MedWorm: Emergency Medicine

Explosion at Virginia National Guard Base Injures 14 - JEMS.com

JEMS Latest News — Fri, 20 Nov 2009 14:08:00 +0100

BLACKSTONE, Va. - A pyrotechnic device used in training exercises exploded at Fort Pickett, sending 14 Virginia National Guard soldiers to hospitals, most as a precautionary measure. Maj. Cotton Puryear... (Source: JEMS Latest News)

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Ohio Fire Department Wants to Transport MVA Patients to Gain Revenue - JEMS.com

JEMS Latest News — Fri, 20 Nov 2009 14:08:00 +0100

LIMA -- The Fire Department wants a piece of the emergency ambulance response business. Fire Chief Mark Heffner presented his proposal to City Council's Safety Services Committee on Tuesday, saying his... (Source: JEMS Latest News)

L.A. County Paramedics Begin Using Stroke Centers - JEMS.com

JEMS Latest News — Fri, 20 Nov 2009 14:08:00 +0100

Patients will be routed to one of 10 hospitals that have a specialized stroke neurologist available at all times. Officials hope the new policy will save lives. Paramedics on Monday began transporting... (Source: JEMS Latest News)

A consensus-based template for uniform reporting of data from pre-hospital advanced airway management

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine — Fri, 20 Nov 2009 00:00:00 +0100

Conclusion: We successfully developed an Utstein-style template for documenting and reporting pre-hospital airway management. The core dataset for this template should be included in future studies on pre-hospital airway management to produce comparable data across systems and patient populations and will be implemented in systems that are influenced by the expert panel. (Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)

Tampa Paramedics at Right Place, Right Time - JEMS.com

JEMS Latest News — Thu, 19 Nov 2009 14:13:36 +0100

TAMPA — In three minutes Saturday, Drake Williams went through a whole lifetime's worth of luck — both good and bad. The bad: having a rare heart condition that causes "sudden cardiac death." The good:... (Source: JEMS Latest News)

Study: CT Scan Rules Out Heart Attacks Faster - JEMS.com

JEMS Latest News — Thu, 19 Nov 2009 14:13:36 +0100

ORLANDO, Fla. — A CT scan — a kind of super X-ray — provides a faster, cheaper way to diagnose a heart attack when someone goes to the emergency room with chest pains, a new study suggests. About 6 million... (Source: JEMS Latest News)

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Tour Bus Crashes off Minnesota Interstate - JEMS.com

JEMS Latest News — Thu, 19 Nov 2009 14:13:36 +0100

JEFF BAENEN Associated Press Writer AUSTIN, Minn. — A tour bus returning from a casino ran off a southern Minnesota interstate and rolled over in a ditch Wednesday, killing two people and injuring 21,... (Source: JEMS Latest News)

Point/counter

EPMonthly.com — Thu, 19 Nov 2009 07:37:20 +0100

How Should EPs Handle the Signing of Death Certificates? opening statement Signing Death Certificates Is a Simple, Final Kindness by Michael... (Source: EPMonthly.com)

NHS Information centre data on time spent in A&E in England 2007-08

NeLM - Emergency Medicine — Thu, 19 Nov 2009 00:00:00 +0100

This report is based on the 2007-08 Health Episode Statistics dataset and examines the time spent in A&E in England by patients and their destination on leaving the department. Key facts include the following: . The visit to A&E for 73% of patients (where records were available) was completed within 3 hours; 96% were completed within 4 hours. . 41% of all A&E patients were discharged with no follow-up required whilst a further 21% were admitted to hospital. (Source: NeLM - Emergency Medicine)

Injury severity and serum amyloid A correlate with plasma oxidation-reduction potential in multi-trauma patients: a retrospective analysis

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine — Thu, 19 Nov 2009 00:00:00 +0100

Background: In critical injury, the occurrence of increased oxidative stress or a reduced antioxidant status has been observed. The purpose of this study was to correlate the degree of oxidative stress, by measuring the oxidation-reduction potential (ORP) of plasma in the critically injured, with injury severity and serum amyloid A (SAA) levels. Methods: A total of 140 subjects were included in this retrospective study comprising 3 groups: healthy volunteers (N=21), mild to moderate trauma (ISS (Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)

Abbreviated emergency laparotomy in the non-trauma setting

World Journal of Emergency Surgery — Thu, 19 Nov 2009 00:00:00 +0100

Background: Although the application of damage control surgery for trauma has been widely reported and defined, similar approach in non-trauma patients has not been well detailed. Methods: A retrospective analysis of data from non-trauma patients who underwent emergency laparotomy between May 2006 and December 2008. Demographics, indications for surgery and outcome of patients who had definitive laparotomies (DL) and patients who had abbreviated laparotomies (AL) were compared. Appendectomies were excluded.Results and discussionTwo-hundred ninety-one patients (55% males) were included. Thirty-one (10.7%) underwent AL (58% males). Mean age of patients who had DL and AL was 65 and 62.8 years respectively. Peritonitis and mesenteric ischemia were more common indications in patients with AL th...

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VCU Medical Center and Richmond Ambulance Authority Partner in Unique Effort - JEMS.com

JEMS Latest News — Wed, 18 Nov 2009 14:11:42 +0100

RICHMOND, Va. (Nov. 16, 2009) – Virginia Commonwealth University Medical Center and the Richmond Ambulance Authority have improved resuscitation and survival rates dramatically for cardiac arrest patients... (Source: JEMS Latest News)

New York Fire Department Seeks to Drop EMS Responses - JEMS.com

JEMS Latest News — Wed, 18 Nov 2009 14:11:42 +0100

TOWN OF WALLKILL — Last year, Circleville firefighters responded to 176 medical emergency calls in its district — one-third of the total calls it handled. Now, they're looking to cut those numbers significantly. The... (Source: JEMS Latest News)

Officials Probe SC Wall Collapse - JEMS.com

JEMS Latest News — Wed, 18 Nov 2009 14:11:42 +0100

SPARTANBURG, S.C. (AP) — Officials are trying to determine what caused a South Carolina stadium wall to collapse during a high school football game, sending at least 11 students to the hospital with minor... (Source: JEMS Latest News)

Study: Injured Uninsured More Likely to Die in ER - JEMS.com

JEMS Latest News — Wed, 18 Nov 2009 14:11:42 +0100

CHICAGO – Uninsured patients with traumatic injuries, such as car crashes, falls and gunshot wounds, were almost twice as likely to die in the hospital as similarly injured patients with health insurance,... (Source: JEMS Latest News)

What Caused This Sudden Illness?

