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. Wed, 08 Feb 2012 14:35:36 +0100 http://www.medworm.com/index.php?rid=5609499&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064412000327%2Fabstract%3Frss%3Dyes TEXAS, Austin: RARE MEDICAL DIRECTOR OPPORTUNITY IN AUSTIN! Ideal candidate will be board-certified in Emergency Medicine with previous medical director experience. EXCEPTIONAL LOCATION: Live the good life in highly sought-after Austin, Texas. EXCEPTIONAL FACILITY: Work in 35,000-volume ED at award-winning flagship hospital. EXCEPTIONAL GROUP: Emergency Service Partners, LP is a stable, physician-owned and operated partnership with 20+ hospitals and 300+ providers, dedicated to quality care and patient satisfaction. Enjoy competitive productivity-based compensation, excellent work environment, two-year partnership track, equitable scheduling, and paid malpractice/tail coverage—all with tort reform and no state income tax. Strong medical director leadership is the key to our success! Cont... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609499 Fri, 20 Jan 2012 19:16:32 +0100 5609499 http://www.medworm.com/index.php?rid=5609498&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064412000315%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=5609498 Fri, 20 Jan 2012 19:16:32 +0100 5609498 http://www.medworm.com/index.php?rid=5609497&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064412000303%2Fabstract%3Frss%3Dyes 2012 Midwest Winter Symposium. February 2-5, 2012. Boyne Falls, MI. Sponsor: MI Colg of Emer Phys. Fee: $50.00 – $495.00. Contact: Christy Snitgen, 6647 West St. Joseph Hwy., Lansing, MI, 48917. Email: mcep@mcep.org. 5173275700. (14) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609497 Fri, 20 Jan 2012 19:16:32 +0100 5609497 http://www.medworm.com/index.php?rid=5609496&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019445%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=5609496 Fri, 20 Jan 2012 19:16:32 +0100 5609496 http://www.medworm.com/index.php?rid=5609495&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019421%2Fabstract%3Frss%3Dyes Annals adheres to the International Committee of Medical Journal Editor's specific requirements regarding authorship (see www.icmje.org). On behalf of all authors, I verify that all listed authors meet the www.icmje.org authorship requirements. ❒ Yes ❒ No, explain in cover letter (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609495 Fri, 20 Jan 2012 19:16:32 +0100 5609495 http://www.medworm.com/index.php?rid=5609494&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018890%2Fabstract%3Frss%3Dyes State legislators trying desperately to balance their budgets are targeting the nation's trauma system, already under severe financial pressure. In California, emergency services advocates managed to stave off a legislative budget committee's plan to divert the Maddy Fund, which has been providing millions of dollars in uncompensated care funding to trauma centers for the past 30 years. The budget panel wanted to move the dollars to the cash-strapped Medi-Cal program. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609494 Fri, 20 Jan 2012 19:16:32 +0100 5609494 http://www.medworm.com/index.php?rid=5609493&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015526%2Fabstract%3Frss%3Dyes Practicing a learned profession within a commercial culture has never been simple. The overlapping status of medicine in the United States as both a vocation and a business means that the borderlines of ethics and self-interest are constantly being drawn and redrawn. Medical professional organizations, like physicians, need to balance their healing mission and their cash flow. To an increasingly visible community of observers, many of these groups have lost this balance, even to the point of forfeiting the credibility as an independent professional authority. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609493 Fri, 20 Jan 2012 19:16:32 +0100 5609493 http://www.medworm.com/index.php?rid=5609492&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019391%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609492 Fri, 20 Jan 2012 19:16:32 +0100 5609492 http://www.medworm.com/index.php?rid=5609491&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019378%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609491 Fri, 20 Jan 2012 19:16:32 +0100 5609491 http://www.medworm.com/index.php?rid=5609490&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019354%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609490 Fri, 20 Jan 2012 19:16:32 +0100 5609490 http://www.medworm.com/index.php?rid=5609489&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101540X%2Fabstract%3Frss%3Dyes We read with great interest the News and Perspective article “Stand By to Repel Boarders” by Millard. We applaud his emphasis of the importance of reducing ambulance diversion across the country. As an example of an organized regional diversion plan, he mentions our work in greater Sacramento. Between 2001 and 2003, we decreased diversion hours regionally by 74%. Continued progress, however, stalled during the next few years until we implemented an aggressive, collaborative plan moving step by step toward the ultimate elimination of ambulance diversion. Using our sequential “3-2-1 Plan,” we reduced diversion by an additional 87% by the end of 2009. In June 2010, our entire region piloted a no-diversion plan and successfully eliminated all ambulance diversion from September 2010 to ... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609489 Fri, 20 Jan 2012 19:16:32 +0100 5609489 http://www.medworm.com/index.php?rid=5609488&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014053%2Fabstract%3Frss%3Dyes A 34-year-old man with diabetes presented to the emergency department with a 1-week history of fever, general malaise, and bilateral blurred vision. He had no history of ocular surgery. On ophthalmologic consultation, his visual acuity was 20/50 in the right eye and counting fingers in the left eye. Slit-lamp biomicroscopic and fundus examination was performed. Slit-lamp biomicroscopic examination showed 3+ cells without a hypopyon in the anterior chamber of each eye. Fundus examination revealed multiple subretinal/choroidal infiltrations and vitreous opacities, especially in the left eye (). Blood, urine, and vitreous cultures were obtained. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609488 Fri, 20 Jan 2012 19:16:32 +0100 5609488 http://www.medworm.com/index.php?rid=5609487&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411006135%2Fabstract%3Frss%3Dyes A 21-year-old man presented with several days of fever, sinus pain, decreased vision, and pain with eye movement. Examination revealed proptosis and periorbital edema/erythema, with an afferent pupillary defect and a visual acuity of hand-motion in the right eye (). A computed tomography (CT) scan showed opacification of the frontal, ethmoid, and maxillary sinuses bilaterally, with right-sided orbital inflammatory changes and a subperiosteal abscess in the superomedial orbit (). The patient began receiving vancomycin, ceftazidime, and metronidazole. He underwent an orbitotomy with subperiosteal abscess drainage and right-sided ethmoidectomy that same day. Abscess cultures grew Staphylococcus aureus and Streptococcus sanguis. Although the external examination showed apparent improvement, th... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609487 Fri, 20 Jan 2012 19:16:32 +0100 5609487 http://www.medworm.com/index.php?rid=5609486&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016702%2Fabstract%3Frss%3Dyes Kravitz et al performed a randomized clinical trial to compare the efficacy of 2 steroid preparations in adult emergency department (ED) patients with acute asthma exacerbations. The responsible conduct of research mandates clinical equipoise as the ethical basis for enrolling human subjects in clinical trials. This principle of clinical equipoise states that there exists genuine uncertainty among investigators about the relative therapeutic benefits of each treatment arm in a clinical trial. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609486 Fri, 20 Jan 2012 19:16:32 +0100 5609486 http://www.medworm.com/index.php?rid=5609485&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411006032%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:145-146.] Some patients need their ER doc to be a lover, not a fighter. I provide “customer service,” hold hands, and reassure. Not this time. It's Monday night in my emergency department (ED) when the paramedic radio goes off. The battle begins. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609485 Fri, 20 Jan 2012 19:16:32 +0100 5609485 http://www.medworm.com/index.php?rid=5609484&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018920%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;142-144.] Enforcement works. That is the lesson of NHTSA's Traffic Safety Facts Research Note “High Visibility Enforcement Demonstration Programs in Connecticut and New York Reduce Hand-Held Phone Use.” And publicly announced, visible, open enforcement is even better. The authors reviewed a program that demonstrated significant changes in driver behavior according to a funded, well-publicized enforcement campaign. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609484 Fri, 20 Jan 2012 19:16:32 +0100 5609484 http://www.medworm.com/index.php?rid=5609483&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018919%2Fabstract%3Frss%3Dyes [National Highway Traffic Safety Administration. High visibility enforcement demonstration programs in Connecticut and New York reduce hand-held phone use. Ann Emerg Med. 2012;141-142.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609483 Fri, 20 Jan 2012 19:16:32 +0100 5609483 http://www.medworm.com/index.php?rid=5609480&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015939%2Fabstract%3Frss%3Dyes Conclusion: There is substantial short- and longer-term morbidity and ongoing analgesic use among patients who present to an ED with undifferentiated musculoskeletal low back pain. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609480 Fri, 20 Jan 2012 19:16:32 +0100 5609480 http://www.medworm.com/index.php?rid=5609479&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018762%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 115. [Ann Emerg Med. 2012;59:126-127.