Emergency_Medicine RSS : Gourt

Indiana medical practice is seeking immediate Emergency Medicine coverage. :: Indiana :: Weatherby Locums

Job 9566854-0009 This hospital-based facility is currently in need of additional ER coverage, due to physician retiring. Excellent potential for locums to permanent placement. Low volume Single coverage

Indiana hospital is currently in need of a Emergency Medicine physician. :: Indiana :: Weatherby Locums

Job 9575847-0049 This medical facility has an urgent need for a ER doctor, due to a staff shortage. Coverage is needed ASAP and on-going. Board Certified in IM/FP with EM experience required 10 shifts

ER physician needed in central Arizona for on-going weekend coverage. :: Arizona :: Weatherby Locums

Job 9572554-0041 Hospital-based healthcare facility is presently seeking a Emergency Medicine physician to help provide on-going coverage. Candidates with some Urgent Care experience is ideal. Friday

Regional hospital in Kentucky seeks Emergency Medicine coverage :: Kentucky :: Weatherby Locums

Job 9549086-0182 Locums EM physician needed to cover for staff shortage. Join dynamic and experienced team - beautiful area to explore during summer and fall. Primary Care Boards ok (IM, FP) 12 and

Alaska medical group is seeking Emergency Medicine coverage. :: Alaska :: Weatherby Locums

Job 9584547-0006 This healthcare practice is looking for an Additional ER doctor to help provide locums coverage thru November. Currently there are 7 other physicians with the group, no mid-levels.

Illinois has an Emergency Medicine opportunity available :: Illinois :: Weatherby Locums

Job 9509005-0005 This medical facility is currently seeking a EM physician for on-going coverage beginning January. Preferred candidate should have life supports: BLS, ATLS, ACLS, PALS. In-house assistance

Excellent Emergency Medicine Opportunity in Mississippi :: Mississippi :: Weatherby Locums

Job 9549086-0181 Locums Emergency Medicine physician needed to cover some shifts through end of the year. Help deliver prompt, efficient care to growing community. No Trauma Call for more information!

ER physician coverage in Illinois is needed, On-going. :: Illinois :: Weatherby Locums

Job 9553272-0033 Hospital-based facility is seeking the assistance of a Emergency Medicine physician to help with providing coverage to their community. Ideal candidate will be EM trained. Single Coverage

Emergency Medicine coverage needed in Florida Hospital :: Florida :: Weatherby Locums

Job 9500053-0008 This healthcare facility is seeking additional ER physician coverage, ASAP and on-going. Beautiful area and establish practice. We will provide privileging assistance for ideal candidates.

Seeking Emergency Medicine coverage in south Illinois :: Illinois :: Weatherby Locums

Job 9553272-0032 This Illinois healthcare facility is looking for an EM physician to assist with their coverage needs. On-going need through the end of the year. 12 to 24 hour shifts Single & Double

EM physician needed in PA to provide locums coverage :: Pennsylvania :: Weatherby Locums

Job 9500164-0015 Locums Emergency Medicine physician needed to provide coverage for growing community. ABEM or Primary Care boards acceptable. Must have active life support cards. ACLS, ATLS and PALS

EM physician needed in NC to provide locums coverage :: North Carolina :: Weatherby Locums

Job 9507226-0005 Medical facility is currently seeking an Emergency Medicine physician to help provide EM medical care. We assist with all aspects of credentialing and hospital privileges. Shifts;

EM physician needed in NC to provide locums coverage :: North Carolina :: Weatherby Locums

Job 9507226-0006 Medical facility is currently seeking an Emergency Medicine physician to help provide EM medical care. We assist with all aspects of credentialing and hospital privileges. Shifts;

EM physician needed in NC to provide locums coverage :: North Carolina :: Weatherby Locums

Job 9507226-0007 Premier health care facility is currently seeking an Emergency Medicine physician to help provide EM medical care. Great place to keep your skills sharp! Shifts; 7am-3pm, 3pm-11pm

Northern Kentucky is seeking long-term EM coverage. :: Kentucky :: Weatherby Locums