EPMonthly.com — Wed, 18 Nov 2009 08:04:11 +0100

Visual Dx by David Effron, MD The local fire department transported this 25 year-old male to the emergency department... (Source: EPMonthly.com)

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Referees 2009

Internal and Emergency Medicine — Wed, 18 Nov 2009 04:59:15 +0100

Content Type Journal ArticleCategory Acknowledgement to RefereesDOI 10.1007/s11739-009-0328-2 Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 Journal Volume Volume 4 Journal Issue Volume 4, Number 6 / December, 2009 (Source: Internal and Emergency Medicine)

A diagnostic challenge: primary omental torsion and literature review - a case report

World Journal of Emergency Surgery — Wed, 18 Nov 2009 00:00:00 +0100

A case report of omental torsion, which is a rare differential diagnosis of the acute abdomen. Intraoperative diagnosis and treatment by resection are the current management of choice , however with increasing use of pre-operative imaging this may need to be reconsidered. (Source: World Journal of Emergency Surgery)

Endovascular treatment of an acutely ruptured intracranial aneurysm in pregnancy: report of eight cases

Emergency Radiology — Tue, 17 Nov 2009 23:49:00 +0100

We report eight cases of ruptured cerebral aneurysms in eight pregnant patients treated safely and effectively via an endovascular approach. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s10140-009-0848-0Authors José Manuel Pumar, Universidad de Santiago de Compostela Department of Neuroradiology, Hospital Clinico Universitario Travesia de la Choupana s/n Santiago de Compostela Dp 15886 SpainMaria I. Pardo, Complejo Hospitalario de Pontevedra Department of Gynecology and Obstetrics Pontevedra SpainJose M. Carreira, Universidad de Santiago de Compostela Department of Neuroradiology, Hospital Clinico Universitario Travesia de la Choupana s/n Santiago de Compostela Dp 15886 SpainJose Castillo, Universidad de Santiago de Compostela LINC, Department of Neurology, Hospita...

Officials Reconsider Returning Traditional Bonfire Structure to Campus Grounds - JEMS.com

JEMS Latest News — Tue, 17 Nov 2009 14:08:18 +0100

COLLEGE STATION, Texas - As the 10th anniversary of the deadly bonfire collapse approaches this week, the former president of Texas A&M University says only her successor can decide whether the tradition... (Source: JEMS Latest News)

3 Dead in Calif. Medevac Crash - JEMS.com

JEMS Latest News — Tue, 17 Nov 2009 14:08:18 +0100

RENO, Nev. (AP) - Investigators said the pilot of a medical helicopter issued a mayday moments before the aircraft crashed into a hilly area north of Reno near the Nevada-California state line early Saturday. All... (Source: JEMS Latest News)

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NC County EMS Department Spreads Resources among Fire Dept. Locations - JEMS.com

JEMS Latest News — Tue, 17 Nov 2009 14:08:18 +0100

LENOIR, N.C. - In an effort to reduce response times and expand provided services, Caldwell County Emergency Medical Services and local fire departments are joining forces. In several communities across... (Source: JEMS Latest News)

Denver Paramedic Sentenced to 12 Years for Patient Assault - JEMS.com

JEMS Latest News — Tue, 17 Nov 2009 14:08:18 +0100

DENVER - A former Denver paramedic charged with assaulting a patient in his ambulance has been sentenced to 12 years in prison. Prosecutors said 31-1-year-old Alan Miller was 1 of the paramedics who responded... (Source: JEMS Latest News)

Annals of Emergency Medicine (November 2009 Summary)

Annals of Emergency Medicine (Summary - Audio) — Tue, 17 Nov 2009 12:00:00 +0100

Summary of November 2009 issue of Annals of Emergency Medicine. (Source: Annals of Emergency Medicine (Summary - Audio))

Emergency Medicine Clerkship Primer: A Manual for Medical Students

Academic Emergency Medicine — Tue, 17 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Uninsured Trauma Victims More Likely to Die (CME/CE)

MedPage Today Emergency Medicine — Mon, 16 Nov 2009 20:00:00 +0100

Even after adjusting for injury severity and comorbidities, trauma patients who did not have insurance had higher mortality rates than those who did, researchers said. (Source: MedPage Today Emergency Medicine)

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Medical Device Correction Issued for Cardiac Science AEDs

Medscape Emergency Medicine Headlines — Mon, 16 Nov 2009 17:21:03 +0100

AEDs manufactured by Cardiac Science Corporation are undergoing a nationwide voluntary medical device correction because of the potential failure of these devices to deliver therapy during use. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)

Emergency Ultrasound Diagnosis of Ruptured Ectopic Pregnancy

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Wheels Down

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Justifiable Piracy in Our Academic Waters

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Keats and Kahn's Roentgen Atlas of Skeletal Maturation

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

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TASER Conducted Electrical Weapons: Physiology, Pathology, and Law

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

La Clinica: A Doctor's Journey Across Borders

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Toxicology Recall

Academic Emergency Medicine — Mon, 16 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Response by Soldiers and Emergency Responders Deemed Flawless - JEMS.com

JEMS Latest News — Sat, 14 Nov 2009 14:09:08 +0100

Andrew Evans Sentinel Staff FORT HOOD, Texas - Emergency response leaders here say many lives were saved by the courageous acts of those who helped the wounded following the horrific shooting attack... (Source: JEMS Latest News)

St. Louis Nurse Campaigns for Ambulance Upgrades - JEMS.com

JEMS Latest News — Sat, 14 Nov 2009 14:09:08 +0100

Outfitting St. Louis ambulances with machines that save precious minutes for heart attack patients would be one of Helen Sandkuhl's biggest accomplishments in her 36-year-career as an emergency room nurse... (Source: JEMS Latest News)

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Call for Sick Child Develops into Multi-Patient CO Response - JEMS.com

JEMS Latest News — Fri, 13 Nov 2009 14:08:39 +0100

RIVERDALE, Md. - Prince George’s County Firefighters and Paramedics were summoned to a church to tend to a sick child and encountered that and many more. At about 6:30 PM, Saturday, November 7, 2009, a... (Source: JEMS Latest News)

Legislature Orders Striking British Columbia Paramedics Back to Work - JEMS.com

JEMS Latest News — Fri, 13 Nov 2009 14:08:39 +0100

After nearly 13 hours, Bill 21 passed early Saturday morning, forcing a new contract on ambulance paramedics, who have been on strike since April. Union leaders representing B.C.'s paramedics called it... (Source: JEMS Latest News)

Respiratory Problems Strike 30 at North Carolina McDonald’s - JEMS.com

JEMS Latest News — Fri, 13 Nov 2009 14:08:39 +0100

KNIGHTDALE - Veteran firefighter Goley Boggs was eating his Egg McMuffin Sunday morning, talking to friends, when something in the air caused him to choke and cough. "Everybody in here started coughing... (Source: JEMS Latest News)

'Howler' Siren Cuts EMSA Ambulance Wrecks in Half - JEMS.com

JEMS Latest News — Fri, 13 Nov 2009 14:08:39 +0100

TULSA, OK - The sound of EMSA's howler sirens is having a big impact on safety in Tulsa and Oklahoma City. EMSA started installing them last November. Since then, the number of ambulance wrecks has been... (Source: JEMS Latest News)

Massachusetts Towns Move Forward with Regional Paramedic Service - JEMS.com

JEMS Latest News — Fri, 13 Nov 2009 14:08:39 +0100

Bedford, Mass. - Since 1982, Emerson Hospital has provided advanced life support (ALS) service to Lincoln and 12 other area communities. But with the hospital phasing out the program in the next year due... (Source: JEMS Latest News)

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Intraarticular Injection and Closed Glenohumeral Reduction with Emergency Ultrasound

Academic Emergency Medicine — Fri, 13 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

LifeLine Reaches 5 Year Anniversary in Indiana County - JEMS.com

JEMS Latest News — Thu, 12 Nov 2009 14:09:11 +0100

A pilot, a paramedic and a nurse walked across the roof of Howard Regional Health System and climbed into a helicopter with a red, white and blue LIFELINE banner painted on the side. Jessica Furrey, the... (Source: JEMS Latest News)

