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Today's News:
Emergency Medicine Journal current issue
Highlights from this issue
Carley, S. Fri, 20 Apr 2012 14:52:24 -0700
What's the point of ED consultants? Whilst all EDs are consultant led there is no doubt that for the most part they are not consultant based in that senior doctors are rarely present overnight and during all ‘out of hours’ periods. Perhaps ‘out of hours’ is an anachronism for our specialty as the patients still come, and still need help. Traditionally the night and late shifts are not led by consultants, but are there really any advantages to basing a service with consultants on the shop floor overnight? Perhaps it makes little difference? Aruni Sen and colleagues in Wrexham have a service delivery model that does put consultants on overnight and they have clearly shown the advantages of senior presence in the department (see page 366). This is really important data that we can use to argue for additional expansion of consultant numbers and I urge you...
A quarterly report
Hughes, G. Fri, 20 Apr 2012 14:52:24 -0700
The Quarter is the name given to a report released by the NHS under the name of the deputy chief executive David Florey. It provides a ‘definitive account of how the NHS is performing at national level against the requirements and indicators set out in the NHS Operating Framework 2011/12.1 The December release covers the July–September 2011 (Q2) quarter, the second period in the 2011/2012 performance year’.1 The report says that ‘in spite of the significant challenge of beginning to deliver on local quality, innovation, productivity and prevention (QIPP) plans, standards of safety and quality have been maintained or improved’. It's dry, dreary and turgid stuff to read. It is 64 pages long and covers many facets of the NHS. Here are a few messages, some of which are relevant to this journal: MRSA infections were 33% lower than in the same quarter last year and...
Regional networks for children suffering major trauma
Ardolino, A., Cheung, C. R., Sleat, G. K. J., Willett, K. M. Fri, 20 Apr 2012 14:52:24 -0700
Introduction Major trauma remains the leading cause of death among children over the age of 1 year,1 with 47% of all non-natural deaths in children between 28 days and 18 years of age occurring as a result of road traffic accidents.2 The unintentional injury death rate in children has declined since the 1980s.3 Despite this there are 1120 deaths from unintentional injury among 0–19-year-olds in England per annum (rate of 8.6 per 100 000 population).4 Compared with the adult population, the absolute number of cases of major trauma in children is small, which has implications for how their trauma care should best be structured. Data are incomplete, but this may account for as few as 300 cases per year in the UK.5 Currently, children suffering major trauma are delivered from the scene of injury to the nearest emergency department and subsequently transferred to...
GruntDoc
Turnaround – Think Fast Engineering | Think Fast Engineering
GruntDoc Thu, 24 May 2012 11:47:08 -0000
My brother, the Aerospace Genius, has gotten back into racing. Which he does better than me. he also blogs better, which is highly annoying. Teamwork at the race track is a stunningly beautiful thing to behold, especially when the stakes are huge. I am forever indebted to Jay Messenger, John Fabijanic, and Dave Frietas for [...] Related posts: Think Fast Engineering My brother (the Aerospace Genius) is branching out into race... How fast does a wildfire move? A picture’s worth a thousand words a second… via Ace.mu.nu... Related posts brought to you by Yet Another Related Posts Plugin.
Coffee buzz: Java drinkers live longer, big study finds; regular and decaf are equally good – The Washington Post
GruntDoc Thu, 17 May 2012 19:04:23 -0000
I knew I wasn’t drinking it for the taste: Coffee buzz: Java drinkers live longer, big study finds; regular and decaf are equally goodBy Associated Press, Published: May 16MILWAUKEE — One of life’s simple pleasures just got a little sweeter. After years of waffling research on coffee and health, even some fear that java might raise [...] Related posts: Our unrealistic views of death, through a doctor’s eyes – The Washington Post I know where this phone call is going. I’m on... Jury finds Roberts guilty | roberts, county, arguments – ROBERTS TRIAL VERDICT – Odessa American Online Justice. 1:45 p.m. Jury finds Sheriff Robert Roberts guilty on... Related posts brought to you by Yet Another Related Posts Plugin.
Fort Worth man arrested in theft of DPS patrol car | Crime and Safety | News from Fort W…
GruntDoc Sat, 12 May 2012 02:18:38 -0000
Frankly, I’d wee on Superman’s Cape before I stole a Troopers’ car: CISCO — A 40-year-old Fort Worth man was in the Eastland County jail Thursday, accused of briefly stealing a state troopers patrol car. The car was wrecked after officers shot the tires, authorities reported. via Fort Worth man arrested in theft of DPS [...] Related posts: Crime Time: Juror arrested for trying to enter Fort Worth courthouse with loaded gun This isn’t the part that made me roll my eyes:... Forklift operator held after police chase of up 16 mph | Crime and Safety | News from Fo… FORT WORTH — A Fort Worth man remained in custody... Extra Credit: Fort Worth teen wins first Google Global Science Fair Fort Worth teen wins first Google Global Science Fair Shree... Related posts brought to you by Yet Another Related Posts Plugin.
