The perioperative surgical home: a model to tackle today ’s pressing health care issues
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. The health care landscape has never been more complex. A deadly and enduring pandemic; health care delivery challenges that leave some communities at higher risk for adverse outcomes; an opioid crisis that takes nearly 200 American lives per day; and an ever-evolving regulatory climate. In
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The perioperative surgical home: a model to tackle today’s pressing health care issues originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 18, 2022 Category: General Medicine Authors: Randall M. Clark, MD and Robert Shakar, MD Tags: Physician Anesthesiology Surgery Source Type: blogs
What do occupational therapists add to pain management/rehabilitation?
Coming from a small profession that has side-stepped (more or less) a conventional biomedical model, I’ve found my inclusion in pain management and rehabilitation is not always easily understood by other clinicians. It doesn’t help that occupational therapists practice in very diverse settings, and what we do may look superficially like handing out raised toilet seats, playing with kids, doing work-site assessments or hand therapy!
Today I hope to remedy this a bit, and extend a challenge to clinicians from other professions to sum up what your profession adds in 25 words or less (the first sentence in this...
Source: HealthSkills Weblog - October 16, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Interdisciplinary teams Occupational therapy Professional topics Therapeutic approaches Source Type: blogs
What is Transesophageal echocardiogram (TEE)? Cardiology Basics
Echocardiogram is an image of the heart using ultrasound. An ultrasound beam is transmitted into the body using a device known as transducer. The echo received from the body is processed by the computer in the machine to give a moving image of the heart.
Transesophageal echocardiogram or TEE, is obtained by introducing a special type of transducer, also called a TEE probe, into the esophagus and stomach. Usual echocardiogram is obtained by placing the transducer or probe on the chest.
Lungs may overlap the heart intermittently while imaging the heart from the chest wall. This is because the lungs cover part of the heart d...
Source: Cardiophile MD - October 11, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What is a silent myocardial infarction? Cardiology Basics
Silent myocardial infarction is one in which the person does not know that myocardial infarction has occurred. This can be because chest pain was not felt or was only mild. It can also be missed if the person was under sedation or under general anaesthesia when it occurred. In earlier community studies like the Framingham Heart Study, in which ECG was recorded every two years, it was shown that up to one fourth of the previous myocardial infarctions detected on ECG were silent.
Silent myocardial infarctions are more likely in those with diabetes mellitus. Long standing diabetes affects the nerves of the heart so that...
Source: Cardiophile MD - October 6, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
What is the difference between invasive and non invasive ventilation? Cardiology Basics
Ventilator is a device used to support breathing. It is used when there is difficulty in breathing or when spontaneous breathing has stopped. Ventilator is an important life supporting device useful in many life threatening conditions.
Invasive ventilator is usually used in the intensive care setting or the operating room. An endotracheal tube is introduced under topical anaesthesia with sedation or general anaesthesia. The endotracheal tube is connected to a mechanical ventilator using appropriate connection tubing. In those who do not tolerate the presence of an endotracheal tube deep sedation and neuromuscular blockade...
Source: Cardiophile MD - October 5, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Your anesthesiologist cares for you [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “It’s one of the hard things about anesthesiology. A window opens, you work like all get out, doing all sorts of things while the breeze blows in, then it’s shut again. Sometimes, you see your patient once more; sometimes, if things go awry, you
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Your anesthesiologist cares for you [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 2, 2022 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Anesthesiology Hospital-Based Medicine Surgery Source Type: blogs
Making sense: Does it help people with pain?
I love it when my biases are challenged (seriously, I do!). And in the study I’m talking about today, my biases are sorely challenged – but perhaps not as much as I initially thought.
Lance McCracken is one of my favourite researchers investigating processes of acceptance and living a good life in the presence of chronic pain. In this paper, he collaborates with a colleague currently involved in the INPUT pain management programme established at Guy’s and St Thomas’ NHS originally by Michael Nicholas who draws on a CBT model of pain management, and now more firmly in the third wave camp of ACT (A...
Source: HealthSkills Weblog - October 2, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Assessment Chronic pain Coping strategies Pain conditions Research Science in practice coherence inflexibility measurement pain management Source Type: blogs
Weekly Overseas Health IT Links –1st October, 2022.
This article details information required for integration into EHRs to build personalized treatment plans and develop successful SDOH programs that provide resources and support for patients in need. In addition, successful SDOH programs implemented by Kaiser Permanente and Boston Medical Center showcase how supporting clinicians with real-time SDOH data can lead to patient-centric care. Create a 360-Degree Patient View Through TechnologyThe Office of the National Coordinator for Health Information Technology (ONC)indicatesthat the “collection, documentation, reporting, access, and use of SDOH data … can be used t...