FDA to Review Some External Biphasic Defibrillators Energy Levels - JEMS.com

JEMS Latest News — Thu, 12 Nov 2009 14:09:11 +0100

FDA notified healthcare professionals that it is investigating energy levels in external biphasic defibrillators with shocks of less than or equal to 200 Joules (J). FDA received reports of 14 events since... (Source: JEMS Latest News)

Orthodox Jewish Medics Say Beard Ban Discriminates - JEMS.com

JEMS Latest News — Thu, 12 Nov 2009 14:09:11 +0100

PIKESVILLE, Md. - Three paramedics filed a complaint against Pikesville'svolunteer fire company, saying they are victims of discrimination based on their Orthodox Jewish beliefs. Watch the Video Suzanne... (Source: JEMS Latest News)

Study Evaluates Effectiveness of PALS Training - JEMS.com

JEMS Columnists — Thu, 12 Nov 2009 14:09:09 +0100

Review of: Baker TW, King W, Soto W, et al: "The efficacy of pediatric advanced life support training in emergency medical service providers." Pediatric Emergency Care. 25(8):508–512, 2009. The Science This... (Source: JEMS Columnists)

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Application of Patient Safety Indicators Internationally: A Pilot Study Among Seven Countries

Medscape Emergency Medicine Headlines — Thu, 12 Nov 2009 13:37:36 +0100

Authorities reported summaries of the distribution of hospital-level and overall (national) rates for each AHRQ patient safety indicator. International Journal for Quality in Health Care (Source: Medscape Emergency Medicine Headlines)

Intraarticular Injection and Closed Glenohumeral Reduction with Emergency Ultrasound.

Accident and Emergency Nursing — Thu, 12 Nov 2009 00:00:00 +0100

Authors: Stone MB, Sutijono D PMID: 19912129 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

Ten Signs That You Are an Emergency Medicine Parent.

Accident and Emergency Nursing — Thu, 12 Nov 2009 00:00:00 +0100

Authors: Ryan LM PMID: 19912130 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

Effect of an Independent-capacity Protocol on Overcrowding in an Urban Emergency Department.

Accident and Emergency Nursing — Thu, 12 Nov 2009 00:00:00 +0100

Conclusions: After introduction of the ICP, ED LOS decreased without an increase in hospital capacity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1-7 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19912131 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

What You See (Sonographically) Is What You Get: Vein and Patient Characteristics Associated With Successful Ultrasound-guided Peripheral Intravenous Placement in Patients With Difficult Access.

Accident and Emergency Nursing — Thu, 12 Nov 2009 00:00:00 +0100

Conclusions: Success was solely related to vessel characteristics detected with US and not influenced by patient characteristics or probe orientation. Successful DIVA was primarily associated with larger vessel, while vessel depth up to >1.6 cm and patient characteristics were unrelated to success. Clinically, if two vessels are identified at a depth of <1.6 cm, the larger diameter vessel, even if comparatively deeper, should yield the greatest likelihood of success. ACADEMIC EMERGENCY MEDICINE 2009; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19912132 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

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Emergency Department Surge Capacity: Recommendations of the Australasian Surge Strategy Working Group.

Accident and Emergency Nursing — Thu, 12 Nov 2009 00:00:00 +0100

Authors: Bradt DA, Aitken P, Fitzgerald G, Swift R, O'Reilly G, Bartley B Abstract For more than a decade, emergency medicine (EM) organizations have produced guidelines, training, and leadership for disaster management. However, to date there have been limited guidelines for emergency physicians (EPs) needing to provide a rapid response to a surge in demand. The aim of this project was to identify strategies that may guide surge management in the emergency department (ED). A working group of individuals experienced in disaster medicine from the Australasian College for Emergency Medicine Disaster Medicine Subcommittee (the Australasian Surge Strategy Working Group) was established to undertake this work. The Working Group used a modified Delphi technique to examine response actions in...

Emergency Department Surge Capacity: Recommendations of the Australasian Surge Strategy Working Group

Academic Emergency Medicine — Thu, 12 Nov 2009 00:00:00 +0100

For more than a decade, emergency medicine (EM) organizations have produced guidelines, training, and leadership for disaster management. However, to date there have been limited guidelines for emergency physicians (EPs) needing to provide a rapid response to a surge in demand. The aim of this project was to identify strategies that may guide surge management in the emergency department (ED). A working group of individuals experienced in disaster medicine from the Australasian College for Emergency Medicine Disaster Medicine Subcommittee (the Australasian Surge Strategy Working Group) was established to undertake this work. The Working Group used a modified Delphi technique to examine response actions in surge situations and identified underlying assumptions from disaster epidemiology and ...

What You See (Sonographically) Is What You Get: Vein and Patient Characteristics Associated With Successful Ultrasound-guided Peripheral Intravenous Placement in Patients With Difficult Access

Academic Emergency Medicine — Thu, 12 Nov 2009 00:00:00 +0100

Effect of an Independent-capacity Protocol on Overcrowding in an Urban Emergency Department

Academic Emergency Medicine — Thu, 12 Nov 2009 00:00:00 +0100

Conclusions: After introduction of the ICP, ED LOS decreased without an increase in hospital capacity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Ten Signs That You Are an Emergency Medicine Parent

Academic Emergency Medicine — Thu, 12 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

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Munchausen syndrome in the emergency department mostly difficult, sometimes easy to diagnose: a case report and review of the literature.

World Journal of Emergency Surgery — Thu, 12 Nov 2009 00:00:00 +0100

Munchausen syndrome is a rare psychiatric disorder in which patients inflict on themselves an illness or injury for the primary purpose of assuming the sick role. Because these patients can present with many different complaints and clinical symptoms, diagnosis is often made at a later stage of hospitalisation. In contrast we report a case of a 40-year old woman very easy to diagnose with Munchausen syndrome.This trained nurse presented at our emergency department (ED) complaining of abdominal pain. Interviewed by the medical trainee, she immediately confessed having put a knitting needle into her urethra four days earlier. She was not able to remove it anymore because it was beyond her reach. Abdominal X-ray confirmed the presence of the needle and a median laparotomy was performed to rem...

Lateral abdominal wall hematoma as a rare complication after carotid artery stenting: a case report

World Journal of Emergency Surgery — Thu, 12 Nov 2009 00:00:00 +0100

We report a right lateral abdominal wall hematoma caused by rupture of the superficial circumflex iliac artery after CAS in a 72-year-old man with severe stenosis of the origin of the right internal carotid artery. We performed CAS for the targeted lesion while activated clotting time exceeded 300 seconds. After 2 hours, he complained of right lateral abdominal pain. Abdominal computed tomography revealed an extensive hematoma in the right lateral abdominal wall. Activated clotting time was 180 seconds at this point. Seven hours later, he developed hypotension and hemoglobin level dropped to 11.3 g/dl. Subsequent computed tomography showed enlargement of the hematoma. Emergent selective angiography of the external iliac artery revealed active bleeding from the right superficial circumflex...

New Hampshire EMS Service Covers Two States, 10 Towns, Full-Time - JEMS.com

JEMS Latest News — Wed, 11 Nov 2009 14:11:53 +0100

Chief Harry Brown goes everywhere with a packet of maps. There's the map that shows the 911 addresses assigned along every snowmobile trail in the North Country. There's the map that shows where bags of... (Source: JEMS Latest News)

Research Challenges Belief that Quick Response Increases Patient's Chances - JEMS.com

JEMS Latest News — Wed, 11 Nov 2009 14:11:53 +0100

In 2002, emergency medicine specialists at the Denver Health Medical Center wanted to find out how much response times affected the survival of the major trauma patients they treated - often the victims... (Source: JEMS Latest News)

Paramedics Reunite with Man Treated with Cutting-edge Care - JEMS.com

JEMS Latest News — Wed, 11 Nov 2009 14:11:53 +0100

Rick Parker's existence is baffling. He credits part of it to a miracle and the other part to state-of-the-art treatment given to him by McDowell County Emergency Services (EMS) paramedics. On the night... (Source: JEMS Latest News)

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"Selective Smell"

EPMonthly.com — Wed, 11 Nov 2009 08:41:22 +0100

Olfactus amissio. Anosmia. For some it is a medical condition. But for emergency physicians, it is a talent, cultivated... (Source: EPMonthly.com)

One Dead, Five Injured in Florida Office Shooting - JEMS.com

JEMS Latest News — Tue, 10 Nov 2009 14:10:29 +0100

MIKE SCHNEIDER Associated Press Writer ORLANDO, Fla. - A gunman opened fire Friday in the offices of an engineering firm where he was let go more than two years ago, authorities said, killing one person... (Source: JEMS Latest News)

Florida EMS Captain Dies While On-Duty - JEMS.com

JEMS Latest News — Tue, 10 Nov 2009 14:10:29 +0100

EUSTIS -- A long-time emergency medical services official died on duty early Friday morning. Capt. David Deland, 45, district chief for Lake-Sumter Emergency Medical Services, had worked a number of calls... (Source: JEMS Latest News)

Vancouver Leads Canadian Cities in Bystander CPR - JEMS.com

JEMS Latest News — Tue, 10 Nov 2009 14:10:29 +0100

Bystanders, If your heart has stopped, you're unconscious, and you need CPR from a stranger, you're better off in Vancouver. That's because, in Toronto, fewer than one in three bystanders who see you struggling... (Source: JEMS Latest News)

NHLBI Stops Enrollment in Study on Resuscitation Methods for Cardiac Arrest - JEMS.com

JEMS Latest News — Tue, 10 Nov 2009 14:10:29 +0100

NHLBI Stops Enrollment in Study on Resuscitation Methods for Cardiac Arrest Different CPR Durations Found Equally Successful; CPR Device Does Not Add Benefit Enrollment has ended early in a large, multicenter... (Source: JEMS Latest News)

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Antiviral Treatment for Suspected H1N1 Influenza

Medscape Emergency Medicine Headlines — Tue, 10 Nov 2009 13:29:06 +0100

James Wilde, MD, discusses the recommendations for initiating antiviral treatment for patients with suspected H1N1 influenza. Medscape Emergency Medicine (Source: Medscape Emergency Medicine Headlines)

NY Court to AAPS: Residency Matters

EPMonthly.com — Tue, 10 Nov 2009 08:57:08 +0100

Court dismisses case arguing for equal recognition of AAPS-certified physicians on state-run web site. News Analysis by Logan... (Source: EPMonthly.com)

A severe case of hemobilia and biliary fistula following an open urgent cholecystectomy

World Journal of Emergency Surgery — Tue, 10 Nov 2009 00:00:00 +0100

Conclusions: The management of these complications enclose endoscopic, percutaneous and surgical therapies. After a diagnosis of biliary fistula, it's most important to assess the adequacy of bile drainage to determine a controlled fistula and to avoid bile collection and peritonitis. Transarterial embolization is the first line of intervention to stop hemobilia while surgical intervention should be considered if embolization fails or is contraindicated. (Source: World Journal of Emergency Surgery)

EDs Missing Wait-Time Targets (CME/CE)

MedPage Today Emergency Medicine — Mon, 09 Nov 2009 20:00:00 +0100

Increasing numbers of emergency department patients are not being seen in a timely way, with the most urgent cases most likely to miss wait-time targets, researchers said. (Source: MedPage Today Emergency Medicine)

Fatalities Caused by Cattle -- Four States, 2003-2008

Medscape Emergency Medicine Headlines — Mon, 09 Nov 2009 17:00:00 +0100

Cattle are powerful animals, highly protective of their territory and offspring, and are especially unpredictable during breeding and birthing periods, as this report indicates. Morbidity & Mortality Weekly Report (Source: Medscape Emergency Medicine Headlines)

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The ACEP Interviews: Nicholas Genes

EPMonthly.com — Mon, 09 Nov 2009 11:01:54 +0100

Nick Genes, MD, author of the blog Blogborygmi (http://blogborygmi.blogspot.com/) and founder of the medblog carnival Ground Rounds, discusses emergency... (Source: EPMonthly.com)

Army Post Shooting Rampage Leaves 13 Dead, 30 Hurt - JEMS.com

JEMS Latest News — Sat, 07 Nov 2009 14:05:29 +0100

APRIL CASTRO and DEVLIN BARRETT Associated Press Writers FORT HOOD, Texas - Military officials were starting Friday to piece together what may have pushed an Army psychiatrist trained to help soldiers... (Source: JEMS Latest News)

Striking Canadian Paramedics Disrupt Olympic Security Exercise - JEMS.com

JEMS Latest News — Sat, 07 Nov 2009 14:05:29 +0100

VANCOUVER - Striking paramedics disrupted a training exercise in preparation for the 2010 Winter Olympics for about four hours yesterday, erecting picket lines that unionized fire fighters and police refused... (Source: JEMS Latest News)

Flu Fells Emergency Workers in Calgary - JEMS.com

JEMS Latest News — Sat, 07 Nov 2009 14:05:29 +0100

Flu is partly to blame for a higher-than-average number of Calgary police, firefighters and air ambulance staff calling in sick. About nine per cent of police officers are off sick, up from the usual... (Source: JEMS Latest News)

In Reply: Reflecting on Definite Control of Probable Pain

Academic Emergency Medicine — Sat, 07 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

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U.S. States, Counties Struggle to Deliver H1N1 Shots

Medscape Emergency Medicine Headlines — Fri, 06 Nov 2009 16:58:01 +0100

States and counties will be struggling to vaccinate people against the swine flu pandemic well into December and January -- long after the first peak of the virus in the United States, officials said on Wednesday. Reuters Health Information (Source: Medscape Emergency Medicine Headlines)

Respiratory Failure Mortality Higher at Teaching Hospitals

Medscape Emergency Medicine Headlines — Fri, 06 Nov 2009 16:55:39 +0100

Patients with acute respiratory failure are more likely to die after admission to teaching hospitals than to non-teaching hospitals, according to findings presented this week at the CHEST 2009 meeting in San Diego, California. Reuters Health Information (Source: Medscape Emergency Medicine Headlines)

Arizona Medical Helicopter Crashes During Training; Two Injured - JEMS.com

JEMS Latest News — Fri, 06 Nov 2009 14:08:57 +0100

SAN CARLOS, Ariz. — Authorities say a medical helicopter has crashed on Arizona's San Carlos Indian reservation during a training flight and both people aboard are seriously injured. There were no patients... (Source: JEMS Latest News)