Job 9507058-0008 This medical facility is looking for a Emergency Medicine physician to help assist with continuous coverage, while permanent placement is identified. They are currently short staffed,

Excellent Emergency Medicine Opportunity in Arizona :: Arizona :: Weatherby Locums

Job 9570698-0011 Excellent opportunity for locums Emergency Medicine physician to pick up some shifts. Great area for golfing! Any Board Certification is acceptable. No trauma. 12 hour shifts Mid

Excellent Emergency Medicine Opportunity in Kansas :: Kansas :: Weatherby Locums

Job 9602198-0005 Hospital seeks locums Emergency Medicine physician to provide community coverage. Board Certification in Primary Care with experience in Emergency Medicine required. ABEM or Primarcy

EM coverage needed in Montana medical facility :: Montana :: Weatherby Locums

Job 9508689-0020 Hospital-based facility is currently seeking a Emergency Medicine physician to help provide on-going coverage. EMR documentation system. Ideal candidate will have active MT license and

EM physician needed in WV to provide coverage :: West Virginia :: Weatherby Locums

Job 9607565-0002 EM locums physician needed as soon as possible to provide EM coverage. Board Certified in Primary Care (IM, FP) with experience in Emergency Medicine. Multiple shifts available ABEM,

Emergency Medicine Opportunity in Nevada :: Nevada :: Weatherby Locums

Job 9607610-0004 Excellent opportunity for Emergency Medicine to provide locums coverage. No deliveries required. Single coverage Charts handwritten 12 hour shifts Paid malpractice insurance Pre-paid

Primary survey

USA health reforms and the NHS

Prehospital paediatric emergency care: paediatric triage

The practice of triage was conceived during the Napoleonic wars, with the aim of salvaging those soldiers whose injuries were readily treatable, returning them to the battlefield at the earliest opportunity. Literally, the word triage means "to sieve" or "to sort" (French trier), and those earlier battlefield principles have been refined and expanded to now encompass trauma and medical emergencies, with triage practiced in prehospital and hospital settings. To address the anatomical, physiological and developmental differences encountered when dealing with children, specific paediatric triage systems have also been developed, and this article discusses their merits.

Organisation of traumatic head injury management in the Nordic countries

Objective: The aim of this study is to map and evaluate the available resources and the premises of traumatic head injury management in the Nordic countries, before the implementation of a Nordic adaption of the Brain Trauma Foundation guidelines for prehospital management. Methods: The study is a synthesis of two cross-sectional surveys. Questionnaires were used to collect data on the annual number of acute head injury operations, the infrastructure, the level of education, the use of trauma protocols and the management of traumatic head injury at Nordic hospitals. Results: The proportion of acute head injury operations performed outside a neurosurgical department was 0% in Denmark, 16% in Finland, 19% in Norway and 33% in Sweden. Eighty-four per cent of Nordic hospitals had written protocols for the assessment and treatment of trauma patients and 78% had regular training in trauma management; 67% had specific protocols for the treatment of traumatic head injury. Computed tomography (CT) was available in 93% of the hospitals, and 59% of the hospitals could link CT scans to the regional neurosurgical department. Conclusions: Most Nordic hospitals are well prepared to manage patients with acute traumatic head injury. A substantial proportion of the operations are performed at local and central hospitals without neurosurgical expertise, despite an efficient pre and interhospital transport system. The Nordic adaption of the Brain Trauma Foundation guidelines recommends that this practice is terminated.

Qualitative research: specific designs for qualitative research in emergency care?

This article follows our description of generic qualitative approaches, focusing on the specific designs of ethnography, grounded theory and phenomenology. Distinguishing features are described, including methodological approaches and methods for enhancing rigour. The use of these designs in emergency care is unusual but informative, and important work has been produced. Whether used in a pure or applied manner, it is likely that such approaches will add to our understanding of the emergency world.

