Do expired EpiPens still work?
A small study published this month showed that most Epipens retain their potency for at least 4 years after their expiration date. That’s no guarantee, of course. I’d still recommend as a “best practice” that families replace them as they expire. But it’s reassuring to know that they’ll usually be effective even when expired. And using an expired EpiPen is almost certainly better than using nothing when there’s a life-threatening allergic reaction. It’s a simple enough study. Over two weeks, families attending a clinic in California were asked to donate expired Epipens for analysis. They collected 40 device...
Source: Kevin, M.D. - Medical Weblog - May 24, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/roy-benaroch" rel="tag" > Roy Benaroch, MD < /a > Tags: Meds Medications Pediatrics Source Type: blogs

No, I ’m not settling for family medicine
During a recent internal medicine rotation, a senior resident expressed disappointment that I’ve chosen a career in family medicine. He was concerned that my talents would be wasted, because — in his words — I wouldn’t get to care for the “more complex patients” he sees in internal medicine. Although I appreciated his confidence in my abilities, I felt my heart sink, as it does each time I am faced with misinformed perceptions about family medicine. I thought back to my last family medicine rotation, and the following patients came to mind: A young woman with a previous diagnosis of idi...
Source: Kevin, M.D. - Medical Weblog - May 16, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/lauren-abdul-majeed" rel="tag" > Lauren Abdul-Majeed < /a > Tags: Physician Primary care Source Type: blogs

LITFL Review 282
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 282nd 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 A LITFL guest post by Peter Hutchinson discusses the challenges of discussing decompressive craniec...
Source: Life in the Fast Lane - May 14, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

LITFL Review 282
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 282nd 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 A LITFL guest post by Peter Hutchinson discusses the challenges of discussing decompressive c...
Source: Life in the Fast Lane - May 14, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

Dr. Greene ’ s Guide to Allergy Care: How To Prevent And Treat This Season ’s Allergies
If you’re in the Northern hemisphere of this beautiful planet, it’s the beginning of spring for you. The blossoming flowers and budding leaves are amazing to watch, but can also trigger allergies. If you or a loved one experiences allergies, here are some of my favorite recommendations on what can be done to help – a guide to allergy care for you and your family. How to Prevent Symptoms: Avoid Triggers Your first step towards feeling better on a daily basis is avoiding the things that cause your allergic reactions in the first place. TIPS TO AVOID ALLERGENS: – Keep doors and windows closed on high-p...
Source: Conversations with Dr Greene - March 27, 2017 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Allergies Allergy Treatment Source Type: blogs

Dr. Greene s Guide to Allergy Care: How To Prevent And Treat This Season s Allergies
If you’re in the Northern hemisphere of this beautiful planet, it’s the beginning of spring for you. The blossoming flowers and budding leaves are amazing to watch, but can also trigger allergies. If you or a loved one experiences allergies, here are some of my favorite recommendations on what can be done to help – a guide to allergy care for you and your family. How to Prevent Symptoms: Avoid Triggers Your first step towards feeling better on a daily basis is avoiding the things that cause your allergic reactions in the first place. TIPS TO AVOID ALLERGENS: – Keep doors and windows closed on high-p...
Source: Conversations with Dr Greene - March 27, 2017 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Allergies Allergy Treatment Source Type: blogs

Dr. Greene ’ s Guide to Allergy Care: How To Prevent And Treat This Season ’s Allergies
If you’re in the Northern hemisphere of this beautiful planet, it’s the beginning of spring for you. The blossoming flowers and budding leaves are amazing to watch, but can also trigger allergies. If you or a loved one experiences allergies, here are some of my favorite recommendations on what can be done to help – a guide to allergy care for you and your family. How to Prevent Symptoms: Avoid Triggers Your first step towards feeling better on a daily basis is avoiding the things that cause your allergic reactions in the first place. TIPS TO AVOID ALLERGENS: – Keep doors and windows closed on high-p...
Source: Conversations with Dr Greene - March 27, 2017 Category: Child Development Authors: Alexandra Carmichael Tags: Dr. Greene's Blog Allergies Source Type: blogs

Funtabulously Frivolous Friday Five 180
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 180. Question 1 You are stuck in the wilderness and your friend has an anaphylactic reaction. You swiftly deploy his epipen into his thigh but there is limited effect after 5 minutes. His airway is becoming compromised. How do you get more adrenaline into him? Do you extrac...
Source: Life in the Fast Lane - March 10, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five adrenaline Anaphylaxis bolivia combs sign coxsackie virus EpiPen lithium measles muffin muffin technique pimping polio Salar de Uyuni salt flats Source Type: blogs