Zdogg MD’s Le Mis parody
GruntDoc Thu, 10 May 2012 17:53:42 -0000
It’s been out for a while, and I just realized I hadn’t linked it here. The increasingly entertaining ZDoggMD.com! Enjoy! Related posts: Feed The Wards (Do They Know It’s Christmas Time?) Zdogg and Dr. Harry have the Christmas spirit. Sorta. There... Related posts brought to you by Yet Another Related Posts Plugin. Related posts: Feed The Wards (Do They Know It’s Christmas Time?) Zdogg and Dr. Harry have the Christmas spirit. Sorta. There... Related posts brought to you by Yet Another Related Posts Plugin.
This Weekend: The Perfect Storm
GruntDoc Fri, 04 May 2012 17:54:00 -0000
Keep us in the ED here in your thoughts this weekend, as our area, along with Mother Nature and some unfortunate timing are conspiring to build the Perfect Storm for ED saturation. Here in Fort Worth we will have the following: The two largest nearby hospitals are going to new EMR’s this weekend Cinco de [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.
It’s my Tenth Blogging Anniversary
GruntDoc Wed, 02 May 2012 16:00:06 -0000
Every year marks an Anniversary of blogging, mostly to remind others I’m still here. I started this inauspicious blog in 2002, not knowing really why. I still don’t know why. In people years that’s Ten Years, in the Social Media world it’s a lifetime. Friends are the biggest thing I’ve gotten out of it, and [...] Related posts: 70th Anniversary of Pearl Harbor If you meet a Pearl Harbor vet, thank ‘em. They’re... Related posts brought to you by Yet Another Related Posts Plugin.
Pediatric Emergency Care - Most Popular Articles
No Such Thing as “Just” a Nail Bed Injury
Fairbairn, NeilAbstract: Nail bed injuries are the commonest pediatric hand injuries presenting to the emergency department. If managed correctly, the patient recovers quickly and complications are rare. However, failure to appreciate the complex anatomy of the perionychium and the importance of exploration, washout, and repair can result in devastating complications. These injuries are often underestimated and, consequently, delegated to the most junior and inexperienced staff. The case of a 6-year-old boy with a flexor sheath infection and devitalized fingertip 1 week after injury is presented. Emphasis is placed on the soft tissue and underlying bony injury that was overlooked at initial presentation, and how this led to serious infection requiring amputation. Thorough assessment of these common injuries and a high index of suspicion are essential.
First-Onset Seizure After Use of 5-hour ENERGY: Erratum
No abstract available
A Case of Functional Asplenia and Pneumococcal Sepsis: Erratum
No abstract available
Subscribe to Journals RSS feed 
Highlights from this issue
Carley, S. Fri, 20 Apr 2012 14:52:24 -0700
What's the point of ED consultants? Whilst all EDs are consultant led there is no doubt that for the most part they are not consultant based in that senior doctors are rarely present overnight and during all ‘out of hours’ periods. Perhaps ‘out of hours’ is an anachronism for our specialty as the patients still come, and still need help. Traditionally the night and late shifts are not led by consultants, but are there really any advantages to basing a service with consultants on the shop floor overnight? Perhaps it makes little difference? Aruni Sen and colleagues in Wrexham have a service delivery model that does put consultants on overnight and they have clearly shown the advantages of senior presence in the department (see page 366). This is really important data that we can use to argue for additional expansion of consultant numbers and I urge you...
A quarterly report
Hughes, G. Fri, 20 Apr 2012 14:52:24 -0700
The Quarter is the name given to a report released by the NHS under the name of the deputy chief executive David Florey. It provides a ‘definitive account of how the NHS is performing at national level against the requirements and indicators set out in the NHS Operating Framework 2011/12.1 The December release covers the July–September 2011 (Q2) quarter, the second period in the 2011/2012 performance year’.1 The report says that ‘in spite of the significant challenge of beginning to deliver on local quality, innovation, productivity and prevention (QIPP) plans, standards of safety and quality have been maintained or improved’. It's dry, dreary and turgid stuff to read. It is 64 pages long and covers many facets of the NHS. Here are a few messages, some of which are relevant to this journal: MRSA infections were 33% lower than in the same quarter last year and...
Regional networks for children suffering major trauma
Ardolino, A., Cheung, C. R., Sleat, G. K. J., Willett, K. M. Fri, 20 Apr 2012 14:52:24 -0700
Introduction Major trauma remains the leading cause of death among children over the age of 1 year,1 with 47% of all non-natural deaths in children between 28 days and 18 years of age occurring as a result of road traffic accidents.2 The unintentional injury death rate in children has declined since the 1980s.3 Despite this there are 1120 deaths from unintentional injury among 0–19-year-olds in England per annum (rate of 8.6 per 100 000 population).4 Compared with the adult population, the absolute number of cases of major trauma in children is small, which has implications for how their trauma care should best be structured. Data are incomplete, but this may account for as few as 300 cases per year in the UK.5 Currently, children suffering major trauma are delivered from the scene of injury to the nearest emergency department and subsequently transferred to...
