When to worry about your child ’ s fever
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Fevers worry parents; they scare them sometimes. I understand why. After all, fevers can be a sign of something serious — and at the beginning of one, it’s hard to know whether it’s going to turn out to be something serious.
Most of the time, it isn’t serious. Fevers are very common. They are part of how the body fights infection. The average child will get several viral infections a year — which means several fevers. The vast majority of fevers are nothing to worry about, and pass in a day or two.
Sometimes, though, parents should worry. Here are some circumstances when you should ...
Source: Harvard Health Blog - July 25, 2017 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Cold and Flu Infectious diseases Parenting 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
Only the ECG Diagnoses Acute Coronary Occlusion. Do not be Fooled by a Negative High Sensitivity Troponin.
This case was sent by Peter Hammarlund, 2nd year Internal Medicine/Cardiology resident (and self-proclaimed ECG nerd) at Helsingborg Hospital, Sweden. Peter frequently sends me great cases like this, but I never post them because the Swedish standard, explained below, is very difficult to interpret.This time I could not resist.Especially interesting is the troponin data and the manipulated images seen below.Casep.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 16.0px Calibri; color: #222222; -webkit-text-stroke: #000000; background-color: #ffffff} span.s1 {font-kerning: none}Hi Steve,I was involved in this highly...
Source: Dr. Smith's ECG Blog - December 28, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Cellulitis review
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - December 14, 2016 Category: Internal Medicine Tags: infectious disease Source Type: blogs
Can Baby Foot really make your feet smoother? Episode 152
How does baby foot work?
Leslie asks…Can you please explain how Babyfoot works and if it is truly safe to use. I have used it and my feet did peel but I really don’t understand how it works.
In case our listeners aren’t familiar with this product, it’s a special type of exfoliator designed just for your feet. For $25 you get two “booties” lined with a gel product.
Here’s what the website says about it:
Our scientifically formulated product contains 17 types of natural extracts…
The principal ingredient …is fruit acid which…penetrates into the layers of dead skin cells and breaks down the desmosome...
Source: thebeautybrains.com - September 27, 2016 Category: Consumer Health News Authors: Perry Romanowski Tags: Podcast Source Type: blogs
Japanese Government Continues to Ban the MMR Vaccine
Conclusion
Japanese officials have made decisions that value the health and safety of their citizens when they have removed vaccines with dangerous side effects from their national vaccination program.
Japan boasts a low infant mortality rate, despite — or perhaps because of — mandating only a fraction of the vaccines required by other developed countries, including the United States.
If you wish to learn more about the harmful ingredients in vaccines or the potential adverse reactions, we have compiled an easy-to-navigate list of vaccine package inserts from the manufacturers that you can view or download he...
Source: vactruth.com - June 23, 2016 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Logical Missy Fluegge Top Stories HPV Vaccine MMR vaccine truth about vaccines Vaccine Death Source Type: blogs
Dyspnea, Right Bundle Branch block, and ST elevation
An elderly male called 911 for acute onset of shortness of breath and vomiting. EMS found him with a heart rate as high as 180 and hypoxic with O2 saturations in the 80's. A prehospital 12-lead was obtained:There is atrial fibrillation (irregularly irregular, no P-waves) with a rapid ventricular response.There is right bundle branch block (RBBB).There is ST elevation in V2-V5.Is this acute STEMI??On arrival in the ED, the patient had this ECG recorded:Atrial fibrillation with RVR.ST Elevation in V2-V5.Is this acute STEMI?Note the well-formed Q-waves in the leads with ST elevation! This suggests old MI. Comment:...
Source: Dr. Smith's ECG Blog - June 5, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Why EHRs are Essential for Patients and Healthcare Providers
Physicians and other health care providers are overworked. The number of patients seen daily has grown dramatically in recent years. In fact, according to a 2012 survey by The Physicians Foundation, 40.7% of American physicians see over 20 patients a day. Such a large caseload presents many opportunities for errors, miscommunication, and omissions. Electronic health records (EHRs) can provide a solution for these issues. What are EHRs? Simply put, EHRs are health records in a digital format. They usually contain all the data of a traditional paper chart plus billing information, imaging and records across different insti...
Source: ePharma Summit - May 13, 2016 Category: Pharmaceuticals Tags: Digital Health eHealth EHR EHR systems Electronic health records Electronic Medical Records ePatient healthcare providers patients' data primary care Primary care doctors Source Type: blogs
99306 CPT ® Code Description, Progress Notes, RVU, Distribution (Level 3 Initial Nursing Facility Care)
This 99306 CPT ® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the nursing facility setting (nursing home). CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99304-99306. CPT ® 99306 represents the high (level 3) initial nursing facility care visit (whether you are the attending or a consultant) and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for initial nursing facility ca...
Source: The Happy Hospitalist - May 7, 2016 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
99306 CPT® Code Description, Progress Notes, RVU, Distribution (Level 3 Initial Nursing Facility Care)
This 99306 CPT® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the nursing facility setting (nursing home). CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99304-99306. CPT® 99306 represents the high (level 3) initial nursing facility care visit (whether you are the attending or a consultant) and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for initial nursing facility c...
Source: The Happy Hospitalist - May 6, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
99306 CPT ® Code Description, Progress Notes, RVU, Distribution (Level 3 Initial Nursing Facility Care)
< div dir="ltr" style="text-align: left;" trbidi="on" > This 99306 CPT ® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the nursing facility setting (nursing home). & nbsp;CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99304-99306. & nbsp;CPT ® 99306 represents the high (level 3) initial nursing facility care visit (whether you are the attending or a consultant) and is part of the Healthcare Common Procedure Coding System (HCPCS). & nb...
Source: The Happy Hospitalist - May 6, 2016 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Funtabulously Frivolous Friday Five 144
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 144
Question 1
What do Inuits avoid eating that early Europeans didn’t ?
+ Reveal the Funtabulous Answer
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Polar bear liver, but also any liver from the top predators in the arctic region as they can store high levels of vitamin A.
In 1957 Gerrit de Veer was taking refuge in Nova Zemlya recorded the effects...
Source: Life in the Fast Lane - May 6, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five baby sex congenital syphilis Hutchinson's triad hypervitaminosis A Ludwig's Angina Polar bear liver varicose veins Source Type: blogs
Global Drug Reference Online – Global DRO
The Global Drug Reference Online (Global DRO) provides athletes and support personnel with information about the prohibited status of specific medications based on the current World Anti-Doping Agency (WADA) Prohibited List. Global DRO does not contain information on, or that applies to, any dietary supplements.
The new, updated and readily accessible website for Global DRO is found here:
http://www.globaldro.com/Home
The Global DRO allows users to search for specific information on products sold in the United Kingdom, Canada, the United States, Japan and Australia. The Global DRO provides the same critical information ...
Source: Life in the Fast Lane - April 29, 2016 Category: Emergency Medicine Authors: Mike Cadogan Tags: Sports Medicine ASADA Global DRO Therapeutic Use Exemption TUE WADA Source Type: blogs
Peritoneal Taps for Removing Ascites Fluids
Paracentesis, or a peritoneal tap, is a procedure emergency physicians often perform to obtain ascitic fluid for diagnostic or therapeutic purposes. Catheter aspiration of fluid is performed to determine the etiology in new onset ascites, to look for infection or presence of cancer, or simply to relieve pressure from a painful, distended abdomen that sometimes can interfere with breathing. Contraindications to the procedure might include an acute abdomen, severe thrombocytopenia, or a coagulopathy. Relative contraindications include pregnancy, a distended urinary bladder, abdominal wall cellulitis, adhesions, or distended ...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
