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Today's News:
Emergency Medicine Journal current issue
Primary survey
Wyatt, J.
USA health reforms and the NHS
Hughes, G.
Prehospital paediatric emergency care: paediatric triage
Sandell, J M, Maconochie, I K, Jewkes, F 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.
GruntDoc
iMedicalApps.com
GruntDoc Fri, 20 Nov 2009 21:36:25 -0000
iMedicalApps.com is the new home for the former iphonemdeicalappreview.com I linked to a while back. (Kudos on the name change, the original isn’t easy or intuitive to type). From their email today: Just wanted you to know we changed our blogs name from iphonemedicalappreview.com, to iMedicalApps.com. We now have a team of physicians and medical [...] Related posts:iPhone Medical App Review iPhone Medical App Review is a new site that reviews...iPhone display of this blog I have installed a plugin for WordPress that displays the...Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN! Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN!... Related posts brought to you by Yet Another Related Posts Plugin.
Health Care Law Blog: A 1930 Medical Record
GruntDoc Fri, 20 Nov 2009 07:00:41 -0000
Very cool glimpse into the past: Health Care Law Blog: A 1930 Medical Record Here are photos of the medical record of a patient from 1934. The medical record format is simple yet complete. Today’s medical record takes up pages on pages, and is a giant time-sink when compared with this notation system. Before 3rd party billing [...] Related posts:Nadeem Esmail Says Nationalized Health Care Will Cost Us Pain and Suffering – WSJ.com Nadeem Esmail Says Nationalized Health Care Will Cost Us Pain...Holman Jenkins: Why Obama Bombed on Health Care – WSJ.com Holman Jenkins: Why Obama Bombed on Health Care – WSJ.com...Dr. Wes: US Health Care Reform Photoshop Contest Dr. Wes: US Health Care Reform Photoshop Contest In the... Related posts brought to you by Yet Another Related Posts Plugin.
Valour-IT: Technology for the Wounded: 2009 totals ā MARINES WIN!
GruntDoc Thu, 19 Nov 2009 19:32:34 -0000
Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN! 2009 totals – MARINES WIN! Thanks to all who participated and or contributed to this campaign. A lot of technology for our wounded heroes will be purchased because of you! Total brought in for all teams, including donations not designated to any team: $113,124.90 By team - Air Force: $15,662.17 Army: [...] Related posts:Bumped: Project Valour-IT Today through November 11th Victory! Team Marine got to the Goal first! (But keep...Going after Las Vegas’ medical mafia – Aug. 19, 2009 Going after Las Vegas’ medical mafia – Aug. 19, 2009...VIDEO: Red Bull Racing gives a virtual tour of 2009 F1 rulebook – Autoblog VIDEO: Red Bull Racing gives a virtual tour of 2009... Related posts brought to you by Yet Another Related Posts Plugin.
BBC News : Alcohol āprotects menās heartsā
GruntDoc Thu, 19 Nov 2009 01:47:13 -0000
Lifestyle validation, or confounding variable? BBC News : Alcohol 'protects men's hearts' Wine, beer, vodka – the type of drink did not appear to change the results Drinking alcohol every day cuts the risk of heart disease in men by more than a third, a major study suggests. The Spanish research involving more than 15,500 men and 26,000 women [...] Related posts:BBC NEWS | Health | Steaming hot tea linked to cancer From the ‘life causes cancer’ files: BBC NEWS | Health...Walk it off, it’s only a heart attack – Baltimore News, Weather, Breaking News | WMAR-TV Walk it off, it’s only a heart attack – Baltimore...THC and testicles Iāve been working on a pun for this, but... Related posts brought to you by Yet Another Related Posts Plugin.
