changing epidemiology and emergence of new pathogens. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116753 Thu, 24 Dec 2009 14:07:48 +0100 3116753 http://www.medworm.com/index.php?rid=3116752&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017119%2Fabstract%3Frss%3Dyes This report summarizes epidemiologic data on FBDOs reported during 2006 (the most recent year for which data have been analyzed). A total of 1,270 FBDOs were reported, resulting in 27,634 cases and 11 deaths. Among the 624 FBDOs with a confirmed cause, norovirus was the most common cause, accounting for 54% of outbreaks and 11,879 cases, followed by Salmonella (18% of outbreaks and 3,252 cases). Among the 11 reported deaths, 10 were attributed to bacterial causes (6 Escherichia coli O157:H7, 2 Listeria monocytogenes, 1 Salmonella serotype enteritidis, and 1 Clostridium botulinum), and 1 was attributed to a chemical (mushroom toxin). Among outbreaks caused by a single food vehicle, the most common food commodities to which outbreak-related cases were attributed were poultry (21%), leafy veg... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116752 Thu, 24 Dec 2009 14:07:48 +0100 3116752 http://www.medworm.com/index.php?rid=3116750&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015571%2Fabstract%3Frss%3Dyes We examined factors associated with influenza testing and antiviral use.Results: A total of 1,055 ED clinicians from 123 hospitals responded to the survey. A majority of respondents (85.3%; n=887) reported they had tested their patients for influenza during the 2006 to 2007 influenza season (Emerging Infections Program site range: 59.3 to 100%; P (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116750 Thu, 24 Dec 2009 14:07:48 +0100 3116750 http://www.medworm.com/index.php?rid=3116748&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017934%2Fabstract%3Frss%3Dyes In the November 2009 issue, in the article by Vaillancourt et al (“The Out-of-Hospital Validation of the Canadian C-Spine Rule by Paramedics,”; pages 663-671), the first section of the Editor's Capsule Summary is incorrect. It should have said, “What is already known on this topic: Previous out-of-hospital studies indicate that selective spinal immobilization may miss patients with cervical injury.” We apologize for the error. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116748 Thu, 24 Dec 2009 14:07:47 +0100 3116748 http://www.medworm.com/index.php?rid=3116746&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017922%2Fabstract%3Frss%3Dyes In the May 2007 issue, the clinical policy entitled “Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Heart Failure Syndromes,” page 630, under critical question 1, Level B recommendations, two values are expressed incorrectly. The BNP and NT-proBNP values should be expressed as pg/mL instead of pg/dL. The authors regret these errors. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116746 Thu, 24 Dec 2009 14:07:47 +0100 3116746 http://www.medworm.com/index.php?rid=3116745&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017077%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 9. [Ann Emerg Med. 2010;55:15-16.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116745 Thu, 24 Dec 2009 14:07:47 +0100 3116745 http://www.medworm.com/index.php?rid=3195274&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016497%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 171. [Ann Emerg Med. 2010;55:181-183.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195274 Mon, 07 Dec 2009 00:00:00 +0100 3195274 http://www.medworm.com/index.php?rid=3295838&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901556X%2Fabstract%3Frss%3Dyes Conclusion: The Utstein elements predict survival but account for only a modest portion of outcome variability overall and between Resuscitation Outcomes Consortium sites. The results underscore the need for ongoing investigation to better understand characteristics that influence cardiac arrest survival. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295838 Mon, 30 Nov 2009 00:00:00 +0100 3295838 http://www.medworm.com/index.php?rid=3195272&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015595%2Fabstract%3Frss%3Dyes Conclusion: We were able to develop and use the Handoff Communication Assessment to analyze content and structure of handoff communication between emergency physicians and hospitalists at a single center. In this preliminary application of the tool, we found that emergency physician–to-hospitalist handoffs primarily consist of information giving and are not geared toward question-and-answer events. This critical exchange may benefit from ongoing analysis and reformulation. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195272 Mon, 30 Nov 2009 00:00:00 +0100 3195272 http://www.medworm.com/index.php?rid=3027917&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017302%2Fabstract%3Frss%3Dyes CALIFORNIA: Olive View-UCLA Medical Center is offering a full-time faculty position with UCLA appointment. We are a Los Angeles County facility, a primary UCLA teaching hospital, and an equal partner in the UCLA EM residency. Applicants should be BC/BP in EM with demonstrated academic interests. We are especially seeking ultrasound and/or simulation expertise. We have a well-funded research program with statistical support and research assistant staff. Join a progressive department with protected time for career development, a friendly environment, a highly competitive salary/benefit package, a modern facility, and a desirable southern California location. Send CV to: David Talan MD, Chairman, Dept. of Emergency Medicine, Olive View-UCLA Medical Center, 14445 Olive View Drive, North Annex,... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027917 Thu, 26 Nov 2009 14:14:49 +0100 3027917 http://www.medworm.com/index.php?rid=3027916&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017296%2Fabstract%3Frss%3Dyes Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027916 Thu, 26 Nov 2009 14:14:49 +0100 3027916 http://www.medworm.com/index.php?rid=3027915&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017272%2Fabstract%3Frss%3Dyes Advance Cardiac Life Support Provider & Renewal. December 2, 2009. Williamsport, PA. Sponsor: Susquehanna Health. Fee: $125.00 – $175.00. Contact: Albert D Morrison, III, 1100 Grampian Blvd, Williamsport, PA 17701. Email: amorrison4@susquehannahealth.org. 570-320-7865. (8) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027915 Thu, 26 Nov 2009 14:14:49 +0100 3027915 http://www.medworm.com/index.php?rid=3027914&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901662X%2Fabstract%3Frss%3Dyes MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027914 Thu, 26 Nov 2009 14:14:49 +0100 3027914 http://www.medworm.com/index.php?rid=3027913&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016643%2Fabstract%3Frss%3Dyes Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027913 Thu, 26 Nov 2009 14:14:49 +0100 3027913 http://www.medworm.com/index.php?rid=3027912&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016436%2Fabstract%3Frss%3Dyes The report's conclusion, written in crisp and withering language, left no room for ambiguity about the transgressions of surgeon Timothy Kuklo, MD. “What has transpired here is the ultimate tragedy and catastrophe in academic medicine,” wrote Col. J. Edwin Atwood. “The breach of research integrity and academic integrity is one of the most destructive and egregious violations which can occur in academia–truly an academic institution's greatest nightmare.” (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027912 Thu, 26 Nov 2009 14:14:49 +0100 3027912 http://www.medworm.com/index.php?rid=3027911&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016424%2Fabstract%3Frss%3Dyes Paracelsus, the 16th century German-Swiss physician whose genius as a toxicologist was tardily recognized, once wrote “Everything is poison, there is poison in everything. Only the dose makes a thing not a poison.” (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027911 Thu, 26 Nov 2009 14:14:48 +0100 3027911 http://www.medworm.com/index.php?rid=3027910&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901659X%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027910 Thu, 26 Nov 2009 14:14:48 +0100 3027910 http://www.medworm.com/index.php?rid=3027909&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016576%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027909 Thu, 26 Nov 2009 14:14:48 +0100 3027909 http://www.medworm.com/index.php?rid=3027908&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016552%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027908 Thu, 26 Nov 2009 14:14:48 +0100 3027908 http://www.medworm.com/index.php?rid=3027907&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017168%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027907 Thu, 26 Nov 2009 14:14:48 +0100 3027907 http://www.medworm.com/index.php?rid=3027906&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409017156%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027906 Thu, 26 Nov 2009 14:14:48 +0100 3027906 http://www.medworm.com/index.php?rid=3027905&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006489%2Fabstract%3Frss%3Dyes Emergency medicine is a critical specialty with an emphasis on the acutely ill and injured. It requires prioritization, and rapid, safe decisionmaking. Generally speaking, no aspect is of greater importance than appropriate airway assessment and management. This has rightly drawn emergency medicine into the forefront of airway management. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027905 Thu, 26 Nov 2009 14:14:48 +0100 3027905 http://www.medworm.com/index.php?rid=3027904&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440900609X%2Fabstract%3Frss%3Dyes Expedition and wilderness medicine are exciting and expanding branches of emergency medicine with many different applications. In Expedition and Wilderness Medicine, Gregory Bledsoe, Michael Manyak, and David Townes provide a thorough review of the special circumstances involved in providing care to patients outside of a hospital or office environment. The 3 editors bring significant and important clinical and practical experience to this inclusive text. The authors, chosen for their academic and field experience, present, in addition to comprehensive wilderness medicine materials, a useful resource to physicians and others traveling in or practicing medicine in remote, extreme and/or wilderness areas both nationally and internationally. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027904 Thu, 26 Nov 2009 14:14:48 +0100 3027904 http://www.medworm.com/index.php?rid=3027903&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016187%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:861.] The American College of Emergency Physicians (ACEP) believes: (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027903 Thu, 26 Nov 2009 14:14:48 +0100 3027903 http://www.medworm.com/index.php?rid=3027902&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015492%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:861.] ACEP endorses in principle federal laws, state legislation, or constitutional amendments to implement tort legal reforms, including but not limited to the following: (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027902 Thu, 26 Nov 2009 14:14:48 +0100 3027902 http://www.medworm.com/index.php?rid=3027901&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014395%2Fabstract%3Frss%3Dyes This study put the uninsured costs of caring for excess injuries incurred by not wearing helmets at about $30 million annually. This does not include the insured costs which also negatively impact insurance premiums. On the other extreme of this argument, Nebraska calculated cost estimates for motorcycle crashes in 2007. They looked at wage and productivity losses, medical expenses, administrative expenses, motor vehicle damage, and employer costs. Their total projected cost for motorcycle crashes in 2007 was $30,671,000 in Nebraska alone. Although the actual number of economic impact to the citizens is obscure, we can agree that there is some negative impact. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027901 Thu, 26 Nov 2009 14:14:48 +0100 3027901 http://www.medworm.com/index.php?rid=3027900&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014383%2Fabstract%3Frss%3Dyes Dr. Thoma's cogent commentary on the issue of helmet use by motorcycle riders effectively refutes the 3 main medical arguments against helmet use. Any fair perusal of the overwhelming data summarized in his references would conclude that there simply is no medical controversy about whether injury and death are greatly reduced by wearing a helmet. But it seems equally clear that these facts provide little justification for our various state and national professional organizations–including the American College of Emergency Physicians–to adopt an advocacy position on an issue where the overall impact on the public health is small but the impingement on personal choice for a minority is significant. To his credit, Dr. Thoma concedes the honesty of the “personal freedom” argument but t... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027900 Thu, 26 Nov 2009 14:14:48 +0100 3027900 http://www.medworm.com/index.php?rid=3027899&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015443%2Fabstract%3Frss%3Dyes We thank our colleagues for their comments, and the opportunity to clarify several important issues. With respect to extrapolation to an equivalent 4-hour concentration, we thought it important to present the acetaminophen concentrations as the equivalent 4-hour concentrations to standardize the effect of time from ingestion to treatment on risk of hepatotoxicity. The extrapolation is similar to (and mathematically identical to) the Rumack-Matthew acetaminophen treatment nomogram, and thus shares validity and limitations with the nomogram. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027899 Thu, 26 Nov 2009 14:14:48 +0100 3027899 http://www.medworm.com/index.php?rid=3027898&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015509%2Fabstract%3Frss%3Dyes This study compared data from a US multi-center group and a Canadian group suggesting that IV N-acetylcysteine may be superior up until 12 hours following acetaminophen overdose, and then both oral and IV are about equally efficacious until 18 hours when the data on oral N-acetylcysteine from the US study shows superiority. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027898 Thu, 26 Nov 2009 14:14:47 +0100 3027898 http://www.medworm.com/index.php?rid=3027897&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409013985%2Fabstract%3Frss%3Dyes Although we commend Yarema et al for their efforts to compare the efficacy of the 20-hour intravenous acetylcysteine protocol with the 72-hour oral acetylcysteine protocol, we have several questions regarding their analysis of the data sets. The authors acknowledge the limitations of the extrapolation of a known acetaminophen concentration back to a 4 hours post-ingestion concentration assuming an acetaminophen half-life of 4 hours. As demonstrated in the seminal work of Prescott, the pharmacokinetics vary with overdose from a half-life as short as 1-2 hours, to well over 4 hours. We question whether there were sufficient patients with multiple concentrations to allow individualized extrapolations back to a 4-hour concentration. Alternatively, we would suggest that an analysis that aggrega... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027897 Thu, 26 Nov 2009 14:14:47 +0100 3027897 http://www.medworm.com/index.php?rid=3027896&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012864%2Fabstract%3Frss%3Dyes The use of automated external defibrillators improves survival from cardiac arrest. To aid the awareness and help rapid deployment of automated external defibrillators, the International Liaison Committee on Resuscitation has presented a universal sign to indicate the presence of an automated external defibrillator (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027896 Thu, 26 Nov 2009 14:14:47 +0100 3027896 http://www.medworm.com/index.php?rid=3027895&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006118%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:e18-e19.] A 48-year-old man presented to the emergency department, complaining of 7 days of progressive painful swelling localized to the left side of his neck. The patient denied any fevers or shortness of breath, although he observed mild dysphagia. The patient's medical history was significant for a salivary gland abscess 8 years before. His physical examination result was remarkable for a 5-cm-by-3-cm left-sided lateral neck mass, located below the angle of the mandible, that was tender to palpation, nonfluctuant, and without surrounding cellulitis. The shows a bedside emergency ultrasonogram of the mass. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027895 Thu, 26 Nov 2009 14:14:47 +0100 3027895 http://www.medworm.com/index.php?rid=3027894&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409004053%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:854.] A 23-year-old man presented to our trauma bay after sustaining a head injury while fishing. Emergency medical services reported that while fishing, the patient reeled in the sinker for what he thought may have been a fish and that the sinker suddenly flew through the air, striking him in the left eye (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027894 Thu, 26 Nov 2009 14:14:47 +0100 3027894 http://www.medworm.com/index.php?rid=3027893&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901258X%2Fabstract%3Frss%3Dyes Cruz et al contains 2 parts, a comparison of the values gathered by trained research assistants and physicians about historical information in chest pain patients and the comparison of these participants' recordings with a “correct” value for each item. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027893 Thu, 26 Nov 2009 14:14:47 +0100 3027893 http://www.medworm.com/index.php?rid=3027892&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409003631%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:841-842.] Seventeen hours into the induction and things were not going smoothly. My wife and I were expecting our first child, and it seemed like the pitocin began sometime between forever and an eternity ago. In that period of time, my wife had slowly progressed and was now dilated to 5 cm, with an effacement of 80%. However, something had abruptly changed. Despite receiving an epidural, she was now in intense pain. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027892 Thu, 26 Nov 2009 14:14:47 +0100 3027892 http://www.medworm.com/index.php?rid=3027891&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409003606%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:840.] It was a normal morning as I walked to the ED past the medical ICU. I ran into one of the ICU nurses just as she was finishing an exhausting night shift with an unstable patient destined to die in a few hours. The turn in my day happened when she mentioned the patient by name. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027891 Thu, 26 Nov 2009 14:14:47 +0100 3027891 http://www.medworm.com/index.php?rid=3027890&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016461%2Fabstract%3Frss%3Dyes This study examines 38 states and the District of Columbia, all of which in 2007 had seat belt use rates below 90%. The researchers looked at what the potential savings would be if these entities could increase their seat belt use rates to 90%. The study estimated that an additional 1,652 lives would have been saved had this increase in seat belt use occurred, and nearly 40,000 more nonfatal injuries would have been prevented, which would result in an additional cost savings of about $5.2 billion. In addition to health and wellness benefits to those individuals who were unharmed, 90% belt use in those areas would likely be 40,000 fewer emergency department (ED) visits, a potentially important effect on crowding and resource use in our day-to-day working lives. (Source: Annals of Emergency ... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027890 Thu, 26 Nov 2009 14:14:46 +0100 3027890 http://www.medworm.com/index.php?rid=3027889&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901645X%2Fabstract%3Frss%3Dyes [National Highway Traffic Safety Administration. The increase in lives saved, injuries prevented, and cost savings if seat belt use rose to at least 90 percent in all states. Ann Emerg Med. 2009;54:837.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027889 Thu, 26 Nov 2009 14:14:46 +0100 3027889 http://www.medworm.com/index.php?rid=3027888&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015601%2Fabstract%3Frss%3Dyes Conclusion: In our model, denim clothing proved effective at reducing venom injection by both small and large rattlesnakes. Wearing long denim pants as an alternative to shorts may provide a simple, low-cost means of reducing the severity of snakebites. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027888 Thu, 26 Nov 2009 14:14:46 +0100 3027888 http://www.medworm.com/index.php?rid=3027882&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016503%2Fabstract%3Frss%3Dyes In the September 2009 issue, in the article by Ginde et al (“National Study of the Emergency Physician Workforce, 2008,”; pages 349-359), reference 17 is incorrect. The correct reference should read: Carter DL, Ruiz E, Lappe K. Comprehensive advanced life support. A course for rural emergency care teams. Minn Med. 2001 Nov;84(11):38-41. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027882 Thu, 26 Nov 2009 14:14:45 +0100 3027882 http://www.medworm.com/index.php?rid=3027881&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014450%2Fabstract%3Frss%3Dyes Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor's Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can be submitted to the section editors (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027881 Thu, 26 Nov 2009 14:14:45 +0100 3027881 http://www.medworm.com/index.php?rid=3027880&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409004843%2Fabstract%3Frss%3Dyes Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor's Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can be submitted to the section editors (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027880 Thu, 26 Nov 2009 14:14:45 +0100 3027880 http://www.medworm.com/index.php?rid=3027878&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016515%2Fabstract%3Frss%3Dyes In the July 2009 issue, in the Journal Club (“The Measurement of Reliability,” page 10, table on left in answer 4C), in column 3, row 3, it should have said “4,” not “40.” We apologize for this error. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027878 Thu, 26 Nov 2009 14:14:45 +0100 3027878 http://www.medworm.com/index.php?rid=3116744&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015613%2Fabstract%3Frss%3Dyes Conclusion: Patients who participated in an intimate partner violence study did not spend a lot of time reading the consent document, asked few questions, and did not take the copy of the consent form with them. Future studies of the current consent process should determine whether it provides adequate human subjects protections in a manner desired by the patient. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116744 Mon, 23 Nov 2009 00:00:00 +0100 3116744 http://www.medworm.com/index.php?rid=2928664&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016370%2Fabstract%3Frss%3Dyes CALIFORNIA: Olive View-UCLA Medical Center is offering a full-time faculty position with UCLA appointment. We are a Los Angeles County facility, a primary UCLA teaching hospital, and an equal partner in the UCLA EM residency. Applicants should be BC/BP in EM with demonstrated academic interests. We are especially seeking ultrasound and/or simulation expertise. We have a well-funded research program with statistical support and research assistant staff. Join a progressive department with protected time for career development, a friendly environment, a highly competitive salary/benefit package, a modern facility, and a desirable southern California location. Send CV to: David Talan MD, Chairman, Dept. of Emergency Medicine, Olive View-UCLA Medical Center, 14445 Olive View Drive, North Annex,... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928664 Tue, 27 Oct 2009 14:11:35 +0100 2928664 http://www.medworm.com/index.php?rid=2928663&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016369%2Fabstract%3Frss%3Dyes Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928663 Tue, 27 Oct 2009 14:11:35 +0100 2928663 http://www.medworm.com/index.php?rid=2928662&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409016357%2Fabstract%3Frss%3Dyes Introduction to Abdominal Sonography. November 2-4, 2009. St Pete Beach, FL. Sponsor: Gulfcoast Ultrasound Institute Inc. Fee: $1,315.00 – $1,355.00. Contact: Lori Green, 4615 Gulf Blvd, #205, St Pete Beach, FL 33706. Email: lori.green@gcus.com. 727-363-4500. (24) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928662 Tue, 27 Oct 2009 14:11:35 +0100 2928662 http://www.medworm.com/index.php?rid=2928661&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015716%2Fabstract%3Frss%3Dyes MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928661 Tue, 27 Oct 2009 14:11:35 +0100 2928661 http://www.medworm.com/index.php?rid=2928660&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901573X%2Fabstract%3Frss%3Dyes Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928660 Tue, 27 Oct 2009 14:11:35 +0100 2928660 http://www.medworm.com/index.php?rid=2928659&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015121%2Fabstract%3Frss%3Dyes While physician certification is being tied to quality efforts, one source of physician education funding is coming under increasing scrutiny. Spurred by Congressional and nonprofit attention to close relationships between professors and pharmaceutical companies and by the American Medical Student Association (AMSA)'s PharmFree campaign, academic medical centers are backing away from any overt relationships with drug companies, sometimes incurring substantial costs. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928659 Tue, 27 Oct 2009 14:11:35 +0100 2928659 http://www.medworm.com/index.php?rid=2928658&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901511X%2Fabstract%3Frss%3Dyes The movement to measure and improve quality and performance is coming to emergency medicine via changes in board certification, and its arrival is placing pressure on individual physicians and specialty professional organizations alike. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928658 Tue, 27 Oct 2009 14:11:35 +0100 2928658 http://www.medworm.com/index.php?rid=2928657&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015108%2Fabstract%3Frss%3Dyes Police are increasingly leaning on emergency department (ED) staff to collect blood samples from suspected drunk drivers, and physicians, nurses and administrators are sometimes bristling at the ethical and legal conflicts involved. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928657 Tue, 27 Oct 2009 14:11:35 +0100 2928657 http://www.medworm.com/index.php?rid=2928656&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015686%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928656 Tue, 27 Oct 2009 14:11:35 +0100 2928656 http://www.medworm.com/index.php?rid=2928655&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015662%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928655 Tue, 27 Oct 2009 14:11:35 +0100 2928655 http://www.medworm.com/index.php?rid=2928654&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015649%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928654 Tue, 27 Oct 2009 14:11:35 +0100 2928654 http://www.medworm.com/index.php?rid=2928653&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006076%2Fabstract%3Frss%3Dyes Clinical Emergency Radiology is designed as an introductory and reference textbook specifically for emergency physicians and the editor and contributing authors are well-recognized experts in emergency medicine. This text is a combined reference for the most common imaging modalities used in emergency medicine practice including sections on plain radiography, bedside ultrasonography, computed tomography and magnetic resonance imaging. Previously, most reference texts have focused on a single modality. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928653 Tue, 27 Oct 2009 14:11:35 +0100 2928653 http://www.medworm.com/index.php?rid=2928652&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409005368%2Fabstract%3Frss%3Dyes Simply stated, this is not your average textbook. Dr. Brian Rowe, his co-editors and contributors, have masterfully designed a book to “answer the direct, give-me-the-bottom-line questions emergency physicians ask in the middle of their shifts…” The format is not typical of a textbook, rather it is similar to that of Annals of Emergency Medicine's Evidence-Based Emergency Medicine Series or the Journal of American Medical Association's Rational Clinical Examination Series. The book's 63 chapters are divided into 10 sections including General Issues, Respiratory, Cardiology, General Medical Conditions, Injury, Genitourinary and Abdominal, Neurosciences, ENT, Minor Procedures, and Public Health. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928652 Tue, 27 Oct 2009 14:11:34 +0100 2928652 http://www.medworm.com/index.php?rid=2928651&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006465%2Fabstract%3Frss%3Dyes Controversy continues regarding the safety of conducted electrical weapons, commonly known by the brand name Taser. This important discussion often pivots on the question of cardiac safety: whether, and if so how often, conducted electrical weapons might produce a fatal cardiac dysrhythmia. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928651 Tue, 27 Oct 2009 14:11:34 +0100 2928651 http://www.medworm.com/index.php?rid=2928650&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409006180%2Fabstract%3Frss%3Dyes A 51-year-old man collapsed after chewing a pinang-wang due to curiosity. He was transported to our emergency department (ED) presenting with out-of-hospital cardiac arrest. Quick paddle look showed ventricular fibrillation and the patient received repetitive defibrillation, epinephrine, vasopressin, amiodarone, lidocaine and magnesium sulphate. After 20 minutes, it changed to wide QRS complex tachycardia. Intravenous sodium bicarbonate (1 mEq/kg, total dose: 70 mEq) was administered and the arrhythmia was successfully terminated. His blood pressure increased to 126/71 mmHg. Electrocardiogram showed ST segment elevation over precordial leads (V1-V6). Primary percutaneous coronary intervention revealed normal coronary arteries. However, the electrocardiogram remained ST elevation post-percu... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928650 Tue, 27 Oct 2009 14:11:34 +0100 2928650 http://www.medworm.com/index.php?rid=2928649&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409003734%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:756.] A 46-year-old psychotic woman presented to our emergency department with a 4-day history of abdominal pain and protracted vomiting. She reported no previous surgeries, and her treatment consisted of high doses of 2 neuroleptics (chlorpromazine and loxapine) and a combination of 2 anticholinergic drugs (trihexyphenidyl and tropatepine). Physical findings included a painful distended abdomen with hypertympanic percussion and rapid shallow breathing. Chest radiograph and computed tomography (CT) of the abdomen revealed an enormous gaseous distension of the stomach and the whole intestinal tract, with hepatodiaphragmatic interposition of the large bowel (Chilaiditi sign) (, , and ). Laboratory testing showed no electrolyte imbalance. A few hours later, she was tr... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928649 Tue, 27 Oct 2009 14:11:34 +0100 2928649 http://www.medworm.com/index.php?rid=2928648&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440900119X%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:754-755.] I start my night by saying good morning to the charge nurse. He tells me, “It's night.” I say, “Close enough.” This is our ritual, and we adhere to it like a secret handshake. No night shift can go well without the right beginning. This is true for everything, so I'm always careful when I start something. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928648 Tue, 27 Oct 2009 14:11:34 +0100 2928648 http://www.medworm.com/index.php?rid=2928647&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409001188%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:753.] Tonight, there is peace in the Middle East. Stepping away from the building lights, a canopy of a million stars. I breathe in the cold dry desert air, the whisper of prophets on the wind, a trace of camel scent near the helipad, and my white coat furls in slow motion. “Hey doc, better get in here, Red Crescent's on the radio.” The nurse is from Kerala, beautiful, dedicated, and in her words, I know 50 kilometers away another road traffic accident. I reach out with my senses and feel the blood drip from deformed metal. A sigh of sadness, and I return to the comforting chaos of the ER. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928647 Tue, 27 Oct 2009 14:11:34 +0100 2928647 http://www.medworm.com/index.php?rid=2928642&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015480%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2009;54:734-736.] On June 11, 2009, less than 1 month after the release of this first report of hospitalized patients with novel influenza A (H1N1), the World Health Organization declared an influenza pandemic, urging the health care community to implement appropriate measures to help prevent a repeat of the deadly 1918 pandemic, which caused more than 50 million deaths. Although most cases observed during the current outbreak appear to be relatively mild (as of July 11, 2009, there were approximately 37,000 US cases, with slightly more than 200 deaths), serious complications have occurred and the pandemic remains in flux. Emergency physicians will play a pivotal role in the care of patients during this infectious disease outbreak and accordingly need to be armed with guid... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928642 Tue, 27 Oct 2009 14:11:33 +0100 2928642 http://www.medworm.com/index.php?rid=2928641&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015479%2Fabstract%3Frss%3Dyes [Centers for Disease Control and Prevention. Hospitalized patients with novel influenza A (H1N1) virus infection—California, April-May, 2009. MMWR Morb Mortal Wkly Rep. 2009;58:536-541.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928641 Tue, 27 Oct 2009 14:11:33 +0100 2928641 http://www.medworm.com/index.php?rid=2928640&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012256%2Fabstract%3Frss%3Dyes Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee): Wyatt W. Decker, MD (Co-Chair 2006-2007, Chair 2007-2009) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928640 Tue, 27 Oct 2009 14:11:33 +0100 2928640 http://www.medworm.com/index.php?rid=2928638&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015522%2Fabstract%3Frss%3Dyes In the September 2009 Research Forum supplement, in abstract 6 by Green, (“Effect of Hyperlactatemia on the Likelihood of In-patient Mortality for Patients with a Normal and Abnormal Anion Gap”; page S3), the following authors' names and affiliations are missing: Tony Berger, MD, Jacobi Medical Center; Nidhi Garg, MD, New York Hospital Queens; Krista Gitkind, RN, New York Hospital Queens. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928638 Tue, 27 Oct 2009 14:11:33 +0100 2928638 http://www.medworm.com/index.php?rid=2928633&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015534%2Fabstract%3Frss%3Dyes Editor's Capsule Summary for Vaillancourt et al What is already known on this topic: Previous out-of-hospital studies indicate that selective spinal immobilization may miss patients with cervical injury.What question this study addressed: Can paramedics apply the Canadian C-Spine Rule in alert, stable, cooperative, blunt-trauma patients to reserve spinal immobilization for high-risk patients while avoiding immobilization for low-risk patients?What this study adds to our knowledge: In this 1,949-patient cohort, paramedics achieved 100% sensitivity and 38% specificity for important cervical fractures.How this might change clinical practice: Use of the Canadian C-spine Rule by paramedics may safely avoid unnecessary spinal immobilization. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928633 Tue, 27 Oct 2009 14:11:32 +0100 2928633 http://www.medworm.com/index.php?rid=2928631&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015510%2Fabstract%3Frss%3Dyes In the August 2009 issue, in the article by Ruygrok et al (“Validation of 3 Termination of Resuscitation Criteria for Good Neurologic Survival After Out-of-Hospital Cardiac Arrest,”; pages 239-247), the column headings in Table 4 were incorrect. They should have been “Yes,” “No,” and “Total.,” We apologize for the error. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2928631 Tue, 27 Oct 2009 14:11:32 +0100 2928631 http://www.medworm.com/index.php?rid=3116751&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014401%2Fabstract%3Frss%3Dyes Study objective: Abnormal (both low and high) central venous saturation (ScvO2) is associated with increased mortality in emergency department (ED) patients with suspected sepsis.Methods: This was a secondary analysis of 4 prospectively collected registries of ED patients treated with early goal-directed therapy–based sepsis resuscitation protocols from 4 urban tertiary care hospitals. Inclusion criteria were sepsis, hypoperfusion defined by systolic blood pressure less than 90 mm Hg or lactate level greater than or equal to 4 mmol/L, and early goal-directed therapy treatment. ScvO2 levels were stratified into 3 groups: hypoxia (ScvO2 (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116751 Mon, 26 Oct 2009 00:00:00 +0100 3116751 http://www.medworm.com/index.php?rid=3116749&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014000%2Fabstract%3Frss%3Dyes Conclusion: The mobile pediatric emergency response team and screening and triage algorithms were able to safely and effectively identify a group of low-acuity patients who could be rapidly evaluated and discharged, alleviating ED volume and potentially preventing transmission of H1N1 influenza. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3116749 Mon, 19 Oct 2009 00:00:00 +0100 3116749 http://www.medworm.com/index.php?rid=3195277&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012803%2Fabstract%3Frss%3Dyes Breath alcohol analyzers are used to detect ethanol in motorists and others suspected of public intoxication. One concern is their ability to detect interfering substances that may falsely increase the ethanol reading. A 47-year-old-man was found in a public park, acting intoxicated. A breath analyzer test (Intoxilyzer 5000EN) measured 0.288 g/210 L breath ethanol, without an interferent noted. In the emergency department, the patient admitted to drinking HEET Gas-Line antifreeze, which contains 99% methanol. Two to three hours after ingestion, serum and urine toxicology screen results were negative for ethanol and multiple other substances. His serum methanol concentration was 589 mg/dL, serum osmolality 503 mOsm/kg, osmolar gap 193 mOsm/kg, and anion gap 17 mmol/L. The patient was treate... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195277 Thu, 15 Oct 2009 00:00:00 +0100 3195277 http://www.medworm.com/index.php?rid=3295840&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014462%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 258. [Ann Emerg Med. 2010;55:265-267.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295840 Mon, 12 Oct 2009 00:00:00 +0100 3295840 http://www.medworm.com/index.php?rid=3195276&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014309%2Fabstract%3Frss%3Dyes Conclusion: Methamphetamine body stuffers have similar demographics to those of body stuffers of other stimulants, but tended to ingest fewer baggies with larger masses, and had a higher percentage of severe outcomes (29%) than previously reported with other stimulants. Increases in presenting pulse rate and temperature (pulse rate >120 beats/min or >38.0°C) are common in patients who will develop end-organ damage. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195276 Mon, 12 Oct 2009 00:00:00 +0100 3195276 http://www.medworm.com/index.php?rid=3195275&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012815%2Fabstract%3Frss%3Dyes Conclusion: A color chart can be used to give a clinically useful quantitative estimate of methemoglobinemia. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195275 Fri, 09 Oct 2009 00:00:00 +0100 3195275 http://www.medworm.com/index.php?rid=3027884&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014012%2Fabstract%3Frss%3Dyes Conclusion: EDs play a larger role in the management of geriatric patients over time. The increasing burden of the aging population in the EDs poses challenges in the training of future emergency physicians, care for older patients, public health insurance, and health care system reform. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3027884 Wed, 07 Oct 2009 00:00:00 +0100 3027884 http://www.medworm.com/index.php?rid=3195273&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901261X%2Fabstract%3Frss%3Dyes Patient handoffs at shift change are a ubiquitous and potentially hazardous process in emergency care. As crowding and lengthy evaluations become the standard for an increasing proportion of emergency departments (EDs), the number of patients handed off will likely increase. It is critical now more than ever before to ensure that handoffs supply valid and useful shared understandings between providers at transitions of care. The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED. It offers perspectives from other disciplines, provides a conceptual framework for handoffs, and categorizes models of existing practices. Legal and risk management issues are also addressed. A proposal fo... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195273 Mon, 05 Oct 2009 00:00:00 +0100 3195273 http://www.medworm.com/index.php?rid=3195270&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012839%2Fabstract%3Frss%3Dyes Conclusion: A minority of hospitals consistently achieved recommended wait times for all ED patients, and fewer than half of hospitals consistently admitted their ED patients within 6 hours. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3195270 Mon, 05 Oct 2009 00:00:00 +0100 3195270 http://www.medworm.com/index.php?rid=3295839&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014292%2Fabstract%3Frss%3Dyes Conclusion: In adults receiving ED propofol sedation, the addition of capnography to standard monitoring reduced hypoxia and provided advance warning for all hypoxic events. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295839 Fri, 25 Sep 2009 00:00:00 +0100 3295839 http://www.medworm.com/index.php?rid=3295836&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409012840%2Fabstract%3Frss%3Dyes Conclusion: In this North American sample, there was no association between EMS intervals and mortality among injured patients with physiologic abnormality in the field. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3295836 Thu, 24 Sep 2009 00:00:00 +0100 3295836 http://www.medworm.com/index.php?rid=2816144&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015352%2Fabstract%3Frss%3Dyes CALIFORNIA: Olive View-UCLA Medical Center is offering a full-time faculty position with UCLA appointment. We are a Los Angeles County facility, a primary UCLA teaching hospital, and an equal partner in the UCLA EM residency. Applicants should be BC/BP in EM with demonstrated academic interests. We are especially seeking ultrasound and/or simulation expertise. We have a well-funded research program with statistical support and research assistant staff. Join a progressive department with protected time for career development, a friendly environment, a highly competitive salary/benefit package, a modern facility, and a desirable southern California location. Send CV to: David Talan MD, Chairman, Dept. of Emergency Medicine, Olive View-UCLA Medical Center, 14445 Olive View Drive, North Annex,... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816144 Tue, 22 Sep 2009 16:30:20 +0100 2816144 http://www.medworm.com/index.php?rid=2816143&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015340%2Fabstract%3Frss%3Dyes Ads and complete payments must be received in writing by the issue's deadline date. These deadlines apply to insertions, cancellations, and changes. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816143 Tue, 22 Sep 2009 16:30:20 +0100 2816143 http://www.medworm.com/index.php?rid=2816142&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409015339%2Fabstract%3Frss%3Dyes Advanced Hazmat Life Support Provider and Instructor. October 1–2, 2009. Syracuse, NY. Sponsor: Arizona Emerg Med Research Center. Fee: $450.00 – $565.00. Contact: Danielle Crounse, PO Box 245057, Tucson, AZ 85724-5057. Email: danielle@aemrc.arizona.edu. 520-626-1982. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816142 Tue, 22 Sep 2009 16:30:20 +0100 2816142 http://www.medworm.com/index.php?rid=2816141&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014589%2Fabstract%3Frss%3Dyes MANUSCRIPT TITLE (PLEASE TYPE OR PRINT) _________________________________________________________________ (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816141 Tue, 22 Sep 2009 16:30:20 +0100 2816141 http://www.medworm.com/index.php?rid=2816140&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014607%2Fabstract%3Frss%3Dyes Annals of Emergency Medicine is the official publication of the American College of Emergency Physicians (www.acep.org). The journal is provided to all ACEP members as a membership benefit. For information about becoming an ACEP member, contact ACEP's member services department at the address below. For your convenience, a postage-paid card for obtaining membership information is included in every issue of the journal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816140 Tue, 22 Sep 2009 16:30:20 +0100 2816140 http://www.medworm.com/index.php?rid=2816139&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014334%2Fabstract%3Frss%3Dyes The intentions behind the regulation of residents' hours under New York State Department of Health Code section 405.4, the model for the national standards set by the Accreditation Council for Graduate Medical Education (ACGME) in 2003, are intuitive and admirable: no one wants exhausted, inexperienced, under-supervised residents seeing patients. Research on human sleep cycles suggests that a cowboy ethos is both unrealistic and dangerous; the image of constant clinical heroics performed under conditions too grueling for mere mortals to tolerate, these policies imply, belongs to mythology rather than reality. The high-profile Libby Zion drug interaction case that led to the state's 1987 Bertrand M. Bell Commission report, and thus to state and national limits on duty hours, put an unforget... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816139 Tue, 22 Sep 2009 16:30:19 +0100 2816139 http://www.medworm.com/index.php?rid=2816138&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014553%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816138 Tue, 22 Sep 2009 16:30:19 +0100 2816138 http://www.medworm.com/index.php?rid=2816137&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606440901453X%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816137 Tue, 22 Sep 2009 16:30:19 +0100 2816137 http://www.medworm.com/index.php?rid=2816136&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409014516%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816136 Tue, 22 Sep 2009 16:30:19 +0100 2816136 http://www.medworm.com/index.php?rid=2816135&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064409003667%2Fabstract%3Frss%3Dyes “Is it safe to put this tube into this patient's chest?” “Is this medication OK at this dose, for this patient's renal function, in the context of the other medications she is taking?” “Can I safely send this patient home?” “Am I comfortable with the follow-up I have arranged?” These are among the central questions that lay the framework for Patient Safety in Emergency Medicine. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2816135 Tue, 22 Sep 2009 16:30:19 +0100 2816135