Gary Null and Amy McDonald
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 Distinguished Professor of Plastic Surgery, Biomedical Engineering and emergency medicine, University of Virginia Health System, Charlottesville, Virginia; Director of Trauma Prevention, Research and Education, Trauma Specialists, LLP, Legacy Emanuel Hospital, Portland, Oregon. The Journal of emergency medicine. 2007 Aug;33(2):199-211. Epub 2007 Jun 18.
The National Childhood Vaccine Injury Act of 1986, as amended, established the Vaccine Injury Compensation Program (VICP). |
Gerald E. Markle and Frances B. McCrea
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 The answer to this question rests on the presumption of this book we are concerned about the impact of medicine on morbidity and mortality. emergency medicine, unlike ordinary day-to-day primary care medicine, is directly related to life or death outcomes.
Or so it would seem.
In 2001, there were 110 million visits to emergency departments (EDs)—a 20% increase from 1992, at the same time that the number of EDs in the United States actually decreased from about 5,000 to less than 4,000. |
Mark Sircus
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 The use of magnesium as a vital (food) nutrient, and as a preventive, clinical and emergency medicine would probably spell disaster for the $1.6 trillion medical industry in the United States.
Single-handedly, it could eliminate the need for hundreds of billions of dollars in medical expenditures and diminish a mountain of pain, misery and preventable death. |
Bottom Line Health
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| Asplin, head of the emergency medicine department at Regions Hospital in St. Paul, Minnesota.
The results showed that 47% of all the callers were offered appointments within a week, compared with 64% of privately insured callers.
Privately insured callers had much greater success in booking appointments than those who said they were uninsured but could pay $20 at the time of their visit. However, callers claiming to be uninsured but offering to pay for the visit in cash were just as likely to get a timely appointment as the privately insured callers. |
| Holstege, MD, associate professor of emergency medicine and pediatrics, and director, Blue Ridge Poison Center, division of medical toxicology, University of Virginia, Charlottesville.
Proceedings of the National Academy of Sciences online.
The first human tests of a vaccine to prevent ricin poisoning show that it is safe and effective, researchers at the University of Texas Southwestern Medical Center report.
Ricin is a bioterrorism agent that is very potent. This is something that is a risk to the general public.
Christopher P. |
Shannon Brownlee
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 Many physicians, but especially those who work in high-wire specialties like neurology, emergency medicine, and radiology, live with the quiet but persistent fear that they will be sued for failing to order an imaging test—or failing to correctly diagnose a disease on a scan that's been performed. An emergency doctor's worst nightmare is the patient who presents with atypical chest pain that gets diagnosed as heartburn, but who actually has a dissecting aneurysm or a heart attack. |
Bottom Line Health
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| Emergency care in the United States has been given a "C-" grade by the American College of Emergency Physicians on the first-ever National Report Card on the State of emergency medicine.
Their study found that the emergency care system is overcrowded, provides limited access to care, is hampered by soaring liability costs and has a limited ability to deal with public health or terrorist disasters. |
Jonny Bowden, Ph.D., C.N.S.
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 I believe Western medicine is absolutely without parallel when it comes to emergency medicine. I have said many times—and will continue to say—that if, God forbid, I am in a car accident, do not take me to an herbalist. There is nothing like Western medicine, especially as practiced in the
A Sordid History
The American Medical Association (AMA) has an especially shameful history when it comes to accepting or embracing anything or anyone that is not in the "union." In the early part of the century it lobbied brutally against homeopaths. |
Shannon Brownlee
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| In 200 c, the Journal of the American Medical Association published a survey of 824 Pennsylvania doctors in high-risk specialties, including obstetrics, neurology, and emergency medicine; 59 percent of those surveyed said they routinely ordered unnecessary tests, including imaging tests. Doctors know perfectly well they are ordering useless imaging tests, but when you ask them why they do it, they offer conflicting reasons. |
Gerald E. Markle and Frances B. McCrea
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| Yet perhaps the great lesson of this chapter is that emergency medicine, which terminates in the ER, has its beginnings in the community. This "chain of survival," is not only cost effective, but also saves lives—perhaps more than, say, the much heralded cardiac bypass surgery. Indeed, the connection between hospital and community is one that needs strengthening, for the betterment of both personal and public health.
"The center cannot hold," wrote William Butler Yeats. "Mere anarchy is loosed upon the world."
With the disappearance of medicine, the center—the ER—would be gone. |
Bottom Line Health
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| The American College of Emergency ' Physicians can tell you more about the state of emergency medicine in the United States at www.acep.org/webportal.
