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Emresident Board of Directors EMRA’s 4th The infamously EMRA EMRA’s newest Annual Photo difficult auricular schedule books and Contest Winners compression of events apps – get bandage yours today! EDITOR’S FORUM GUEST FEATURE SCIENTIFIC ASSEMBLY EMRA PUBLICATIONS Page 8 Page 24 Page 40 Page 53 October/November 2012 VOLUME 39, issue 5 EMThe Official Publication of the EmergencyResident Medicine Residents’ Association An emerging academic subspecialty of global importance Renee N. Salas, MD, MS, EMRA Wilderness Medicine Committee Co-Chair, University of Cincinnati, Cincinnati, OH “The wilderness holds answers to the deep sea to space. This obliges all questions man has not yet learned to ask.” emergency physicians to have a better - Nancy Newhall understanding of this subspecialty, which has, in turn, become a goal of the newly ilderness medicine is a well- created EMRA Wilderness Medicine Westablished and growing Committee. subspecialty in emergency medicine, “The scope and yet its existence, scope of practice, and Wilderness medicine is often defined as applicability [of wilderness applicability remain poorly understood the practice of medicine in an austere environment with limited resources, or in medicine] ... continue to to those outside the field. Many envision that wilderness medicine physicians an environment in which definitive care is expand as humans reach concentrate on those environmental greater than two hours away. However, in further into all corners of emergencies that all emergency physicians many ways, its practice actually is a return the world, from the deep must know (Table 1). And while this is to the roots of the medical profession. Beginning in the 1970s, editorials in sea to space.” indeed part of the foundation of wilderness medicine, the spectrum now is much more prominent journals (i.e., JAMA and expansive. NEJM) started addressing the decreased educational emphasis on performing In an era of globalization and increasing detailed histories and physical exams. prevalence of natural and man-made As a result, there are now generations of disasters, there are growing intersections physicians who have become overly reliant with international medicine and disaster on laboratory and imaging studies.2-5 medicine. The scope and applicability also continue to expand as humans reach As high-tech procedural and further into all corners of the world, from continued on page 36 Upcomingevents October 6, 2012 EMRA MSGC Meeting & EMIG Mixer Denver, CO Table October 7, 2012 EMRA Medical Student Forum & Luncheon Denver, CO of October 7, 2012 EMRA Residency Fair Denver, CO October 8, 2012 EMRA Resident Forum & Luncheon Contents Denver, CO October 8, 2012 EMRA Job Fair Denver, CO October 8-11, 2012 ACEP’s Scientific Assembly Denver, CO October 9, 2012 EMRA Representative Council Meeting at ACEP’s Scientific Assembly n President’s Message 4 Denver, CO October 9, 2012 EMRA Party n Treasurer’s Report 6 Denver, CO October 10, 2012 EMRA Committee Meetings n Photo Contest 8 Denver, CO October 10, 2012 EMRA Resident Sim Wars Competition n Vice Speaker Report 10 Denver, CO October 27-29, 2012 ABEM Fall Oral Certification Exams n ACEP Representative Update 12 Nationwide November 5-12, 2012 Emergency Medicine Basic Research Skills (EMBRS) Workshop n Critical Care 14 Dallas, TX November 10-13, 2012 AMA House of Delegates Interim Meeting n RRC-EM Update 16 Honolulu, HI November 12-18, 2012 ABEM Qualifying Exams n Advocacy Corner 18 Nationwide January 3, 2013 EMRA Travel Scholarship to CORD Academic Assembly Applications n Medical Student News 20 Deadline February 10-12, 2013 RRC-EM Meeting n EMRA Residency Fair 23 Chicago, IL March 5, 2013 EMRA MSGC/MSC Applications n Guest Feature 24 Deadline March 6, 2013 Resident Appreciation Day n Words of Wisdom 26 Nationwide March 6-9, 2013 CORD Academic Assembly n Guest Feature 27 Denver, CO March 15, 2013 EMRA Spring Awards Applications n Clinical Case 28 Deadline May 16-19, 2013 SAEM Annual Conference n Money Matters 30 Atlanta, GA May 19-22, 2013 ACEP Leadership and Advocacy Conference n Bouncebacks! 32 Washington, DC Advertisingguidelines n Wilderness Medicine 36 n EMRA Party 39 Thank you very much for your interest in advertising with EM Resident. As the largest organization to represent the needs of the emergency medicine resident, we are able to reach a unique and important niche of our specialty. EMRA’s mission statement is to promote excellence in patient care through the n EMRA Events at SA 40 education and development of emergency medicine residency-trained physicians. It is our belief that this provides the best patient care in an emergency department setting. n EMRA Job Fair 42 To support our mission and provide the greatest advantage to our residency-trained members searching for jobs, we welcome you to advertise in EM Resident, but require that all positions advertised in our n Guest Feature 44 publication be addressed only to board-certified/board-prepared, residency-trained emergency physicians. For