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May 14th, 2012 posted by Paul Rega, MD, FACEP May 14, 2012 @ 5:31 pm

What was in those sticky rice balls? Bacillus cereus?

http://abclocal.go.com/wabc/story?section=news/local/northern_suburbs&id=8660025

Sticky rice balls eyed in Kent food poisoning

Monday, May 14, 2012
KENT CLIFFS, NY (WABC) — “A day of celebration ended terribly for more than 100 people who visited the Buddhist Garden Festival at the Chuang Yen Monestary in Putnam County Sunday.Dozens of people remain in the hospital Monday with possible cases of food poisoning after a possibly tainted meal…….The outbreak was so severe that 150 victims were sent to four different hospitals in Putnam, Orange and Westchester counties. ….”



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 12:15 pm

May 14, 2012: FEMA Operations Briefing

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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 6:58 am

(Audio) Jenner vaccinates little boy against smallpox, 5/14/1796

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From 1968, this image depicts a young Cameroonian boy in the process of receiving his vaccinations during the African Smallpox Eradication and Measles Control Programs. The public health technician was administering the requisite vaccines using a “Ped-O-Jet®” jet injector applied to the boys right arm.

 



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 6:56 am

(Audio) Two trains collide in Japan, 5/14/1991; 40 dead, hundreds injured

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Japan

Credit:  Image Credit: NASA Goddard/MODIS Rapid Response Team



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 5:20 am

Arizona: Fighting wildfires

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http://www.foxnews.com/us/2012/05/14/arizona-wildfires-keeping-crews-busy/

PAYSON, Ariz. – “Crews across Arizona spent the weekend fighting several wildfires, including one south of Payson that had grown to more than 4 square miles and another north of Phoenix that led authorities to order evacuations in a historic mining community.

A total of five wildfires in the state had charred more than 9 square miles by late Sunday…”



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 5:18 am

Nepal: “The captain made a left turn and crashed into the mountain.”

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http://latimesblogs.latimes.com/world_now/2012/05/nepal-air-crash-kills-15.html

Nepal plane crash kills 15; six survive

May 14, 2012 | 2:54am
NEW DELHI – “A small plane with 21 people aboard crashed in Nepal Monday morning, killing 15, including the pilot and co-pilot. The accident, involving a Dornier 228 aircraft operated by Agni Air, occurred near mountainous Jomsom Airport some 200 kilometers northwest of Kathmandu. The crash involving the 11-year old aircraft reportedly occurred as the pilot attempted a landing at high-altitude Jomsom Airport. The fuselage reportedly broke into pieces, although it did not catch fire. …..”



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 5:04 am

Yersinia enterocolitica Infections

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Clin Infect Dis. (2012) 54(suppl 5): S385-S390 doi:10.1093/cid/cis053

http://cid.oxfordjournals.org/content/54/suppl_5/S385.abstract

Y. enterocolitica infections in FoodNet sites have significantly declined since 1996. These declines were greatest in young black children, the group that initially had the highest incidence, possibly as the result of educational efforts in Georgia.



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 5:03 am

Synthetic Cannabinoid Exposures

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http://www.annemergmed.com/article/S0196-0644(12)00253-3/abstract

A Characterization of Synthetic Cannabinoid Exposures Reported to the National Poison Data System in 2010

 

During the 9-month study period, there were 1,898 exposures to Δ-9-tetrahydrocannabinol homologs; 1,353 of these cases were single-agent exposures. The mean age was 22.5 years. Most cases were reported in men (n=1,005; 74.3%). The majority of exposures were acute (88.2%; n=1,193). The most common clinical effect was tachycardia (37.7%; n=510). Seizures were reported in 52 patients (3.8%). The majority of clinical effects lasted for fewer than 8 hours (n=711; 78.4%) and resulted in 1,011 non–life-threatening clinical effects (92.9%). The most common therapeutic intervention was intravenous fluids (n=343; 25.3%). There was 1 death (0.1%).



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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 5:02 am

Does a family presence impede pediatric trauma care?

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http://www.ama-assn.org/amednews/2012/05/07/prsc0508.htm

Family presence does not impede pediatric trauma care

Physicians follow care protocols regardless of whether parents are in the room, a new study says. Relatives’ presence can ease anxiety.

By Kevin B. O’Reilly, amednews staff. Posted May 8, 2012.

“….Researchers reviewed video and audio recordings of 145 trauma evaluations of patients 15 and younger to evaluate how well physicians followed evidence-based assessment protocols. For the 86 children who had relatives in the trauma room, 97% had their abdomens examined for injury according to protocol. That compares with 98% of the 59 children with no family present. Meanwhile, the median time for assessing the children’s airway was less than a minute for both groups.

The findings should help ease concerns voiced by some hospitals and physicians that having relatives in the trauma bay interferes with the medical team’s ability to do its job….”

http://www.ncbi.nlm.nih.gov/pubmed/17079599/

Pediatrics. 2006 Nov;118(5):2242-4.
Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department.
American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Emergency Medicine Committee, et al.


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May 14th, 2012 posted by Paul Rega, MD, FACEP @ 5:02 am

ICD & Sports

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http://www.medpagetoday.com/MeetingCoverage/HRS/32634?utm_content=&utm_medium=email&utm_campaign=DailyHeadlines&utm_source=WC&eun=g380841d0r&userid=380841&email=ndmsmd@aol.com&mu_id=5374070

 

ICD May Not Rule Out Sports

By Todd Neale, Senior Staff Writer, MedPage TodayPublished: May 11, 2012
BOSTON — “A general restriction on playing sports for patients who have an implantable cardioverter-defibrillator (ICD) may not be warranted.In a registry of patients who chose to buck the recommendation, there were no tachyarrhythmic deaths or externally resuscitated tachyarrhythmias during or after play, nor were there injuries from arrhythmia or shock…..

Overall, 20.1% of the patients received a shock during the study, including 37 patients who were shocked during sports. Of that latter group, 4 stopped playing sports altogether and 7 gave up at least one sport, meaning that most patients decided to continue despite getting shocked……”



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