Healthcare Update Satellite — 09-22-2014
More updated from around the web at my other blog at DrWhiteCoat.com
Study in the journal Pediatrics shows that about 10,000 children are hospitalized each year for accidental medication ingestions. Three quarters of those hospitalizations involved 1 or 2 year olds. Twelve medications were responsible for 45% of all pediatric emergency hospitalizations for accidental drug ingestions. Opioids were not surprisingly the top classification prompting hospitalizations, but buprenorphine and clonidine were the top two medications – responsible for 15% of all hospitalizations. The rate of hospitalization for buprenorphine pr...
Source: WhiteCoat's Call Room - September 22, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs
The LITFL Review 145
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 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 145th 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 ALiEM
Chris Ni...
Source: Life in the Fast Lane - July 23, 2014 Category: Emergency Medicine Authors: Kane Guthrie Tags: LITFL LITFL review LITFL R/V Source Type: blogs
Aspirin and Clonidine Fail to Help Surgery Patients
Heart attacks (myocardial infarctions) are among the most common and serious side effects of noncardiac surgery. An effective regimen to minimize this risk has been the subject of considerable debate in recent years. The controversy was recently exacerbated because the recommendation to use beta-blockers in this setting was based on research which has now been discredited. Substantial evidence against the use of perioperative beta blockers came from the original POISE trial. Now a second POISE trial, the Perioperative Ischemic Evaluation 2 (POISE-2) trial, casts doubt on the value of two other proposed strategies to reduce...
Source: CardioBrief - March 31, 2014 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Prevention, Epidemiology & Outcomes aspirin clonidine noncardiac surgery perioperative beta-blockade Source Type: blogs
ST Elevation and Positive Troponin. Is it STEMI? No. And it is not even ACS.
A male in his 60s complained of constant chest pain for 12 hours. He has a h/o DM and HTN and has been off his meds, including clonidine, for 3 days. His first two BP measurements were 176/108 and 191/126, with a pulse of 100-112. Here is his initial ECG:ED ECG with pain:There is sinus tach at a rate just above 100. There is profound LVH, with deep S-waves in V1-V3 and a large R-wave in V6. There is left atrial enlargement, with a very large negative deflection of the P-wave in V1, also supporting LVH. There is 3-4 mm of ST elevation in V1-V3: this is classic for the ...
Source: Dr. Smith's ECG Blog - January 15, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs
99205 CPT ® Code Description, Progress Notes, RVU, Distribution.
This 99205 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 clinic and hospital setting. CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes descr ibed by the numbers 99201-99205. CPT ® 99205 represents the high (level 5) office or other outpatient new patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS). After you're done studying this lecture, make sure to also review the lectures on level three andlevel four ...
Source: The Happy Hospitalist - November 26, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
The LITFL Review 115
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 114th 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 [C...
Source: Life in the Fast Lane - November 11, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs
ADHD or Just Plain Tired?
In Diagnosing the Wrong Deficit, Dr. Thatsal G. Thakkar talks about the concept that the incidence of Attention Deficit Disorder has coincided with people getting less sleep as their days have gotten busier and longer. He wonders if the symptoms that get attributed to ADD might be a result of too little sleep. And if not too little, then maybe the wrong kind of sleep. Dr. Thakkar goes on to talk about his own difficulties with focus and concentration and how he believes these symptoms were because his sleep architecture was disordered: too much dreaming, too little deep sleep -- a problem that was s...
Source: Shrink Rap - April 29, 2013 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs
