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PEMS: May 2006

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Wednesday, May 17, 2006. Goodacre, S., et al, Ann Intern Med 143(2):129, July 19, 2005: Clinical judgment is as good as the Wells' criteria for diagnosing DVT. The two most important questions are whether they had a prior DVT or current malignancy. Nothing horribly new here. McEvoy, S.P., et al,...Poste...

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PEMS: September 2006

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Monday, September 11, 2006. A simple and easily learned procedure for trigger point pain is a trigger point injection. If you have never performed one before, feel free to ask me for an easy demonstration. Here I'll walk you through the diagnosis and treatment of trigger point pain. The easiest way to d...

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PEMS: July 2006

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Monday, July 10, 2006. Here are the June abstracts broken down for you. There's some interesting facts to make note of. The ASSENT-4 PCI Investigators Lancet 367:569, February 18, 2006: Facilitated PCI (i.e. G2b3a PCI). Keeley, E., et al, Lancet 367:579, February 18, 2006: Another meta-analysis that...

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PEMS: January 2007

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Tuesday, January 23, 2007. I'd like to review the need for rib series x-rays. Rib series include 6 views. This is a pretty significant dose of radiation. Ergo, there are very specific criteria for when to order this test. Suspected fx's to ribs 1 - 2. Suspected fx's to ribs 9-12. Circumcised males- I do...

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Res Ipsa: March 2007

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Monday, March 12, 2007. Today Is a Sunny Day In Savannah". So anyways, these women were the leaders of a group of Girl Scouts who'd rented the entire B&B out for the weekend. When they'd first gotten there, a group of girls went up to play on the 4th (attic) floor. Before they opened the door, they realized that the room was already being used by other kids (or so it seemed! We were all asleep at 10! Next I wandered over to the Colonial Park Cemetery, which was one of the two main cemeteries in the town ...

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Res Ipsa: October 2006

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Monday, October 30, 2006. Great article.for guys and gals. I hope Ginger (not to mention the author) won't mind my lifting their article for my blog. Despite the title, I thought it was a great read for both guys and girls. Here it is:. Stop Test-Driving Your Girlfriend. How do I know if she's the one? The Bible reminds us that though our marriages are to be pictures of the gospel relationship between Christ and the church, none of us get to marry Jesus. Instead, like Hosea, we all marry Gomer. And work ...

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PEMS: November 2006

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Sunday, November 12, 2006. Daniels, L.B., et al, Am Heart J 151:999, May 2006: They looked at the direct correlation b/w BNP and obesity. BMI is inversely related, so you need a lower-cut off for obese individuals. Nice oh by the way, but nothing that changes my practice. Singer, A.J., et al, Ac...Halls...

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PEMS: August 2006

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Tuesday, August 22, 2006. Vukmir, R.B., et al, Am J Emerg Med 24:156, March 2006: They examine the effects of sodium bicarb in the treatment of prolonged, pre-hospital cardiac arrest. This was a prospective, RCT that showed a significant difference in survival (defined by arriving to the hos...Decker, W...

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PEMS: February 2007

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Friday, February 09, 2007. Here are some January nubbins. Swish and spit as needed. That obviously affects the study. Patients w/ only an elevated troponin were "less sick". Only half of the patients were diagnosed w/ an AMI by their docs if they only had an elevated troponin. Morris, A.C., et a...They ...

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PEMS: December 2006

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Premier Emergency Medical Services (PEMS) is a group of Emergency Medicine physicians located in Arizona. We provide Emergency Medicine care at Chandler Regional Hospital and Mercy Gilbert Medical Center. Thursday, December 07, 2006. Here are your November abstracts- enjoy with your favorite nog. Van 't Hoff, A.W.J., et al, Am Heart J 151:1255.e1, June 2006: A freaky-deaky Dutch study that examined pre-hospital dx of AMI in order to expedite PCI. Those who were dx'd pre-hospital made ...Ortolani, P.,...