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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Source: Guardian Unlimited Science - Category: Science Authors: Tags: Coronavirus outbreak Infectious diseases Science Middle East and North Africa US news Source Type: news
This study investigated the relationship between verbal aggression against school teachers and upper extremity (neck, shoulder, upper limb, and/or upper back) musculoskeletal pain. Methods: This was a cross-sectional study of 525 elementary...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
CONCLUSIONS For patients with type II and III CSP, hysteroscopy and laparoscopy surgery and reversible ligation of the uterine artery achieved better clinical outcomes than hysteroscopy or curettage with respect to postoperative recovery. This could be suitable for patients with CSP and desire for fertility. PMID: 32595205 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
CONCLUSIONS Coexpression analysis of EZH2 identified its role in the cell cycle, mitosis, and DNA repair. The molecular mechanisms involved in EZH2 gene expression in the cell response to DNA damage requires further study to determine whether EZH2 is a potential human cancer biomarker. PMID: 32595202 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Long time member using throw away account for privacy. Avoid RWJ, program is currently on probation, program has changed four PDs in the last 5 years. A lot of turmoil in the department, with limited didactics and very poor resident satisfaction.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Ketamine Nightmares An Australian Anaesthetic Trainee has created a website with some prior exam questions/answers available to the general training community. Probably more useful for non-US trainees as I think US training isn't very heavy on Essay/Short Answer Question (SAQ) assessments. It's a good website with reasonable coverage of the Primary curriculum (physiology, pharmacology and equipment). Adequate depth to score a solid pass (3/5) for most... Excellent new exam resource (SAQs)
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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Just finished my Peds rotation where LMAs were heavily utilized. Our institution ran out of reliably working some "whatever brand" "pinkish" classic LMAs and whatever left (some blue colored) seem sort of more rigid and hard to put in. We tried to adjust and it appears like deflated insertion worked better. I googled and opinions differ. Initially LMAs were created to be inserted with the cuff deflated, but some research states that insertion of inflated LMA facilitates less airway injury... LMA: inflated vs deflated insertion?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Publication date: Available online 1 July 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Luiz Gustavo Oliveira Brito, Edilson Benedito de Castro, Cassia Raquel Teatin Juliato
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Abstract In this review we briefly discuss animal experiments involving acute traumatic spinal cord injury (SCI) and the need for larger animals in testing experimental therapies. This literature overview, including the discussion of our own results from animal models, examines the use of hypothermia as a treatment method for SCI. Finally, we report the results of hypothermia application in clinical trials. Minipigs have been proposed as a potentially preferable model to rodents (typically rats) for predicting outcomes in human SCI due to their closer anatomical similarity to humans. In various animal studies, hyp...
Source: Acta Neurobiologiae Experimentalis - Category: Neurology Authors: Tags: Acta Neurobiol Exp (Wars) Source Type: research
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