Funtabulously Frivolous Friday Five 180
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 180. Question 1 You are stuck in the wilderness and your friend has an anaphylactic reaction. You swiftly deploy his epipen into his thigh but there is limited effect after 5 minutes. His airway is becoming compromised. How do you get more adrenaline into him? Do you extrac...
Source: Life in the Fast Lane - March 10, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five adrenaline Anaphylaxis bolivia combs sign coxsackie virus EpiPen lithium measles muffin muffin technique pimping polio Salar de Uyuni salt flats Source Type: blogs

Research and Reviews in the Fastlane 171
This study’s methodology doesn’t allow it to put this question to rest but it gives us some insight into the question. The authors performed a retrospective before-and-after study (first 2 years, etomidate was routinely used. second 2 years, department protocol shifted to encourage ketamine over etomidate) and found no statistically significant difference in mortality: OR 1.41 (CI: 0.93 – 2.16). However, the 3% difference in mortality favoring etomidate may be important if it held up in a larger trial powered to look for this difference. Bottom line, we don’t know if one agent is superior to another...
Source: Life in the Fast Lane - February 1, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Emergency Medicine R&R in the FASTLANE EBM Education literature recommendations research and reviews Source Type: blogs

Mylan Fiasco May Be “The Shot Heard Round the World”
By NIRAN AL-AGBA, MD The Mylan EpiPen debacle may have inadvertently weakened the grip Big Pharma on U.S. lawmakers.  Last week, a bill proposed by Senator Bernie Sanders was narrowly rejected by a vote of 52-46.  Unexpectedly, 12 Republicans and 1 Independent voted with Senator Sanders in favor of allowing pharmacists and distributors to import cheaper prescription drugs from Canada and other foreign countries (something typically favored by Democrats.)  The winds of change are starting to blow in the bipartisan direction when it comes to the pharmaceutical industry.     U.S. Healthcare needs a revolution ; ‘the s...
Source: The Health Care Blog - January 23, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Research and Reviews in the Fastlane 164
Welcome to the 164th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check o...
Source: Life in the Fast Lane - December 14, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Emergency Medicine Intensive Care R&R in the FASTLANE Resuscitation EBM literature recommendations research and reviews Source Type: blogs

Aluminium Adjuvants Have Never Been Approved For Use In Vaccination
Conclusion Over the years, hexavalent vaccinations have been responsible for many deaths and disabilities worldwide, and yet they remain in use today. It is shocking to know that a leading pharmaceutical company such as GlaxoSmithKline has known of the danger of these vaccines for years, and yet they continue to portray them as safe and effective. This is just one of the many papers that have been hidden over the years. How many more scholarly papers that reveal similar adverse reactions have the pharmaceutical industries and governments hidden in their archives? To learn more about hidden documents, read At Last! Governm...
Source: vactruth.com - November 17, 2016 Category: Allergy & Immunology Authors: Christina England, BA Hons Tags: Christina England Physical Top Stories adjuvants Aluminum truth about vaccines Vaccine Death Source Type: blogs

COBIOPHAD Device Promises Quicker, More Efficient Drug Allergy Diagnosis
The COBIOPHAD (Compact Biophotonic Platform for Drug Allergy Diagnosis) Project, an initiative of the Photonics Public Private Partnership, has led to the development of a faster, low-cost allergy detector device that project coordinators aim to have available in hospitals as soon as in the next five years. Upwards of 5.4 million Americans exhibit hypersensitivity to β-lactam antibiotics. This class of broad-spectrum antibiotic, which includes penicillin, its derivatives (e.g., amoxicillin), and cephalosporins, is among the most widely prescribed to treat bacterial infections. Of those that suffer from hypersensitivity to...
Source: Medgadget - November 9, 2016 Category: Medical Equipment Authors: Zach Kaufman Tags: Diagnostics Medicine Pediatrics Source Type: blogs

Flu news: Now most people with egg allergies can get a flu shot
There are hundreds of viruses that can cause respiratory illnesses; influenza (the “flu”) is just one group of viruses which can cause mild to severe illness, and sometimes even death. Certain people — such as the very young or the very old, pregnant women, or those with chronic medical conditions like asthma, diabetes, or heart disease — are at greater risk for serious complications from the flu. Though the numbers fluctuate, the flu leads to hundreds of thousands of hospitalizations and anywhere from 3,000 to 49,000 deaths every year in the U.S., based on the numbers from the last few decades. How bad the flu sea...
Source: Harvard Health Blog - October 6, 2016 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Cold and Flu Infectious diseases Prevention Vaccines Source Type: blogs