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Francis M. Fesmire
Francis Miller Fesmire (November 16, 1959 – January 31, 2014) was an American emergency physician and a nationally recognized expert in myocardial infarction. He authored numerous academic articles and assisted in the development of clinical guidelines on the standard of care in treating patients with suspected myocardial infarction by the American College of Emergency Physicians and the American Heart Association/American College of Cardiology. He performed numerous research investigations in chest pain patients, reporting the usefulness of continuous 12-lead ECG monitoring, two-hour delta cardiac marker testing, and nuclear cardiac stress testing in the emergency department. The culmination of his studies was ''The Erlanger Chest Pain Evaluation Protocol'' published in the ''Annals of Emergency Medicine'' in 2002. In 2011 he published a novel ''Nashville Skyline'' that received a 5 star review by ForeWord Reviews. His most recent research involved the risk stratificat ...
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Atlanta
Atlanta ( ) is the List of capitals in the United States, capital and List of municipalities in Georgia (U.S. state), most populous city in the U.S. state of Georgia (U.S. state), Georgia. It is the county seat, seat of Fulton County, Georgia, Fulton County and extends into neighboring DeKalb County, Georgia, DeKalb County. With a population of 520,070 (2024 estimate) living within the city limits, Atlanta is the eighth most populous city in the Southeastern United States, Southeast and List of United States cities by population, 36th most populous city in the United States according to the 2020 United States census, 2020 U.S. census. Atlanta is classified as a Globalization and World Cities Research Network#Beta +, Beta + global city and is the principal city of the much larger Atlanta metropolitan area, the core of which includes Cobb County, Georgia, Cobb, Clayton County, Georgia, Clayton and Gwinnett County, Georgia, Gwinnett counties, in addition to Fulton and DeKalb. ...
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Mary Beth Landrum
Mary Elizabeth Landrum is a British-American statistician specializing in biostatistics, examining health services and the quality of health care delivery. She is a professor in the Department of Health Care Policy of the Harvard Medical School. Education and career Landrum is originally from London. She majored in chemical engineering at the Massachusetts Institute of Technology, graduating in 1987, and then studied biostatistics at the University of Michigan, earning a master's degree in 1992 and completing her Ph.D. in 1995. After postdoctoral research in the Department of Health Care Policy of the Harvard Medical School, she was hired by the department as an assistant professor in 1998. She was promoted to associate professor in 2005 and full professor in 2012. Landrum's research focus is on the development and application of statistical methodology for health services research. She studies health care delivery, specifically examining the impact of provider characteri ...
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Fellow Of American College Of Emergency Physicians
Fellow of the American College of Emergency Physicians, or FACEP, is a post-nominal title used to indicate that an emergency physician has passed an evaluation by the American College of Emergency Physicians (ACEP). To become a Fellow of the American College of Emergency Physicians, a physician must be an active, life, honorary, or international member of ACEP for three consecutive years and primarily practice as an emergency physician, exclusive of training. The physician must also be board certified by the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine, or by the American Board of Pediatrics in pediatric emergency medicine. Each of these professional boards are member boards of the American Board of Medical Specialties The American Board of Medical Specialties (ABMS) is a non-profit organization established in 1933 which represents 24 broad areas of specialty medicine. ABMS is the largest and most widely recognized physician-led s ...
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Jacksonville, Florida
Jacksonville ( ) is the most populous city proper in the U.S. state of Florida, located on the Atlantic coast of North Florida, northeastern Florida. It is the county seat of Duval County, Florida, Duval County, with which the City of Jacksonville Jacksonville Consolidation, consolidated in 1968. It was the List of United States cities by area, largest city by area in the contiguous United States as of 2020, and became the 10th List of United States cities by population, largest U.S. city by population in 2023. Jacksonville straddles the St. Johns River in the First Coast region of northeastern Florida, about south of the Georgia state line ( to the urban core/downtown) and north of Miami. The Jacksonville Beaches communities are along the adjacent Atlantic coast. The area was originally inhabited by the Timucua people, and in 1564 was the site of the French colony of Fort Caroline, one of the earliest European settlements in what is now the continental United States. Under B ...
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University Hospital
A teaching hospital or university hospital is a hospital or medical center that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-located with medical schools. Teaching hospitals use a Residency (medicine), residency program to educate qualified physicians, podiatrists, dentists, and pharmacists who are receiving training after attaining the degree of Doctor of Medicine, MD, Doctor of Osteopathic Medicine, DO, Doctor of Podiatric Medicine, DPM, Doctor of Dental Surgery, DDS, DMD, Doctor of Pharmacy, PharmD, Bachelor of Dental Surgery, BDS, Bachelor of Dentistry, BDent, Bachelor of Medicine, MBBS, MBChB, or BMed. Those that attend a teaching hospital or clinic would practice medicine under the direct or indirect supervision of a senior medical clinician registered in that specialty, such as an attending physician or consultant (medicine), consultant. T ...
