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 Special Topics - Category: Emergency Medicine Authors: Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news

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Authors: Aseni P, Di Domenico SL, Barbosa F, Rampoldi A, Berry C Abstract Introduction: Hemoperitoneum can be a life-threating condition in cirrhotic patients who have a limited compensatory reserve during hemorrhagic shock. We aim to review the literature on the different etiologies associated with non-traumatic hemoperitoneum (NTH), summarizing the most relevant conditions associated with spontaneous and iatrogenic peritoneal and retroperitoneal bleeding that may occur in cirrhotic patients and to illustrate the most relevant diagnostic strategies and optimal management. Area covered: This review encompasses the ...
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
Conclusion: TIPS is an effective treatment for variceal bleeding and refractory ascites in most cases, but more than half of the patients experience either death, stent dysfunction, recurrence of symptoms, or overt HE within the first year after the procedure. PMID: 31203699 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
Conclusions: MGCE is safe, convenient, and tolerable for evaluating the gastric cavity and small intestine in pediatric patients. MGCE can effectively diagnose pediatric patients with abdominal pain. PMID: 31205466 [PubMed]
Source: Gastroenterology Research and Practice - Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
We examined fifteen years of cross-sectional data (2002–2016, N = 234,803) from the National Survey on Drug Use and Health. Our main outcome was youth self-reported (no/yes) past-year participation in a pregnancy or STI prevention program. Survey adjusted prevalence estimates and logistic regression analysis were used to examine trends in participation. Youth participation in pregnancy and STI prevention programming decreased significantly from a high of 15% in 2003 to a low of 7% in 2016. Representing a 53% proportional decline in youth participation, this downward trend was significant even when controlling for...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Publication date: Available online 18 June 2019Source: Preventive MedicineAuthor(s): Benjamin D. Hallowell, Meheret Endeshaw, Matthew T. McKenna, Virginia Senkomago, Hilda Razzaghi, Mona SaraiyaAbstractFrom 1970 to 2010 the foreign-born population in the United States has rapidly increased from 9.6 to 40.0 million individuals. Historically, differences in cancer rates have been observed between US-born and foreign-born individuals. However, comprehensive and up-to-date data on US cancer rates by birth place is lacking. To compare cancer mortality rates among foreign and US-born individuals, population-based cancer mortalit...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
ConclusionHALS was useful, especially when removing adhesions around the hernial orifice. HALS is a feasible approach for BH and should be considered as one of the options in patients with a history of previous abdominal surgery.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionIs convenient to consider a medication induced AP in patients without clear causative agent, such as the VA case presented. An etiological diagnosis algorithm of exclusion is proposed, for an adequate therapeutic approach in medication induced PNH. Algorithm validation is required.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
I received a call the other day from someone supposedly at the social security administration asking for medical records for one of my patients who filed for disability. What's particularly eye raising is that I had finished seeing this patient for the first time earlier that same day. I was informed that every state has a set fee that a medical practice can charge for sending medical records for disability determinations. Is that true? I have never heard of that before. What is a fair... charging for disability forms and medical records
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Since no one else started the thread i thought it was a bit overdue... If anyone knows how to make one of those fancy googles spreadsheets please do and post it !
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Publication date: Available online 17 June 2019Source: Journal of the American College of RadiologyAuthor(s): Patricia Balthazar, Gelareh Sadigh, Danny Hughes, Andrew B. Rosenkrantz, Tarek Hanna, Richard DuszakAbstractPurposeThe aim of this study was to examine changing characteristics of utilization and potential disparities in US emergency department (ED) patients undergoing CT of the abdomen and pelvis (CTAP) for suspected urolithiasis.MethodsA retrospective study was conducted among all patients from 2006 to 2015 with a primary diagnosis of suspected urolithiasis within the Nationwide Emergency Department Sample, the l...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research
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