Pulse Dose Pressors for Children and Adults
The three videos presented this month demonstrate the technique for mixing and administering pulse dose epinephrine with actual patients. Particularly helpful is the one that demonstrates the administration of pulse dose epinephrine to a pediatric patient. What I really like about the demonstrated pediatric technique (first discussed in my Emergency Medicine News blog on anaphylaxis: http://bit.ly/1CHsX6h) is that it uses the same 1:100,000 concentration used for adults. And, the 0.1 mL/kg is easily remembered because it is the same mL/kg recommendation for the ACLS concentration of epinephrine. There is essentially nothin...
Source: M2E Too! Mellick's Multimedia EduBlog - October 30, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The LITFL Review 154
The LITFL Review is 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 chuck of FOAM.
Welcome to the 154th edition, brought to you by:
Anand Swaminathan [AS] (EM Lyceum, iTeachEM)
Brent Thoma [BT] (BoringEM and Academic Life in EM)
Chris Connolly [CC]
Chris Nickson [CN] ( iTeachEM, RAGE, INTENSIVE and SMACC)
Joe-Anthony Rotella [JAR]
Kane Guthrie [KG]
Mat Goebel [MG]
Segun Olusany...
Source: Life in the Fast Lane - October 28, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Education LITFL R/V Source Type: blogs
The LITFL Review 150
The LITFL Review is 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 chuck of FOAM.
Welcome to the 150th edition, brought to you by:
Anand Swaminathan [AS] (EM Lyceum, iTeachEM)
Brent Thoma [BT] (BoringEM and Academic Life in EM)
Chris Connolly [CC]
Chris Nickson [CN] ( iTeachEM, RAGE, INTENSIVE and SMACC)
Joe-Anthony Rotella [JAR]
Kane Guthrie [KG]
Mat Goebel [MG]
Segun Olusany...
Source: Life in the Fast Lane - August 27, 2014 Category: Emergency Medicine Authors: Kane Guthrie Tags: LITFL review LITFL R/V Source Type: blogs
Food Sensitivity and Intolerance Testing Changed Their Lives
Susan was tired; tired of feeling foggy, bloated and unable to lose weight. Her thyroid levels were out of whack and she felt awful. Having just recently passed her 50th birthday, she assumed that this was what it meant to be a woman of a “certain age”: A little heavier and slower than she would have liked, not quite as sharp, and generally, just feeling old.
It wasn’t until she watched other people coming into a lab that she co-owns and heard them talk about food intolerances did she consider that food might be causing her problems, not her age. Changes to their diets, made after food intolerance testing, se...
Source: Disruptive Women in Health Care - August 18, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Consumer Health Care Food Source Type: blogs
Respiratory Failure and ST Depression: Is there Posterior STEMI?
The ultrasound in this case was recorded by Dr. Robert F. (Rob) Reardon, one of my partners here at Hennepin County Medical Center (HCMC) in Minneapolis, and one of the world leaders in emergency ultrasound. He is also an editor of this great new textbook of emergency ultrasound (Ma, Mateer, Reardon, Joing, eds.), and one of the authors of the Cardiac Ultrasound chapter (other authors of this chapter are Dr. Andrew Laudenbach (also of HCMC) and Dr. Scott Joing (also of HCMC, and the creator of the outstanding FOAMed site, www.hqmeded.com).CaseA middle-age woman with a history of emphysema presented in severe res...
Source: Dr. Smith's ECG Blog - June 24, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs
Research and Reviews in the Fastlane 034
This study was hoping to show that NAC will keep all those contrast CTs from giving our patients contrast induced nephropathy (CIN). It did not. It looks like the real answer is fluids (and that maybe we are not killing off so many kidneys anyway).
Recommended by: Zack Repanshek
Pediatrics
9. Wang J, Xu E, Xiao Y. Isotonic versus hypotonic maintenance IV fluids in hospitalized children: a meta-analysis. Pediatrics. 2014 Jan;133(1):105-13 PubMed PMID: 24379232
Meta-analysis of 10 RCTs looking at maintenance IV fluids in hospitalized pediatric patients. The study found a RR = 2.24 for hyponatremia in comparing hypo...
Source: Life in the Fast Lane - June 12, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Anaesthetics Cardiology Emergency Medicine Featured Health Intensive Care Pediatrics Pre-hospital / Retrieval Renal Resuscitation Trauma critical care literature R&R in the FASTLANE recommendations research and reviews Source Type: blogs
NK cell testing – yet another way to exploit the vulnerable infertile patient!
This is a guest post from our expert patient, Manju.I get mails from patients saying that their NK cell number or NK cell activity is high and hence their doctor has asked them to undergo immunotherapy , using either IVIG infusion ; or intralipid therapy; Lymphocyte Immunotherapy (LIT) ; or tumour necrosis factor alpha blocking agents and steroids , or a combination of these, in order to 'treat' this abnormality. They are advised that, by doing this, they can improve their chance of having a baby. Is this claim justified ? What are NK cells ? What are their functions in human body ? How are they connected...
Source: The Patient's Doctor - March 24, 2014 Category: Obstetricians and Gynecologists Tags: Asia Biology Biotechnology Blood Cell Biology Embryo immune therapy ivf NK cells NK testing Pregnancy Stem Cells Source Type: blogs
Vaccine-Induced Tissue Scurvy Globally Misdiagnosed as Child Abuse
Conclusion
In trying to help falsely accused parents worldwide, I am currently aware of at least seven falsely accused parents whose children became ill after they received multiple vaccinations. In four of these cases, tests revealed that, far from being abused, the children had been suffering from the autoimmune disease tissue scurvy.