the sake of consistency, the use of the terms “ED,” “emergency department,” and “emergency n Academic Affairs 46 physicians” are preferable to using “ER” or any such derivation. Your support is very important to us, and we appreciate your compliance with these guidelines. Please n Guest Feature 48 respect this policy and reflect its sentiment in your advertisements. EM Resident has the right to refuse any advertisement that does not meet these guidelines. n EM Reflections 50 Thank you again for advertising in EM Resident. To place a classified or display ad in EM Resident, contact Leah Stefanini, 866.566.2492, ext. 3298, n Board Review Questions 51 e-mail [email protected], or fax 972.692.5995. Information for advertisers can also be found at www.emra.org. n Pitfalls to Avoid 54 EM Resident is published six times per year. Ads received by November 1 will appear in the Dec/Jan issue. EM Resident subscriptions are available only to individuals and institutions that are not considered n Pediatric Pearls 55 eligible for EMRA membership as per the EMRA bylaws. For information on how to subscribe please contact Leah Stefanini, 866-566-2492 ext. 3298 or email [email protected]. n October/November 2012 3 President’smessage Oct 2011–Oct 2012: A groundbreaking year in the history of EMRA our decades ago at one of the first Emergency emergency medicine advocacy efforts. Through FMedicine Scientific Assemblies, Joseph our internal committees, task forces, representative Waeckerle and a small group of emergency council, board of directors and thousands of dollars medicine residents founded the Emergency in grants and scholarships, EMRA provides residents Medicine Residents’ Association. EMRA was with opportunities present in no other specialty. established five years before emergency medicine As my term as the 39th EMRA president comes to a was officially recognized as a specialty, and was the conclusion, I am still in awe of the many great first – and still is the only – independently operated milestones we’ve crossed and the stellar accomplish- resident organization in the country. ments that we, as an organization, have made. EMRA’s growth during the past 39 years has In the past year alone EMRA developed more books Don Stader, MD been remarkable. In 1979, when emergency then ever before in its history! We have published EMRA President medicine first became regarded as a specialty, the Carolinas Medical Center two new handbooks – the EMRA Critical Care Guide organization had a total of 283 members and a Charlotte, NC and EMRA Research Guide – and have several more budget of negative $16. Today EMRA boasts more on the way, including the soon-to-be-released EMRA than 11,000 members and a financially healthy PressorDex, and the EMRA International Handbook. budget in the millions of dollars. We’ve also unveiled the 2013 EMRA Antibiotic Guide We have made tremendous strides in growing – the latest edition of our highly successful pocket “All told, our our membership, adding member benefits and reference book. promoting emergency medicine education. We This year the association has worked to update members receive have been prolific in our production of resources, and expand its technological infrastructure. Our over $1,600 including more than a dozen books, a popular website, www.emra.org, was updated with a stylish bimonthly magazine, a monthly e-newsletter, and worth of free new look, easier navigation and additional resource an ever-growing provision of free online resources. tools. At ACEP’s Scientific Assembly we celebrated benefits yearly, All told, our members receive over $1,600 worth of the much-anticipated launch of the EMRA App free benefits yearly, making EMRAthe best value making EMRA Suite. Designed to give you the information you in emergency medicine. the best value need instantly at your fingertips, this growing Beyond its resources, EMRA provides emergency collection of new mobile applications will include in emergency residents and students with a platform no other EMRA MDCalc, EMRA PressorDex, the 2013 medicine.” specialty in the house of medicine can offer. EMRA Antibiotic Guide, EMRA EM Basics, EMRA Emergency medicine residents have a unified, PedsMeds, EMRA PedsAirway and EMRA EM- powerful voice in EMRA. The association has used Rashes. We’re proud to say that our association offers this voice to advance our educations, advocate for more mobile apps then any other nonprofit specialty the better care of our patients, and help define the organization in the house of medicine. future of our specialty. We also have aggressively expanded opportunities The association enables emergency residents to for our membership. The association invested an serve on nearly every section and committee in additional $10,000 into new awards this year, and in the American College of Emergency Physicians 2013, EMRA will offer an unprecedented $30,000 – an invaluable opportunity that allows us to help worth of grants and awards to residents and students.
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