WHO Says Swine Flu is Top Flu Strain Worldwide - JEMS.com

JEMS Latest News — Fri, 06 Nov 2009 14:08:57 +0100

LONDON - The World Health Organization's flu chief said the swine flu virus has now become the predominant flu strain worldwide. In some countries, swine flu accounts for up to 70 percent of the flu viruses... (Source: JEMS Latest News)

Michigan Man Denied Ride, Steals Ambulance - JEMS.com

JEMS Latest News — Fri, 06 Nov 2009 14:08:57 +0100

EAST CHINA TOWNSHIP, Mich. — Authorities said a 31-year-old Detroit man who was stranded at a southeast Michigan hospital face charges after he stole an ambulance. Police said the man stole the ambulance... (Source: JEMS Latest News)

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Factors Applicants Value when Selecting an Emergency Medicine Residency

Medscape Emergency Medicine Headlines — Fri, 06 Nov 2009 14:08:52 +0100

What are the residency-specific criteria applicants value while selecting an emergency medicine training program? Western Journal of Emergency Medicine (Source: Medscape Emergency Medicine Headlines)

Rocuronium vs. Succinylcholine in the Emergency Department: A Critical Appraisal

Medscape Emergency Medicine Headlines — Fri, 06 Nov 2009 13:33:09 +0100

Can rocuronium replace succinylcholine as the paralytic agent of choice for rapid sequence intubation in the Emergency Department? The Journal of Emergency Medicine (Source: Medscape Emergency Medicine Headlines)

Characteristics of patients in a ward of Academic Internal Medicine: implications for medical care, training programmes and research

Internal and Emergency Medicine — Fri, 06 Nov 2009 06:48:22 +0100

Abstract To describe the characteristics of “delayed discharge patients” and the factors associated with “delayed discharges”, we performed a 12-month observational study on patients classified as “delayed discharge patients” admitted to an Academic Internal Medicine ward. We assessed the demographic variables, the number and severity of diseases using the Geriatric Index of Comorbidity (GIC), the cognitive, affective and functional status using, respectively, the Mini Mental Stare Examination, the Geriatric Depression Scale and the Barthel Index. We assessed the total length of stay (T-LHS), the total inappropriate length of stay (T-ILHS), the median length of stays (M-LHS), the median inappropriate length of stay (M-ILHS) and evaluated the factors associated ...

Drive-Through ED Offers Innovative Cure for Overcrowding

EPMonthly.com — Fri, 06 Nov 2009 06:04:35 +0100

Stanford experiment reduced LOS, increased patient satisfaction By Logan Plaster, with Eric A. Weiss, MD (Source: EPMonthly.com)

In Reply: Reflecting on Definite Control of Probable Pain.

Accident and Emergency Nursing — Fri, 06 Nov 2009 00:00:00 +0100

Authors: Veysman BD PMID: 19895628 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

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Painting a Rosie Picture.

Accident and Emergency Nursing — Fri, 06 Nov 2009 00:00:00 +0100

Authors: Singer J PMID: 19895629 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

Reflecting on Pain Control.

Accident and Emergency Nursing — Fri, 06 Nov 2009 00:00:00 +0100

Authors: Stephen JM, Weiner SG PMID: 19895630 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

Reflecting on Pain Control

Academic Emergency Medicine — Fri, 06 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Painting a Rosie Picture

Academic Emergency Medicine — Fri, 06 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Gestational Trophoblastic Disease

Academic Emergency Medicine — Fri, 06 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

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Court Allows First Responder Training in Vacant Indianapolis High-Rise - JEMS.com

JEMS Latest News — Thu, 05 Nov 2009 14:11:51 +0100

DEBY KNOX WISH Reprinted with Permission INDIANAPOLIS (WISH) - One of the biggest eyesores of the Indianapolis skyline got a once over Tuesday. The Keystone Towers, an abandoned apartment complex profiled... (Source: JEMS Latest News)

Temple Terrace Paramedics Receive Ultrasound Body Scanners - JEMS.com

JEMS Latest News — Thu, 05 Nov 2009 14:11:51 +0100

TEMPLE TERRACE - To Fire Chief Keith Chapman, their value was obvious. Having experienced first-hand the life-saving potential of ultrasound machines when he worked several years ago in Tampa General... (Source: JEMS Latest News)

IAFF, IAFC Show Support for Fire-based EMS - JEMS.com

JEMS Latest News — Thu, 05 Nov 2009 14:11:51 +0100

Washington DC - The International Association of Fire Chiefs (IAFC) and the International Association of Fire Fighters (IAFF) today reaffirmed their support for fire service-based emergency medical service... (Source: JEMS Latest News)

The ACEP Interviews: Ilene Brenner

EPMonthly.com — Thu, 05 Nov 2009 12:30:40 +0100

Ilene Brenner, MD, author of the forthcoming How to Survive a Medical Malpractice Lawsuit (http://www.amazon.co.uk/How-Survive-Medical-Malpractice-Lawsuit/dp/1444331302) (April 2010), discusses common... (Source: EPMonthly.com)

An unusual cause of small bowel obstruction

Internal and Emergency Medicine — Thu, 05 Nov 2009 07:45:31 +0100

Content Type Journal ArticleCategory CE - Medical IllustrationDOI 10.1007/s11739-009-0326-4Authors Sidhartha Sinha, North Middlesex University Hospital NHS Trust London UKKezia Gaitskell, North Middlesex University Hospital NHS Trust London UKRudy Borgstein, North Middlesex University Hospital NHS Trust London UKRomi Navaratnam, North Middlesex University Hospital NHS Trust London UK Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine)

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Extended prophylaxis of venous thromboembolism with fondaparinux in patients undergoing major orthopaedic surgery in Italy: a cost-effectiveness analysis

Internal and Emergency Medicine — Thu, 05 Nov 2009 07:45:29 +0100

In conclusion, our model shows that, when administered for extended prophylaxis of VTE following MOS, fondaparinux is more effective and cost saving than enoxaparin. Content Type Journal ArticleCategory IM - OriginalDOI 10.1007/s11739-009-0324-6Authors Stefano Capri, Cattaneo-LIUC University Institute of Economics Castellanza ItalyWalter Ageno, University of Insubria Department of Clinical Medicine Varese ItalyDavide Imberti, Hospital of Piacenza Emergency Department, Thrombosis Center Piacenza ItalyGualtiero Palareti, University Hospital Department of Angiology and Blood Coagulation “Marino Golinelli” Bologna ItalyFranco Piovella, Fondazione IRCCS Policlinico “San Matteo” Angiology and Thromboembolic Disease Unit Pavia ItalyGianluigi Scannapieco, Azienda ULSS 9 Treviso Italy...

Notes from the Scientific Assembly

EPMonthly.com — Thu, 05 Nov 2009 07:18:39 +0100

Werent able to make it to Boston for the ACEP Scientific Assembly? Not to worry, we took notes. By Keri Jacobs,... (Source: EPMonthly.com)

Gestational Trophoblastic Disease.

Accident and Emergency Nursing — Thu, 05 Nov 2009 00:00:00 +0100

Authors: Stone MB, Conroy NE PMID: 19891672 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

Emergency Ultrasound Diagnosis of Acute Appendicitis.

