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Emergency Medicine

The Emergency Medicine Conference is moderated by Martin J. Carey, M.B., B.Ch., Assistant Professor of Emergency Medicine and Director of Emergency Medicine Research at the University of Arkansas for Medical Sciences.

This conference may include discussion of commercial products and services.

The opinions expressed herein are those of the authors and do not necessarily represent the views of the sponsor or its publisher. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

Pulmonary Embolism: 2019 Update

The first step in the evaluation of possible PE is the assessment of the patient's risk for the diagnosis. Few studies have examined risk factors for PE alone. In general they are viewed as similar to those for venous thromboembolism (VTE). In the late 19th century, Rudolph Virchow described the triad of venous stasis, hypercoagulability and endothelial injury as the major risk factors for the development of VTE. Today, many factors have been independently associated with
Authors: Christopher Kabrhel, M.D.
Estimated Time: 1 Hour
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Martin J. Carey, M.B., B.Ch.

Emergency Medicine

Dr. Martin J. Carey, Cyberounds® Emergency Medicine co-moderator, is an Assistant Professor of Emergency Medicine and Director of Emergency Medicine Research at the University of Arkansas for Medical Sciences. Dr. Carey received his M.B., B.Ch. from Welsh National School of Medicine, his M.P.H. from the University of Washington and is board certified in emergency medicine in both the U.S. and Australia. Trained in the U.K in family medicine, Dr. Carey practiced emergency medicine in New Zealand where he helped establish a major emergency medicine training program in Auckland. Martin's academic activities concern the delivery of care and outcomes research.

Dr. Carey reports no conflict of interest.

Last Update: 2/21/2021

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More Emergency Medicine Courses

Focused Ultrasound in Emergency Medicine

Emergency Medicine (EM) became the 24th board of the American Board of Medical Specialties (ABMS) in 1978. Since then, the annual number of patient emergency department (ED) visits has steadily increased and now exceeds 100 million per year in the United States alone. Adding to this challenge is an associated rise in patient complexity, which has dramatically increased the need for diagnostic bedside imaging to serve these patients. It is now estimated that emergency medicine
Authors: Ashish R. Panchal, M.D., Ph.D., R.D.M.S., Creagh Boulger, M.D., Amar Vira, M.D., and David Bahner M.D., R.D.M.S.
Estimated Time: 0 Hours
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Why all the yelling and screaming? Dealing with agitation in the ED setting.

This presentation may include discussion of commercial products and services. A 23-year-old male with a past history of schizophrenia presents to the emergency department in the company of police after being found on the street corner threatening people. He is paranoid about staff poisoning him. He is talking loudly and is too agitated to sit down in triage, but is still intermittently directable. He reports he has not been taking his psychiatric medications. Many emergency physicians think agitated patients are
Authors: Michael P. Wilson, M.D., Ph.D., and Gary M. Vilke, M.D.
Estimated Time: 1 Hour
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Clinically Important Spiders in the United States

Worldwide, almost 4,000 genera comprise more than 40,000 known species of spiders; only two are of clinical importance in the United States. The "brown spiders," most commonly represented by the brown recluse from the genus Loxosceles, are responsible for many cases of spider envenomation in the southern United States. The "widow spiders," represented by the genus Latrodectus, are the other spiders of clinical significance. The common black widow and the less common brown widow are found in North America
Authors: Thomas C. Arnold, M.D., and Mark L. Ryan, Pharm.D.
Estimated Time: 1 Hour
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Rapid Risk Stratification of Septic Adults in Non-Intensive Care Unit Settings

Severe sepsis is a common, deadly condition, usually caused by an infection (highly suspected or confirmed), which provokes a systemic inflammatory response. The inflammatory response is most commonly defined as the presence of two or more Systemic Inflammatory Response Syndrome (SIRS) Criteria (Table 1). The SIRS criteria are intentionally non-specific so that a large proportion of infected patients can be classified as septic. However, this broad inclusion limits the usefulness of a diagnosis of sepsis in
Authors: Jeffrey P. Green, M.D.
Estimated Time: 1 Hour
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Penetrating Abdominal Trauma: Current Concepts

Penetrating abdominal trauma (PAT) is commonly encountered in trauma centers and combat hospitals overseas and less so in suburban and rural emergency departments. Treatment of PAT has changed over the past few decades with technological improvement in diagnostic imaging, selective non-operative management and resuscitation strategies. In this Cyberounds® we will discuss the evolution of surgical management of PAT, imaging studies such as CT and FAST, diagnosis, triage, resuscitation, disposition, and use of antibiotics and factor VIIa as it pertains to
Authors: John R. Richards, M.D., F.A.A.E.M.
Estimated Time: 1 Hour
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Blunt Abdominal Trauma: Current Concepts

A 64-year-old female is brought to your emergency department (ED) after having been struck by a car at five miles per hour. She is complaining of left lateral chest wall pain. Her abdomen is non-tender. A portable chest radiograph shows no hemo- or pneumothorax or rib fractures. Her vital signs and labs are normal. You decide to perform FAST just to be safe, and notice the spleen is difficult to visualize with the probe and appears irregular. The left kidney
Authors: John R. Richards, M.D., F.A.A.E.M.
Estimated Time: 1 Hour
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