Introduction of the Liverpool Care Pathway for end of life care to emergency medicine

Aim: To improve the care of patients presenting to the emergency department who are acutely dying or those in whom further disease-modifying treatment is not appropriate. Design: A quality improvement report on the implementation of a modified Liverpool Care Pathway for the Dying Patient (LCP) in an emergency medicine department. Setting: The emergency medicine department of Ninewells Hospital, Dundee. Ninewells Hospital is the tertiary referral and teaching hospital for the east coast of Scotland and North East Fife. Key measures for improvement: The pathway was introduced after a 2001 study and a 2003 audit showed that the department had an increasing role in the care of the acutely dying, but some inconsistency in approach. Key measures for improvement were to improve communication between staff, improve the consistency of care and improve the perceived quality of care given. Senior decision making remains a crucial element of the pathway. Strategies for change: A modified LCP was developed and launched in November 2005. Change was managed via a series of meetings and a pilot process. Serial review and audit allowed ongoing quality review of the pathway and improvements. Results: The care of the dying patient has become a more consistent and positive endeavour. Nursing staff are very satisfied with its use, and it is hoped that the LCP pathway can be developed further within the organisation. Conclusions: It has been a rewarding undertaking to improve the care of dying patients, but one which has taken time and has required consistent management of change to promote the positive outcomes.

DNW--"Did Not Wait" or "Demographic Needing Work": a study of the profile of patients who did not wait to be seen in an Irish emergency department

Background: Patients who fail to wait for medical assessment in the emergency department (ED) have been referred to in the international literature as "did not wait" (DNW) or "left without being seen" (LWBS) patients or, indeed, simply as "walkouts". This is taken as a performance indicator internationally. In common with many countries, Ireland has very considerable problems in the delivery of ED care due largely to inadequate resources and the inappropriate use of EDs as holding bays for admitted patients. This is the first study of this size to profile the DNW phenomenon in Ireland. Methods: The charts of DNW patients were identified and the DNW status was entered into the ED computer record. Data concerning age, sex, time of arrival, date of arrival, triage category and presenting complaint were recorded. Results: In the study period there were 11 662 patient attendances, of whom 871 patients (7.47%) did not wait for assessment. Triage category was highly statistically significant, with those in the lowest triage category having the highest numbers not waiting to be seen (p<0.001). Those attending at night (p<0.001) and at the weekend (p = 0.03) were most likely to leave without being assessed. Conclusion: Failure to provide the service in a timely manner gives rise to patients leaving without receiving the medical assessment they came to obtain. This is a serious clinical problem and puts both those requiring care and those providing it at risk of adverse outcomes.

Magnesium sulphate in the treatment of acute asthma: evaluation of current practice in adult emergency departments

Background: A recent meta-analysis showed that intravenous and nebulised magnesium sulphate have similar levels of evidence to support their use in the treatment of acute asthma in adults. This consisted of weak evidence of effect on respiratory function and hospital admissions, with wide confidence intervals ranging from no effect to significant positive effects. Current BTS/SIGN guidelines suggest an equivocal role for intravenous magnesium sulphate and no role for nebulised magnesium sulphate. A study was performed to assess what emergency physicians currently do in their management of acute asthma. Method: A postal survey was undertaken of all adult emergency departments within the UK. A structured questionnaire was sent to all clinical leads in emergency medicine about their current usage of both intravenous and nebulised magnesium sulphate in the treatment of acute asthma. Results: 180 of the 251 emergency departments in the UK responded (72%). Magnesium sulphate was used in 93%, mostly because it was expected to relieve breathlessness (70%) or reduce HDU/ITU admissions (51%). It was predominantly given to those patients with acute severe asthma (84%) and life-threatening exacerbations (87%), with most stating they would give the drug if there was no response to repeated nebulisers (68%). In comparison, nebulised magnesium sulphate was only used in two emergency departments (1%). The main reason for not administering the drug via a nebuliser was insufficient evidence (51%). Conclusions: Intravenous magnesium sulphate is widely used for acute asthma, usually for patients with severe or life-threatening asthma who have not responded to initial treatment. Nebulised magnesium sulphate, by contrast, is hardly used at all. The use of intravenous magnesium sulphate is more extensive than current guidelines or available evidence would appear to support.

EMQs: Paediatrics

Relationship between equipment and infrastructure for pandemic influenza and performance in an avian flu drill

Background: Effective preparedness for pandemic influenza necessitates acquisition and maintenance of vital equipment and infrastructure. The aim of this study was to investigate the relationship between the level of hospital preparedness relating to infrastructure and equipment and performance of the hospital in an avian flu drill. Methods: The levels of preparedness of the infrastructure and equipment for pandemic influenza of all 24 general hospitals were evaluated using a tool developed for this purpose. The hospital evaluation scores were then compared with the scores obtained by the hospitals in a simulated avian flu drill. Results: The overall scores of equipment and infrastructure for pandemic influenza of general hospitals ranged from 67% to 100%. Comparison of the overall level of preparedness of equipment and infrastructure for pandemic influenza with the overall scores achieved in the avian flu drill revealed a medium correlation. A medium correlation was also found between stockpiling of medications and performance in the avian flu drill. No correlations were found between operating infrastructure, availability of protective measures and medical forms and performance in the avian flu drill. Conclusions: This study has identified benchmarks of infrastructure and equipment required for managing a pandemic influenza event and evaluating the level of emergency preparedness of the hospital. The significant relationship between maintaining stockpiles of antiviral medications for patients and staff and performance in an avian flu drill emphasises its importance in the process of maintaining emergency preparedness for a pandemic influenza outbreak.

Winged scapula as the presenting symptom of Guillain-Barre syndrome

Derivation and validation of a sensitive IMA cutpoint to predict cardiac events in patients with chest pain

Objectives: In patients with acute chest pain, we derived a cutpoint for ischaemia-modified albumin (IMA) and prospectively validated this cutpoint to predict 30-day major adverse cardiac events (MACEs). Methods: We prospectively recruited a derivation cohort (18-month period) to establish a serum IMA cutpoint targeting 80% sensitivity. This was followed by a prospective validation cohort study of emergency department patients with acute chest pain at two university hospitals over a 3-month period. A MACE was defined as myocardial infarction, revascularisation or death at 30-day follow-up. Results: In the derivation cohort of 151 patients, the IMA cutpoint that achieved 80% sensitivity for MACEs was 75 KU/litre. The sensitivity was prospectively validated in 171 patients consecutively enrolled, of whom 106 underwent multiple-biomarker analysis (19.8% MACE rate, 81% sensitivity of IMA). Furthermore, IMA by itself (81%, p<0.01) and in combination with initial highly sensitive cardiac troponin T (hsTnT) (90%, p<0.001) had significantly higher sensitivity than initial hsTnT (29%) for prediction of MACEs. Conclusions: We prospectively validated the sensitive IMA cutpoint of 75 KU/litre with 80% sensitivity for MACEs in patients with acute chest pain. Our data suggest that IMA alone and in combination with initial hsTnT are more sensitive than the initial hsTnT for MACEs.

Pulmonary artery pseudoaneurysm

The toddler refusing to weight-bear: a revised imaging guide from a case series

Background: The previously mobile child who refuses to walk or weight-bear is a common presentation to the accident and emergency department, for which there are a number of causes. One uncommon cause is discitis, an inflammatory process of the intervertebral disc, which is easily diagnosed with spinal magnetic resonance imaging (MRI). A case series of three patients is presented of non-weight-bearing children in whom there was a delay in making the diagnosis of lumbosacral discitis. None presented with back pain, spinal symptoms or abnormal neurological findings, and a full range of movement of both hips was found. Methods: All patients underwent conventional radiography and ultrasound, but diagnoses were made on spinal MRI, with two patients undergoing bone scintigraphy before this. Results: The mean delay was 15.6 days (range 13–20) from presentation at the hospital to MRI. All three patients made a good clinical recovery with intravenous antibiotics. Conclusion: These cases are presented in order to heighten the awareness of this disease entity and its imaging findings, and suggest new guidelines for the appropriate radiological investigations in this clinical setting.

Predicting the complicated neutropenic fever in the emergency department

Objectives: The purpose of this study was to identify independent factors that can be used to predict whether febrile neutropenic patients who appear healthy at presentation will develop subsequent complications, using variables that are readily available in the emergency department (ED). Method: The medical records of 192 episodes in which the patients presented to the ED with neutropenic fever resulting from chemotherapy, with an alert mental state and haemodynamic stability were retrospectively reviewed. Endpoints examined were fever response to administered antibiotics, death or severe medical complications during hospitalisation. Results: Thirty-eight episodes of neutropenic fever with complicated outcomes were identified from among a total of 192 episodes. Three parameters emerged as independent factors for the prediction of neutropenic fever with complications in the multivariate regression analysis: platelet count (130–450 x 103 cells/mm3) <50 000 cells/mm3, serum C-reactive protein (CRP, 0.1–1 mg/dl) >10 mg/dl and pulmonary infiltration on chest x ray. Conclusions: Platelet count, CRP and pulmonary infiltration on chest x ray at presentation could be used to identify febrile neutropenic patients who will develop complications, and these factors may be useful in making treatment-related decisions in the ED.

Pain in the leg after jogging

Effects of bed height on the performance of chest compressions

Objectives: The correct chest compression technique was emphasised to enhance the result of cardiopulmonary resuscitation in the 2005 guidelines. The present study compared the effects of different bed heights, including a bed at knee height, on the performance of chest compressions. Methods: Twenty-four healthcare providers participated in this study. Knee height was defined as the baseline bed height. Bed heights were adjusted to 10 and 20 cm above the baseline and 10 and 20 cm below the baseline. At the five bed heights, chest compressions were performed for 2 minutes, and the compression rate was maintained at 100 per minute, with audible feedback. Results: The mean compression depths (MCD) were 28.3 mm (SD 10.7; knee height +20 cm), 32.3 mm (SD 9.2; knee height +10 cm), 32.7 mm (SD 8.5; knee height), 32.3 mm (SD 9.0; knee height –10 cm) and 31.1 mm (SD 8.5; knee height –20 cm). The MCD was significantly lower at knee height plus 20 cm (p<0.001). Conclusion: The performance of chest compressions decreased when the bed height was 20 cm higher than the knee height of the rescuer.

Use of a control test to aid pH assessment of chemical eye injuries

Chemical burns of the eye represent 7.0%–9.9% of all ocular trauma. Initial management of ocular chemical injuries is irrigation of the eye and conjunctival sac until neutralisation of the tear surface pH is achieved.We present a case of alkali injury in which the raised tear film pH seemed to be unresponsive to irrigation treatment. Suspicion was raised about the accuracy of the litmus paper used to test the tear film pH. The error was confirmed by use of a control litmus pH test of the examining doctor’s eyes. Errors in litmus paper pH measurement can occur because of difficulty in matching the paper with scale colours and drying of the paper, which produces a darker colour. A small tear film sample can also create difficulty in colour matching, whereas too large a sample can wash away pigment from the litmus paper. Samples measured too quickly after irrigation can result in a falsely neutral pH measurement. Use of faulty or inappropriate materials can also result in errors. We advocate the use of control litmus pH test in all patients. This would highlight errors in pH measurements and aid in the detection of the end point of irrigation.

The mark of the dragon

Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary

BET 1: STEROIDS FOR PATIENTS WITH VESTIBULAR NEURONITIS

BET 2: ECCENTRIC EXERCISE IN THE TREATMENT OF ACHILLES TENDINOPATHY

BET 3: DO BUCKLE FRACTURES OF THE PAEDIATRIC WRIST REQUIRE FOLLOW UP?

BET 4: THE USE OF ULTRASOUND IN THE DIAGNOSIS OF PAEDIATRIC WRIST FRACTURES

The Tough Guy prehospital experience: patterns of injury at a major UK endurance event