Keep These ER Aids in Your Wallet
Regularly update information that could be lifesaving in the emergency room. Don't leave home without a...
•List of your drug allergies (or the statement "no known drug allergies").
•List of all current medications, prescription and nonprescription (herbs, vitamins, antacids), including dose and reason.
•Health insurance and/or Medicare card. |
Gerald E. Markle and Frances B. McCrea
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| Surely emergency medicine saves lives. Such a statement, which would seem to have what logicians call "face validity," is difficult to substantiate. Where most lives are saved is not in the emergency room itself, and not even through the direct intervention of highly trained physicians, but through the implementation of what is called the "chain of survival," a system of emergency intervention that begins in the community, is mediated by specially trained personnel (who are not physicians), and terminates, for better or worse, at the hospital.
What about lifesaving pharmaceuticals? |
Mike Adams, the Health Ranger
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 Emergency Medicine and Pediatrics at the University of Virginia, "The cellular, intracellular, and molecular mechanisms of lead neurotoxicity are numerous, as lead impacts many biological activities at different levels of control: at the voltage-gated channels and on the first, second, and third messenger systems. |
Gerald E. Markle and Frances B. McCrea
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| The point had been made. Were emergency medicine to vanish, it appears that more gunshot victims would die—and, we presume, many others with different injuries and traumas would perish as well.
WHY WE DIE
Given our focus on mortality, it is appropriate to begin with an examination of why we die. We all know the litany. The leading cause of death in 2000 was heart disease (30%),10 followed by cancer (23%) and strokes (7%).11 The public assumes without question that medical intervention is effective in diagnosing and treating these diseases—and that as a result we live longer. |
| Therefore emergency medicine, to a much greater degree than other specialties, is concerned with the moment. And the process: from a "911" telephone call, to the action at the scene of the illness or injury, to the ride in the speeding ambulance—these become crucial life or death precursors to what happens in, and the ultimate success of, the hospital emergency room. By definition, the "emergency" is concluded if and when the patient is stabilized. |
Bill Sardi
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 Annals emergency medicine 32:742-4, 1998] In fact, there is a reported case where a 68-year old cancer patient, after taking 3,000 milligrams of amygdalin (laetrile), needed emergency care due to seizures and severe acidity. She had also been taking high-dose vitamin C which is known to increase the conversion of amygdalin to cyanide. [Annals Pharmacotherapy 39: 1566-69, 2005] Laetrile B17 treatment, administered either intravenously or orally as a purified product by a physician, may be an effective cancer treatment. |
| New England J Med 342: 1953-58, 2000; Hematologic Complications of Cancer, Hematology/Oncology Clinics of North Am 10: 499-530, 1996; emergency medicine Sept. 85-86, 1998] To make matters worse, chemotherapy increases blood clotting and the risk of a spreading tumor. [Haemo-stasis 28: 50-60, 1998] The addition of estrogen or tamoxifen may further increase the risk of blood clotting and the spread of tumors. |
Shannon Brownlee
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| Either way, it's a big error in emergency medicine. Missing an appy can mean a burst appendix, which can lead to all sorts of nasty complications, even death. Yet doctors don't want to send a patient off to an unnecessary, or "negative," appendectomy. For one thing, they might get an earful from a cranky surgeon who has just opened a patient and found nothing wrong. For another, unnecessary abdominal surgery is not something any physician wants a patient to undergo. |
| Even so, head CTs transformed the practice of emergency medicine and neurology. Before
CT, patients who came into the emergency department with trauma to the head were X-rayed, which could show skull fractures but not bleeding inside the skull. By the time doctors realized the patient was bleeding and sent her in for surgery, it was often too late to prevent devastating brain damage, or even death. |
Bottom Line Health
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| Blum, president of the American College of Emergency Physicians and also a professor of emergency medicine, pediatrics and internal medicine at West Virginia University School of Medicine, says that one of the main obstacles to providing quality emergency care is medical liability. In many places, the cost of malpractice insurance has forced doctors, particularly specialists, to give up their practice, he says. This trend is making it more difficult for emergency departments to get specialists to see patients in the emergency room. |
| Asplin, MD, MPH, head, department of emergency medicine, Regions Hospital, St. Paul, MN.
Mark Murray, MD, MPA, principal, Mark Murray and Associates, Sacramento, CA.
The Journal of the American Medical Association.
