The Icy Truth: The World of Resuscitation is NOT Flat

For those looking for a better way to preserve the brain and vital organs in the future, an article released recently about work by scientists at Massachusetts General Hospital may give us a peek at a future tool in our resuscitation toolbox. It’s a process that might prove valuable if used in conjunction with extracorporeal membrane oxygenation (ECMO), impedance threshold devices (ITDs) and head-up CPR to keep people in a suspended state of animation until their malady is found, corrected and allowed to begin healing. Massachusetts General is the original and largest teaching hospital at Harvard Medical School. Their work is visionary and must be respected. In the article about their latest research it’s pointed out that the creation of sharp ice crystals can damage cell membranes and that current defrosting process presents some potential dangers. It’s a piece of common sense that can’t be ignored. As a person who has experienced the severe pain and damage of minute kidney stones that form like Kryptonite, get stuck or dragged along your tiny urinary pathways and tear and traumatize you like a sharp boat anchor being dragged in your body, I can fully appreciate the damage sharp ice crystals can do to tissues and organs. Want a good visual? Watch this amazing clip of ice shattering on frozen Lake Superior in Minnesota and you will understand what I mean.   So, as published in Nature Communications, the Massachusetts General scientists have de...
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news

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A man with a history of nephrolithiasis and laparotomy for trauma had left flank and left upper quadrant pain. He had mild leukocytosis, but the physical examination and other laboratory testing were unremarkable; abdominal CT revealed a well-circumscribed, extraluminal mass with central high density. What is the diagnosis and what would you do next?
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research
AbstractPurposeDigital low-dosage, linear slot scanning radiography (Lodox®) is an imaging modality that can emit down to one-tenth the radiation of conventional X-ray systems. We prospectively evaluated Lodox® as a diagnostic imaging modality in patients with ureterolithiasis.MethodsConventional kidney –ureter–bladder (KUB) X-ray and Lodox® were performed in 41 patients presenting with acute flank pain due to unilateral ureteral stone confirmed by computed tomography. KUB X-ray and Lodox® images were then reviewed by four blinded readers (urology expert/resident, radiology expert/resident). Ide...
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Lower back and testicle pain can indicate an underlying condition that requires medical attention. Possible causes include kidney stones, urinary tract infections (UTIs), and spinal problems. Learn more about the possible causes and when to see a doctor here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Back Pain Source Type: news
By HANS DUVEFELT, MD How long does it take to diagnose guttate psoriasis versus pityriasis rosea? Swimmers ear versus a ruptured eardrum? A kidney stone? A urinary tract infection? An ankle sprain? So why is the typical “cycle time”, the time it takes for a patient to get through a clinic such as mine for these kinds of problems, close to an hour? Answer: Mandated screening activities that could actually be done in different ways and not even necessarily in person or in real time! Guess how many emergency room or urgent care center visits could be avoided and handled in the primary care office i...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Physicians Hans Duvefelt primary care Source Type: blogs
Kidney stones are a fairly common problem that manifests itself as symptoms of acute abdominal and flank pains in patients presenting to emergency departments.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
CONCLUSION: Both the operative methods are safe and efficacious in treating solitary renal calculus at 2 to 3 cm in size. However, FURS has more advantages including shorter hospital stay, less complication, and less bleeding. PMID: 31130072 [PubMed - as supplied by publisher]
Source: Surgical Innovation - Category: Surgery Authors: Tags: Surg Innov Source Type: research
Lower back pain is a common complaint. When back pain occurs on the lower right side, causes can include sprains and strains, kidney stones, infections, and conditions that affect the intestines or reproductive organs. Learn more about what causes back pain on the lower right side and when to see a doctor here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Back Pain Source Type: news
CONCLUSIONS: Non-string stents affected less the patients' QoL, in terms of general health and urinary symptoms, caused less stent related pain in cases of stent in situ and caused stent dislodgment in fewer patients. On the contrary, string stents caused less pain at extraction. All the aforementioned differences did not reach statistical difference. PMID: 31086133 [PubMed - as supplied by publisher]
Source: Minerva Urologica e Nefrologica - Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research
I was speaking with someone recently who has a series of chronic and painful conditions; some of which are noticeable and some ‘invisible’. What is particularly distressful is that people sometimes say to her, “At least you don’t have cancer.” How dismissive is that? I know they are trying to help her feel better about what she does have and perhaps even attempt to minimize the impact, but it is not compassionate or helpful. There are diagnoses such as fibromyalgia, lupus, diabetes, arthritis or neuropathy which some people have to navigate. It might mean taking naps on an as-needed basis, en...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Chronic Pain Health-related Inspiration & Hope Personal Arthritis Chronic Illness Diabetes Fibromyalgia Lupus Lyme disease neuropathy peer support Source Type: blogs
Rationale: A horseshoe kidney is the most common congenital fusion abnormality in the kidney, occurring in approximately 1 in 400 live births. Several complications including renal malignancies, ureteropelvic junction obstruction, urolithiasis, vesicoureteral reflux, and hydronephrosis can occur in this patient population. Patient concerns: A 28-year-old woman was admitted to hospital because of chronic left low back pain. Microscopic hematuria was not seen. Computed tomography showed the horseshoe kidney and left hydronephrosis. Diagnoses: On the basis of these findings and clinical manifestations, the final diagn...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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