A teenager involved in a motor vehicle collision with abnormal ECG
Written by Pendell MeyersA teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330:What do you think?The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. It is very unlikely that a previously healthy teenager would have such disease of the conduction system, bringing up the possibility of blunt cardiac injury in this clinical setting.Trauma CTs showed a " mi...
Source: Dr. Smith's ECG Blog - February 6, 2024 Category: Cardiology Authors: Pendell Source Type: blogs
poem
Winter BreakAfter the end of year holiday rushWhen nothing is ever enoughNo matter how muchYou think you have given,When innocence is negligence,Extravagance forgets its shameAnd the long con unravelsInto scraps of New Year ’s Eve confetti,We come to the southern beach Ostensibly to be refreshed By the predictableCrashing of waves against a wetGraveyard of broken bones, wavesThat flatten like black tongues And retreat with seized Fragments of old shieldsCeded by soft bodiesForever lost.It ’s too cold in January, even down Here just north of the Tropic of Cancer.We ’re wearing sweaters a...
Source: Buckeye Surgeon - February 5, 2024 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Guarding and flow: an observational study
This study is an observational study of physiotherapists watching videos of people with chronic low back pain doing movements. The movements are pretty decontextualised (ie they’re not integrated with everyday life activities) but they are the kinds of movement that people can find difficult. They were: reaching forward with arms horizontal in standing position (reach forward), bending down towards the toes in standing position (forward-bend), standing from sitting stand), and sitting from standing (stand-to-sit). The videos were of 10 people with low back pain, and were chosen from a larger set of 16 people all perf...
Source: HealthSkills Weblog - February 4, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Coping strategies Low back pain Physiotherapy pain management Research Source Type: blogs
How Your Childhood Personality Predicts Your Future — High IQ Included (M)
A child's humble nature may reveal more about their adult self than you might think. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - February 3, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Intelligence subscribers-only Source Type: blogs
Case of the Week 737
This week ' s case was generously donated by Dr. Richard Bradbury. The is a permanent mounted stool sample from a Gambian child with watery diarrhea. It is stained with iron haematoxylin; objects of interest are approximately 10-15 micrometers long. Check out the video for a 3D view and classic motility pattern! (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - February 1, 2024 Category: Parasitology Source Type: blogs
Putting West Virginia Students on the Path to Scientific Careers
Credit: NIGMS.
Two NIGMS-funded programs are teaming up to shape the future of science and technology in West Virginia (WV). One engages high school students in science, technology, engineering, math, and medicine (STEM+M); introduces them to research; and provides direct access to college through tuition waivers. In the other program, undergraduate students are paired with a researcher at their institution for a paid internship—an important step toward a career in science.
The Health Sciences & Technology Academy
“We liken our students to rosebuds. As they grow, you see them blossom into self-confident lea...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - January 31, 2024 Category: Research Authors: Chrissa Chverchko Tags: Being a Scientist STEM Education SEPA Training Source Type: blogs
Answer to Case 737
Answer to theParasite Case of the Week 737:Pentatrichomonas hoministrophozoites. P. hoministrophozoites have 5 flagella: 4 are directed anteriorly, while the 5th is directed posteriorly, forming the outer edge of an undulating membrane. This results in characteristic motility that Richard likes to describe as " a man trapped inside a plastic bag " (!) I managed to capture a couple of still images from the video which show this phenomenon:As noted by jebarner, P. hominis,as well asEnteromonas hominis, Retortamonas intestinalis, andChilomastix mesnili are non-pathogens and indicators of ...
Source: Creepy Dreadful Wonderful Parasites - January 31, 2024 Category: Parasitology Source Type: blogs
Welcome to the nuthouse
Despite having his Precious Bodily Fluids depleted and polluted by the feminist succubus and the Bill Gates microchip vaccine, Travis Kelce turned in a Hall of Fame-worthy performance to lead the KC Chiefs to the Superb Owl. So, right on cue, MAGAland is in hysteria becausethe game was obviously rigged, presumably by an Italian satellite, Dominion Voting Systems, and Hugo Chavez.“Taylor Swift is an op,” Benny Johnson, a right-wing media
personality who boasts millions of followers across different social
media platforms, wrote on X. “It’s all fake. You’re being played.”“The Democrats’ Taylor Swift electio...
Source: Stayin' Alive - January 30, 2024 Category: American Health Source Type: blogs
Cheating Partners Are Raised By Parents Who Do This (M)
How parents turn their children into relationship cheats. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - January 27, 2024 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Relationships subscribers-only Source Type: blogs
A talk with Andy Bell on thriving with diabetes
Andy Bell:Experiencing diabetes beyond just numbers
I recently had the privilege of catching up with Andy Bell. A good friend and part of the diabetes community, Andy shared his story, which is packed with perseverance and resilience.Andy was diagnosed with type 1 diabetes in 1994 at the age of 14. His experience, like that of many others living with diabetes, has been a rollercoaster ride. During our conversation, Andy touched on his diagnosis story, how living with diabetes has impacted his life, his unique career path, and how he manages now that he...
Source: Scott's Diabetes Blog - January 26, 2024 Category: Endocrinology Authors: Scott K. Johnson Tags: Blog Posts Source Type: blogs
Who Could (Possibly) Be the Ideal “ Chief Patient Officer ” ? (And Other Ideas that Sound Better on Paper than in Practice)
By JONATHON S. FEIT
If ideas presented in essays on The Health Care Blog and other healthcare forums are meant to be rhetorical, without intention of turning notions into reality on behalf of patients who need genuine, intimate, desperate help…then feel free to ignore this essay entirely.
Some among us—the State of Washington’s Co-Responder Outreach Alliance; Lisa Fitzpatrick’s Grapevine Health, which specializes in “street medicine” and advocacy in and around Washington, D.C.; Thorne Ambulance Service, an inspirational ambulance entrepreneur bringing both emergency and nonemergency medical transpor...
Source: The Health Care Blog - January 26, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Tech Chief Patient Officer CIVITAS EMS First Responders Interoperability Jonathan Feit Kat McDavitt Lisa Bari Medicaid Source Type: blogs
Unlocking the mystery of the “ wanting mind ” : Transform your yearnings into fulfillment
I remember Christmas Eve as a child. I was so excited that I couldn’t sleep. I wanted to be awake every second until the morning came. I didn’t want to miss anything! But inevitably, I’d arrive at the Christmas tree the next morning, bleary-eyed and still feeling like I’d missed something important. My wanting mind
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Unlocking the mystery of the “wanting mind”: Transform your yearnings into fulfillment originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 24, 2024 Category: General Medicine Authors: Lynda Hoffman Tags: Conditions Psychiatry Source Type: blogs
Zombie Viruses of the Permafrost
By KIM BELLARD
We’ve had some cold weather here lately, as has much of the nation. Not necessarily record-breaking, but uncomfortable for millions of people. It’s the kind of weather that causes climate change skeptics to sneer “where’s the global warming now?” This despite 2023 being the warmest year on record — “by far” — and the fact that the ten warmest years since 1850 have all been in the last decade, according to NOAA.
One of the parts of the globe warming the fastest is the Arctic, which is warming four times as fast as the rest of the planet. That sounds like good news if you run a ...
Source: The Health Care Blog - January 24, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Climate Change Kim Bellard Viruses Source Type: blogs
Answer to Case 736
Answer to theParasite Case of the Week 736:Cimexsp., the human bedbug. Nymphs and an adult are present. The two species ofCimexthat infest humans areC. lectularius(the common bedbug) and its tropical relative, C. hemipterus.As noted by Idzi and Florida Fan, the setae (hairs) are shorter than the width of the eye, which allows us to rule out other cimicids of birds and mammals that may temporarily infest human habitats.Tanya Gravier provided a helpfullinkfrom the US Environmental Protection Agency on dealing with bedbug infestations in child care centers. As noted by Idzi, the risk is not with disease transmission...
Source: Creepy Dreadful Wonderful Parasites - January 24, 2024 Category: Parasitology Source Type: blogs
Assessing hospital involvement in pediatric primary care
Children’s hospitals are acclaimed for their outstanding care, and they would be my absolute choice for my child’s hospital needs. Nevertheless, there is a pressing concern that the underlying philosophy of these institutions is shifting, with financial pressures incentivizing competition rather than cooperation in the field of pediatrics. If hospitals were to dominate primary care,
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Assessing hospital involvement in pediatric primary care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 24, 2024 Category: General Medicine Authors: Mick Connors, MD Tags: Physician Pediatrics Source Type: blogs