Background: Data from mass gathering events help when planning allocation of resources and in setting standards of care. There is currently a lack of data from the UK. Aim: To determine the frequency of injuries and hospital transfer rates at a large outdoor endurance event. Methods: 251 patient attendances from four consecutive events over 2 years (two summers two winters; 2006–2007) were analysed. Results: 1%–2% of contenders required medical help. Hypothermia (n = 84), soft tissue problems (n = 71) and musculoskeletal problems (n = 51) were the most common conditions encountered. 4% of patients required immediate transfer to the hospital. The medical team was able to prevent 31 hospital transfers, which represents a reduction of 78%. 13% of cases specifically required a doctor who was able to prevent more immediate hospital transfers than other care givers. The majority of injuries were classified as minor (n = 228), with the remaining as intermediate (n = 23); there were no life-threatening injuries or deaths. No patient required intravenous fluid. Overall, in winter, more patients were treated when compared with summer (157 vs 94). There were significantly more retirements in winter (69 vs 22, p<0.001), although hospital transfer rates were similar. Conclusions: Medical teams should plan for casualty rates of 1%–2% of competitors and hospital transfer rates of ~5% of patients treated. Outdoor events in winter create more casualties than in summer and require greater resources. Trauma and exposure injuries are common; critical illness is uncommon. An adequately equipped and skilled medical team reduces hospital admissions.

Answers

An evaluation of an educational intervention to reduce inappropriate cannulation and improve cannulation technique by paramedics

Background: Intravenous cannulation enables administration of fluids or drugs by paramedics in prehospital settings. Inappropriate use and poor technique carry risks for patients, including pain and infection. We aimed to investigate the effect of an educational intervention designed to reduce the rate of inappropriate cannulation and to improve cannulation technique. Method: We used a non-randomised control group design, comparing two counties in the East Midlands (UK) as intervention and control areas. The educational intervention was based on Joint Royal Colleges Ambulance Liaison Committee guidance and delivered to paramedic team leaders who cascaded it to their teams. We analysed rates of inappropriate cannulation before and after the intervention using routine clinical data. We also assessed overall cannulation rates before and after the intervention. A sample of paramedics was assessed post-intervention on cannulation technique with a "model" arm using a predesigned checklist. Results: There was a non-significant reduction in inappropriate (no intravenous fluids or drugs given) cannulation rates in the intervention area (1.0% to 0%) compared with the control area (2.5% to 2.6%). There was a significant (p<0.001) reduction in cannulation rates in the intervention area (9.1% to 6.5%; OR 0.7, 95% CI 0.48 to 1.03) compared with an increase in the control area (13.8% to 19.1%; OR 1.47, 95% CI 1.15 to 1.90), a significant difference (p<0.001). Paramedics in the intervention area were significantly more likely to use correct hand-washing techniques post-intervention (74.5% vs. 14.9%; p<0.001). Conclusion: The educational intervention was effective in bringing about changes leading to enhanced quality and safety in some aspects of prehospital cannulation.

Spontaneous intraparenchymal tension pneumocephalus triggered by compulsive forceful nose blowing

The case is described of a 50-year-old man, treated for 10 years in an outpatient psychiatric clinic for an obsessive compulsive disorder, who presented with acute loss of consciousness after forceful nose blowing. A CT scan revealed an intraparenchymal air collection with tension signs in the left frontal lobe and a bone defect in the roof of the ethmoid sinus. After emergency left frontal craniotomy and dura opening, the gaseous collection was evacuated by a ventricular catheter inserted into the brain and the bone defect was repaired with pericranium flap and muscle. The postoperative course was uneventful with neurocognitive improvement and regained motility. Spontaneous tension pneumocephalus is a rare life-threatening condition which is often caused by a bone defect near the tegmen tympani. This case illustrates both an unusual cause and a unique surgical treatment for spontaneous tension intraparenchymal pneumocephalus. It can be a dangerous entity with potential for early mortality and long-term morbidity if not promptly decompressed. The pathogenesis, diagnosis and surgical strategies for spontaneous tension pneumocephalus are briefly discussed.

Bullet embolisation from the right subclavian vein to the right ventricle: a case report

Bullet embolism to the heart is an unusual complication of penetrating gunshot injuries. A bullet may reach the heart by direct cardiac penetration or entry into the peripheral venous system with embolisation to the heart, which must be differentiated. This is a report of an unusual case of bullet embolism to the heart that was extracted by direct cardiotomy without cardiopulmonary bypass.