Accident and Emergency Nursing — Thu, 05 Nov 2009 00:00:00 +0100

Authors: Stone MB, Chao J PMID: 19891673 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

Ultrasound-guided Ulnar Nerve Block in the Management of Digital Abscess and Hand Cellulitis.

Accident and Emergency Nursing — Thu, 05 Nov 2009 00:00:00 +0100

Authors: Stone MB, Muresanu M PMID: 19891674 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

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Emergency Ultrasound Diagnosis of Cardiogenic Shock Due to Acute Mitral Regurgitation.

Accident and Emergency Nursing — Thu, 05 Nov 2009 00:00:00 +0100

Authors: Stone MB PMID: 19891675 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

The Difficult Airway.

Accident and Emergency Nursing — Thu, 05 Nov 2009 00:00:00 +0100

Authors: Guirgis F, Perera T, Ciorciari A PMID: 19891676 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)

The Difficult Airway

Academic Emergency Medicine — Thu, 05 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Emergency Ultrasound Diagnosis of Cardiogenic Shock Due to Acute Mitral Regurgitation

Academic Emergency Medicine — Thu, 05 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Ultrasound-guided Ulnar Nerve Block in the Management of Digital Abscess and Hand Cellulitis

Academic Emergency Medicine — Thu, 05 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

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Emergency Ultrasound Diagnosis of Acute Appendicitis

Academic Emergency Medicine — Thu, 05 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Amarillo IAFF Local Pitches City-owned Ambulance Service - JEMS.com

JEMS Latest News — Wed, 04 Nov 2009 14:16:11 +0100

The president of the Amarillo firefighters union plans to make a public pitch for the city to run its own ambulance service at today's Amarillo City Commission meeting. The Amarillo Fire Department could... (Source: JEMS Latest News)

Insect Fogger Kills Infant, Injures Others in South Carolina - JEMS.com

JEMS Latest News — Wed, 04 Nov 2009 14:16:11 +0100

COLUMBIA, S.C. - Bug spray that produces a fog to kill insects is likely to blame for the death of a 10-month-old South Carolina boy, and his 2-year-old brother was critically injured by the fumes, authorities... (Source: JEMS Latest News)

Flu Protections Added to Contract Keep California Nurses from Striking - JEMS.com

JEMS Latest News — Wed, 04 Nov 2009 14:16:11 +0100

LOS ANGELES—A California nurses' union won't strike, saying swine flu protections have been written into new contracts with the state's largest hospital system. The California Nurses Association had threatened... (Source: JEMS Latest News)

Independent Group to Monitor H1N1 Shot Safety - JEMS.com

JEMS Latest News — Wed, 04 Nov 2009 14:16:11 +0100

WASHINGTON — Independent health advisers begin monitoring safety of the swine flu vaccine on Monday, an extra step the government promised in this year's unprecedented program to watch for possible side... (Source: JEMS Latest News)

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The New EMT - JEMS.com

JEMS Columnists — Wed, 04 Nov 2009 14:16:10 +0100

It's 6:15 a.m. on a warm autumn morning, and Michael Wills pulls his 2000 Ford F-150 pickup into the ambulance station parking lot. His shift doesn't start until 7 a.m., but he wants to make sure he's... (Source: JEMS Columnists)

My 14-Year-Old Has Gallstones!

EPMonthly.com — Wed, 04 Nov 2009 06:06:01 +0100

Soundings by Brady Pregerson, MD Teresa Wu, MD My 14-year-old has Gallstones! At least that is... (Source: EPMonthly.com)

2009 Academic Emergency Medicine Consensus Conference Attendees

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

An Interdisciplinary Initiative to Reduce Radiation Exposure: Evaluation of Appendicitis in a Pediatric Emergency Department With Clinical Assessment Supported by a Staged Ultrasound and Computed Tomography Pathway

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

We describe an interdisciplinary initiative to use a staged US and CT pathway to maximize diagnostic accuracy while minimizing radiation exposure.Methods: This was a retrospective outcomes analysis of patients presenting after hours for suspected appendicitis at an academic children's hospital ED over a 6-year period. The pathway established US as the initial imaging modality. CT was recommended only if US was equivocal. Clinical and pathologic outcomes from ED diagnosis and disposition, histopathology and return visits, were correlated with the US and CT. ED diagnosis and disposition, pathology, and return visits were used to determine outcome.Results: A total of 680 patients met the study criteria. A total of 407 patients (60%) followed the pathway. Two-hundred of these (49%) were manage...

Routine Screening for Asymptomatic Abdominal Aortic Aneurysm in High-risk Patients Is Not Recommended in Emergency Departments That Are Frequently Crowded

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: Routine screening for asymptomatic AAA required substantial ED resources for a relatively low success rate of completed screens. The prevalence rate of AAA in our ED sample was not significantly different than prevalence estimates obtained from older men in the general population. ED sonographers reported benefits of screening in terms of improving the quality of emergency care and patient satisfaction, but also reported that it reduced operational efficiency. For EDs that have problems with crowding, we do not recommend implementing a routine screening program for AAA, even among high-risk patients. ACADEMIC EMERGENCY MEDICINE 2009; 16:1242[ndash]1250 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

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A Preliminary Report of Knowledge Translation: Lessons From Taking Screening and Brief Intervention Techniques From the Research Setting Into Regional Systems of Care

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article describes a limited statewide dissemination of an evidence-based technology, screening, brief intervention, and referral to treatment (SBIRT), and evaluation of the effects on emergency department (ED) systems of care, utilizing the knowledge translation framework of reach, effectiveness, adoption, implementation, and maintenance (RE-AIM), using both quantitative and qualitative data sources. Screening and brief intervention (SBI) can detect high-risk and dependent alcohol and drug use in the medical setting, provide early intervention, facilitate access to specialty treatment when appropriate, and improve quality of care. Several meta-analyses demonstrate its effectiveness in primary care, and the federal government has developed a well-funded campaign to promote physician tr...

Intimate Partner Violence: Development of a Brief Risk Assessment for the Emergency Department

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: This instrument can help predict which victims may be at increased risk for severe injury or potentially lethal assault and can aid clinicians in differentiating which patients require comprehensive safety interventions. ACADEMIC EMERGENCY MEDICINE 2009; 16:1208[ndash]1216 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Three-month Follow-up of Brief Computerized and Therapist Interventions for Alcohol and Violence Among Teens

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: This initial evaluation of the SafERteens study shows that universal computerized screening and BI for multiple risk behaviors among adolescents is feasible, well received, and effective at altering attitudes and self-efficacy. Future evaluations of the SafERteens study will evaluate the interventions' effects on behavioral change (alcohol use and violence) over the year following the ED visit. ACADEMIC EMERGENCY MEDICINE 2009; 16:1193[ndash]1207 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Tobacco Screening Multicomponent Quality Improvement Network Program: Beyond Education

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: This initiative successfully changed tobacco screening behavior of health care providers at all sites. It was particularly successful in the ED, typically an environment less likely to be conducive to preventive health interventions. ACADEMIC EMERGENCY MEDICINE 2009; 16:1186[ndash]1192 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Screening and Brief Intervention to Reduce Marijuana Use Among Youth and Young Adults in a Pediatric Emergency Department

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: A preliminary trial of SBI promoted marijuana abstinence and reduced consumption among PED patients aged 14[ndash]21 years. A no-contact condition for the NAC group over the year after enrollment was insufficient to capture enrollees for follow-up across a range of baseline acuity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1174[ndash]1185 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

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Emergency Medicine Resident Attitudes and Perceptions of HIV Testing Before and After a Focused Training Program and Testing Implementation

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

The objectives were to determine attitudes and perceptions (A&P) of emergency medicine (EM) residents toward emergency department (ED) routine provider-driven rapid HIV testing services and the impact of both a focused training program (FTP) and implementation of HIV testing on A&P.Methods: A three-phase, consecutive, anonymous, identity-unlinked survey was conducted pre-FTP, post-FTP, and 6 months postimplementation. The survey was designed to assess residents' A&P using a five-point Likert scale. A preimplementation FTP provided both the rationale for the HIV testing program and the planned operational details of the intervention. The HIV testing program used only indigenous ED staff to deliver HIV testing as part of standard-of-care in an academic ED. The impact of the FTP and implement...

