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EPI Issue 8: Call for Entries
Emergency Physicians International Share    
EPI is excited to announce that we will be distributing issue #8 to every attendee at the International Conference for Emergency Medicine in Dublin this June. As we put together the editorial line-up, we would like to hear about projects that you and your colleagues are involved in. We accept fully-formed editorial features and unformed concepts which we'll help you develop.
Why submit? Between the print magazine and this EPI Global Briefing, EPI has the broadest reach in the global EM community. Email your ideas, pitches and articles to Logan Plaster at Logan@EPIJournal.com. If you're not comfortable with writing, do not worry. We have knowledgeable editors who can work with you on your manuscript.
Act quickly: the deadline for pitches is Friday, April 13 and the deadline for rough draft submissions is April 20.
-Jim Holliman, MD
EPI Editorial Director
India cancels tsunami alerts
The Wall Street Journal
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India withdrew tsunami warnings and alerts it issued on April 11 following an 8.6 magnitude earthquake off the western coast of Sumatra in Indonesia. The website of India's National Centre for Ocean Information Services had earlier carried a warning for the Andaman and Nicobar Islands in the Indian Ocean, where a tsunami with waves as high as 6.3 meters was feared. The warning urged people to move inland toward higher ground and advised vessels to move into deep ocean territory. Several hours after the earthquake, it became clear that no tsunami was going to hit the Indian coast.
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40-year-old female with severe 'gas pains'
Emergency Physicians Monthly
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It seems like your entire shift has been non-specific abdominal pain, peppered with a few non-cardiac chest pains and some non-organic headaches that are only relieved by Dilaudid. No one feels your pain from taking care of patients that don't really need to be in the ED in the first place, but hey, it's job security, right? So you suck it up and grab the next chart in the to-be-seen box. The chief complaint reads "gas pains."
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Evaluation of clinically significant adverse events in patients discharged from a tertiary-care emergency department in Taiwan
Emergency Medicine Journal
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Patient safety and medical errors are currently major controversial issues. Due to various extrinsic factors, the emergency department is one of the most common sites within the hospital for development of adverse events. Several studies have shown that there is a risk of occurrence of an "adverse event," defined as an injury due to treatment, ranging between 2.5-11 percent of all hospitalizations. Approximately one half of all adverse events are potentially preventable. The ED has been identified as a hot spot where adverse events are more likely to be attributable to error. However, few studies have measured the risk of adverse events occurring after the discharge of hospitalized medical patients.
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Blood-brain barrier pathophysiology in traumatic brain injury
National Institutes of Health
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The blood-brain barrier is formed by tightly connected cerebrovascular endothelial cells, but its normal function also depends on paracrine interactions between the brain endothelium and closely located glia. There is a growing consensus that brain injury, whether it is ischemic, hemorrhagic or traumatic, leads to dysfunction of the BBB. Changes in BBB function observed after injury are thought to contribute to the loss of neural tissue and to affect the response to neuroprotective drugs. New discoveries suggest that considering the entire gliovascular unit, rather than the BBB alone, will expand our understanding of the cellular and molecular responses to traumatic brain injury.
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Association between appendectomy and Clostridium difficile infection
Journal of Clinical Medicine Research
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Recent theory proposes that the appendix functions as a reservoir for commensal bacteria, and serves to re-inoculate the colon with normal flora in the event of pathogen exposure or purging of intestinal flora. If true, we reasoned that flora from a normal appendix could provide protection against Clostridium difficile. We conducted this investigation to examine the protective effect of an intact appendix and test the hypothesis that prior appendectomy will be more common among patients with a positive test for C. difficile as compared with patients who test negative.
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Perimortem caesarean section following maternal gunshot wounds
Journal of Research in Medical Sciences
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Perimortem caesarean section is an ethically difficult decision for emergency medicine resuscitation teams. The procedure covers emergency delivery during the ongoing maternal cardiopulmonary resuscitation where the mother has no sign of recovery afterwards with or without infant survival.
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Heatherlee Bailey: CPAP vs BiPAP? Which one and when? Who might I hurt?
Free Emergency Medicine Talks
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 Dr. Heatherlee Bailey, assistant professor of surgery within the emergency medicine department at Duke University of Medicine, discusses CPAP vs. BiPAP usage in the emergency department.
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TB doc in Tajikistan
Medecins Sans Frontieres
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Kartik is a doctor writing from Tajikistan where he is working to treat children with multidrug-resistant tuberculosis. This is Kartik's second mission as an MSF doctor. His first was in Liberia in 2007.
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Dubai's ICUs reduce mortality rates from 60 to 35 percent, less than world benchmark
WAM
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Having highly qualified personnel and state-of-the-art medical equipment, intensive care units across Dubai Health Authority's hospitals have directly helped reduce mortality rates in ICUs from 60 percent to 35 percent, which is less than the international bench mark of 45-50 percent, Qadhi Saeed Al Murooshid, Director-General of Dubai Health Authority, said while inaugurating the Eighth Emirates Critical Care Conference in Dubai.
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The 8 cent solution to improving women's health in Africa
The Huffington Post
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Schistosomiasis, also known as bilharzia or "snail fever," is a parasitic disease carried by fresh water snails. It is transmitted by contact with contaminated fresh water, so swimming, bathing, fishing and even domestic chores such as laundry and herding livestock can put people at risk of contracting the disease. Schistosomiasis infects more than 400 million people, mostly in sub-Sarahan Africa, where it is one of the most common parasitic infections on the continent.
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Haiti: Medical certificates for cholera patients
Medecins Sans Frontieres
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 Since it was disclosed that the cholera epidemic that struck Haiti in 2010 was inadvertently brought to the island by a U.N. battalion from Nepal, many of the 500,000 people affected by the disease have requested certificates proving they were treated, in hopes of receiving compensation from the U.N. MSF is providing thousands of former patients with medical certificates.
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West Africa: UN warns lack of funds threatens response to food crisis in Africa's region
All Africa
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Senior U.N. officials made impassioned appeals to the international community to make more resources available to assist millions of people affected by the severe food and nutrition crisis in the Sahel region of West Africa, cautioning that global inaction could lead to a humanitarian disaster.
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EWM Awards for Excellence in Remote Medicine
London
April 15-18
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The EWM awards are geared to keep all of us in the industry motivated and are dedicated to everyone involved in extreme medicine no matter how great or small their involvement.
The awards recognize the achievements of some of the most inspiring personalities and companies that are associated in one form or another in the growth of the Remote Medicine industry.
The awards will be presented at the World Extreme Conference on April 17 at the Royal School of Medicine by Jon Snow, award winning journalist and the face of Channel 4 news.
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European Trauma Course
Verona, Italy
May 16-18
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The European Trauma Course has been developed to teach a system of care for managing trauma patients that reflects the reality we experience on a daily basis. This course aims to give you the opportunity to acquire new knowledge and skills to enhance the abilities you already have, but equally as important, learning how to become both an effective trauma team member and a good team leader.
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International Conference on Emergency Medicine 2012
Dublin, Ireland
June 27-30
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The International Conference on Emergency Medicine 2012 will see 1,500-2,000 delegates from around the globe meet to discuss the latest developments in the field of emergency medicine. The theme of ICEM 2012 is "Bridging the Gap between Evidence and Practice" and topics will include disaster medicine, biomedical research, pediatric emergency medicine, prehospital care and resuscitation among many others.
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