What happens to people who have potentially serious health conditions after they're treated and released from the emergency room with explicit instructions to seek an appointment for follow-up care? It may depend on the type of health insurance they have, a new study suggests. |
Gary Null and Amy McDonald
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| Tenpenny is Board Certified in emergency medicine and Osteopathic Manipulative Medicine. Dr. Tenpenny is respected as one of the country s most knowledgeable and outspoken physicians regarding the impact of vaccines on health. Website: www.nmaseminars.com
Lorraine Fraser, "Revealed: more evidence to challenge the safety of MMR," Te!egrapb,June 15,2002. httpy/www.telegraph.co.uk/news/mam.jhtrnl?xrnl=/ news/2002/06/16/nmmrl6. |
| The Journal of emergency medicine. 2007 Aug;33(2):199-211. Epub 2007 Jun 18.
The National Childhood Vaccine Injury Act of 1986, as amended, established the Vaccine Injury Compensation Program (VICP). The VICP went into effect on
October 1,1988 and is a Federal "no-fault" system designed to compensate individuals, or families of individuals, who have been injured by covered vaccines. From 1988 until July 2006, a total of 2531 non-autism/thimerosal and 5030 autism/thimerosal claims were made to the VICP. |
Gerald E. Markle and Frances B. McCrea
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| Our goal in this chapter is to assess the impact of emergency medicine and related specialties on health and well-being. As in previous chapters, our emphasis will be on the impact of this branch of medicine on mortality. Caveat Emptor, it is neither possible nor desirable to assess this branch of medicine with controlled, double-blinded1 studies that we have seen in previous chapters. One can hardly imagine a patient randomly admitted to a real versus a fake emergency room. As a result, there are serious limitations on our ability to carry out our task. |
Bryan Hanson, PhD
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 It is found in a plant commonly called jimsonweed or devil's apple (the Latin name is Datura stramonium), and compounds within it have important uses in emergency medicine and surgery. The structure of atropine with the functional groups circled and categorized is shown in Figure 2.6. The part of the molecule that is not marked off is an alkane—a hydrogen and carbon framework of single bonds. The majority of molecules you will encounter can be thought of as an alkane framework decorated with functional groups. |
Greg Critser
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 The next day, laid up and connected to the frightening ganglia of modern emergency medicine, Conception's condition slipped. Her state was, medical reports said, "life-threatening." Her liver had nearly stopped functioning. Dr. Salas and Dr. Lara knew that somewhere between 10 and 50 percent of all patients with drug-induced jaundice and elevated liver enzymes die. For ten days, they did everything they could to prevent liver failure. The family gathered around her bed, girding for the worst. |
Michael Friedman, ND
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 Overcoming diagnostic and therapeutic obstacles in hypothyroidism. emergency medicine Reports, 1990; ll(23):219-27.
30. Lam KS. et al. Vasoactive intestinal peptide in the anterior pituitary is increased in hypothyroidism. Endocrinology 1989;124(2):1077-84.
31. Lam KS, et al. Vasoactive intestinal peptide in the anterior pituitary is increased in hypothyroidism. Endocrinology 1989;124(2):1077-84.
32. Kales A, et al. All night sleep studies in hypothyroid patients, before and after treatment. J Clin Endocrinol Metab 1967;27(11): 1593-99.
33. Eisinger J, Plantamura A, Ayavou T. |
Mike Adams, the Health Ranger
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 Wilde of the Department of emergency medicine at the Medical College of Georgia
"Given the high level of global traffic, the pandemic virus may spread rapidly, leaving little or no time to prepare."
- World Health Organization
"The threat of a pandemic is the most important public health issue we face today. The signs are worrisome."
-Bruce Gellin, director of the U.S. Department of Health and Human Services' national vaccine program
"It is fair to assume the shock during a flu epidemic could be even larger and last longer than SARS. |
Mike Adams, the Health Ranger
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 You're not going to have your emergency food supply, your emergency medicine and your emergency hospital bed. No one is going to take care of you. You're going to have to fend for yourself, and to do that, you'd better have a stockpile of herbal medicine ready at your side. You'd better have purchased it well ahead of time, and you had better be prepared to take it.
Take responsibility for your own bird flu prevention
This is my opinion. Conventional medicine and medical authorities strongly disagree. My lawyers always tell me to say, "Check with your doctor. |
Mike Adams, the Health Ranger
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 Wilde of the Department of emergency medicine at the Medical College of Georgia adds, "Even now there is little to no excess capacity to absorb more patients, but when pandemic flu arrives there will be a tidal wave of patients arriving in clinics and ERs nationwide. If it happens tomorrow, the system will collapse."
Incredibly, the WHO predictions about a bird flu pandemic may actually be the good news. A Russian scientist, Dr. |
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