Acceptance of Rapid HIV Screening in a Southeastern Emergency Department

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: The opt-out approach results in high acceptance of routine HIV screening. Widespread adoption of the CDC's recommendations, although feasible, will require significant increases in resources. ACADEMIC EMERGENCY MEDICINE 2009; 16:1156[ndash]1164 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Effectiveness of Increasing Emergency Department Patients' Self-perceived Risk for Being Human Immunodeficiency Virus (HIV) Infected Through Audio Computer Self-interview–based Feedback About Reported HIV Risk Behaviors

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

Conclusions: Some ED patients can be moved, although modestly, to recognize their risk for being HIV infected by asking about their HIV risk behaviors. However, ACASI-based feedback messages about HIV risk behaviors do not increase subjects' self-perceived HIV risk. Female ED patients appear to increase their self-perceived HIV risk more than males when queried about their HIV risk behaviors. ACADEMIC EMERGENCY MEDICINE 2009; 16:1143[ndash]1155 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Public Health in the Emergency Department: Surveillance, Screening, and Intervention—Funding and Sustainability

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article summarizes the work and discussions of the funding and sustainability work group at the 2009 Academic Emergency Medicine consensus conference "Public Health in the ED: Surveillance, Screening, and Intervention." The funding and sustainability session participants were asked to address the following overarching question: "What are the opportunities and what is needed to encourage academic emergency medicine (EM) to take advantage of the opportunities for funding available for public health research initiatives and build stronger academic programs focusing on public health within EM?" Prior to the session, members of the group reviewed research funding for EM in public health, as well as the priorities of federal agencies and foundations. Recommendations for actions by EM summar...

Public Health in the Emergency Department: Overcoming Barriers to Implementation and Dissemination

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article is the outcome of a consensus building workshop entitled, "Overcoming Barriers to Implementation and Dissemination" convened at the 2009 Academic Emergency Medicine Consensus Conference, ''Public Health in the ED: Surveillance, Screening, and Intervention." The participants were asked to address potential methods for overcoming barriers to the dissemination and implementation in the emergency department (ED) of evidenced-based practices to improve public health. The panel discussed three broad areas of interest including methods for disseminating evidence-based practices, barriers encountered during the process of implementation, and the importance of involvement in activities outside the ED including engagement in policy development and improvement. Four recommendations were ...

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Study Designs and Evaluation Models for Emergency Department Public Health Research

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article is the product of a breakout session from the 2009 Academic Emergency Medicine consensus conference entitled "Public Health in the ED: Screening, Surveillance, and Intervention" and serves to describe in detail aspects of performing emergency department (ED)-based public health research, while serving as a resource for current and future researchers. In doing so, the authors describe methodologic features of study design, participant selection and retention, and measurements and analyses pertinent to public health research. In addition, a number of recommendations related to research methods and future investigations related to public health work in the ED are provided. Public health investigators are poised to make substantial contributions to this important area of research,...

Conceptual Models of Health Behavior: Research in the Emergency Care Settings

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article provides recommendations for incorporating conceptual models of health behavior change into research conducted in emergency care settings. The authors drafted a set of preliminary recommendations, which were reviewed and discussed by a panel of experienced investigators attending the 2009 Academic Emergency Medicine consensus conference. The original recommendations were expanded and refined based on their input. This article reports the final recommendations. Three recommendations were made: 1) research conducted in emergency care settings that focuses on health behaviors should be grounded in formal conceptual models, 2) investigators should clearly operationalize their outcomes of interest, and 3) expected relations between theoretical constructs and outcomes should be made...

Mental Health and Emergency Medicine: A Research Agenda

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

The burden of mental illness is profound and growing. Coupled with large gaps in extant psychiatric services, this mental health burden has often forced emergency departments (EDs) to become the de facto primary and acute care provider of mental health care in the United States. An expanded emergency medical and mental health research agenda is required to meet the need for improved education, screening, surveillance, and ED-initiated interventions for mental health problems. As an increasing fraction of undiagnosed and untreated psychiatric patients passes through the revolving doors of U.S. EDs, the opportunities for improving the art and science of acute mental health care have never been greater. These opportunities span macroepidemiologic surveillance research to intervention studies ...

Research Using Emergency Department–related Data Sets: Current Status and Future Directions

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article represents the proceedings from that session, primarily focusing on emergency department (ED)-related data sets and includes examples of the use of a data set based on ED visits for research purposes. It discusses types of ED-related data sets available, highlights barriers to research use of ED-related data sets, and notes limitations of these data sets. The paper highlights future directions and challenges to using these important sources of data for research, including identification of five main needs related to enhancing the use of ED-related data sets. These are 1) electronic linkage of initial and follow-up ED visits and linkage of information about ED visits to other outcomes, including costs of care, while maintaining deidentification of the data; 2) timely data acces...

Research Priorities for Human Immunodeficiency Virus and Sexually Transmitted Infections Surveillance, Screening, and Intervention in Emergency Departments: Consensus-based Recommendations

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article describes the results of the human immunodeficiency virus (HIV) and sexually transmitted infections (STI) prevention in the emergency department (ED) component of the 2009 Academic Emergency Medicine Consensus Conference entitled "Public Health in the ED: Surveillance, Screening, and Intervention." The objectives were to use experts to define knowledge gaps and priority research questions related to the performance of HIV and STI surveillance, screening, and intervention in the ED. A four-step nominal group technique was applied using national and international experts in HIV and STI prevention. Using electronic mail, an in-person meeting, and a Web-based survey, specific knowledge gaps and research questions were identified and prioritized. Through two rounds of nomination an...

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Violence Prevention in the Emergency Department: Future Research Priorities

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

The 2009 Academic Emergency Medicine Consensus Conference working group session participants developed recommendations and research questions for violence prevention in the emergency department (ED). A writing group devised a working draft prior to the meeting and presented this to the breakout session at the consensus conference for input and approval. The recommendations include: 1) promote and facilitate the collection of standardized information related to violence victimization and perpetration in ED settings; 2) develop and validate brief practical screening instruments that can identify those at risk for perpetration of violence toward others or toward self; 3) develop and validate brief practical screening instruments that can identify victims at risk for violent reinjury and menta...

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on "Public Health in the ED: Screening, Surveillance, and Intervention." The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group develop...

SBIRT in Emergency Care Settings: Are We Ready to Take it to Scale?

