Reports of therapeutic hypothermia’s death are greatly exaggerated
I expect you’re completely #FOAMed out by the post-publication frenzy stirred up by the TTM Trial.
If not, you’ve come to the right place!
Mike collated the explosion of initial FOAM responses in All in a lather over TTM and there have since been notable additions such as Scott Aberegg’s Chill Out: Homeopathic Hypothermia after Cardiac Arrest… and ICN’s interview with TTM investigators Niklas Nielsen and Anders Aneman one week after TTM. Soon after, Charles Bruen came with his fascinating blogpost/podcast putting the latest studies in historical perspective: Therapeutic hypothermia: The h...
Source: Life in the Fast Lane - December 1, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Evidence Based Medicine Featured Health Intensive Care Resuscitation Bernard critical appraisal HACA Nielsen Targeted Temperature Management Therapeutic Hypothermia TTM Source Type: blogs
The LITFL Review 117
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 117th 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 26, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Emergency Medicine Featured LITFL review LITFL R/V Source Type: blogs
Recap of 2013 American Heart Association Session
Just a few weeks before the 2013 American Heart Association Sessions, Shelley Wood, the managing news editor of theheart.org emailed to ask if I was up for going to the meeting. With trips to San Francisco, Denver, Athens and Amsterdam already in the books this year, I had counted 2013 as a win. I was ready to ease into Thanksgiving and conclude the bike season with a couple of cold-weather CX races. But when opportunity presents itself, ie,,,when the big strong guy in front of you attacks, it makes sense to follow.
Yes. Yes. I am in. I was excited to see my THO friends again. I was excited to write and learn.
My role at m...
Source: Dr John M - November 24, 2013 Category: Cardiology Authors: Dr John Source Type: blogs
You MUST recognize this pattern, even if it is not common
Disclaimer: I never state from where I get a case. They come from all over the world. Any case may or may not be from my own institution. Do not make any assumptions.Case: A non-English speaking woman in her 60's with h/o HTN, type II DM, hyperlipidemia, CAD s/p CABG 16 years prior, and end stage renal disease on dialysis presented to the ED at time 0. She had awoken 7 hours prior with severe headache followed by upper chest heaviness and vomited x 2. EMS placed an 18 gauge IV, gave 2 NTG, and aspirin. She stated the pain was not similar to a previous MI. BP was 200 systoli...
Source: Dr. Smith's ECG Blog - November 22, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
The LITFL Review 116
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 116th 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 20, 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
All in a lather over TTM
Discussion - FOAMed groups, social media platforms
Analysis – academic analysis, statistical review and commentary
Debate – TTM survey, storify, FOAM
Publication
The key articles are freely available online – easy to access, review, analyse and share.
+ Key articles in the TTM debate
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Bernard SA et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002;346:557-63. doi: 10.1056/NEJMoa003289
The Hypothermia after Cardiac Arrest Study Gro...
Source: Life in the Fast Lane - November 20, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Education eLearning Emergency Medicine Featured FOAM FOAMed OOHCA rosc Therapeutic Hypothermia TTM VF Vfib 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 particularly us...
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
Impacts of Pharmaceutical Marketing and Healthcare Services in the District of Columbia: Focus on Antipsychotics in the Elderly
In April of last year, we wrote about Washington, DC's AccessRX Act, which requires pharmaceutical companies that market products in the District to file annual reports on marketing expenditures.
In 2011, 158 pharmaceutical companies reported spending a total of $83.7 million on marketing activities in DC, including $57.9 (69.2%) million on employee and contractor expenses, $18.9 (22.5%) million on gifts and payments, and $6.9 (8.2%) million on advertising. A 2009 report addressed pharmaceutical marketing and healthcare services more broadly in DC. Additional reports were then published in for 2010 and 2011.
Hos...
Source: Policy and Medicine - October 29, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
Top stories in health and medicine, October 9, 2013
From MedPage Today:
Size a Key Factor in ACO Formation. Accountable care organizations (ACOs) tend to form around larger integrated hospital systems and larger primary care physician groups, and in areas with a higher prevalence of hospital risk-sharing.
Malaria Vaccine Candidate Has Protective Effect. A candidate vaccine against malaria had significant efficacy in a randomized controlled phase III trial in Africa.
Bisphosphonates Raise Afib Risk. Bisphosphonate use was associated with significantly increased risks of atrial fibrillation and serious atrial fibrillation.
Hypothermia Has No Benefit in Meningitis. Patients ...
Source: Kevin, M.D. - Medical Weblog - October 9, 2013 Category: Family Physicians Tags: News Endocrinology Heart Infectious disease Source Type: blogs
Annual report 2012: national neonatal audit programme
Royal College of Paediatrics and Child Health (RCPCH) - This audit measures neonatal units against a series of standards in
order to assess if babies receive the right level and consistency of
care across England and Wales. This year's report finds that more than
three quarters (79%) of the parents of babies in neonatal units are seen
by senior healthcare professionals within 24 hours of admission and the
majority of parents report positive experiences, but there is room for
improvement in areas such as breastfeeding rates and levels of
hypothermia in newborns.
Report
Extended online edition
Quality improvement...
Source: Health Management Specialist Library - August 19, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Patient involvement, experience and feedback Quality of care and clinical outcomes Source Type: blogs
palpating your patient’s radial pulse.
To palpate a radial pulse, use the sensitive tips of your first three fingers over the expected radial pulse site.
To be specific: at the wrist…lateral to the flexor carpi radialis tendon.
You can use your other hand to support the patients wrist.
Once it has been located, some nurses like to just use two fingers over the pulse.
The pulse is felt as a pressure wave produced by ventricular ejection during systole. Interestingly this pressure wave travels down the artery much faster than the blood itself (5 metres/sec versus 40–50 centimetres/sec respectively).
With increased age, or due to changes in the wall of the art...
Source: impactEDnurse - July 26, 2013 Category: Nurses Authors: impactEDnurse Tags: clinical skills Source Type: blogs
Cardiology MCQ Test 5
Cardiology MCQ Online 5
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. W...
Source: Cardiophile MD - July 15, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. We strongly advise you t...
Source: Cardiophile MD - July 15, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Two weeks with Vitamin D
We’re back to default grey and miserable today, so I’m not jinxing anything by mentioning out loud: the last two weeks were… sunny.
It started with the Edinburgh Marathon Festival weekend. I’d warned my visiting Up & Running pals to expect hypothermia, windburn and/or bad hair for the race, but the blue skies made a fool of me.
While I was on cheer squad duty, Gareth lounged in the back yard for six hours listening to the England v New Zealand cricket test. It was cool and windy, so he had a hoodie on his top half, but he’d unarchived his shorts and sandals for the bottom half. This was...
Source: The Amazing Adventures of Dietgirl - June 12, 2013 Category: Other Conditions Authors: shauna Tags: Living In Scotland Travel Source Type: blogs
Making a Dream a Reality
By Joseph Kim, MD.
As a Korean-American, I have always been curious about exploring my heritage. Fortunately, I have had the opportunity to visit South Korea several times, including two trips during residency. Each time I visited, I realized that I had developed a desire to live in South Korea one day. But deciding to work in Korea as a physician was an enormous decision, and I did not want to make it lightly. I wanted to have the chance to explore the life of an emergency physician in South Korea before making such a life-altering decision.
I began researching potential hospitals that might allow me to rotate...
Source: Going Global - June 11, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs