Log in to search using one of your social media accounts:

 

Lessons from the Bromiley Case
In 2007, Martin Bromiley’s wife died due to medical error. The Bromiley case will be familiar to many of us. The lessons from this case can teach us stark lessons about our own leadership and teamwork. http://www.youtube.com/watch?v=JzlvgtPIof4 Martin’s story Martin and his wife, Elaine had two young children. Elaine went into hospital for a routine sinus operation and during anaesthetic induction, it all went horribly wrong. Her airway obstructed and the team was unable to gain a secure airway. For 20 minutes they attempted to achieve a stable airway, during which time her sats were around 40%. Although she...
Source: Life in the Fast Lane - December 12, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Anaesthetics Emergency Medicine Featured Intensive Care airway crisis resource management elaine bromily lessons Martin Bromiley teamwork Source Type: blogs

Clear Guide Brings Easy Needle Guidance to Any Ultrasound System (w/video)
Ultrasound guided needle placement has allowed clinicians to perfect regional anesthesia procedures, needle biopsies, central line placement, and other procedures. Though a variety of techniques are used to track the path of the needle, from mechanical to magnetic, most require specialized probes and needles, the placing of markers, calibration, and a certain amount of pre-procedure setup. Clear Guide Medical, a Johns Hopkins spinoff, has developed a simple, easy to use needle guidance system that clips to any ultrasound probe and provides immediate guidance without tracking markers or calibration for each run. T...
Source: Medgadget - December 11, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiac Surgery Cardiology Critical Care Emergency Medicine Ob/Gyn Radiology Urology Source Type: blogs

Stroke damage = vascular dementia
An update on Alzheimer’s Aunt: after many delays, she finally went to a throat specialist. He found that her throat was 60% closed (if I understand it correctly; this is 3d hand information filtered through her) and she has one or more throat polyps. He “opened” her throat while she was under anesthesia and then she was required to take some “suspension” drug for 30 days. Turns out her insurance didn’t pay for that drug and it was $300 so someone made the decision simply not to get it for her.Fast forward two weeks to Thanksgiving at my mom’s house. I was sick that whole week and ...
Source: Had a Dad Alzheimers Blog - December 11, 2013 Category: Dementia Authors: GBP })i({ Source Type: blogs

Drug Dispensing Contact Lenses Replacing Eye Drops in Glaucoma Treatment?
The doctor is always curious whether you have been taking your medication, and some drugs are more difficult to administer than others. Numerous ways have already been put to practice to ensure medication compliance, but now another innovation is significantly closer to practical realization: drug-eluting contact lenses to ensure prolonged delivery of anti-glaucoma eye drops. Glaucoma is a disease in which an elevated intraocular pressure causes damage to the eye, resulting in visual field loss, sometimes progressing to blindness. Treatment mainly relies on lowering the eye pressure and certain eye drops, such as the latan...
Source: Medgadget - December 10, 2013 Category: Technology Consultants Authors: Stanley Darma Tags: Ophthalmology Source Type: blogs

Study - Treat Alzheimer’s by Delivering Protein Across Blood-Brain Barrier
When we found the glowing protein in the brain and the retina we were quite thrilled. If the protein could cross the blood brain barrier we thought it was likely that it could cross in Alzheimer’s patients brains.+Alzheimer's Reading RoomThe body is structured to ensure that any invading organisms have a tough time reaching the brain, an organ obviously critical to survival. Known as the blood-brain barrier, cells that line the brain and spinal cord are tightly packed, making it difficult for anything besides very small molecules to cross from the bloodstream into the central nervous system.While beneficial, this blo...
Source: Alzheimer's Reading Room, The - December 7, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

The patient hand off
How many times have you been the patient and been handed off from one shift to the next? And  how often does that happen in a slightly overheard conversation between one nurse and the next or one doctor to the next? There never seems to be a formal system of it and it always seems to be rushed. It is a key place where misunderstandings over a patient's care can occur which result in medical errors.I have learned things about my care from hearing the nurse tell the next nurse that my gall bladder surgery did result in some fairly significant internal bruising during the surgery. The nurse had previously told me that it...
Source: Caroline's Breast Cancer Blog - December 4, 2013 Category: Cancer Tags: being a patient hospital medical errors safety Source Type: blogs