Listen to Your Doctor, Uncle Sam ā Nurse Ratchedās Place
GruntDoc Tue, 17 Nov 2009 03:21:36 -0000
Listen to Your Doctor, Uncle Sam – Nurse Ratchedās Place Dear Uncle Sam: I know itās been a rough week. Iām sure youāre grieving the lost of life at Fort Hood just like the rest of us, but Iām compelled to write you this letter. I hope you take it in the spirit in which it is [...] Related posts:Dr. Wes: Dear Doctor: You Will Be Salaried Dr. Wes: Dear Doctor: You Will Be Salaried Dr. Wes...Doctor has part of finger bitten off by patient Allegedly for ānot writing a prescriptionā⦠Dr. Paul Arnold turned...code blog ā tales of a nurse Ā» Blog Archive Ā» Grand Rounds Volume 6, Number 6 code blog ā tales of a nurse Ā» Blog Archive... Related posts brought to you by Yet Another Related Posts Plugin.
I need a new explanation
GruntDoc Mon, 16 Nov 2009 07:00:00 -0000
Because mine no longer makes sense to people⦠Many of the abscesses I drain require wound packing (I generally use 1/4ā iodoform gauze, so these arenāt giant cavities), and during the procedure I tell the patient why Iām doing a wound packing, and what to expect. When weāre done with the procedure, until yesterday I used to [...] Related posts:Hit & Run – Reason Magazine: An excellent explanation of Rights vs. Entitlements This is very relevant when the ‘right to healthcare’ comes...I sent a guy with a normal EKG to the cath lab (Updated) 9/30: Update: due to popular demand, I have added the...The Family I didn’t think existed I take care of a of of patients with dialysis.Ā ... Related posts brought to you by Yet Another Related Posts Plugin.
Pediatric Emergency Care - Most Popular Articles
Ipratropium Bromide for Acute Asthma Exacerbations in the Emergency Setting: A Literature Review of the Evidence
Dotson, Kurtis; Dallman, Michael; Bowman, C. Michael; Titus, M. OliviaSince the 1970s, when inhaled anticholinergic agents were first introduced as adjunct therapies for the immediate treatment of pediatric asthma exacerbations, several trials have shown varying degrees of benefit from their use as bronchodilators in combination with inhaled short-acting [beta]-adrenergic agonists and systemic corticosteroids. Although other anticholinergics exist, ipratropium bromide (IB) specifically has emerged as the overwhelming choice of pulmonologists and emergency physicians because of its limited systemic absorption from the lungs when given as an inhaled preparation. However, although the varying trials, predominantly in the emergency department setting, have typically shown a trend toward improved outcomes, none has set forth clear dosing protocol recommendations for use by practicing physicians. It is our goal in this review of the available literature on the use of IB, as an adjunct to inhaled short-acting [beta]-adrenergic agonists, to summarize practical, evidence-based recommendations for use in the pediatric emergency department setting for acute asthma exacerbations. We also hope to better delineate the most effective dosing regimen in those patients who might benefit most from the addition of IB and to explore proposed additional benefits it may have as a modulator of cholinergic-induced effects from high-dose [beta]-agonist therapy and viral triggers. (C) 2009 Lippincott Williams & Wilkins, Inc.
Pediatric Tramadol Ingestion Resulting in Seizurelike Activity: A Case Series
Mazor, Suzan S.; Feldman, Kenneth W.; Sugar, Naomi F.; Sotero, MarcioTramadol has been reported to cause seizures in therapeutic dosing and in overdose. We present a series of 2 infants poisoned with tramadol, both presenting with abnormal neurologic findings: either seizures or seizurelike activity. Tramadol poisoning should be considered in the differential diagnosis of dystonia and seizures. (C) 2008 Lippincott Williams & Wilkins, Inc.
The Bruised Premobile Infant: Should You Evaluate Further?
Feldman, Kenneth W.Three premobile infants with unexplained bruising are described. Although, they were asymptomatic otherwise, evaluation led to the recognition of inflicted rib fractures in two and hemophilia A in one. Although such bruises are inconsequential themselves, they may provide the opportunity to recognize serious problems before major injury or morbidity occurs. (C) 2009 Lippincott Williams & Wilkins, Inc.
Subscribe to Journals RSS feed 
Primary survey
Wyatt, J.
USA health reforms and the NHS
Hughes, G.
Prehospital paediatric emergency care: paediatric triage
Sandell, J M, Maconochie, I K, Jewkes, F 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.
