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Clinical Decision Making in Emergency Medicine

Clinical Decision Making in Emergency Medicine

We would like to invite you to attend this three-day symposium focused on providing a clinical update for the practicing clinician in emergency medicine. And, as an EB Medicine customer and Emergency Medicine Practice subscriber, you’re eligible for a $100 discount on the registration rate, and can earn up to 18 hours of CME!

Click here to register. Be sure to select “EMP Subscriber” to receive your $100 discount.

Clinical Decision Making in Emergency Medicine is designed to update emergency clinicians on the most high-yield topics, guidelines and core competencies that are needed to ensure quality care. The conference will close gaps that affect practitioners’ ability to provide efficient, cutting-edge care to a diverse range of patients who present to the Emergency Department.

As a result of attending this program attendees will be able to:

  1. Identify the latest updates to the standard of care for children with minor head trauma including assessment, examination, testing.
  2. Recall best practices on dealing with the agitated elderly including selection of the appropriate sedating ion agents.
  3. Incorporate the use of cardiopulmonary ultrasound as an accurate, cost effective and quick diagnostic tool for CHF, COPD, pneumonia, and a variety of other disease states.
  4. Obtain quick and easy tools to address future care, concerns, and/or family wishes for the seriously ill, suffering, or actively dying patient presenting in the Emergency Department.
There will also be an exclusive LLSA track that is designed to ensure passage of the LLSA by using an audience response system and the actual questions from the exam.

I hope you’ll join us in Ponte Vedra for the conference. Based on the repeat attendance we’ve had year to year, I know your return on this investment will be worth it.

Sincerely,

MERSCoV suspected ? what type of precaution !? (WHO) advice is ….

 

 

 

Salam

Hi dear emerg folks!!

  You are resuscitating a patient who came to your ED with a history of acute dyspnea, cough, preceded by flu-like illness for the last 5-7 days and he is febrile > 38.5 C . The patient is extremely tachypnic, desating on 15 L NRM, septic and started to be agitated as he is removing the Oxygen non-rebreather mask!!  So you decide to go to maintain the patient’s airway and you are doing your checklist for RSI. BUT nowadays with the clusters of MERSCoV reported in our region you think: what type of (Personal Protective Equipments – PPE) should be used ? Standard ? Droplet ? Airborne precautions ?

mmmmm 😕 ?? 

Middle East Respiratory Syndrome coronavirus or MERSCoV is a disease that has arisen in the last couple of  years in the Middle East with majority of cases in our country, Saudi Arabia. It is a threat to both, the community and healthcare workers. Knowledge about MERSCoV is evolving and lots of information is still lacking!! Many researches and reports are ongoing by WHO and Saudi Ministry of Health.

We are, as front liners emergency physicians, should be aware of all threat to both community and health care providers .

While reading the World Health Organization (WHO) update on MERSCoV that was released yesterday, 10 April 2014. I noticed that the (WHO) advice is “Airborne precautions should be applied when performing aerosol generating procedures” (along with Standard and droplet precaution).  Although its not clear yet but less likely MERSCoV is an airborne transmitted disease!  Here is the link for WHO update on MERSCoV :

http://who.int/csr/don/2014_04_10_mers/en/ or click here 

The summary of ” what type of precautions ? ” is advised by WHO :

  • Droplet precautions should be added to the standard precautions when providing care to all patients with symptoms of acute respiratory infection.
  • Contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection.
  • Airborne precautions should be applied when performing aerosol generating procedures.

 

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Hereby, I focused on the precautions for the healthcare workers. Yet it is as important also to educate the community.  So please do not forget that we should care about what’s threatening not only our community but the whole world. We as emergency physicians, with other healthcare providers, should have a role to educate and increase the awareness of  our community about this evolving threat. 

May ALLAH protect all humanity and make a speed recovery for those who are infected. Peace and mercy for those who passed away.

References:

– Word Health Organization – Global Alert and Response. Middle East respiratory syndrome (MERSCoV) – Update. 10 April 2014.    click here

– http://www.cdc.gov/

 

Regards