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609479 Fri, 20 Jan 2012 19:16:32 +0100 5609479 http://www.medworm.com/index.php?rid=5609473&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005142%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:98.] A 30-year-old woman was referred to the emergency department (ED) after presumably having had an anaphylactic reaction to cotrimoxazole tablets. In the ED, she was conscious, oriented, tachypneic, tachycardic, and hypotensive (systolic blood pressure of 60 mm Hg). She was fluid resuscitated; a central venous catheter was placed in the left internal jugular vein uneventfully, and an epinephrine infusion was started. A chest radiograph was obtained after line placement (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609473 Fri, 20 Jan 2012 19:16:32 +0100 5609473 http://www.medworm.com/index.php?rid=5515755&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019202%2Fabstract%3Frss%3Dyes Ad rates and deadlines, see page 54A. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515755 Mon, 19 Dec 2011 07:25:17 +0100 5515755 http://www.medworm.com/index.php?rid=5515754&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019196%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=5515754 Mon, 19 Dec 2011 07:25:17 +0100 5515754 http://www.medworm.com/index.php?rid=5515753&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411019172%2Fabstract%3Frss%3Dyes 35th Annual Emergency Medicine in Yosemite Conference. January 12-14, 2012. Yosemite, CA, CA. Sponsor: CAL ACEP. Fee: $235.00 – $680.00. Contact: CAL/ACEP, 1020 11th St #310, Sacramento, CA, 95814. Email: calacep@calacep.org. 916-325-5455. (12) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515753 Mon, 19 Dec 2011 07:25:17 +0100 5515753 http://www.medworm.com/index.php?rid=5515752&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018221%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=5515752 Mon, 19 Dec 2011 07:25:17 +0100 5515752 http://www.medworm.com/index.php?rid=5515751&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018208%2Fabstract%3Frss%3Dyes Annals adheres to the International Committee of Medical Journal Editor's specific requirements regarding authorship (see www.icmje.org). On behalf of all authors, I verify that all listed authors meet the www.icmje.org authorship requirements. ❒ Yes ❒ No, explain in cover letter (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515751 Mon, 19 Dec 2011 07:25:17 +0100 5515751 http://www.medworm.com/index.php?rid=5515750&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017677%2Fabstract%3Frss%3Dyes State lotteries—to take just 1 phenomenon in which probabilistic thinking intersects with everyday life—are described aphoristically as a tax on people who are bad at mathematics. It would be more precise to call them a tax on people who are bad at math but act on it anyway. In the space between an understanding of conditional probability and the need (or desire) for consequential action, much depends on whether one perceives a connection between these realms, forces a connection, or accepts with equanimity that one may not exist. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515750 Mon, 19 Dec 2011 07:25:17 +0100 5515750 http://www.medworm.com/index.php?rid=5515749&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017665%2Fabstract%3Frss%3Dyes A letter to the editor published in the August edition of this journal has caused a dustup about access to mental health care, this time as it purportedly relates to insured people who have been told by an emergency physician to see a psychiatrist within 2 weeks. The Boston Globe published a story about the study, conducted by the Cambridge Health Alliance, the day it came out, the Associated Press sent a rewrite nationwide and National Public Radio talked about it. And Blue Cross Blue Shield of Massachusetts won't discuss it with Annals. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515749 Mon, 19 Dec 2011 07:25:17 +0100 5515749 http://www.medworm.com/index.php?rid=5515748&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018178%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515748 Mon, 19 Dec 2011 07:25:17 +0100 5515748 http://www.medworm.com/index.php?rid=5515747&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018154%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515747 Mon, 19 Dec 2011 07:25:17 +0100 5515747 http://www.medworm.com/index.php?rid=5515746&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018130%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515746 Mon, 19 Dec 2011 07:25:17 +0100 5515746 http://www.medworm.com/index.php?rid=5515745&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014417%2Fabstract%3Frss%3Dyes In the June 2011 issue of Annals, Fesmire et al provide a timely, comprehensive, and expert overview of the most important current decision rules, diagnostic modalities, and treatment recommendations for pulmonary embolism relevant to the practice of emergency medicine. The authors devote a section to the use of the PERC (pulmonary embolism rule-out criteria) rule and make a well-justified “Level B recommendation” for its use. In the next-to-last paragraph in this section, Fesmire et al noted one study by Wolf et al as evidence of external validation for the PERC rule. In the last paragraph in this section, the authors observed that “…there is no prospective outcome study of the use of the PERC rule for clinical decisionmaking.” (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515745 Mon, 19 Dec 2011 07:25:17 +0100 5515745 http://www.medworm.com/index.php?rid=5515744&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014144%2Fabstract%3Frss%3Dyes Despite the common refrain of “more study is needed,” emergency departments' (EDs') work goes on 24/7 and physicians have to make decisions today. As such, we hope Dr. Stone and colleagues will understand the liberties given editorialists and the need to sometimes make recommendations based on the best evidence. One investigation rarely answers all questions, and whereas the study by Frazee et al may be the first ED investigation, we can also benefit from a substantial infection control evidence base. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515744 Mon, 19 Dec 2011 07:25:17 +0100 5515744 http://www.medworm.com/index.php?rid=5515743&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014132%2Fabstract%3Frss%3Dyes We read with interest the editorial by Talan and Partida in response to a recent study investigating emergency department (ED) ultrasonographic probe contamination. Although we agree wholeheartedly that patient safety and infection control are of utmost importance, we caution against calling for uniform changes in ED ultrasonographic infection control practices as the result of a single study. The desire by Talan and Partida to promote infection control may have led to statements in their editorial for which there is little published evidence, such as “In the excitement to introduce ultrasonography, many departments have overlooked monitoring and enforcement of their infection control policies or have no policies at all.” In the hopes of finding common ground on this controversial issu... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515743 Mon, 19 Dec 2011 07:25:17 +0100 5515743 http://www.medworm.com/index.php?rid=5515742&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013412%2Fabstract%3Frss%3Dyes Thank you for your thoughtful commentary on the use of the phrase “drank the Kool-Aid” in a recent Annals News & Perspective story. We certainly did not mean to diminish or make light of the suffering and death of so many people at Jonestown 33 years ago. We do make a distinction between September 11, 2001, references, a fresh wound in our collective memory, and the Kool-Aid phrase, which has crept into the lexicon during the past 3 decades, whether born of the Jonestown massacre or a slightly different shade of meaning drawn from Tom Wolfe's Electric Kool-Aid Acid Test. We would contend that “drink the Kool-Aid” has slipped its etymologic moorings and simply means what it means: to buy into an ideology wholeheartedly and without reservation, which may have a positive or negative c... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515742 Mon, 19 Dec 2011 07:25:17 +0100 5515742 http://www.medworm.com/index.php?rid=5515741&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013400%2Fabstract%3Frss%3Dyes In a recent article, variations of a metaphor (“I drank the Kool-Aid a long time ago,” “the lean Kool-Aid has an energizing kick,” “totally bought in and drank the Kool-Aid”) are used both in quotes and in commentary in an analysis of the utility of lean management in emergency medicine. This metaphor is a reference to the Jonestown Massacre. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515741 Mon, 19 Dec 2011 07:25:17 +0100 5515741 http://www.medworm.com/index.php?rid=5515740&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411007177%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:e1-e2.] An 87-year-old woman presented to the emergency department with abdominal pain, constipation, and vomiting. She had a history of percutaneous cholecystostomy after acute cholecystitis with a large gallstone 6 months before (). Her physical examination demonstrated absence of bowel sounds and tympanic abdominal percussion. A computed tomography (CT) scan of the abdomen was obtained (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515740 Mon, 19 Dec 2011 07:25:17 +0100 5515740 http://www.medworm.com/index.php?rid=5515739&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003891%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:81.] A 24-year-old man presented to the emergency department after sustaining a stab wound to the left anterior side of the neck (). A full evaluation revealed no pulmonary or vascular injuries. When the patient was fully disrobed, asymmetry of the back was observed. The vertebral border of the left scapula protruded from the posterior chest wall and the inferior angle was rotated toward midline (). He was unable to elevate his left arm against resistance. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515739 Mon, 19 Dec 2011 07:25:17 +0100 5515739 http://www.medworm.com/index.php?rid=5515738&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013424%2Fabstract%3Frss%3Dyes The authors report 2 different “primary” outcome measures, each “measured in two ways.” How many outcome measures does this represent? What does primary mean in this context? Presuming that we are using a frequentist, hypothesis-testing approach (setting at .05, thereby considering a P value smaller than this value indicative of a “positive” trial), what is the recommended number of primary outcome measures? Why? (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515738 Mon, 19 Dec 2011 07:25:17 +0100 5515738 http://www.medworm.com/index.php?rid=5515737&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005750%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:75.] It is practically a truism of emergency medicine that, when in doubt, the physician should resuscitate first and ask questions later. There is frequently doubt. End-of-life decisions are particularly challenging for patients and their families in the emergency department (ED). Even when there is an advance directive, it is often outdated, improperly filled out, or, more likely, missing. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515737 Mon, 19 Dec 2011 07:25:17 +0100 5515737 http://www.medworm.com/index.php?rid=5515736&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018051%2Fabstract%3Frss%3Dyes In the article by Pasquier et al, “Electronic Control Device Exposure: A Review of Morbidity and Mortality,” published August 2011, Volume 58, Issue 2, pages 178-188, the following statement was omitted from the Funding and Support section: The authors have stated that no such relationships exist. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515736 Mon, 19 Dec 2011 07:25:17 +0100 5515736 http://www.medworm.com/index.php?rid=5515732&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411018026%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 56. [Ann Emerg Med. 2012;59:62-66.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515732 Mon, 19 Dec 2011 07:25:17 +0100 5515732 http://www.medworm.com/index.php?rid=5515730&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016696%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:54-55.] Cutaneous wound infections, along with gastrointestinal and respiratory illnesses, are among the most common nontraumatic conditions requiring health care for disaster-affected populations. The massive displacement of organic matter in soil, vegetation, and bodies of water caused by earthquakes, flooding, hurricanes, and tornados can expose wounds to a variety of potential pathogens. The above report of cutaneous mucormycosis after the 2011 Joplin tornado reflects previous reports of skin and soft tissue infections after natural disasters. After the 2010 earthquake in Haiti, 37% of presentations to the first field hospital established in Port-au-Prince were for infected wounds. In the aftermath of Hurricane Katrina, Staphylococcus aureus wound infections we... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515730 Mon, 19 Dec 2011 07:25:17 +0100 5515730 http://www.medworm.com/index.php?rid=5515729&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016684%2Fabstract%3Frss%3Dyes [Centers for Disease Control and Prevention. Fatal fungal soft-tissue infections after a tornado—Joplin, Missouri, 2011. MMWR Morb Mortal Wkly Rep. 2011;29:992.] On May 22, 2011, at 5:34 pm, a tornado with winds greater than 200 miles per hour struck Joplin, MO, injuring approximately 1,000 persons and causing 159 deaths. On June 3, a local physician notified the Springfield-Greene County Health Department and the Missouri Department of Health and Senior Services (MODHSS) of 2 patients hospitalized with tornado injuries who had suspected necrotizing fungal soft tissue infections. MODHSS initiated active surveillance for such infections at hospitals and laboratories serving patients injured in the tornado, and the Centers for Disease Control and Prevention (CDC) began assisting MODHSS wi... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515729 Mon, 19 Dec 2011 07:25:17 +0100 5515729 http://www.medworm.com/index.php?rid=5515722&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005002%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2012;59:18.] A 30-year-old woman presented to the emergency department, complaining of blurry vision after a blunt injury to her left eye 3 days ago. She had no history of ocular surgery. On ophthalmology consultation, her visual acuity with correction was 20/100 in the left eye. Slit-lamp biomicroscopic examination was performed (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515722 Mon, 19 Dec 2011 07:25:17 +0100 5515722 http://www.medworm.com/index.php?rid=5515720&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017653%2Fabstract%3Frss%3Dyes What is already known on this topic: Centers for Medicare & Medicaid Services (CMS) will require hospitals to report several care timeliness measures in the next 2 years. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515720 Mon, 19 Dec 2011 07:25:17 +0100 5515720 http://www.medworm.com/index.php?rid=5422660&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017938%2Fabstract%3Frss%3Dyes MICHIGAN, Cadillac: EPMG seeks an experienced Medical Director for Mercy Hospital. Cadillac is located 45 miles south of Traverse City and is an outdoor enthusiasts paradise! EPMG offers paid family benefits, flexible scheduling, 401(k) employer contribution, paid malpractice, and partnership. Contact Carrie Dib at 800-466-3764, x336 or cdib@epmgpc.com Visit us at www.epmgpc.com (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422660 Sat, 19 Nov 2011 07:39:15 +0100 5422660 http://www.medworm.com/index.php?rid=5422659&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017926%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=5422659 Sat, 19 Nov 2011 07:39:15 +0100 5422659 http://www.medworm.com/index.php?rid=5422658&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017914%2Fabstract%3Frss%3Dyes Practical Emergency Airway Management Course. December 1-2, 2011. Baltimore, MD. Sponsor: Jefferson Med Colg. Fee: $1,495.00. Contact: Vaughn Wurst, 1020 Locust Street #M%, Philadelphia, PA, 19107. Email: vaughn.wurst@jefferson.edu 215-955-6992. (15.75) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422658 Sat, 19 Nov 2011 07:39:15 +0100 5422658 http://www.medworm.com/index.php?rid=5422657&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101715X%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=5422657 Sat, 19 Nov 2011 07:39:15 +0100 5422657 http://www.medworm.com/index.php?rid=5422656&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017136%2Fabstract%3Frss%3Dyes Annals adheres to the International Committee of Medical Journal Editor's specific requirements regarding authorship (see www.icmje.org). On behalf of all authors, I verify that all listed authors meet the www.icmje.org authorship requirements. ❒ Yes ❒ No, explain in cover letter (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422656 Sat, 19 Nov 2011 07:39:15 +0100 5422656 http://www.medworm.com/index.php?rid=5422655&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016714%2Fabstract%3Frss%3Dyes Aiming to align federal payments to hospitals and physicians with the quality of care patients receive, the US Department of Health and Human Services has launched a new program that will change Medicare reimbursements for the 3,500 hospitals across the country. The sweeping changes, known as value-based purchasing and authorized by President Obama's Affordable Care Act, will begin in fiscal year 2013 and alter the way in which an estimated $850 million is allocated to hospitals. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422655 Sat, 19 Nov 2011 07:39:15 +0100 5422655 http://www.medworm.com/index.php?rid=5422654&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016726%2Fabstract%3Frss%3Dyes Ross Donaldson went to Sierra Leone as a third-year medical student to research a deadly but neglected disease and found himself running a Lassa fever ward alone. The experience, recounted in his 2009 book The Lassa Ward, was as life-altering as one might expect. It didn't divert Donaldson, MD, MPH, CTropMed, from his ambition of practicing emergency medicine. But it did transform how, where, and perhaps even why he practiced it. Now 36, Dr. Donaldson spends half the year in Los Angeles teaching and seeing patients. The other half he spends trying to bring, and nurture, the field of emergency medicine to places such as Haiti and Iraq while lending a remote hand to young associates in countries such as Libya. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422654 Sat, 19 Nov 2011 07:39:15 +0100 5422654 http://www.medworm.com/index.php?rid=5422653&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017100%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422653 Sat, 19 Nov 2011 07:39:15 +0100 5422653 http://www.medworm.com/index.php?rid=5422652&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017082%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422652 Sat, 19 Nov 2011 07:39:15 +0100 5422652 http://www.medworm.com/index.php?rid=5422651&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017069%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422651 Sat, 19 Nov 2011 07:39:15 +0100 5422651 http://www.medworm.com/index.php?rid=5422650&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101794X%2Fabstract%3Frss%3Dyes Emergency Medicine jobs in Australia and New Zealand! Amazing experiences, state-of-the-art facilities and incredible locations. Great opportunities for Emergency Physicians who are interested in positions for 6 months, 12 months or longer. Salary packages of $200,000 - $350,000 including relocation and benefits for a 38hr week. International Medical Recruitment assists with securing a job offer, medical licensing, work visas and relocation. www.IMRmedical.com info@IMRmedical.com 1 800 961 0342 (free call). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422650 Sat, 19 Nov 2011 07:39:15 +0100 5422650 http://www.medworm.com/index.php?rid=5422649&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017756%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422649 Sat, 19 Nov 2011 07:39:15 +0100 5422649 http://www.medworm.com/index.php?rid=5422648&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411017744%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422648 Sat, 19 Nov 2011 07:39:15 +0100 5422648 http://www.medworm.com/index.php?rid=5422647&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013011%2Fabstract%3Frss%3Dyes Dr. Hauswald provides an excellent perspective about clinical practice in resource-limited settings. Although American physicians are trained in a technologically advanced environment with unlimited access to specialized services, the appeal of global health and international emergency medicine fellowships is that they do offer opportunities for American physicians to learn how to work and improve their diagnostic skills in resource-limited environments. Most (if not all) opportunities offered by international emergency medicine and global health fellowships cover aspects of local accreditation and licensing; in regard to more independent endeavors, providers should indeed be mindful of ensuring accreditation in the local environment. However, our experience is that on the receiving end, o... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422647 Sat, 19 Nov 2011 07:39:15 +0100 5422647 http://www.medworm.com/index.php?rid=5422646&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013023%2Fabstract%3Frss%3Dyes I share the enthusiasm of Morton and Vu for global medicine but wish to add a few cautionary notes. American physicians are trained in an environment that is uniquely technologic in focus and resistant to economic limitations. We train and practice, at least in urban areas, with essentially unlimited access to tests, consultants, and specialists. Access to a modern laboratory and radiology suite, the availability of orthopedic and other specialty surgeons, and the ability to triage pregnant patients directly to labor and delivery is certainly good for patients. But this leads to a rather restricted idea of what treatments are under our purview. Completing a typical US emergency medicine residency will not make one competent to perform a Giemsa stain to diagnose malaria or use forceps for b... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422646 Sat, 19 Nov 2011 07:39:15 +0100 5422646 http://www.medworm.com/index.php?rid=5422645&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411006160%2Fabstract%3Frss%3Dyes We thank the commentator for the interest in our study, and we agree with the sentiment. Our study was designed specifically to detail where targeted quality improvement efforts might improve care for ST-segment elevation myocardial infarction (STEMI) patients presenting to non-percutaneous coronary intervention hospitals and requiring helicopter transfer. Our intent was to explore the assumption that helicopter transfer is indeed optimized and, if not, what strategies might be used to improve performance. There are factors unique to the use of helicopter transfer that likely contributed to our findings, which suggested, in our system at least, that use of a helicopter does not automatically fix the problem and further optimization would be needed. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422645 Sat, 19 Nov 2011 07:39:15 +0100 5422645 http://www.medworm.com/index.php?rid=5422644&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411006159%2Fabstract%3Frss%3Dyes We read with interest the article “Reperfusion Is Delayed Beyond Guideline Recommendations in Patients Requiring Interhospital Helicopter Transfer for Treatment of STEMI.” We strongly agree with the statement that alternative strategies are required to fortify an ST-segment elevation myocardial infarction (STEMI) system. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422644 Sat, 19 Nov 2011 07:39:15 +0100 5422644 http://www.medworm.com/index.php?rid=5422643&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411007165%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:e5-e6.] A 3-year-old fully vaccinated girl presented to the emergency department with a 2-day history of low-grade fevers, runny nose, and a “swelling” on the left side of her face. Physical examination demonstrated a well-appearing child with a firm, mobile, 2-cm swelling over the angle of the left mandible. Ultrasonography of the swelling was performed with a 5- to 10-MHz linear array transducer probe (). For comparison, ultrasonography of the same area on the right side was performed (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422643 Sat, 19 Nov 2011 07:39:15 +0100 5422643 http://www.medworm.com/index.php?rid=5422642&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441100360X%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:574.] A 65-year-old smoker with no known medical history presented to a Veterans Affairs emergency department with pain for 4 days after a fall forward onto his shoulder at home. On physical examination, the patient was afebrile and tachycardic to 110 beats/min. His right shoulder was warm and foul smelling and had a large area of black necrotic tissue and subcutaneous bullae, with surrounding swelling and erythema (). Crepitus was palpable superiorly and anteriorly. Radiograph of the shoulder revealed no dislocation, a prominent air-fluid level, and subcutaneous emphysema (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422642 Sat, 19 Nov 2011 07:39:15 +0100 5422642 http://www.medworm.com/index.php?rid=5422641&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411001296%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:572-573.]“Death by slow” is a flavor I hope you never taste or serve. A couple of years ago, I was working a busy night shift in the emergency department (ED) of an academic medical center. Bob Lamare and Kamini Patel were my physician assistants (PAs). They are seasoned professionals with 18 years of combined clinical experience in the ED. Together we managed 25 active patients, half of whom were very sick, and a handful that arrived close to death but were stabilizing after our rapid interventions. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422641 Sat, 19 Nov 2011 07:39:15 +0100 5422641 http://www.medworm.com/index.php?rid=5422640&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016970%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:569-571.] While working in the emergency department (ED) and caring for acutely injured motor vehicle crash victims, most of us might not stop to recognize that the crash-related injury and fatality rates across the nation are at an all-time historic low. Further, we could more confidently say that most emergency physicians would be surprised to discover that the progress in the reduction of US motor vehicle crash injuries and fatalities has been deemed one of the Centers for Disease Control and Prevention's 10 great public health achievements in the 21st century. Although motor vehicle crashes continue to be the leading cause of fatal injury in the United States and are responsible for more than $99 billion in medical and lost work costs annually, the fatality rat... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422640 Sat, 19 Nov 2011 07:39:15 +0100 5422640 http://www.medworm.com/index.php?rid=5422639&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016969%2Fabstract%3Frss%3Dyes This report analyzes data from 2 databases: the Law Enforcement Officers Killed & Assaulted (LEOKA) data, compiled by the Federal Bureau of Investigation (FBI), and the Fatality Analysis Reporting System (FARS), compiled by the National Highway Traffic Safety Administration (NHTSA). When an officer is killed in the line of duty, the FBI gathers data about circumstances pertaining to the death. The data come from various sources, including city, university and college, county, state, tribal, and federal law enforcement agencies participating in the Uniform Crime Reporting Program; FBI field offices; and several nonprofit organizations, such as the Concerns of Police Survivors and the National Law Enforcement Officers Memorial Fund, which provide various services to the families of killed of... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422639 Sat, 19 Nov 2011 07:39:15 +0100 5422639 http://www.medworm.com/index.php?rid=5422637&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013114%2Fabstract%3Frss%3Dyes Conclusion: The Test-mate ChE field kit reliably provides rapid measurement of RBC AChE in acute organophosphorus poisoning. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422637 Sat, 19 Nov 2011 07:39:14 +0100 5422637 http://www.medworm.com/index.php?rid=5422628&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003520%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:508.] A 58-year-old man presented to the emergency department (ED) with a 1-day history of rash and 3 days of nausea, vomiting, and diarrhea. His history was notable for recent hair transplantation and cephalexin use. He had finished his antibiotic course 5 days before presentation. He denied skin tenderness, oral ulcers, and history of skin disorders. On arrival, he had a pulse rate of 110 beats/min, respiratory rate of 32 breaths/min, blood pressure of 118/82 mm Hg, temperature of 40.9°C (105.6°F), and an oxygen saturation of 98% on 15 L/minute. About 24 hours before presentation, he noticed erythema in his groin, neck, and axillae and temperature to 40°C (104°F). The rash rapidly spread to his entire body, including his face (). At presentation, systemic sym... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5422628 Sat, 19 Nov 2011 07:39:14 +0100 5422628 http://www.medworm.com/index.php?rid=5609475&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016957%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 89. [Ann Emerg Med. 2012;59:101-102.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609475 Mon, 14 Nov 2011 05:00:00 +0100 5609475 http://www.medworm.com/index.php?rid=5336699&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016921%2Fabstract%3Frss%3Dyes INDIANA, Northwest: EPMG is currently interviewing physicians for administrative opportunities at Franciscan St. Anthony Health and Chesterton Health Center. Both facilities are located within 60 miles of Chicago, on the beautiful shores of Lake Michigan. EPMG physicians are employed partners and enjoy paid medical benefits, prescription, dental, vision, life, LTD, performance bonus, paid malpractice, 401(k), CME, relocation, and much more. To learn more contact Heather Smith at 800.466.3764 Ext. 326 or hsmith@epmgpc.com. Visit us at www.epmgpc.com. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336699 Sat, 22 Oct 2011 06:38:27 +0100 5336699 http://www.medworm.com/index.php?rid=5336698&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101691X%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=5336698 Sat, 22 Oct 2011 06:38:27 +0100 5336698 http://www.medworm.com/index.php?rid=5336697&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016908%2Fabstract%3Frss%3Dyes Radiation Emergency Medicine. November 1-4, 2011. Oak Ridge, TN. Sponsor: Oak Rdg Assoc Univs. Fee: $175.00. Contact: Becky Murdock, 1299 Bethel Valley Rd, Oak Ridge, TN, 37830. Email: becky.murdock@orise.orau.gov. 865-576-3129. (24.5) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336697 Sat, 22 Oct 2011 06:38:27 +0100 5336697 http://www.medworm.com/index.php?rid=5336696&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016180%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=5336696 Sat, 22 Oct 2011 06:38:27 +0100 5336696 http://www.medworm.com/index.php?rid=5336695&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016167%2Fabstract%3Frss%3Dyes Annals adheres to the International Committee of Medical Journal Editor's specific requirements regarding authorship (see www.icmje.org). On behalf of all authors, I verify that all listed authors meet the www.icmje.org authorship requirements. ❒ Yes ❒ No, explain in cover letter (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336695 Sat, 22 Oct 2011 06:38:27 +0100 5336695 http://www.medworm.com/index.php?rid=5336694&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015514%2Fabstract%3Frss%3Dyes The patient was alert and talking as the ambulance reached the Texas hospital. In the parking lot, he went into cardiac arrest. The paramedics started an aggressive attempt to restart his heart right there. He was then brought into the emergency department (ED), where efforts to resuscitate him continued, unsuccessfully. He died. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336694 Sat, 22 Oct 2011 06:38:26 +0100 5336694 http://www.medworm.com/index.php?rid=5336693&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016131%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336693 Sat, 22 Oct 2011 06:38:26 +0100 5336693 http://www.medworm.com/index.php?rid=5336692&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411016118%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336692 Sat, 22 Oct 2011 06:38:26 +0100 5336692 http://www.medworm.com/index.php?rid=5336691&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101609X%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336691 Sat, 22 Oct 2011 06:38:26 +0100 5336691 http://www.medworm.com/index.php?rid=5336690&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005749%2Fabstract%3Frss%3Dyes I applaud Jan Greene's “New US Medical Schools to Open Doors: But Residency Shortage Still the Bottleneck,” especially her analysis of how the recent and projected growth in medical education will solve neither the challenges associated with current residency slot restrictions nor the geographic maldistribution of physicians practicing in the United States. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336690 Sat, 22 Oct 2011 06:38:26 +0100 5336690 http://www.medworm.com/index.php?rid=5336689&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005166%2Fabstract%3Frss%3Dyes We thank Dr. Schenkel for his kind letter and endorse his recommendations for limiting outcome bias from a number of education, clinical, and medicolegal settings. Dr. Schenkel's ideas represent the type of discussion that we had hoped would occur as a result of our research. We encourage other readers to similarly develop and apply their ideas for limiting outcome bias. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336689 Sat, 22 Oct 2011 06:38:26 +0100 5336689 http://www.medworm.com/index.php?rid=5336688&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005154%2Fabstract%3Frss%3Dyes Drs. Gupta, Schriger, and Tabas have produced an elegant demonstration of outcome bias in our assessment of the care we provide. They warn us in a delightful and nonthreatening way that our retrospective judgments are suspect when we know the outcomes. They also stop short of making extensive recommendations based on their results. Several considerations follow naturally from their conclusions and could form the bases of departmental processes, institutional approaches, public policy, and future research. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336688 Sat, 22 Oct 2011 06:38:26 +0100 5336688 http://www.medworm.com/index.php?rid=5336687&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411005105%2Fabstract%3Frss%3Dyes We describe, to our knowledge, the first case of a retropharyngeal abscess drained in the ED by an emergency physician. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336687 Sat, 22 Oct 2011 06:38:26 +0100 5336687 http://www.medworm.com/index.php?rid=5336686&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411004847%2Fabstract%3Frss%3Dyes A 12-year-old healthy boy was evaluated for a growth under his right great toenail (). The lesion was initially diagnosed as a subungual verruca and treated for 4 months with topical salicylic acid and cryotherapy. No improvement was observed, and the growth continued to enlarge and became increasingly painful. Radiographs of the right foot demonstrated an osseous protuberance at the distal phalanx (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336686 Sat, 22 Oct 2011 06:38:26 +0100 5336686 http://www.medworm.com/index.php?rid=5336685&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003507%2Fabstract%3Frss%3Dyes A 36-year-old man presented to the emergency department, complaining of severe back pain after a spider bite. The patient was in his house without his shirt on when he felt an insect bite to his right upper back. He described progressive onset of severe back pain during the next 2 hours that did not respond to over-the-counter medications. The patient was ill appearing, with diffuse diaphoresis, temperature of 99.7°F (37.6°C), pulse rate of 120 beats/min, respiration rate of 20 breaths/min, blood pressure of 200/110 mm Hg, and oxygen saturation of 99% on room air. On physical examination, he had a 15-cm, oval, targetlike lesion with a central erythematous bite mark in the center of a 4-cm erythematous and anhidrotic circle that was surrounded by a pale and hyperhidrotic halo (). The hype... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336685 Sat, 22 Oct 2011 06:38:26 +0100 5336685 http://www.medworm.com/index.php?rid=5336684&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411001326%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:494-495.] “I think I may have pulmonary edema.” This was the chief complaint voiced by a pleasant, articulate black man who walked in to the triage area of our emergency department (ED). This statement alone quickly got him a room, and as the senior resident in the department at the time, I rushed in to see him when I saw the chief complaint on our computerized track board. He was still fully dressed and not yet changed into a gown when I entered the room. He looked to be in his mid 60s and appeared comfortable and at ease. He smiled and greeted me with a friendly, appreciative demeanor. I immediately perceived a warmth and sense of contentment about him. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336684 Sat, 22 Oct 2011 06:38:26 +0100 5336684 http://www.medworm.com/index.php?rid=5336678&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015538%2Fabstract%3Frss%3Dyes What is already known on this topic: Single-center studies have demonstrated that emergency department (ED) computed tomography (CT) use has been steadily increasing, and a recent study showed that CT use in trauma patients is also increasing. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336678 Sat, 22 Oct 2011 06:38:25 +0100 5336678 http://www.medworm.com/index.php?rid=5336676&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014089%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:450-451.] From fluid resuscitation to hemodialysis, central venous catheters (CVC) are a key component of the management of critically ill patients in the emergency department (ED). They serve as avenues for administering medications and facilitate hemodynamic monitoring and transvenous cardiac pacing. CVC placement is one of the most common procedures performed by an emergency physician and, like any other invasive procedure, carries an inherent risk of infection. Most of what we know about the epidemiology of CLABSI is derived from data from ICUs. Only recently has a clearer picture started to emerge of CLABSI attributable to CVCs placed in the ED. In a busy academic, urban ED, the rate of CLABSI from 2007 to 2008 was found to be 1.93 per 1,000 catheter-days, sim... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336676 Sat, 22 Oct 2011 06:38:25 +0100 5336676 http://www.medworm.com/index.php?rid=5336675&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014077%2Fabstract%3Frss%3Dyes Conclusion: In 2009 alone, an estimated 25,000 fewer CLABSIs occurred in US ICUs than in 2001, a 58% reduction. This represents up to 6,000 lives saved and $414 million in potential excess health care costs in 2009 and approximately $1.8 billion in cumulative excess health care costs since 2001. A substantial number of CLABSIs continue to occur, especially in outpatient hemodialysis centers and inpatient wards.Implications for Public Health Practice: Major reductions have occurred in the burden of CLABSIs in ICUs. State and federal efforts coordinated and supported by CDC, the Agency for Healthcare Research and Quality, and the Centers for Medicare & Medicaid Services and implemented by numerous health care providers likely have helped drive these reductions. The substantial number of infe... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336675 Sat, 22 Oct 2011 06:38:25 +0100 5336675 http://www.medworm.com/index.php?rid=5336670&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003519%2Fabstract%3Frss%3Dyes A 46-year-old woman presented to the emergency department with a sudden onset of blurry vision in her left eye that started 1 week ago and remained persistent. At evaluation, her visual acuity was 20/40 in the left eye and 20/20 in the right eye. A bedside ophthalmoscopic examination was performed and she was referred to ophthalmology for fluorescein angiography and further care. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336670 Sat, 22 Oct 2011 06:38:24 +0100 5336670 http://www.medworm.com/index.php?rid=5515724&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015927%2Fabstract%3Frss%3Dyes Conclusion: Stroke mimics were infrequent among intravenous thrombolysis–treated stroke patients in this cohort, and their treatment did not lead to harmful complications. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515724 Mon, 17 Oct 2011 04:00:00 +0100 5515724 http://www.medworm.com/index.php?rid=5609474&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015575%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 89. [Ann Emerg Med. 2012;59:99-100.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609474 Mon, 03 Oct 2011 04:00:00 +0100 5609474 http://www.medworm.com/index.php?rid=5261385&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015812%2Fabstract%3Frss%3Dyes OHIO: The Ohio State University: Academic Position. Residency Program. Level 1 trauma center. Nationally recognized research program. Clinical opportunities at OSU Medical Center and affiliated hospitals. Responsibilities include medical student and resident education; research in laboratory, translation and/or clinical settings. Contact Mark Angelos, MD, Professor and Interim Chairman, Department of Emergency Medicine, The Ohio State University or mary-jayne.fortney@osumc.edu; 614-366-8693. AAEOE. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261385 Thu, 29 Sep 2011 06:30:16 +0100 5261385 http://www.medworm.com/index.php?rid=5261384&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015800%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=5261384 Thu, 29 Sep 2011 06:30:16 +0100 5261384 http://www.medworm.com/index.php?rid=5261383&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015794%2Fabstract%3Frss%3Dyes Advanced Cardiac Life Support Renewal. October 1, 2011. New Hyde Park, NY. Sponsor: North Shore Long Island Jewish Hlth. Fee: $225.00. Contact: Ellen Carroll, 1554 Northern Blvd, Manhasset, NY, 11030. Email: ecarroll2@lij.edu. 516-365-1145. (7) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261383 Thu, 29 Sep 2011 06:30:16 +0100 5261383 http://www.medworm.com/index.php?rid=5261382&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014806%2Fabstract%3Frss%3Dyes Annals adheres to the International Committee of Medical Journal Editor's specific requirements regarding authorship (see www.icmje.org). On behalf of all authors, I verify that all listed authors meet the www.icmje.org authorship requirements. ❒ Yes ❒ No, explain in cover letter (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261382 Thu, 29 Sep 2011 06:30:16 +0100 5261382 http://www.medworm.com/index.php?rid=5261381&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101482X%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=5261381 Thu, 29 Sep 2011 06:30:16 +0100 5261381 http://www.medworm.com/index.php?rid=5261380&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014533%2Fabstract%3Frss%3Dyes Hereditary angioedema (HAE), a serious but very rare disease, seems an unlikely candidate for a high-dollar marketing and education campaign targeting, among others, emergency physicians, who are publicly criticized by some HAE patients. But the market release of a phalanx of new therapies–in which multiple pharmaceutical companies have hundreds of millions invested–has led to a blizzard of Web sites, education campaigns and even an indie film. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261380 Thu, 29 Sep 2011 06:30:16 +0100 5261380 http://www.medworm.com/index.php?rid=5261379&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014168%2Fabstract%3Frss%3Dyes Critical care physicians have weighed the relative strengths and weaknesses of colloids and crystalloid solutions to replace fluids in patients for decades, but the academic debate took an exceptionally nasty turn during the last year when editors had to retract at least 88 articles authored by Joachim Boldt, MD, chief anesthesiologist at Ludwigshafen Hospital in Rhineland and a leading advocate of colloids. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261379 Thu, 29 Sep 2011 06:30:16 +0100 5261379 http://www.medworm.com/index.php?rid=5261378&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014776%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261378 Thu, 29 Sep 2011 06:30:16 +0100 5261378 http://www.medworm.com/index.php?rid=5261377&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014752%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261377 Thu, 29 Sep 2011 06:30:16 +0100 5261377 http://www.medworm.com/index.php?rid=5261376&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014739%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261376 Thu, 29 Sep 2011 06:30:16 +0100 5261376 http://www.medworm.com/index.php?rid=5261375&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101331X%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:405.] The American College of Emergency Physicians (ACEP) believes that optimal patient care can be achieved only when patients, health care workers, and all other persons in the emergency department (ED) are protected against violent acts occurring within the department. As such, ACEP advocates increased awareness of violence against health care workers in the ED and increased safety measures in all EDs. Further, ACEP encourages all states to enact legislation that provides a maximum category of offense and criminal penalty against individuals who commit violence against health care workers in the ED. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261375 Thu, 29 Sep 2011 06:30:16 +0100 5261375 http://www.medworm.com/index.php?rid=5261374&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013321%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:405.] The American College of Emergency Physicians (ACEP) reaffirms its commitment to physician leadership in emergency medical services (EMS) and supports the following principles: (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261374 Thu, 29 Sep 2011 06:30:16 +0100 5261374 http://www.medworm.com/index.php?rid=5261373&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013308%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:403-405.] Officers, directors, committee chairs and members, section chairs, task force chairs, Annals editor, staff, and others acting on behalf of the American College of Emergency Physicians (ACEP) have a fiduciary duty to the College, including the duties of loyalty, diligence, and confidentiality. Despite the self-interests that members inevitably have, those in positions of responsibility must act in utmost good faith on behalf of the College. In accepting their positions, they promise to give the association the benefit of their care and best judgment. They should exercise the powers conferred solely in the interest of the association and should not use their role or position for their own personal interest or that of any other organization or entity. Even t... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261373 Thu, 29 Sep 2011 06:30:16 +0100 5261373 http://www.medworm.com/index.php?rid=5261372&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013291%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:402-403.] An emergency physician is defined as a physician who is certified (or eligible to be certified) by the American Board of Emergency Medicine (ABEM), the American Osteopathic Board of Emergency Medicine (AOBEM), or an equivalent international certifying body recognized by ABEM or AOBEM in emergency medicine or pediatric emergency medicine, or who is eligible for active membership in the American College of Emergency Physicians. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261372 Thu, 29 Sep 2011 06:30:16 +0100 5261372 http://www.medworm.com/index.php?rid=5261371&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101328X%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:402.] There are situations in the emergency department in which standard intravenous access procedures fail or are insufficient to meet the clinical needs of the patient. Alternative access methods must be available under such circumstances, and their usage should be a part of the standard emergency medicine practice privileges. These alternate access modalities include, but are not limited to, intraosseous lines, external jugular lines, and illumination device–guided placement of peripheral lines. Policies and procedures for nonphysician practitioners performing these procedures should allow expeditious establishment of intravenous access through alternate routes when indicated. These policies should include a discussion of the initial and recurrent training req... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261371 Thu, 29 Sep 2011 06:30:16 +0100 5261371 http://www.medworm.com/index.php?rid=5261370&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411007189%2Fabstract%3Frss%3Dyes We appreciate Dr. Xue's detailed observations about the positioning of the cameras with the various devices. The effect of the blade on the left side of the image can be seen in the imaging we conducted of the devices, although it has not been our experience that this is the primary reason for GlideScope or other video laryngoscope failures. “Wide” is a term we used because the monitor view spans a relatively wide view of the hypopharynx and larynx—certainly the view is wide compared with that in direct laryngoscopy. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261370 Thu, 29 Sep 2011 06:30:16 +0100 5261370 http://www.medworm.com/index.php?rid=5261369&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411007190%2Fabstract%3Frss%3Dyes In the excellent review by Levitan et al about the complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices, several aspects of their comments with indirect laryngoscopes should be discussed. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261369 Thu, 29 Sep 2011 06:30:16 +0100 5261369 http://www.medworm.com/index.php?rid=5261368&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441100480X%2Fabstract%3Frss%3Dyes Ackerman et al observed the plurality of available health care improvement approaches. Indeed, Lean is one of the latest, but surely neither the only nor the last of, systematic approaches to quality improvement favored by health care organizations. In addition to Lean, health care organizations have with variable success implemented continuous quality improvement, total quality management, Six Sigma, and agile manufacturing, to name but a few. Hybrid packages such as Lean Six Sigma and “Leagility” (Lean plus agile) are also available. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261368 Thu, 29 Sep 2011 06:30:16 +0100 5261368 http://www.medworm.com/index.php?rid=5261367&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411004793%2Fabstract%3Frss%3Dyes As we struggle to provide improved value for our patients, it is tempting to seek a single silver bullet, and Lean methodology may seem to be that bullet. Changing the complex behemoth that is American health care will require a variety of approaches. Lean is generally applied to value streams by looking for the biggest sources of waste incrementally. In a complex optimization climate, it is unlikely that an incremental approach will reach the true optimum by any measure. Indeed, systems and industrial engineers use the term suboptimization to describe less than optimal results of tuning pieces of larger systems. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261367 Thu, 29 Sep 2011 06:30:16 +0100 5261367 http://www.medworm.com/index.php?rid=5261366&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411004768%2Fabstract%3Frss%3Dyes Discussion of the care of the “celebrity VIP” and “victims of violence” but not of the more mundane “hospital VIP” was found. Schenkenberg et al suggest that the “I” in the acronym VIP should reflect the word influential rather than the generally accepted important because true importance indicates valid and inherent significance, which may not be the case, particularly with hospital VIPs. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261366 Thu, 29 Sep 2011 06:30:16 +0100 5261366 http://www.medworm.com/index.php?rid=5261365&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003994%2Fabstract%3Frss%3Dyes I thank Dr. Schwartz for his thoughtful correspondence about the 2009 update of the “2007 Model of the Clinical Practice of Emergency Medicine.” The model was born out of a collaboration between emergency medicine stakeholders, ABEM, ACEP, SAEM, CORD, EMRA, and the RRC-EM and was built with practice analysis data. The model describes the breadth of practice of the specialty of emergency medicine, as well as defining physician tasks inherent in practice. Since first being published in 2001, the model has periodically undergone an extensive review process by the abovementioned organizations to ensure that it continues to remain current and relevant. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261365 Thu, 29 Sep 2011 06:30:16 +0100 5261365 http://www.medworm.com/index.php?rid=5261364&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003982%2Fabstract%3Frss%3Dyes I would like to bring to your attention a significant omission in the recently published 2009 update of the “2007 Model of the Clinical Practice of Emergency Medicine.” There is no mention of radiology or diagnostic imaging, even though they play an important role in the evaluation of a large proportion of emergency department (ED) patients. According to the most recent National Hospital Ambulatory Medical Care Survey of ED visits, 44% of ED patients undergo diagnostic imaging tests: 35% receive conventional radiography and 12% receive computed tomography. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261364 Thu, 29 Sep 2011 06:30:16 +0100 5261364 http://www.medworm.com/index.php?rid=5261363&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411004628%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:e1-e2.] A 73-year-old man presented to the emergency department with 36 hours of continuous mesogastric pain and severe abdominal distention associated with alimentary and bilious vomiting and constipation. Physical examination was suggestive for small bowel obstruction. Laboratory test results were unremarkable. Medical history included chronic hepatopathy related to hepatitis C viral infection, arterial hypertension, and diabetes mellitus. He had undergone bilateral inguinal hernioplasty, laparotomic cholecystectomy, and repair of epigastric incisional hernia with prosthetic material. The patient was not edentulous, but used to eat quickly. Ultrasonography showed a long, mildly dilated segment of the small bowel in the left hemiabdomen containing an intraluminal ... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261363 Thu, 29 Sep 2011 06:30:16 +0100 5261363 http://www.medworm.com/index.php?rid=5261362&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411001314%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:395.] A 24-year-old man presented to the emergency department with bluish-black discoloration of nails, nailbeds, hands, and gums for the last 5 days. He was a scrap worker in a shop where metals were recycled. On examination, he was afebrile, with a pulse of 86 beats/min and blood pressure of 152/80 mm Hg. The nails and fingers showed bluish-black patches (). Similar patches were observed on the thighs (). A systemic examination result was normal. His laboratory values were hemoglobin level 9.4 g/dL, total leukocyte count 1,700/mm3, and platelet count 26,000/mm3, with normal kidney and liver function tests. The chest radiograph result was normal. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261362 Thu, 29 Sep 2011 06:30:16 +0100 5261362 http://www.medworm.com/index.php?rid=5261361&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411007220%2Fabstract%3Frss%3Dyes When performed correctly, emergency department (ED) procedural sedation and analgesia creates a safe environment in which to perform painful procedures. The David et al article discusses the use of a combination of propofol and ketamine. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261361 Thu, 29 Sep 2011 06:30:16 +0100 5261361 http://www.medworm.com/index.php?rid=5261360&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411001259%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:381-382.] I'm searching frantically through my car—front seat, back seat, box in the trunk—without success. My shift in the emergency department (ED) began 10 minutes ago, but I cannot start until I find my white coat. Where did I leave it? At home? In the department? Where the heck is it? (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261360 Thu, 29 Sep 2011 06:30:16 +0100 5261360 http://www.medworm.com/index.php?rid=5261359&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101448X%2Fabstract%3Frss%3Dyes [Kahn C. Commentary: driven to success. Ann Emerg Med. 2011;58:378-380.] After years of faithfully reading NHTSA Notes in this journal every 2 months, you might be surprised to find out that not everything in the world of traffic safety and injury prevention is doom and gloom. In fact, thanks in part to your hard work and tireless efforts at educating our patients, we're making good progress in decreasing fatalities on our public roadways. The accompanying analysis of 2008 traffic safety facts helps put some of these issues in perspective. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261359 Thu, 29 Sep 2011 06:30:16 +0100 5261359 http://www.medworm.com/index.php?rid=5261358&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014478%2Fabstract%3Frss%3Dyes This report was undertaken to identify factors that contributed to this historic decline in fatalities. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261358 Thu, 29 Sep 2011 06:30:16 +0100 5261358 http://www.medworm.com/index.php?rid=5261348&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411000965%2Fabstract%3Frss%3Dyes An 89-year-old woman presented to our emergency department with persistent epigastralgia and vomiting for 2 days. She was afebrile and mildly tachycardiac (pulse rate 101 beats/min). Physical examination revealed a masslike lesion beneath the umbilicus (). Blood tests showed leukocytosis (WBC count 21,600/μL; neutrophil 96%). Kidney ureter bladder abdominal radiograph revealed a small bowel gas collection with a large radiopacity in the lower abdomen. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261348 Thu, 29 Sep 2011 06:30:15 +0100 5261348 http://www.medworm.com/index.php?rid=5609477&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411015393%2Fabstract%3Frss%3Dyes SEE RELATED ARTICLE, P. 103. [Ann Emerg Med. 2012;59:112-114.] The first principle is that you must not fool yourself, and you are the easiest person to fool. —Richard Feynman (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609477 Mon, 26 Sep 2011 04:00:00 +0100 5609477 http://www.medworm.com/index.php?rid=5515728&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014065%2Fabstract%3Frss%3Dyes A low Pneumonia Severity Index score (≤3) decreases the likelihood of short-term mortality to a moderate degree and may be a useful adjunct to clinical judgment in determining disposition. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515728 Mon, 26 Sep 2011 04:00:00 +0100 5515728 http://www.medworm.com/index.php?rid=5515731&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101417X%2Fabstract%3Frss%3Dyes The National Poison Data System (NPDS) is a national near-real-time surveillance system that improves situational awareness for chemical and poison exposures, according to data from US poison centers. NPDS is the successor to the Toxic Exposure Surveillance System. The Centers for Disease Control and Prevention (CDC) use these data, which are owned and managed by the American Association of Poison Control Centers, to improve public health surveillance for chemical and poison exposures and associated illness, identify early markers of chemical events, and enhance situational awareness during outbreaks. Information recorded in this database is from self-reported calls from the public or health care professionals. In 2009, NPDS detected 22 events of public health significance and CDC used the... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515731 Wed, 21 Sep 2011 04:00:00 +0100 5515731 http://www.medworm.com/index.php?rid=5515725&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014181%2Fabstract%3Frss%3Dyes Corticosteroids are safe and effective in treating Bell's palsy patients with incomplete paralysis, especially if started within 48 hours of symptom onset. The authors searched the Cochrane Neuromuscular Disease Group Trials Specialized register, MEDLINE, EMBASE, and LILACS databases. Bibliographies of relevant randomized trials were reviewed, and authors and experts were contacted to obtain additional published or unpublished data. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515725 Mon, 19 Sep 2011 04:00:00 +0100 5515725 http://www.medworm.com/index.php?rid=5609481&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014454%2Fabstract%3Frss%3Dyes Conclusion: The simple act of altering our ED computerized information system to require pain scoring at triage led to substantially faster provision of initial analgesia, with the effect sustained at 12 months. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609481 Mon, 12 Sep 2011 04:00:00 +0100 5609481 http://www.medworm.com/index.php?rid=5515726&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014041%2Fabstract%3Frss%3Dyes Conclusion: We observed a 2-fold difference in pneumonia hospitalization rates among emergency physicians, unexplained by objective data. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515726 Mon, 12 Sep 2011 04:00:00 +0100 5515726 http://www.medworm.com/index.php?rid=5515727&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101451X%2Fabstract%3Frss%3Dyes Conclusion: Dengue has a wide range of clinical presentations in the ED. Many patients who appear seriously ill on presentation will respond to intravenous fluids. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515727 Fri, 09 Sep 2011 04:00:00 +0100 5515727 http://www.medworm.com/index.php?rid=5336668&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411006111%2Fabstract%3Frss%3Dyes Conclusion: Selective scanning could reduce the number of scans, missing some injuries but few critical ones. The clinical importance of injuries missed on undesired scans was subject to individual interpretation, which varied substantially among authors. This difference of opinion serves as a microcosm of the larger debate on appropriate use of expensive medical technologies. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336668 Mon, 05 Sep 2011 04:00:00 +0100 5336668 http://www.medworm.com/index.php?rid=5609478&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013436%2Fabstract%3Frss%3Dyes Conclusion: This clinical prediction rule identifies ED chest pain patients at very low risk for a cardiac event who may be suitable for discharge. A prospective multicenter study is needed to validate the rule and determine its effect on practice. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609478 Fri, 02 Sep 2011 04:00:00 +0100 5609478 http://www.medworm.com/index.php?rid=5609476&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013382%2Fabstract%3Frss%3Dyes Conclusion: MAUDE information is often incomplete and frequently no corroborating data are available. Some conditions not detected by automated external defibrillators during self-test cause units to power off unexpectedly, causing defibrillation delays. Backup units frequently provide shocks to patients. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609476 Mon, 29 Aug 2011 04:00:00 +0100 5609476 http://www.medworm.com/index.php?rid=5609472&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014120%2Fabstract%3Frss%3Dyes This article outlines the history of professional attention to gift giving and reviews recent contributions to the ongoing debate over its justifiability, including professional association recommendations for limitation or prohibition of the practice. The article concludes with a description of the provisions of the revised ACEP gifts policy and brief reflection on the future of this practice. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5609472 Mon, 29 Aug 2011 04:00:00 +0100 5609472 http://www.medworm.com/index.php?rid=5162692&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014375%2Fabstract%3Frss%3Dyes INDIANA, Michigan City: EPMG is currently interviewing qualified candidates for the Assistant Medical Director opportunity at Franciscan St. Anthony Health. EPMG offers a competitive compensation, paid family health, prescription, vision, dental, life, LTD, 401(k) employer contribution, paid malpractice, and much more. Contact Tynia Arnold at 800-466-3764, x335 or tarnold@epmgpc.com. Visit us at ACEP booth #1032. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162692 Sat, 27 Aug 2011 15:36:46 +0100 5162692 http://www.medworm.com/index.php?rid=5162691&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014363%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=5162691 Sat, 27 Aug 2011 15:36:46 +0100 5162691 http://www.medworm.com/index.php?rid=5162690&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411014351%2Fabstract%3Frss%3Dyes EM4Life - Emergency Medicine 2009 LLSA Article Review Courses. September 1, 2011. Downers Grove, IL. Sponsor: IL Colg of Emer Phys. Fee: $379.00 - $419.00. Contact: Janice Ciszek, 3000 Woodcreek St #200, Downers Grove, IL, 60515. Email: info@icep.org. 630-495-6400. (8) (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162690 Sat, 27 Aug 2011 15:36:46 +0100 5162690 http://www.medworm.com/index.php?rid=5162689&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013539%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=5162689 Sat, 27 Aug 2011 15:36:46 +0100 5162689 http://www.medworm.com/index.php?rid=5162688&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS019606441101300X%2Fabstract%3Frss%3Dyes The day started like any routine Sunday. Kevin Kikta, DO, woke in the hotel room he occupies one third of every month, ate, showered, went to the gym, and drove to the start of his 4 pm shift as a locum tenens emergency physician. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162688 Sat, 27 Aug 2011 15:36:46 +0100 5162688 http://www.medworm.com/index.php?rid=5162687&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411012996%2Fabstract%3Frss%3Dyes In an era focused on quality measures, it has become common to compare medicine with aviation. The air industry's practices, from checklists during procedures to training exercises for entire teams, seem to offer lessons for medical institutions still struggling with errors and health care–associated infections. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162687 Sat, 27 Aug 2011 15:36:46 +0100 5162687 http://www.medworm.com/index.php?rid=5162686&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013503%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162686 Sat, 27 Aug 2011 15:36:46 +0100 5162686 http://www.medworm.com/index.php?rid=5162685&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013497%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162685 Sat, 27 Aug 2011 15:36:46 +0100 5162685 http://www.medworm.com/index.php?rid=5162684&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013473%2Fabstract%3Frss%3Dyes (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162684 Sat, 27 Aug 2011 15:36:46 +0100 5162684 http://www.medworm.com/index.php?rid=5162683&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003969%2Fabstract%3Frss%3Dyes Trauma remains an ever-increasing cause of preventable years of life lost worldwide. Although prevention is paramount, the earliest identification of injuries and deranged physiology is critical. Ultrasonography is a noninvasive technology that can increasingly assist nearly every facet of resuscitation and diagnosis. With technical developments, machines are becoming cheaper, more portable, and more user friendly, and thus available to care providers. Nonetheless, ultrasonography is a user-dependent technical skill, meaning that machines may now frequently be available beside the patient, without a skilled user. Just such a situation led NASA to champion the use of advanced communications and informatics to allow terrestrial mentors to remotely guide space providers to gain clinically use... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162683 Sat, 27 Aug 2011 15:36:45 +0100 5162683 http://www.medworm.com/index.php?rid=5162682&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003842%2Fabstract%3Frss%3Dyes We thank Dr. Xue for his interesting letter concerning our recent published article. His remarks are important and need some clarification. Concerning patient or operator's position, it is correct that this factor might affect the tracheal intubation difficulties. We did not observe any significant difference between the 2 groups tracheally intubated either with single-use or reusable metal blades related to the patient or operator's position during the airway control process (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162682 Sat, 27 Aug 2011 15:36:45 +0100 5162682 http://www.medworm.com/index.php?rid=5162681&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411003830%2Fabstract%3Frss%3Dyes In this study, another important factor seemed not to be addressed: patient's position during laryngoscopy and tracheal intubation with the 2 blades. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162681 Sat, 27 Aug 2011 15:36:45 +0100 5162681 http://www.medworm.com/index.php?rid=5162680&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411000928%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:310.] A 50-year-old man reported falling from his bicycle onto his outstretched right arm on the day of presentation. He was first evaluated at an outside hospital, where he was found to have a “wrist dislocation” and was transferred to our emergency department for further treatment and evaluation. On examination, the patient had an obvious deformity of the right wrist, with decreased range of motion as a result of pain and a significant amount of avulsed skin on the proximal palm (). The initial lateral radiograph of the wrist demonstrated a lunate dislocation (). The orthopedic service was consulted and a closed reduction was attempted under procedural sedation. A postreduction radiograph was obtained (). (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162680 Sat, 27 Aug 2011 15:36:45 +0100 5162680 http://www.medworm.com/index.php?rid=5162679&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013035%2Fabstract%3Frss%3Dyes What is already known on this topic: Oral prednisone is commonly administered after acute exacerbations of asthma. Given its longer halflife, a shorter course of dexamethasone might be equally effective. (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162679 Sat, 27 Aug 2011 15:36:44 +0100 5162679 http://www.medworm.com/index.php?rid=5162678&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064410018652%2Fabstract%3Frss%3Dyes [Ann Emerg Med. 2011;58:305-306.] “Wanna take a sick ambulance patient?” Two nurses are getting a room ready as I walk past them at the start of my shift. I nod: it's the job of the PGY-2 to take critical patients. “EMS just called. Old man, dementia, CHF, coming from nursing home with shortness of breath,” one of them said. “Don't sweat it,” the other told me, rolling her eyes. “He's DNR/DNI. Sorry hon, no tube for you.” (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162678 Sat, 27 Aug 2011 15:36:44 +0100 5162678 http://www.medworm.com/index.php?rid=5162677&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013059%2Fabstract%3Frss%3Dyes Each year, influenza affects approximately 5% to 20% of the US population, resulting in more than 200,000 hospitalizations and 3,000 to 49,000 deaths. EDs, as a key point of entry into the health care system, are responsible for initial management and treatment of a substantial proportion of influenza patients. It is therefore essential that ED clinicians maintain an up-to-date knowledge of current trends, treatments, and recommendations for the care of patients with influenza. Although vaccination and treatment of high-risk patients was recommended for seasonal influenza, patient and practitioner compliance has been poor. The emergence of a new pandemic influenza strain and widespread concern for increased mortality due to H1N1 influenza, along with an increasing body of research on the e... Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162677 Sat, 27 Aug 2011 15:36:44 +0100 5162677 http://www.medworm.com/index.php?rid=5162676&cid=s_34512_14_f&fid=34512&url=http%3A%2F%2Fwww.annemergmed.com%2Farticle%2FPIIS0196064411013047%2Fabstract%3Frss%3Dyes [Centers for Disease Control and Prevention. Antiviral agents for the treatment and chemoprophylaxis of influenza—recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2011;60:1-24.][Note: Because of the length of the original publication, these reprinted recommendations have been abridged. Readers are encouraged to read the full original publication.] (Source: Annals of Emergency Medicine) Annals of Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162676 Sat, 27 Aug 2011 15:36:44 +0100 5162676