GruntDoc
iMedicalApps.com
GruntDoc Fri, 20 Nov 2009 21:36:25 -0000
iMedicalApps.com is the new home for the former iphonemdeicalappreview.com I linked to a while back. (Kudos on the name change, the original isn’t easy or intuitive to type). From their email today: Just wanted you to know we changed our blogs name from iphonemedicalappreview.com, to iMedicalApps.com. We now have a team of physicians and medical [...] Related posts:iPhone Medical App Review iPhone Medical App Review is a new site that reviews...iPhone display of this blog I have installed a plugin for WordPress that displays the...Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN! Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN!... Related posts brought to you by Yet Another Related Posts Plugin.
Health Care Law Blog: A 1930 Medical Record
GruntDoc Fri, 20 Nov 2009 07:00:41 -0000
Very cool glimpse into the past: Health Care Law Blog: A 1930 Medical Record Here are photos of the medical record of a patient from 1934. The medical record format is simple yet complete. Today’s medical record takes up pages on pages, and is a giant time-sink when compared with this notation system. Before 3rd party billing [...] Related posts:Nadeem Esmail Says Nationalized Health Care Will Cost Us Pain and Suffering – WSJ.com Nadeem Esmail Says Nationalized Health Care Will Cost Us Pain...Holman Jenkins: Why Obama Bombed on Health Care – WSJ.com Holman Jenkins: Why Obama Bombed on Health Care – WSJ.com...Dr. Wes: US Health Care Reform Photoshop Contest Dr. Wes: US Health Care Reform Photoshop Contest In the... Related posts brought to you by Yet Another Related Posts Plugin.
Valour-IT: Technology for the Wounded: 2009 totals ā MARINES WIN!
GruntDoc Thu, 19 Nov 2009 19:32:34 -0000
Valour-IT: Technology for the Wounded: 2009 totals – MARINES WIN! 2009 totals – MARINES WIN! Thanks to all who participated and or contributed to this campaign. A lot of technology for our wounded heroes will be purchased because of you! Total brought in for all teams, including donations not designated to any team: $113,124.90 By team - Air Force: $15,662.17 Army: [...] Related posts:Bumped: Project Valour-IT Today through November 11th Victory! Team Marine got to the Goal first! (But keep...Going after Las Vegas’ medical mafia – Aug. 19, 2009 Going after Las Vegas’ medical mafia – Aug. 19, 2009...VIDEO: Red Bull Racing gives a virtual tour of 2009 F1 rulebook – Autoblog VIDEO: Red Bull Racing gives a virtual tour of 2009... Related posts brought to you by Yet Another Related Posts Plugin.
BBC News : Alcohol āprotects menās heartsā
GruntDoc Thu, 19 Nov 2009 01:47:13 -0000
Lifestyle validation, or confounding variable? BBC News : Alcohol 'protects men's hearts' Wine, beer, vodka – the type of drink did not appear to change the results Drinking alcohol every day cuts the risk of heart disease in men by more than a third, a major study suggests. The Spanish research involving more than 15,500 men and 26,000 women [...] Related posts:BBC NEWS | Health | Steaming hot tea linked to cancer From the ‘life causes cancer’ files: BBC NEWS | Health...Walk it off, it’s only a heart attack – Baltimore News, Weather, Breaking News | WMAR-TV Walk it off, it’s only a heart attack – Baltimore...THC and testicles Iāve been working on a pun for this, but... Related posts brought to you by Yet Another Related Posts Plugin.
Listen to Your Doctor, Uncle Sam ā Nurse Ratchedās Place
GruntDoc Tue, 17 Nov 2009 03:21:36 -0000
Listen to Your Doctor, Uncle Sam – Nurse Ratchedās Place Dear Uncle Sam: I know itās been a rough week. Iām sure youāre grieving the lost of life at Fort Hood just like the rest of us, but Iām compelled to write you this letter. I hope you take it in the spirit in which it is [...] Related posts:Dr. Wes: Dear Doctor: You Will Be Salaried Dr. Wes: Dear Doctor: You Will Be Salaried Dr. Wes...Doctor has part of finger bitten off by patient Allegedly for ānot writing a prescriptionā⦠Dr. Paul Arnold turned...code blog ā tales of a nurse Ā» Blog Archive Ā» Grand Rounds Volume 6, Number 6 code blog ā tales of a nurse Ā» Blog Archive... Related posts brought to you by Yet Another Related Posts Plugin.
