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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
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.
I was in a Texas kind of mood
GruntDoc Sun, 29 Apr 2012 04:55:09 -0000
when I designed my MacBook Air decorations: Yeah, my name and email are on the bottom, but they’re a touch hard to make out... A little too easy to see, it turns out. Was a field of bluebonnets (my own photo). Cropped that bit out. Upside: I will NOT have yet another [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.
Epic Spring Council
GruntDoc Tue, 24 Apr 2012 16:03:07 -0000
I’m off to Epic’s Spring Council in Madison, WI. It’s my first trip to Madison, and my first trip to an Epic meeting. Looking forward to both. If there’s anything worth mentioning, I’ll be tweeting those tidbits (over on Twitter, @gruntdoc ). Just so you know I’m not dead. Merely resting. Pining for the Fjords. [...] Related posts: Trying out embedding a Tweet 165mph winds in Scotland. http://t.co/2qzwHX49 See that link for picture... Related posts brought to you by Yet Another Related Posts Plugin.
Permanent Emergency Jobs
Emergency jobs
Thu, 17 May 2012 02:46:45 -0500
All Emergency jobs for Thu May 17 2012
Emergency jobs in "Emergency Medicine: 6 Shifts Per Month at Top Richmond, Virginia Hospital" - VA
Wed, 16 May 2012 12:15:44 -0600
Job 742646 Come work 6 shifts per month at top Richmond Hospital. Facility offers a wide variety of other healthcare specialties. The Department of Surgery provides new and innovative procedures. While
Emergency jobs in "South Dakota Emergency Medicine Opening Offering $100,000 Sign-on Bonus" - SD
Wed, 16 May 2012 12:15:44 -0600
Job 742645 Come be a part of something new!! Leading healthcare system is creating a group of Five Board Certified/ Board Eligible physicians to practice in newly remodeled Emergency Department. Current
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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
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.
I was in a Texas kind of mood
GruntDoc Sun, 29 Apr 2012 04:55:09 -0000
when I designed my MacBook Air decorations: Yeah, my name and email are on the bottom, but they’re a touch hard to make out... A little too easy to see, it turns out. Was a field of bluebonnets (my own photo). Cropped that bit out. Upside: I will NOT have yet another [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.
Epic Spring Council
GruntDoc Tue, 24 Apr 2012 16:03:07 -0000
I’m off to Epic’s Spring Council in Madison, WI. It’s my first trip to Madison, and my first trip to an Epic meeting. Looking forward to both. If there’s anything worth mentioning, I’ll be tweeting those tidbits (over on Twitter, @gruntdoc ). Just so you know I’m not dead. Merely resting. Pining for the Fjords. [...] Related posts: Trying out embedding a Tweet 165mph winds in Scotland. http://t.co/2qzwHX49 See that link for picture... Related posts brought to you by Yet Another Related Posts Plugin.
Permanent Emergency Jobs
Emergency jobs
Thu, 17 May 2012 02:46:45 -0500
All Emergency jobs for Thu May 17 2012
Emergency jobs in "Emergency Medicine: 6 Shifts Per Month at Top Richmond, Virginia Hospital" - VA
Wed, 16 May 2012 12:15:44 -0600
Job 742646 Come work 6 shifts per month at top Richmond Hospital. Facility offers a wide variety of other healthcare specialties. The Department of Surgery provides new and innovative procedures. While
Emergency jobs in "South Dakota Emergency Medicine Opening Offering $100,000 Sign-on Bonus" - SD
Wed, 16 May 2012 12:15:44 -0600
Job 742645 Come be a part of something new!! Leading healthcare system is creating a group of Five Board Certified/ Board Eligible physicians to practice in newly remodeled Emergency Department. Current

Sites:
Trauma.org: Largest Internet Trauma Care Site - Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, Trauma Imagebank, Fellowship database. Home of Trauma Moulage on the Internet.eMedHome.com: Features articles, reviews, pearls, radiology, employment, discussion boards, and archived data.
Emergency jobs: Emergency jobs site with automatic email updates and directory of recruitment firms.
Emergency Medicine Resources On The Web: Emergency Medicine Resources: Free emergency medicine tools at NCEMI.
Family Practice Notebook: Emergency Medicine: Read about Environmental Injury, Examination, Fluids, Electrolytes, and Nutrition, Procedure, Resources, Poisoning and Toxicology and Traumatic Injury. Related chapters from other specialties include Cardiovascular, Dermatology, Neurology, Obstetrics, Pharmacology, Prevention, Radiology and Spor...
Maritime Health, Telemedicine and Medical Advice: GMS operates 24-hours a day, 365 days a year to provide physician consultations to vessels at sea and remote locations worldwide.