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article summarizes a panel discussion on "SBIRT in the emergency care setting: are we ready to take it to scale?" Dr. Edward Bernstein commented on the historical developments of emergency department (ED) screening, brief intervention (BI), and referral to treatment (SBIRT) research, practice, and knowledge translation. Dr. Jack Stein addressed SBIRT grant program progress to date, the reimbursement stream, SBIRT lessons learned, and unanswered questions. Dr. Richard Saitz reviewed the limitations of the evidence for alcohol and drug ED screening and BI and cautioned on the danger of proceeding to practice and broad dissemination without evidenced based on randomized controlled trials with sufficient sample size and clinically important outcomes. ACADEMIC EMERGENCY MEDICINE 2009; 16:1...

Emergency Medicine Public Health Research Funded by Federal Agencies: Progress and Priorities

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

The emergency department (ED) visit provides an opportunity to impact the health of the public throughout the entire spectrum of care, from prevention to treatment. As the federal government has a vested interest in funding research and providing programmatic opportunities that promote the health of the public, emergency medicine (EM) is prime to develop a research agenda to advance the field. EM researchers need to be aware of federal funding opportunities, which entails an understanding of the organizational structure of the federal agencies that fund medical research, and the rules and regulations governing applications for grants. Additionally, there are numerous funding streams outside of the National Institutes of Health (NIH; the primary federal health research agency). EM researche...

Emergency Medicine and Public Health: Stopping Emergencies Before the 9-1-1 Call

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

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The Clinical Impact of Health Behaviors on Emergency Department Visits

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

This article reviews the epidemiology and clinical impact of risky health behaviors on ED visits and suggests strategies for creating a research agenda in these areas. ACADEMIC EMERGENCY MEDICINE 2009; 16:1054[ndash]1059 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine)

Historical Parallel Evolution of Injury Prevention and Control Science and Emergency Medicine

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Idealized Models or Incremental Program Evaluation: Translating Emergency Department HIV Testing Into Practice

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Public Health and Emergency Medicine

Academic Emergency Medicine — Wed, 04 Nov 2009 00:00:00 +0100

(Source: Academic Emergency Medicine)

Measuring the impact of evidence: the Cochrane systematic review of organised stroke care

Internal and Emergency Medicine — Tue, 03 Nov 2009 22:12:48 +0100

Content Type Journal ArticleCategory CE - Cochrane's CornerDOI 10.1007/s11739-009-0323-7Authors Rita Banzi, Italian Cochrane Centre, Mario Negri Institute for Pharmacological Research Via La Masa, 19 20156 Milan ItalyLorenzo Moja, Italian Cochrane Centre, Mario Negri Institute for Pharmacological Research Via La Masa, 19 20156 Milan ItalyAlessandro Liberati, Italian Cochrane Centre, Mario Negri Institute for Pharmacological Research Via La Masa, 19 20156 Milan ItalyGian Franco Gensini, University of Florence Department of Critical Care Medicine and Surgery Florence ItalyRoberto Gusinu, DAI Cardiologico e dei Vasi, Azienda Ospedaliero-Universitaria Careggi Florence ItalyAndrea A. Conti, University of Florence Department of Critical Care Medicine and Surgery Florence Italy Journal...

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Investigation Begins in Coast Guard, Marine Corps Aviation Collision - JEMS.com

JEMS Latest News — Tue, 03 Nov 2009 14:07:55 +0100

CHRISTOPHER WEBER Associated Press Writer LOS ANGELES - With the possibility of finding survivors all but gone and the ocean search shifted from a rescue effort to a recovery mission, focus fell Monday... (Source: JEMS Latest News)

Mercy Flight Files Suit Over Priority Response to Medevac Calls - JEMS.com

JEMS Latest News — Tue, 03 Nov 2009 14:07:55 +0100

Syracuse, NY - Three rescue helicopters that serve Central New York are embroiled in an air war. Mercy Flight Central, a private service with a helicopter on standby in Marcellus, claims Onondaga County’s... (Source: JEMS Latest News)

Collier County Medical Director Pulls ALS Certification from All East Naples Firefighters - JEMS.com

JEMS Latest News — Tue, 03 Nov 2009 14:07:55 +0100

NAPLES — Collier County Medical Director Robert Tober has pulled advance life support certification for all East Naples firefighter-paramedics because he says they have failed to meet agreed-upon training... (Source: JEMS Latest News)

The ACEP Interviews: Louise B. Andrew

EPMonthly.com — Tue, 03 Nov 2009 12:37:21 +0100

Dr. Louise Andrew talks with Mark Plaster about litigation stress and strategies for surviving a malpractice suit. (Source: EPMonthly.com)

Response to Letter to the Editor: Acute abdominal pain: value of non-contrast enhanded ultra-low-dose multi-detector row CT as a substitute for abdominal radiographs (N. Buls, K. Nieboer, J. de Mey)

Emergency Radiology — Tue, 03 Nov 2009 11:10:24 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s10140-009-0845-3Authors Unni K. Udayasankar, Emory University School of Medicine Division of Abdominal Imaging, Department of Radiology 1364 Clifton Road NE Atlanta GA 30322 USAJianhai Li, Emory University School of Medicine Division of Abdominal Imaging, Department of Radiology 1364 Clifton Road NE Atlanta GA 30322 USADeborah A. Baumgarten, Emory University School of Medicine Division of Abdominal Imaging, Department of Radiology 1364 Clifton Road NE Atlanta GA 30322 USAWilliam C. Small, Emory University School of Medicine Division of Abdominal Imaging, Department of Radiology 1364 Clifton Road NE Atlanta GA 30322 USAMannudeep K. Kalra, Massachusetts General Hospital Department of Radiology 55 Fruit Street Boston MA...

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Comment on article of K. Udayasankar, J. Li, D.A. Baumgarten, W.C. Small, M.K. Kalra: acute abdominal pain:value of non-contrast enhanced ultra-low-dose multi-detector row CT as a substitute for abdominal radiographs (2009)

Emergency Radiology — Tue, 03 Nov 2009 11:10:23 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s10140-009-0843-5Authors Nico Buls, University Ziekenhuis Laarebeeklaan 101 1090 Brussels BelgiumKoenraad Nieboer, University Ziekenhuis Laarebeeklaan 101 1090 Brussels BelgiumJohan de Mey, University Ziekenhuis Laarebeeklaan 101 1090 Brussels Belgium Journal Emergency RadiologyOnline ISSN 1438-1435Print ISSN 1070-3004 (Source: Emergency Radiology)

2009 ACEP Research Review: 10 Abstracts that Could Change Your Practice

EPMonthly.com — Tue, 03 Nov 2009 08:01:58 +0100

Special Report//ACEP Research Forum ACEPs 2009 Research Forum took place October 5-6, 2009 in Boston, Massachusetts and featured 462 abstracts.... (Source: EPMonthly.com)

The Inconsolable Baby: When Is It Colic?

EPMonthly.com — Mon, 02 Nov 2009 07:45:46 +0100

It was a dark and stormy night . . . seriously. And it didnt hurt your volume any; youve been... (Source: EPMonthly.com)

Keyword Index

The Journal of Emergency Medicine — Sun, 01 Nov 2009 00:00:00 +0100

(Source: The Journal of Emergency Medicine)