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Emergency Medicine
Emergency medicine is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians (or "ER doctors") specialize in providing care for unscheduled and undifferentiated patients of all ages. As frontline providers, in coordination with emergency medical services, they are responsible for initiating resuscitation, stabilization, and early interventions during the acute phase of a medical condition. Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units. Still, they may also work in primary care settings such as urgent care clinics. Sub-specialties of emergency medicine include disaster medicine, medical toxicology, point-of-care ultrasonography, critical care medicine, emergency medical services, hyperbaric medicine, sports medicine, palliative care, or aerospace medicine. Various models for emerg ...
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Residency (medicine)
Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician (one who holds the degree of MD, DO, MBBS/MBChB), veterinarian ( DVM/VMD, BVSc/BVMS), dentist ( DDS or DMD), podiatrist ( DPM), optometrist ( OD), pharmacist ( PharmD), or Medical Laboratory Scientist ( Doctor of Medical Laboratory Science) who practices medicine or surgery, veterinary medicine, dentistry, optometry, podiatry, clinical pharmacy, or Clinical Laboratory Science, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant. The term ''residency'' is named as such due to resident physicians (resident doctors) of the 19th century residing at the dormitories of the hospital in which they received training. In many jurisdictions, successful completion of such training is a requirement in order to obtain an unrestricted l ...
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Vanderbilt University School Of Medicine
Vanderbilt University School of Medicine (VUSM) is the graduate medical school of Vanderbilt University, a private research university located in Nashville, Tennessee. The School of Medicine is primarily housed within the Eskind Biomedical Library which sits at the intersection of the Vanderbilt University and Vanderbilt University Medical Center (VUMC) campuses and claims several Nobel laureates in the field of medicine. Through the Vanderbilt Health Affiliated Network, VUSM is affiliated with over 60 hospitals and 5,000 clinicians across Tennessee and five neighboring states which manage more than 2 million patient visits each year. As the home hospital of the medical school, VUMC is considered one of the largest academic medical centers in the United States and is the primary resource for specialty and primary care in hundreds of adult and pediatric specialties for patients throughout the Mid-South. History The Vanderbilt University School of Medicine was founded in 1851 as t ...
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Annals Of Emergency Medicine
The ''Annals of Emergency Medicine'' is a monthly peer-reviewed medical journal covering all aspects of emergency medicine, emergency medicine care. It is the official journal of the American College of Emergency Physicians (ACEP) and is published on their behalf by Elsevier. The editor-in-chief is Donald M. Yealy (University of Pittsburgh). It was established in 1972 as the ''Journal of the American College of Emergency Physicians'' and obtained its current title in 1980. Abstracting and indexing This journal is abstracted and indexed in: * CINAHL * Scopus * Science Citation Index * Current Contents/Clinical Medicine * Index Medicus/MEDLINE/PubMed According to the ''Journal Citation Reports'', the journal has a 2021 impact factor of 6.762, ranking it first out of 32 journals in the category "Emergency Medicine". In 2009, the BioMedical & Life Sciences Division of the Special Libraries Association elected it to their list of the 100 most influential biomedical journals of the past ...
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Emergency Department
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the Acute (medicine), acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center. Due to the unplanned nature of patient attendance, the department must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be Medical emergency, life-threatening and require immediate attention. In some countries, emergency departments have become important entry points for those without other means of access to medical care. The emergency departments of most hospitals operate 24 hours a day, although staffing levels may be varied in an attempt to reflect patient volume. History Accident services wer ...
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Nuclear Stress Test
A cardiac stress test is a cardiological examination that evaluates the cardiovascular system's response to external stress within a controlled clinical setting. This stress response can be induced through physical exercise (usually a treadmill) or intravenous pharmacological stimulation of heart rate. As the heart works progressively harder (stressed) it is monitored using an electrocardiogram (ECG) monitor. This measures the heart's electrical rhythms and broader electrophysiology. Pulse rate, blood pressure and symptoms such as chest discomfort or fatigue are simultaneously monitored by attending clinical staff. Clinical staff will question the patient throughout the procedure asking questions that relate to pain and perceived discomfort. Abnormalities in blood pressure, heart rate, ECG or worsening physical symptoms could be indicative of coronary artery disease. Stress testing does not accurately diagnose all cases of coronary artery disease, and can often indicate that it e ...
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Cardiac Marker
Cardiac markers are biomarkers measured to evaluate heart function. They can be useful in the early prediction or diagnosis of disease. Although they are often discussed in the context of myocardial infarction, other conditions can lead to an elevation in cardiac marker level. Cardiac markers are used for the diagnosis and risk stratification of patients with chest pain and suspected acute coronary syndrome and for management and prognosis in patients with diseases like acute heart failure. Most of the early markers identified were enzymes, and as a result, the term "cardiac enzymes" is sometimes used. However, not all of the markers currently used are enzymes. For example, in formal usage, troponin would not be listed as a cardiac enzyme. Applications of measurement Measuring cardiac biomarkers can be a step toward making a diagnosis for a condition. Whereas cardiac imaging often confirms a diagnosis, simpler and less expensive cardiac biomarker measurements can advise a physi ...
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