Why are governments around the world burying their heads in the sand and refusing point-blank to investigate this atrocity? INNOCENT parents are being locked up on a daily basis, accused of the most horrendous crimes, and it seems as if no one actually cares.
The evidence speaks for itself:...
Source: vactruth.com - March 19, 2014 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories adverse reactions Dr. Michael Innis shaken baby syndrome the truth about vaccines tissue scurvy Source Type: blogs
allergies
There's been much discussion in recent years of the potential of using small amounts of allergens to help allergic kids develop tolerance and overcome allergies. Most recently, a study was published in The Lancet and featured in the news around the world.These stories are very hopeful and I bet there is more good news on this front to come. However, as much as I would wish it to be the case, a handful of promising studies don't mean that my peanut allergic son will be giving up his auto-injector.To the contrary, Daniel just concluded participation in a year long study. For a year, he wore a peanut protein patch on his...
Source: Not just about cancer - February 6, 2014 Category: Cancer Tags: dog family fear health care my kids news Source Type: blogs
My Donor May Not Have Been So Bad After All
No ice cream, or die: an unimaginable predicament and I wasn’t even given the choice. My bone marrow donor unknowingly transferred her milk allergy, which began affecting me six months after my transplant, leading to frightening episodes of hives, mouth swelling and chest tightening. I visited an allergist who administered a skin prick allergy test. Milk protein resulted in a 10-millimeter reaction, while just a 14-millimeter reaction would have indicated potential anaphylaxis. I had to give up milk products forever.I dealt by going through the classic stages of grief: denial (read: ER visits), anger, bargaining (read: b...
Source: I've Still Got Both My Nuts: A True Cancer Blog - January 28, 2014 Category: Cancer Tags: living habits Source Type: blogs
Anaesthetic Crisis Manual
Book Review: The Anaesthetic Crisis Manual, David C Borshoff
The Anaesthetic Crisis Manual (The ACM), was first published in 2011 and is a collection of 22 life threatening crises that anaesthetists manage in everyday practice.
Based on the cockpit QRH (quick reference handbook) used in the airline industry, and using CRM (crew resource management) principles developed for aviation safety, the ACM brings tried and tested checklist instruction to the field of Patient Safety. LITFL reviewed the book as a potential resource in the setting of the emergency resuscitation area and at the ICU bedside.
The ACM utilises accepted...
Source: Life in the Fast Lane - December 20, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Book Review Education eLearning Emergency Medicine Featured Reviews ACM Anaesthetic Crisis Manual Anesthetic Manual CRM David C Borshoff Dr Borshoff QRH Source Type: blogs
Dogs And Cows And Toxic Vials, That’s What Vaccines Are Made Of!
Conclusion
It is apparent that our vaccinations include some very strange and unsavoury ingredients. The three single vaccines were certainly not the only vaccines I came across containing parts of animals, humans and insects. In fact, I found a huge list of them on a PDF which I have included as extra research.
For some reason, many parents are perfectly happy to have their tiny babies vaccinated with everything from insect cells to pigs’ gelatin, without a moment’s hesitation, arguing that the vaccines are to protect their children and keep them strong and healthy. Others remain totally unaware of the vaccine...
Source: vactruth.com - December 18, 2013 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories Adverse Events adverse reactions Measles Vaccine Medi-Mumps MMR mumps vaccine Pavivac rubella vaccine truth about vaccines Source Type: blogs
The LITFL Review 120
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
Welcome to the 120th edition, brought to you by:
Kane Guthrie [KG] from LITFL
Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles
Brent Thoma [BT] from BoringEM, and
Chris Nickson ...
Source: Life in the Fast Lane - December 17, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Health LITFL R/V LITFL review Source Type: blogs
The Current Vaccine Reality: Disinformed Consent
We are living in the age of disinformed consent. Parents assume their doctors and their public health authorities are providing them with all relevant vaccine information, and nothing could be further from the truth.
Obviously, if vaccines can kill and cause serious and debilitating lifelong damage – which they can, and do – the vaccine administrator must provide that information to the client, in unambiguous fashion, regardless of the estimated size of the risk. It’s an ethical mandate that must be fulfilled, but it never is. There is a fundamental reason: medical schools don’t teach the history and nature of vacc...
Source: vactruth.com - November 28, 2013 Category: Health Medicine and Bioethics Commentators Authors: Shawn Siegel Tags: Shawn Siegel Top Stories Adverse Reaction Dr. Paul Offit Dr. Viera Scheibner informed consent Source Type: blogs
Anaphylaxis and Epinephrine
I have a personal interest in anaphylaxis and epinephrine. My wife nearly died after being stung by hornets in 2009. Unfortunately, I was on a mission trip to Honduras, and it was up to my 7-year-old daughter to find the EpiPen and help administer the lifesaving injection to my wife. (A video of another patient with anaphylaxis from a wasp sting can be viewed here. It includes the 911 call from my daughter.)
Two major problems occur with anaphylaxis: recognition and management. The recognition problem is related to the very confusing and complex diagnostic criteria that have been established. (Ann Emerg Med 2006;47[...
Source: M2E Too! Mellick's Multimedia EduBlog - November 1, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