The LITFL Review 118
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 118th 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...
Source: Life in the Fast Lane - December 4, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

eZono Gets European Approval for eZono 4000 Tablet Ultrasound
eZono AG (Jena, Germany) has received CE Mark approval for its eZono 4000 Tablet Ultrasound System with eZGuide, designed specifically for procedural ultrasound needle guidance. The eZGuide freehand navigation technology will help clinicians overcome the current challenge of properly viewing the needle and needle tip in real time, allowing for greater accuracy even when the needle is out of plane. The system doesn’t require the use of special needles nor any additional tracking technologies are being used besides the ultrasound. The low glare, 12″ multitouch screen and the software below it is designed to ...
Source: Medgadget - December 3, 2013 Category: Technology Consultants Authors: Nishey Wanchoo Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Radiology Source Type: blogs

Why IPAB is a good idea
IPAB – the independent payment advisory board is a key feature of the ACA. This board will do what many countries already do – have an independent expert panel to assess the effectiveness of procedures, imaging studies, pharmaceuticals, etc. Why do we need this board? We need careful assessments of new trends in medicine. Let me suggest two situations. We have read much about increasing colonoscopy costs. We have a controversy about anesthesia – conscious sedation versus a more standard anesthesia with propofol. The former only requires the gastroenterologist; the latter adds an anesthesiologist, and the...
Source: DB's Medical Rants - November 29, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Medical Rants Source Type: blogs

Going From Famine To Feast
By Jan Chait Thanksgivukkah is a once-in-a-lifetime holiday you probably haven't heard of, yet it occurs this very week. It's when Hanukkah and Thanksgiving converge to overlap or, as food writer Veronica Meewes put it, "the fried foods of Hanukkah meet the carbfest of Thanksgiving." Some say the next time the two converge is 70,000 or so years away. Others say it's in 2070. Either way, it's rare. (Also rare this year is the turkey-shaped menorah: the Menurkey.) Traditional foods for Thanksgiving include turkey, dressing, mashed potatoes, rolls, green bean casserole (I'm told), and whatever else you can come up w...
Source: Diabetes Self-Management - November 27, 2013 Category: Diabetes Authors: Jan Chait Source Type: blogs

The future of simulation is to be found in Tel Hashomer
Simulation centers have been popping up in hospitals across the world.  These are useful, but for the most part their function is to provide technical training in surgical and other interventional techniques, as well as to practice resucitation and the like. Sometimes, too, they are used to study teams in stressful situations to provide lessons in team dynamics.Amitai Ziv has a broader view of the purpose of simulation. His goal is nothing less than to use this tool to help in the transformation towards a safe, humane, ethical, and patient-centered medical culture.  As the director of MSR, the Israel Center for M...
Source: Running a hospital - November 25, 2013 Category: Health Managers Source Type: blogs

When Should You Go to the Hospital for Severe Depression?
Knowing when to commit yourself or a loved one to the hospital to be treated for severe depression can be a very gray area. I wish there were a set of directions much like those when you are in labor: if contractions come within five minutes of each other and last a minute, pack your bags. Some physicians will make the decision for you, but usually it is up to you. Here are a few guidelines. 1. When you are in danger of hurting yourself or someone else. If you are very suicidal and have gone as far as making plans, you should be in a safe place where you don’t have to rely on sheer willpower. All of us who have exp...
Source: World of Psychology - November 22, 2013 Category: Psychiatrists and Psychologists Authors: Therese J. Borchard Tags: Antidepressant Depression General Medications Psychiatry Psychology Treatment Clinical Depression Depression (mood) Hospital Hospitalization inpatient Medicine Physician Severe Depression Suicide Source Type: blogs

Eyes-On Glasses Help See Veins, Place Needles
Evena Medical (Los Altos, CA) has unveiled its new Eyes-On Glasses System that helps clinicians see vasculature below the skin and deliver needles safely and hopefully on the first try every time. The glasses are based on Epson‘s Moverio technology that, similarly to Google Glass, can display graphics for the wearer to see, but goes further with a pair of forward facing cameras for 3D imaging and illumination to brighten the scene. Though it uses multi-spectral lighting, we suppose that it’s the infrared and near-infrared frequencies that the cameras are tuned to when looking for vasculature. To help docum...
Source: Medgadget - November 22, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiology Emergency Medicine Military Medicine Pediatrics Surgery Source Type: blogs

Nonin’s Investigational iPhone Regional Oximeter and World’s Smallest Regional Oximeter with Bluetooth Smart
Nonin is demonstrating its investigational iPhone regional oximetry (rSO2) device at the MEDICA conference in Dusseldorf. It’s not available for purchase, nor is there a schedule to commercialize it yet, but the device slips over a fourth generation iPhone and when pressed against tissue, will display and record readings on the partner app. Additionally, the company is also demoing the world’s smallest regional oximeter that can interface with any monitor or mobile device supporting Bluetooth Smart technology. iPads being one of those, at MEDICA Nonin is showing off how the new oximeter works with the...
Source: Medgadget - November 21, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine in the news... Net News Surgery Source Type: blogs

Real Time MRI Guidance and Visualization for Brain Surgery Using Clearpoint System: Interview with CEO of MRI Interventions
Ever since the 1950s neurosurgeons have been using static images, taken prior to the procedure, to guide them through an operation. Brain surgeries performed in this manner are based a great deal on trial and error, and require the patient to stay awake as the surgeon painstakingly works for hours to determine if the therapy reached the correct location in the brain. Now, MRI Interventions, an Irvine, CA company, is developing a novel technology called Clearpoint that uses real time, intra-procedural magnetic resonance imaging to guide neurological  procedures. The Clearpoint system is intended to be used fo...
Source: Medgadget - November 19, 2013 Category: Technology Consultants Authors: Gaurav Krishnamurthy Tags: Medgadget Exclusive Neurological Surgery Radiology Source Type: blogs

Where is language located in the brain? There are two sides to this story
Simple facts about the brain are rare, but one of them is that for most people language function is located mainly in their left brain hemisphere. The stats vary according to the measures used, but this is the situation for around 95 per cent of right-handers and approximately 75 per cent of left-handers. When it comes to the brain though, few things are straight-forward.If we dig deeper, as Byron Bernal and Alfredo Ardila have done for a new review paper, we find a more complex, two-sided story. The extent to which language is dominated by the left hemisphere is not fixed. It increases through childhood and adolescence, a...
Source: BPS RESEARCH DIGEST - November 19, 2013 Category: Psychiatrists and Psychologists Authors: Christian Jarrett Source Type: blogs

Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care. Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!). These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be partic...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs

Zafgen's Epoxide Clears A Hurdle
I wrote here about Zafgen and their covalent Met-Ap2 inhibitor beloranib. Word is out today that the compound has passed its first Phase II trial handily, so score one for covalent epoxides as drug candidates. Zafgen has followed up promising results from early-stage work on its weight drug beloranib with a stellar Phase II study that tracked rapid weight loss among the severely obese, with one group shedding an average of 22 pounds in 12 weeks. CEO Tom Hughes says the mid-stage success clears a path to a Phase IIb trial that can fine tune the dose while taking more time to gauge the longterm impact of its treatment on we...
Source: In the Pipeline - November 15, 2013 Category: Chemists Tags: Diabetes and Obesity Source Type: blogs

Healthcare Update Satellite — 11-14-2013
See more news from around the web over at my other blog at DrWhitecoat.com An example of the downside to government-run health care. Patients in Venezuela can’t get proper medical care. 300 cancer patients were just sent home when supply shortages and “overtaxed equipment” made it “impossible … to perform non-emergency surgeries.” 70% of the radiation therapy machines are inoperable. Basic supplies such as needles, syringes, medications, operating room equipment, X-ray film, and blood needed for transfusions are all in short supply. There is no anesthesia for elective surgery. Patients ...
Source: WhiteCoat's Call Room - November 15, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

The Anesthesia Machine Check
Geetings to all readers that have been waiting for a new post from the Nurse Anesthetist.  Today the focus on anesthesia equipment is increasing both in board review preparation and in the practicing anesthestist.  I will highlight this by a short vignette from this week. This is another day in the OR with simple cases and […] (Source: Nurse Anesthetist)
Source: Nurse Anesthetist - November 9, 2013 Category: Nurses Authors: David Roy Tags: General Source Type: blogs

Who’s in control? Why both doctors and patients are frustrated
I hate being told what to do.  I will scratch and claw when ordered around.  It takes a conscious act of will to smile and say, “sure, I’ll get going on that right now.” This is a problem since, as an anesthesiologist, I get told what to do all the time.  My kids order me around all the time.  When I was a nurse I used to bristle at the term “order” as in, “doctor, can you please write an order for Tylenol?” Most of us have lives in which a certain amount of following orders is inevitable.  There are very few people who get to do whatever they want all the ...
Source: Kevin, M.D. - Medical Weblog - November 7, 2013 Category: Family Physicians Tags: Physician Hospital nurse Patients Source Type: blogs

OrSense NBM 200MP Continuous Noninvasive Hemoglobin Monitor Wins FDA Clearance
OrSense (Petach Tikva, Israel) received FDA clearance to bring the company’s NBM 200MP hemoglobin monitor to the U.S., a system that the company hopes will help detect and prevent anemia in hospitalized patients. The device continuously measures hemoglobin (Hb), peripheral oxygen saturation of Hb (SpO2), and it also has low perfusion oximetry, pulse rate, and plethysmography (contraction of the thumb along to the heartbeat). Alarms can be set to warn clinicians when oxygen saturation or the pulse rate fall outside of preset limits. More from OrSense about the company’s technology: OrSense’s devices a...
Source: Medgadget - November 6, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Source Type: blogs

Not to generalize, but . . .
I have finally encountered the perfect analogy for the stereotypical relationship between a surgeon and an anesthesiologist. The video is of a sheep trying to teach a bull how to head butt.  Watch what happens when aggression meets passive aggression. (Source: Running a hospital)
Source: Running a hospital - November 1, 2013 Category: Health Managers Source Type: blogs

Eggs are not follicles
IVF patients often don’t understand the difference between follicles ( which are affectionately called “follies” ) and eggs .  Doctors are sometimes responsible for this confusion , because we usually loosely refer to the follicles we see on your ultrasound scan as eggs. This is especially true during IUI cycles; or when the scans are being done by a sonographer or technician. When she sees that your ovaries have responded well to the superovulation, she will often say – Good, your eggs are growing well. In reality, eggs are microscopic structures which cannot be seen on ultrasound scans. T...
Source: The Patient's Doctor - October 29, 2013 Category: Obstetricians and Gynecologists Source Type: blogs

Nonin Medical Gets FDA Approval for New Finger Pulse Oximeter
Minneapolis, Minnesota-based Nonin Medical received FDA approval for the Nonin Model 3230 Bluetooth Smart finger pulse oximeter. The Nonin Model 3230 shares its readings with other devices via Bluetooth. It also features Correct Check feature to ensure patients have properly placed the pulse oximeter on their finger, enabling correct readings of oxygen saturation. The device also comes with SmartPoint to automatically determine when a measurement is accurate and ready to be transmitted. The Model 3230 has advanced algorithms to overcome potentially challenging measurement conditions, such as low perfusion, variable sk...
Source: Medgadget - October 28, 2013 Category: Technology Consultants Authors: Nishey Wanchoo Tags: Anesthesiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

Philips Introduces New Anesthesia Machine, IntelliSave AX700, and New Patient Monitors
Philips is introducing to the market the IntelliSave AX700 anesthesia machine as well as the IntelliVue MX400 and MX450 patient monitors. The AX700, a machine that features a touch screen-based user interface and electronic gas mixing for precision control and display of gas mixtures, as well as a host of advanced ventilator modes, communicates with the patient monitors via the IntelliBridge system and everything can be hooked up to a Philips IntelliSpace anesthesia system or the hospital’s central information system. Philips focused on reducing the size of the devices, making everything more ergonomi...
Source: Medgadget - October 25, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Source Type: blogs

'Love Hormone' May Mediate Placebo Effect - MedPage Today
Intranasal oxytocin, sometimes called the "love hormone," intensified the painkilling effect of placebo in a clinical study, suggesting a physical basis for the placebo effect, researchers said.Among 75 healthy young men exposed to painful heat stimuli on their forearms in the randomized, double-blind study, ratings of a placebo cream's analgesic effect were greater after the participants received active intranasal oxytocin than when they snorted a saline solution, with a difference of 5.76 points out of 60 (95% CI 0.59-10.93, P=0.03), according to Ulrike Bingel, MD, of the University of Duisberg-Essen ...
Source: Psychology of Pain - October 23, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Operating room uses of Google Glass
In this short video you can see some uses of Google Glass by an anesthesiologist. Checking vital sign during operation, taking notes etc. More uses and a short explanation on the development of uses foor Google Glass in heathcare can be read in this post on iMedicalApps Some more examples: Additional areas of operating room uses with Google Glass may include: 1. Accessing a near real-time feed of vital signs in Google Glass 2. Calling up images and other patient data by clinicians from anywhere in the hospital 3. Accessing a pre-surgery safety checklist 4. Giving clinicians the ability to view the patient in the recovery r...
Source: Dr Shock MD PhD - October 23, 2013 Category: Psychiatrists and Psychologists Authors: Dr Shock Tags: General Medicine Source Type: blogs

The Beast, a New Anesthesiology Ether Screen from Emory University Hospital
During surgery, anesthesiologists typically sit behind the “ether screen” (aka “blood-brain barrier,” where the blood is the surgeon and the brain is an anesthesiologist). The screen is typically made from elevated drapes connected to IV poles. This setup is often awkward, not stable, and potentially dangerous to the patient. Now a new device created by Jerry Lewis, facilities director at Emory University Hospital, helps attach the screen so it moves along with the bed, provides support for equipment, and has clear access to the patient. Here’s a video about The Beast anesthesia screen system:...
Source: Medgadget - October 23, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Surgery Source Type: blogs

Toumaz Receives CE Mark Approval for SensiumVitals Patient Monitoring System (VIDEO)
Toumaz has received CE Mark approval in Europe for its SensiumVitals system, allowing patients’ vitals to be monitored and transmitted wirelessly to a nurse station or directly to clinicians through any approved web-enabled device. The sensor tracks the heart rate, temperature, and respiration every two minutes, rather than the standard four to eight hour cycle rate. This can help clinicians stay on top of patient health, and act in an appropriate time frame if their health begins to degrade. During a six month study, 270 patients were monitored and 170 were included in the study. Early detection of deterioratio...
Source: Medgadget - October 22, 2013 Category: Technology Consultants Authors: Nishey Wanchoo Tags: Anesthesiology Cardiology Critical Care Medicine Net News Source Type: blogs

My Chances
by eomeroglu85 (Posted Tue Oct 22, 2013 8:46 am)aributterly wrote:Hi all!Sorry for the random post. I'm a graduate of Harvard Medical School and Anesthesia resident at Massachusetts General Hospital. During my residency, I helped start an admissions counseling company, inGenius prep (http://www.inGeniusprep.com), which helps students build their candidacy and perfect their applications for medical school.Our students work one-on-one with our team of professional med-school admissions counselors. Our team includes former admissions officers from the best medical schools across the country, including: Harvard, Johns Hopkins,...
Source: Med Student Guide - October 22, 2013 Category: Medical Students Source Type: forums

Post Bac Suggestions?
by aributterly (Posted Tue Oct 22, 2013 8:03 am)Hi all!Sorry for the random post. I'm a graduate of Harvard Medical School and Anesthesia resident at Massachusetts General Hospital. During my residency, I helped start an admissions counseling company, inGenius prep (www.inGeniusprep.com), which helps students build their candidacy and perfect their applications for medical school.Our students work one-on-one with our team of professional med-school admissions counselors. Our team includes former admissions officers from the best medical schools across the country, including: Harvard, Johns Hopkins, Stanford, UCSF, UPenn, Y...
Source: Med Student Guide - October 22, 2013 Category: Medical Students Source Type: forums

Bing Search - new research surgery after 80 inducing altzheimer symptoms
What is responsible for post operative cognitive decline: the anesthetic drugs or the surgical procedure itself? A syndrome called "post-operative cognitive decline" has been coined to refer to the commonly reported loss of cognitive abilities, usually in older adults, in the days to weeks after surgery. In fact, some patients time the onset of their Alzheimer's disease symptoms from a surgical procedure. Bing Search recommends this article Post Operative Cognitive Decline, Alzheimer's, After Surgery +Bob DeMarco , +Alzheimer's Reading Room  (Source: The CareGiver)
Source: The CareGiver - October 21, 2013 Category: Caregivers Authors: Bob DeMarco Source Type: blogs

Sleep: The new health craze?
The last few decades have seen various wellness fads and health scares. Some topics that come to mind are sodium, cholesterol, saturated fats, trans fats, carbs, acai berry, bran, oats, whole grains, organic, jogging, yoga and yogurt. Maybe it’s time we focus on sleep as the key to health. After all we are a sleep deprived nation, with 50-70 million US adults having trouble sleeping. Two news articles today make me think it might be time for sleep to gain its due: Regular bedtimes help kids’ behavior reports on a study of 10,000 seven year old kids. Those who went to bed at a regular time had significantly fewe...
Source: Health Business Blog - October 18, 2013 Category: Health Managers Authors: dewe67 Tags: Culture Research sleep sleep patterns The brain Source Type: blogs

Capnostream 20p Bedside Monitor Unveiled by Covidien
Covidien has launched the Capnostream 20p bedside capnography monitor, a device that features Apnea-Sat Alert algorithm that, as the name implies, sounds an alarm if the patient stops breathing or oxygen saturation levels drop in the blood. The device could be particularly useful in PACUs and post-operative care floors, as well as in critical care units. According to Scott Kelley, M.D., Chief Medical Officer, Respiratory and Monitoring Solutions at Covidien, “studies show that as many as 88% of hospitalized patients may be at risk for recurrent apneas, yet we’re only identifying and treating a very small numbe...
Source: Medgadget - October 17, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiology Critical Care Medicine Pediatrics Source Type: blogs

Samsung Releases UGEO PT60A Tablet Ultrasound Device
FUJIFILM SonoSite is not the only player in the field any more, as competitive pressures are building up with the introduction of new offerings from competitors. Case in point is the new ultrasound from Samsung Medison. The FDA granted the company 510(k) clearance for the UGEO PT60A in August of this year, and the company is now releasing the new tablet-based ultrasound system. As the company’s first diagnostic point-of-care ultrasound , Samsung aims to make it practical for a variety of clinical situations. The touch input device comes equipped with several features, including NeedleMate to accurately identify ...
Source: Medgadget - October 17, 2013 Category: Technology Consultants Authors: Nishey Wanchoo Tags: Anesthesiology Cardiac Surgery Cardiology Critical Care Emergency Medicine Ob/Gyn Pediatrics Radiology Urology Vascular Surgery Source Type: blogs

A Good Night's Rest May Literally Clear the Mind
In this study, Dr. Nedergaard and her colleagues unexpectedly found that sleep may be also be the period when the brain cleanses itself of toxic molecules. The Alzheimer's Reading Room Knowledge Base  contains more than 4,000 articles. Their results, published in Science, show that during sleep a plumbing system called the glymphatic system may open, letting fluid flow rapidly through the brain. Dr. Nedergaard's lab recently discovered the glymphatic system helps control the flow of cerebrospinal fluid (CSF), a clear liquid surrounding the brain and spinal cord. "It's as if Dr. Nedergaard and her colleagues...
Source: I am an Alzheimer's Caregiver - October 17, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Had I met her anywhere but the hospital, I would have helped her
Had I met her anywhere but the hospital, I would have gone to her side. I would have asked her what was wrong. I would have offered to help. She was 99-years-old and about to undergo surgery. Pre-operative holding is generally a busy place. Patients lie in gurneys, spending some last moments with loved ones and fielding questions from various players of the surgical team as they come to the bedside. No, I’ve never had surgery before. Yes, I have sleep apnea. Just gonna place your IV! It’s a highly controlled, organized process. Nurses, anesthesiologists, surgeons come with specific tasks to be done: forms ...
Source: Kevin, M.D. - Medical Weblog - October 16, 2013 Category: Family Physicians Tags: Education Geriatrics Hospital Medical school Source Type: blogs

Your Advice on Interviews.
by aributterly (Posted Wed Oct 16, 2013 6:44 am)Hi all!Sorry for the random post. I'm a graduate of Harvard Medical School and Anesthesia resident at Massachusetts General Hospital. During my residency, I helped start an admissions counseling company, inGenius prep (www.inGeniusprep.com), which helps students build their candidacy and perfect their applications for medical school.Our students work one-on-one with our team of professional med-school admissions counselors. Our team includes former admissions officers from the best medical schools across the country, including: Harvard, Johns Hopkins, Stanford, UCSF, UPenn, Y...
Source: Med Student Guide - October 16, 2013 Category: Medical Students Source Type: forums

Samsung UGEO WS80A Ob/Gyn Ultrasound with 3D TV Capabilities
Samsung Medison unveiled a new ultrasound optimized for Ob/Gyn practicitioners, the UGEO WS80A, at the 23rd ISUOG (International Society of Ultrasound in Obstetrics and Gynecology) World Congress. The device features a 21.5″ wide LED imaging screen and a 10.1″ touchscreen for the controls, as well as a bunch of software optimizations that help resolve relevant anatomy and outputs data to 3D TV’s for an even more realistic view. More features according to the announcement: FRV™ + Inversion Mode — Faster realization of FRV™ (Feto Realistic View) that displays life-lik...
Source: Medgadget - October 14, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Ob/Gyn Radiology Urology Source Type: blogs

Breast reconstruction: Has the pendulum swung too far the other way?
Once upon a time, women with suspicious breast masses were put under general anesthesia for surgery not knowing whether they were going to wake up with or without their breast. If the biopsy showed cancer, the surgeon went right ahead with the mastectomy. No time to lose.  It’s cancer, you know. Breast reconstruction? Don’t be silly. No one does that. You should feel lucky to be alive! Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 11, 2013 Category: Family Physicians Tags: Conditions Cancer Source Type: blogs

FDA Approves ViSi Mobile System for Cuffless, Non-Invasive Continuous BP Monitoring
Sotera Wireless has been granted FDA approval for the ViSi Mobile continuous, non-invasive blood pressure (cNIBP) monitoring. The system will allow clinicians not to insert a catheter or to have a cuff to continuously monitor systolic and diastolic, beat-to-beat blood pressure along with other core vital signs including pulse rate, skin temperature, electrocardiogram, blood oxygenation and respiration rates. One sensor around the thumb and another placed on the chest are connected to the ViSi Mobile worn on the wrist, and feed all the vitals to the device (ViSi is short for Vital Signals). The data can then be transmitted ...
Source: Medgadget - October 10, 2013 Category: Technology Consultants Authors: Nishey Wanchoo Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

Healthcare Update Satellite — 10-09-2013
Government getting pissed because providers are beating it at its own game? When feds started pushing electronic medical records and threatening to penalize patient, a funny thing happened … the amount of money the feds spent on healthcare increased by billions of dollars. Now Kathleen Sebelius and Eric “Fast N Furious” Holder are warning that doctors that copying and pasting patient data between patient medical record entries should not occur because it risks medical errors and overpayments. They promise to “prosecute health care fraud” and will “consider future payment reductions as w...
Source: WhiteCoat's Call Room - October 10, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

AliveCor Launches New Universal Mobile Heart Monitor
AliveCor, a SF Bay Area company that has been extensively featured on Medgadget for developing an iPhone ECG, has now announced the launch of a universal heart monitor that can be attached to any smartphone or smartphone case. The FDA-cleared universal Heart Monitor is both iOS and Android compatible and features AliveCor’s technology that provides a clinical-quality one-lead ECG of the heart. The new design is not a phone case like the existing AliveECG for the iPhone or Samsung Galaxy S4, but instead is a pocket-sized wireless sensor that secures into a universal plate that attaches to the back of a mobile dev...
Source: Medgadget - October 7, 2013 Category: Technology Consultants Authors: Gaurav Krishnamurthy Tags: Anesthesiology Cardiology Critical Care Medicine Net News Source Type: blogs

5 Things I Wish I Learned in Medical School about Managing Pain - HCPLive.com
With most medical schools devoting only a few curriculum hours to pain management training, many physicians begin their medical career underprepared to meet the needs of patients suffering with chronic pain. Here, Barry Cole, MD, identifies several key concepts that would help improve pain care in the US if only more physicians would learn about them sooner. Pain is highly variable, personal, and cannot be managed with "blanket" order sets. How much someone hurts with a painful condition is based upon past pain experiences, understanding of the present pain circumstance, expectations and outcome, and ma...
Source: Psychology of Pain - October 6, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Alzheimer's Like Symptoms After Leaving the Hospital
As medical care is improving patients are surviving critical illness more often; but,  if they are surviving their critical illness with disabling forms of cognitive impairment like Alzheimer's something has to be done. +Alzheimer's Reading Room Patients treated in intensive care with no evidence of cognitive impairment often leave with deficits similar to those like mild Alzheimer’s disease (AD). These symptoms or deficits often persist for at least a year, according to a Vanderbilt University Medical Center study published today in the New England Journal of Medicine. Subscribe to the Alzheimer's Re...
Source: Alzheimer's Reading Room, The - October 5, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Healthcare Update Satellite — 10-03-2013
Via @mdaware … ever wonder whether you need to prescribe two antibiotics for patients with uncomplicated cellulitis? EM Literature of Note’s Ryan Radecki pulls an article showing that there isn’t much difference in outcome/cure rates between treatment of uncomplicated cellulitis with only cephalexin versus combination treatment with cephalexin and Bactrim. This is important. And it’s from Fox News, so you know it’s fair and balanced. Be very careful about how you sign up for the Obamacare exchanges. Experts expect that there will be a lot of hacking/phishing attacks using phony web sites to t...
Source: WhiteCoat's Call Room - October 3, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

SuperSonic Imagine’s Aixplorer Ultrasound with Stiffness and Elasticity Detection Now in U.S.
SuperSonic Imagine (Aix-en-Provence, France) received clearance from the FDA to bring its Aixplorer ultrasound system to the U.S. The device sports the company’s MultiWave Technology that reconstructs images from the interference between longitudinal waves and shear waves within tissue. It is also able to provide tissue stiffness or elasticity info during an exam. According to SuperSonic, the Aixplorer is the only system available that can “generate, capture and compute shear wave velocity resulting in the bi-dimensional display of true tissue elasticity.” Features according to the product ...
Source: Medgadget - October 2, 2013 Category: Technology Consultants Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Ob/Gyn Pediatrics Radiology Urology Vascular Surgery Source Type: blogs

The OR is not a good place for a prank
An anesthesiologist at a California hospital pasted stickers simulating a mustache and teardrops on the face of a hospital employee while she was having surgery on a finger. According to the Los Angeles Times, the doctor said, “I thought she would think this is funny and she would appreciate it.” And if that wasn’t bad enough, a “nursing attendant” took a photograph. The patient, who said she had to quit her job because of the humiliation, is suing the hospital and the physician for this confidentiality breach. The woman who took the photo said she deleted it after showing it to the patie...
Source: Kevin, M.D. - Medical Weblog - October 2, 2013 Category: Family Physicians Tags: Social media Facebook Hospital Surgery Twitter Source Type: blogs

thumbs up
it was a battle. looking back i don't think we ever had a chance, but you don't just give up on a young man in the prime of his life. we had to try. he was my patient. he was a foreigner, on a gap year in africa where he was going to learn all sorts of things about conservation and african wildlife. up until the accident, all had apparently gone well. the group of teenagers on the course had so far enjoyed every moment of their time together and some close friendships had even begun to develop. as it always is with these sorts of things, when they all climbed into the bus that day, no one expected what rippling ramifica...
Source: other things amanzi - October 2, 2013 Category: Surgeons Authors: Bongi Source Type: blogs