GruntDoc
Turnaround – Think Fast Engineering | Think Fast Engineering
GruntDoc Thu, 24 May 2012 11:47:08 -0000
My brother, the Aerospace Genius, has gotten back into racing. Which he does better than me. he also blogs better, which is highly annoying. Teamwork at the race track is a stunningly beautiful thing to behold, especially when the stakes are huge. I am forever indebted to Jay Messenger, John Fabijanic, and Dave Frietas for [...] Related posts: Think Fast Engineering My brother (the Aerospace Genius) is branching out into race... How fast does a wildfire move? A picture’s worth a thousand words a second… via Ace.mu.nu... Related posts brought to you by Yet Another Related Posts Plugin.
Coffee buzz: Java drinkers live longer, big study finds; regular and decaf are equally good – The Washington Post
GruntDoc Thu, 17 May 2012 19:04:23 -0000
I knew I wasn’t drinking it for the taste: Coffee buzz: Java drinkers live longer, big study finds; regular and decaf are equally goodBy Associated Press, Published: May 16MILWAUKEE — One of life’s simple pleasures just got a little sweeter. After years of waffling research on coffee and health, even some fear that java might raise [...] Related posts: Our unrealistic views of death, through a doctor’s eyes – The Washington Post I know where this phone call is going. I’m on... Jury finds Roberts guilty | roberts, county, arguments – ROBERTS TRIAL VERDICT – Odessa American Online Justice. 1:45 p.m. Jury finds Sheriff Robert Roberts guilty on... Related posts brought to you by Yet Another Related Posts Plugin.
Fort Worth man arrested in theft of DPS patrol car | Crime and Safety | News from Fort W…
GruntDoc Sat, 12 May 2012 02:18:38 -0000
Frankly, I’d wee on Superman’s Cape before I stole a Troopers’ car: CISCO — A 40-year-old Fort Worth man was in the Eastland County jail Thursday, accused of briefly stealing a state troopers patrol car. The car was wrecked after officers shot the tires, authorities reported. via Fort Worth man arrested in theft of DPS [...] Related posts: Crime Time: Juror arrested for trying to enter Fort Worth courthouse with loaded gun This isn’t the part that made me roll my eyes:... Forklift operator held after police chase of up 16 mph | Crime and Safety | News from Fo… FORT WORTH — A Fort Worth man remained in custody... Extra Credit: Fort Worth teen wins first Google Global Science Fair Fort Worth teen wins first Google Global Science Fair Shree... Related posts brought to you by Yet Another Related Posts Plugin.
Zdogg MD’s Le Mis parody
GruntDoc Thu, 10 May 2012 17:53:42 -0000
It’s been out for a while, and I just realized I hadn’t linked it here. The increasingly entertaining ZDoggMD.com! Enjoy! Related posts: Feed The Wards (Do They Know It’s Christmas Time?) Zdogg and Dr. Harry have the Christmas spirit. Sorta. There... Related posts brought to you by Yet Another Related Posts Plugin. Related posts: Feed The Wards (Do They Know It’s Christmas Time?) Zdogg and Dr. Harry have the Christmas spirit. Sorta. There... Related posts brought to you by Yet Another Related Posts Plugin.
This Weekend: The Perfect Storm
GruntDoc Fri, 04 May 2012 17:54:00 -0000
Keep us in the ED here in your thoughts this weekend, as our area, along with Mother Nature and some unfortunate timing are conspiring to build the Perfect Storm for ED saturation. Here in Fort Worth we will have the following: The two largest nearby hospitals are going to new EMR’s this weekend Cinco de [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.
It’s my Tenth Blogging Anniversary
GruntDoc Wed, 02 May 2012 16:00:06 -0000
Every year marks an Anniversary of blogging, mostly to remind others I’m still here. I started this inauspicious blog in 2002, not knowing really why. I still don’t know why. In people years that’s Ten Years, in the Social Media world it’s a lifetime. Friends are the biggest thing I’ve gotten out of it, and [...] Related posts: 70th Anniversary of Pearl Harbor If you meet a Pearl Harbor vet, thank ‘em. They’re... Related posts brought to you by Yet Another Related Posts Plugin.
Pediatric Emergency Care - Most Popular Articles
No Such Thing as “Just” a Nail Bed Injury
Fairbairn, NeilAbstract: Nail bed injuries are the commonest pediatric hand injuries presenting to the emergency department. If managed correctly, the patient recovers quickly and complications are rare. However, failure to appreciate the complex anatomy of the perionychium and the importance of exploration, washout, and repair can result in devastating complications. These injuries are often underestimated and, consequently, delegated to the most junior and inexperienced staff. The case of a 6-year-old boy with a flexor sheath infection and devitalized fingertip 1 week after injury is presented. Emphasis is placed on the soft tissue and underlying bony injury that was overlooked at initial presentation, and how this led to serious infection requiring amputation. Thorough assessment of these common injuries and a high index of suspicion are essential.
First-Onset Seizure After Use of 5-hour ENERGY: Erratum
No abstract available
A Case of Functional Asplenia and Pneumococcal Sepsis: Erratum
No abstract available
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.
