LITFL Review 315

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 315th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Rob Macsweeney of Critical Care Reviews posts the 2 hour livestream of the ADRENAL Trial as FOAM. Fast forward to 1:01:31 to see the beginning of the presentation and save an hour of your time.  This international RCT of 3800 patients in septic shock showed no difference in 90 day mortality, but an improved shock reversal, LOS in the ICU, blood transfusion requirements, and shorter time needed for mechanical ventilation in those given hydrocortisone vs placebo. We still don’t have long term outcomes, however the authors are planning on publishing 6 month outcomes at a later date. See too other notable FOAM on the same study,:EM Lit of Note, EM Crit, and The Bottom Line also analyze the recent ADRENAL trial results. [SR]  Also from Rob Mac Sweeney and the Critical Care Reviews team comes the CCR Book 2018–all the best critical care trials of 2018 distilled and discussed for easy reading. Absolutely essential #foamed. ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education LITFL review Source Type: blogs

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Conclusion: The integrated robotic system can place NBTU ablator at a desired target location in porcine brain and monitor the ablation in realtime via magnetic resonance thermal imaging (MRTI). Significance: Further optimization of this system could result in a clinically viable syste- for use in human trials for various diagnostic or therapeutic neurosurgical interventions.
Source: IEEE Transactions on Biomedical Engineering - Category: Biomedical Engineering Source Type: research
AbstractPhotobiomodulation (PBM) has been used to modulate the inflammatory and immune responses, pain relief, and to promote wound healing. PBM is widely used in dental practice and its cellular effects should be investigated. The aim was to evaluate if PBM changes proteins cell death –related, such as caspase-6 and Bcl-2, in periodontal ligament cells. Eighteen mice were divided in three groups (n = 6), i.e., (I) control, (II) 3 J cm−2, and (III) 30 J cm−2. Low power infrared laser (830 nm) parameters were power at 10 mW, energy densities at 3 and 30 J cm−2 in continuous emission mode, exposure ti...
Source: Lasers in Medical Science - Category: Laser Surgery Source Type: research
This study has the potential to transform the diagnosis and treatment of allergic disorders.
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
Trump claims Covid-19 only “really” affects people who have “other problems”;European stocks post worst fall in three months; UK cases pass 400,000;More than one in five Covid-19 deaths globally is in US. Follow the latest updatesUS nears 200,000 deaths‘Landmark moment’: 156 countries agree to vaccine allocation dealTaj Mahal reopens as coronavirus cases continue to rise in IndiaUK could see 200 deaths a day by November, warns chief medical officerUK coronavirus updates – live5.19amBSTAfter rescheduling her wedding three times this year, Nalan Altas was finally supposed to be getti...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Coronavirus outbreak World news US news UK news Australia news Science Infectious diseases Source Type: news
Patellar instability and associated patellar dislocation can result in significant pain, disability, and associated injuries in young athletes. The patellofemoral joint is a complex articulation with stabilizing restraints, both medially and laterally, tha...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Abstract A 67-year-old male diabetic patient with systemic arterial hypertension was admitted to the emergency department with a necrotic ulcer in the left external malleolus and no palpable popliteal or pedal pulses. Arterial Duplex ultrasound identified femoropopliteal occlusion, with popliteal refilling below the knee and a patent peroneal artery. An endovascular procedure was performed, requiring retrograde access to the popliteal artery to re-establish blood flow and deploy a popliteal stent. Technical success was achieved and the patient underwent debridement of the wound. Two days later, about 48 hours after the ope...
Source: Jornal Vascular Brasileiro - Category: Surgery Source Type: research
When will we go back to dinners and drinks with reps, thought leader "focus groups," Instagram whoring, etc?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Source: Jornal Brasileiro de Pneumologia - Category: Respiratory Medicine Source Type: research
I’m kind of in a dilemma. I’m a student athlete, so I can’t really take a gap year in the middle of my four years of college. However at the same time I feel really called to take a year off and do a one-year global health focused Christian missions program in Australia through a large missions ministry called YWAM. Therefore, my only choice is to go after I graduate. I would be going from early July 2022 to late June 2023. However, I also don’t want to take more than 1 year off. So this... T20 Schools Deferment Policy
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pre-Medical - MD Source Type: forums
Conclusion: Retinal cavernous hemangioma can be associated with intralesional calcification (phleboliths).
Source: Retinal Cases and Brief Reports - Category: Opthalmology Tags: Case Report Source Type: research
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