Ditch the Machine to Improve Accuracy in Blood Pressure Measurement and Diagnostics
Conclusion For the patient in this case, the decision to forego the convenience of a machine in favor of the skills of a knowledgeable paramedic was lifesaving. Much like the comparison often drawn between the old-fashioned barbell and more sophisticated exercise machines, newer, more complex, and more expensive might make a process more comfortable, but doesn’t always equate to superior results. As we surrender more and more of our hands-on skills to the ease of automated technology, we risk more than the loss of the aptitudes that form the foundation of sound patient assessment—we place our patients in jeopardy of misdiagnoses and inadequate treatment. Proper use of the aneroid sphygmomanometer is but one of many practices that’s important for EMS professionals to maintain if we are to claim that we are anything other than accomplices to placing our patients’ lives at the mercy of machines. Companion Article Taking a Manual Blood Pressure: Techniques &Pitfalls Use an aneroid sphygmomanometer for optimal measurement and diagnostic accuracy By Mark Rock, NRP References 1. Matera PA. Relying on your H&P. Are we losing the art of clinical medicine to technology? JEMS. 2008;33(3):60–70. 2. Grady D. (Oct. 11, 2010.) Physician revives a dying art: The physical. The New York Times. Retrieved Oct. 14, 2018, from https://nyti.ms/2kWtXn7. (Note: Subscription required.) 3. Asif T, Mohiuddin A, Hasan B, et al. Importance of thorough physical examinatio...
In conclusion, BLU-5937 was selected as a drug candidate for the treatment of chronic cough due to its high potency and selectivity for P2X3 homotrimeric receptors, strong anti-tussive effects, excellent tolerability and predicted pharmacokinetic properties in humans.
Publication date: August 2019Source: Current Opinion in Behavioral Sciences, Volume 28Author(s): Bianka Karshikoff, Melissa Anne Tadros, Sean Mackey, Ihssane ZouikrToday’s treatment for chronic pain is inadequate, and novel targets need to be identified. This requires a better understanding of the mechanisms involved in pain sensitization and chronification. In this review, we discuss how peripheral inflammation, as occurs during an infection, modulates the central pain system. In rodents, neonatal inflammation leads to increased pain sensitivity in adulthood by priming immune components both peripherally and central...
Publication date: Available online 20 March 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): J. Randolph Clements, Ajay K. GhaiAbstractDisruption of the plantar plate is a common cause of forefoot pain, metatarsalgia, and metatarsophalangeal joint malalignment. Although surgical repair of the plantar plate has improved, there has been no consensus on the clinical superiority of any single technique, or combination of techniques, described in the literature to date. In this publication, we report a case of plantar plate injury treated with an innovative new technique with 20-month follow-up.
Publication date: Available online 20 March 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Jean-Yves Jenny, Michel Bonnin, Didier Mainard, French Society of Hip and Knee Surgery (SFHG), French Society of Orthopedic Surgery and Traumatology (CNP-SoFCOT)
We report a case of a 48-year-old female who presented four months following a low-energy trauma with symptoms most consistent with adhesive capsulitis. An MRI demonstrated extensive patchy areas of intramuscular edema-like signal involving the lateral head of the deltoid with associated muscle atrophy, in keeping with a subacute denervation injury. She was diagnosed with quadrilateral space syndrome (QSS) and successfully treated with an fluoroscopic-guided corticosteroid injection. At her two-year follow-up, the patient had regained full function and had no lasting symptoms. Non-specific symptoms like ill-defined shoulde...
Publication date: Available online 28 February 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Sadikah Behbehani, Tiffany Pham, Katie Kunze, Megan Wasson, Johnny YiABSTRACTStudy ObjectiveTo determine the incidence of a successful in-office voiding trial after minimally invasive hysterectomy.DesignA retrospective cohort study.SettingA tertiary care academic center.PatientsAll patients undergoing minimally invasive hysterectomies (vaginal, laparoscopic, or robotic) from January 2013 to July 2018 who have an unsuccessful voiding trial in the postoperative unit.InterventionsA voiding trial.Measurements and Main ...
Conclusions: BMI and WC may predict incident hypertension better than skinfold thickness, WHR, and WHTR in the Chinese population.Ann Nutr Metab 2019;74:215 –223
Abstract: Preeclampsia is a complication of pregnancy that affects approximately 4% of pregnancies. Preeclampsia is defined as new-onset hypertension after 20 weeks gestation often accompanied by new-onset proteinuria. Women who experience preeclampsia during pregnancy are at an increased risk for hypertension and stroke later in life. Healthcare providers should screen women appropriately to minimize risk.
In states that legalized medical marijuana, there was a 4.8 percent decrease in reported pain for conditions that qualified for pot treatment (cancer, arthritis, glaucoma and pain), compared to states without medical marijuana.
Post-stroke depression has been previously associated with poorer recovery, but new research suggests depression may also be a risk factor for stroke.Medscape Medical News
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