Source: Australian Health Information Technology - October 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
The heartbreak and joy of missions-based pain medicine: a pain physician ’s perspective
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Approximately 30 percent of the world’s population reports living with some form of pain, ranging from headaches to joint pain to cancer-related pain. Unfortunately, pain medicine expertise and the medications and non-drug therapies available to relieve pain are not as widely distributed as the populations
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The heartbreak and joy of missions-based pain medicine: a pain physician’s perspective originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 27, 2022 Category: General Medicine Authors: Donna-Ann Thomas, MD Tags: Physician Anesthesiology Surgery Source Type: blogs
Weekly Overseas Health IT Links –24th September, 2022.
This article makes the case and explains what will be required to make it happen.We hear a lot about “digital health” these days. As data about our health piles up — thanks to sources like electronic health records, personal fitness apps and gadgets, and home genome test kits — weshould understand a lot more than we used to about what ’s wrong with our health and what to do about it. But having a lot of data is not enough. We have to be aware of what we have, understand what it means, and act on that understanding. While the challenges are in some ways more acute in the United States because of its fragmented sys...
Source: Australian Health Information Technology - September 24, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
I ’ m a doctor who just had his first colonoscopy in my 60s — without anesthesia
Well, I am that family physician and geriatrician who is now almost 70 years old. And I cannot believe it because, in some ways, I am still like 27 years old! First of all, I’m very healthy, and I’m lucky that nobody in my family had colon cancer or any cancer. Most of my relatives
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I’m a doctor who just had his first colonoscopy in my 60s — without anesthesia originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 23, 2022 Category: General Medicine Authors: Mike Neskovic, MD Tags: Conditions Gastroenterology Source Type: blogs
Smartphone Camera Measures Blood Oxygen
At the University of Washington a research team has developed a smartphone system that can measure blood oxygen levels. The technology uses the camera and flash of the phone to take the measurement, and the system is so easy to use that it may be well suited for at-home use. A person presses their finger over the camera, which gets illuminated by the flash, and the camera measures how much light from the flash the finger absorbs, which a deep-learning algorithm can then correlate with blood oxygen levels. The system could be useful for COVID-19 patients who wish to monitor their progress at home and receive early warning o...
Source: Medgadget - September 21, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Anesthesiology Cardiology Diagnostics Emergency Medicine Telemedicine UW Source Type: blogs
Celebrating Peer Review Week at BMC: How Peer Review can help uphold research integrity
Maintaining research integrity requires a whole community: from the beginning of the scientific process to the publication of the results, multiple actors – funders, researchers, institutions, publishers – are involved. In reality, no single group is solely responsible for upholding research to high standards and a variety of stakeholders need to remain vigilant. However, it is the last stage of the scientific process, the communication of scientific research, where robust peer review acts as one of the last gatekeepers for research integrity. Here we discuss how as open access BMC journals (part of Springer Na...
Source: BioMed Central Blog - September 20, 2022 Category: General Medicine Authors: Nicola Stead Tags: Biology Health Medical Evidence Medicine Open Access Publishing innovation open peer review peer review week publication misconduct Registered Reports results-free peer review Transparent peer review Source Type: blogs
Implantable cardioverter defibrillator (ICD)
Implantable cardioverter defibrillator, known in short as ICD, is a device which monitors the heart rhythm continuously and treats it electrically when needed. As it functions automatically without the need for a bystander intervention as in automated external defibrillator or AED, it is also known as automatic implantable cardioverter defibrillator or AICD. When Michel Mirowski reported on a standby automatic defibrillator in 1970, it was met with a lot of skepticism [1]. But now ICD is a time tested life-saving equipment.
The most commonly implanted ICD is also called transvenous ICD because the leads are introduced thr...
Source: Cardiophile MD - September 19, 2022 Category: Cardiology Authors: Johnson Francis Tags: ECG / Electrophysiology Source Type: blogs
Fostering Psychological Safety in the Clinical Learning Environment
On this episode of the Academic Medicine Podcast, guests Addie McClintock, MD, and Joshua Jauregui, MD, join hosts Toni Gallo and Research in Medical Education (RIME) Committee members Andrea Leep, MD, and Paolo Martin, PhD, MS CHPR, MEd, to discuss clinical teachers’ behaviors and how they support or harm students’ sense of psychological safety in the clinical learning environment.
This is the first episode in a 3-part series of discussions with RIME authors about their medical education research and its implications for the field.
This episode is now available through Apple Podcasts, Spotify, and anywher...
Source: Academic Medicine Blog - September 19, 2022 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast clinical learning environment medical education medical education research psychological safety Source Type: blogs