Subclavian vein thrombosis following clavicular fracture

A very rare case is presented of a woman with subclavian vein thrombosis that resulted from a fragment of her fractured clavicle impinging on the subclavian vein.

Is propofol a safe and effective sedative for relocating hip prostheses?

Original author's response to e-letter

Sophia

Korean HBP Reaction: Seeing is Believing | The Dugout Doctors

Korean HBP Reaction: Seeing is Believing | The Dugout Doctors Watch the video. I look forward to your explanation… Related posts:Dr. Wes: Are Doctors Sheeple? Dr. Wes: Are Doctors Sheeple? …Meanwhile, the politicians and lawyers...Better Health » Some of My Best Friends Are Doctors Better Health » Some of My Best Friends Are Doctors...Doctors Still Talk About [...] Related posts:Dr. Wes: Are Doctors Sheeple? Dr. Wes: Are Doctors Sheeple? …Meanwhile, the politicians and lawyers...Better Health » Some of My Best Friends Are Doctors Better Health » Some of My Best Friends Are Doctors...Doctors Still Talk About ‘The House of God’ Novel – NYTimes.com Doctors Still Talk About ‘The House of God’ Novel –... Related posts brought to you by Yet Another Related Posts Plugin.

Fort Hood Shooting

From the Austin American Statesman: Scott & White in Temple receives 10 patients. By Joshunda Sanders and Steven Kreytak AMERICAN-STATESMAN STAFF Friday, November 06, 2009 The Fort Hood shooting victims were dispersed to hospitals throughout Central Texas, where few details of their injuries or prognoses were released Thursday evening. The first stop for many of those injured [...] Related posts:Fort Worth soldier’s, um, boxers make him famous | Fort Worth | Star-Telegram.com Fort Worth soldier’s, um, boxers make him famous | Fort...You’ve got to be alive to be inconvenienced That’s one of my favorite medical aphorisms, taught to me...‘City of Fort Worth’ debuts at Pima From the Star Telegram: The final B-36 Peacemaker off the... Related posts brought to you by Yet Another Related Posts Plugin.

6,000 dollars a minute for your deceased son in the UC Davis Trauma Center

Wow. Just wow: Hospital bill stuns slain student’s parents By Sam Stanton “It was just devastating and insulting,” Gerald Hawkins said Monday. “It’s just hard to grasp for words. My wife and I were near collapse.” On Saturday, 10 days after Scott Hawkins was beaten to death inside his dormitory at California State University, Sacramento, his parents got a [...] Related posts:Aggravated DocSurg: Four Horsemen of a Trauma Death Aggravated DocSurg: Four Horsemen of a Trauma Death An excellent...Fort Hood Shooting From the Austin American Statesman: Scott & White in Temple...Doctor’s death ‘tremendous loss’ for UTHSC Doctor’s death ‘tremendous loss’ for UTHSC Dr. Michael Sanchez, who... Related posts brought to you by Yet Another Related Posts Plugin.

Todays’ Words of Wisdom

Try never to alienate someone who can give you a kidney. Related posts:Wisdom from the wide, weird world of the emergency room… at edwinleap.com Wisdom from the wide, weird world of the emergency room…...Words fail « Dr. Ottematic Words fail « Dr. Ottematic This past week, I got... Related posts brought to you by Yet Another Related [...] Related posts:Wisdom from the wide, weird world of the emergency room… at edwinleap.com Wisdom from the wide, weird world of the emergency room…...Words fail « Dr. Ottematic Words fail « Dr. Ottematic This past week, I got... Related posts brought to you by Yet Another Related Posts Plugin.

Bumped: Project Valour-IT Today through November 11th

Bumped to the top. Still a good idea. Give Here. Pick any team (but I’m on the Marine team…) Here’s a worthy project, supporting wounded troops with technology to help their recovery. Soldiers’ Angels has been running this for at least the past 3 years (and somehow I didn’t participate last year, for which I am duly [...] Related posts:A commotio cordis survivor NORTH RICHLAND HILLS — Austin Miller has no memory of...Addicted to Medblogs: Dr. November is . . . Dr. Anonymous Addicted to Medblogs: Dr. November is . . . Dr....You’ve got to be alive to be inconvenienced That’s one of my favorite medical aphorisms, taught to me... Related posts brought to you by Yet Another Related Posts Plugin.

Tulane surgeon stabbed to death in French Quarter home that was set fire

By Ramon Antonio Vargas, The Times-Picayune October 31, 2009, 4:50PM A Tulane University plastic surgeon — known for healing the disfigured limbs and facial features of trauma victims and skin cancer patients with his scalpel — was knifed to death inside of his French Quarter home early Saturday. An arsonist then lit his home on fire [...] Related posts:Aggravated DocSurg: Four Horsemen of a Trauma Death Aggravated DocSurg: Four Horsemen of a Trauma Death An excellent...Doctor’s death ‘tremendous loss’ for UTHSC Doctor’s death ‘tremendous loss’ for UTHSC Dr. Michael Sanchez, who...Sudden cardiac death in a teen athlete prevented with AED (and a smart team) Sudden cardiac death prevented: Coaches, trainer honored for saving teen... Related posts brought to you by Yet Another Related Posts Plugin.

CNN Political Ticker: Senate confirms Benjamin as surgeon general

CNN Political Ticker: All politics, all the time Blog Archive – Senate confirms Benjamin as surgeon general « – Blogs from CNN.com Posted: October 30th, 2009 10:13 AM ET WASHINGTON (CNN) – The Senate has formally confirmed Dr. Regina Benjamin to be the U.S. surgeon general, making her only the third African American to hold the position [...] Related posts:Better Health » What Does The Surgeon General Do? Better Health » What Does The Surgeon General Do? Dr....Senate Democrats Opt for Regressive Mandates – James C. Capretta – The Corner on National Review Online The Corner seems unhappy with the latest bill to be...Tulane surgeon stabbed to death in French Quarter home that was set fire By Ramon Antonio Vargas, The Times-Picayune October 31, 2009,... Related posts brought to you by Yet Another Related Posts Plugin.

Tim Schickedanz Day

It’s October 31st, 2009, and it’s officially Tim Schickedanz Day in Saginaw, TX. Well deserved, unfortunately it’s Posthumous. I was fortunate enough to know Tim for about eight years, as a nurse in our ED. Hard working, friendly, funny and competent, we were nearly instant work-friends due to our military backgrounds. We weren’t really close, [...] Related posts:The Family I didn’t think existed I take care of a of of patients with dialysis. ...Another Horrible ED Sign The patient with a Loving Family, a Job, Good Insurance...Better Health » Some of My Best Friends Are Doctors Better Health » Some of My Best Friends Are Doctors... Related posts brought to you by Yet Another Related Posts Plugin.

Do not text while driving

Seems very simple: concentrate on what you’re doing, and you lessen (but not eliminate) the risk of car crash. How much higher is the risk of accidents from texting? Twenty Three times, that’s how much (VTTI, .pdf). That’s just not worth the risk. Unfortunately, apparently it’s hard to resist… Related posts:BBC NEWS | Health | Steaming hot tea [...] Related posts:BBC NEWS | Health | Steaming hot tea linked to cancer From the ‘life causes cancer’ files: BBC NEWS | Health...State Helicopters Are Flying Much Less After Fatal Crash in Pr. George’s – washingtonpost.com State Helicopters Are Flying Much Less After Fatal Crash in... Related posts brought to you by Yet Another Related Posts Plugin.

Locked iPhone ICE information: an App to fix

Recently I asked if people were still putting ICE (In Case of Emergency) information in their cellphones. (The surprising answer was yes, showing that it’s an idea that resonates, at least with my audience). I lamented that I have that information in my iPhone, but since it’s passcoded no rescuer would be able to access my [...] Related posts:iPhone display of this blog I have installed a plugin for WordPress that displays the...iPhone Medical App Review iPhone Medical App Review is a new site that reviews...iPhone weirdness, ATT & wrong numbers I’m throwing this out there hoping someone has a solution.... Related posts brought to you by Yet Another Related Posts Plugin.