I need a new explanation
GruntDoc Mon, 16 Nov 2009 07:00:00 -0000
Because mine no longer makes sense to people⦠Many of the abscesses I drain require wound packing (I generally use 1/4ā iodoform gauze, so these arenāt giant cavities), and during the procedure I tell the patient why Iām doing a wound packing, and what to expect. When weāre done with the procedure, until yesterday I used to [...] Related posts:Hit & Run – Reason Magazine: An excellent explanation of Rights vs. Entitlements This is very relevant when the ‘right to healthcare’ comes...I sent a guy with a normal EKG to the cath lab (Updated) 9/30: Update: due to popular demand, I have added the...The Family I didn’t think existed I take care of a of of patients with dialysis.Ā ... Related posts brought to you by Yet Another Related Posts Plugin.
Pediatric Emergency Care - Most Popular Articles
Ipratropium Bromide for Acute Asthma Exacerbations in the Emergency Setting: A Literature Review of the Evidence
Dotson, Kurtis; Dallman, Michael; Bowman, C. Michael; Titus, M. OliviaSince the 1970s, when inhaled anticholinergic agents were first introduced as adjunct therapies for the immediate treatment of pediatric asthma exacerbations, several trials have shown varying degrees of benefit from their use as bronchodilators in combination with inhaled short-acting [beta]-adrenergic agonists and systemic corticosteroids. Although other anticholinergics exist, ipratropium bromide (IB) specifically has emerged as the overwhelming choice of pulmonologists and emergency physicians because of its limited systemic absorption from the lungs when given as an inhaled preparation. However, although the varying trials, predominantly in the emergency department setting, have typically shown a trend toward improved outcomes, none has set forth clear dosing protocol recommendations for use by practicing physicians. It is our goal in this review of the available literature on the use of IB, as an adjunct to inhaled short-acting [beta]-adrenergic agonists, to summarize practical, evidence-based recommendations for use in the pediatric emergency department setting for acute asthma exacerbations. We also hope to better delineate the most effective dosing regimen in those patients who might benefit most from the addition of IB and to explore proposed additional benefits it may have as a modulator of cholinergic-induced effects from high-dose [beta]-agonist therapy and viral triggers. (C) 2009 Lippincott Williams & Wilkins, Inc.
Pediatric Tramadol Ingestion Resulting in Seizurelike Activity: A Case Series
Mazor, Suzan S.; Feldman, Kenneth W.; Sugar, Naomi F.; Sotero, MarcioTramadol has been reported to cause seizures in therapeutic dosing and in overdose. We present a series of 2 infants poisoned with tramadol, both presenting with abnormal neurologic findings: either seizures or seizurelike activity. Tramadol poisoning should be considered in the differential diagnosis of dystonia and seizures. (C) 2008 Lippincott Williams & Wilkins, Inc.
The Bruised Premobile Infant: Should You Evaluate Further?
Feldman, Kenneth W.Three premobile infants with unexplained bruising are described. Although, they were asymptomatic otherwise, evaluation led to the recognition of inflicted rib fractures in two and hemophilia A in one. Although such bruises are inconsequential themselves, they may provide the opportunity to recognize serious problems before major injury or morbidity occurs. (C) 2009 Lippincott Williams & Wilkins, Inc.

Sites:
Academic Emergency Medicine: Web site for Academic Emergency Medicine.Emergency Medicine Journal: Information on up to date treatments, modalities, pearls, and discussions in the field of ER Medicine.
EMJ Online: EMJ Online - Emergency Medicine Journal
European Journal of Emergency Medicine: Table of contents, author guidelines, editorial board and subscription information.
MedBioWorld Emergency Medicine Journals: Links to Intensive Care, Critical Care & Emergency Medicine Journals
The Critical Care Forum: Providing the critical care, emergency medicine and intensive care community with the latest developments in the critical care community. Available in print and online.



