Research and Reviews in the Fastlane 135
Welcome to the 135th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R ...
Source: Life in the Fast Lane - May 18, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Disaster Education Emergency Medicine Intensive Care Neurology Pediatrics Pre-hospital / Retrieval Respiratory Resuscitation critical care R&R in the FASTLANE recommendations research and reviews Source Type: blogs

Acetaminophen Probably Isn't an "Empathy Killer"
Left: Belgian physician Dr. Wim Distelmans, a cancer specialist, professor in palliative care and the president of the Belgian federal euthanasia commission. Right: Generic acetaminophen.What (or who) is an “Empathy Killer“? An Angel of Death Kevorkian-type who helps terminally ill patients with ALS or cancer put an end their excruciating pain? This is a very selfless act that shows extreme empathy for the suffering of others.Or is an “Empathy Killer” a medication that dulls your numerical ratings of empathic concern for fictional characters ever so slightly? If you guessed the latter, you are correct. Here's the a...
Source: The Neurocritic - May 17, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Acetaminophen Probably Isn't an " Empathy Killer "
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Source: The Neurocritic - May 17, 2016 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Being a Cancer Treatment Partner
Recently my wife was asked to advise one of our friends about the process of cancer treatment.    As I wrote in my 2011 post about our family's experience with cancer, the treatment involves everyone close to the patient.   Here are Kathy's notes for families of cancer patients, which I post in the hope that they will help others."I promised  to pencil out tips for how you can best serve as a cancer treatment partner.Here is a great resource to read on the general way to help.At the treatment planning visit, you should take notes so the patient can remember things later more clearly. Also, if you have a...
Source: Life as a Healthcare CIO - April 27, 2016 Category: Information Technology Source Type: blogs

This won't end the opioid epidemic . . .
. . . but it might help. The CDC has come up with new guidelines for opioid prescribing in outpatient care which are heavily promoted in the leading medical journals. (The link is to NEJM, which proffers it for free to the subscriptionless rabble.)The story of how we got where we are is pretty well known, I think. But I'll recap it for convenience. Chronic pain (CP) is the most prevalent and expensive health condition in the United States, estimated to cost up to $635 billion per year in health care costs and lost productivity. Often pain is from osteoarthritis or other identifiable physical causes, but as I have discussed...
Source: Stayin' Alive - April 21, 2016 Category: American Health Source Type: blogs

Digitizing Self-Healthcare with Google, Pfizer, Under Armour, Walgreens and WebMD
How can digital technologies enable self-healthcare in novel ways? This was the theme of a meeting sponsored by Pfizer Consumer Healthcare and hosted by Google, with the title, “Advancing Consumer Health through New Technology and Next Generation OTC Healthcare” held on 12th April 2016 at Google offices in Manhattan’s Chelsea neighborhood. Pharmaceutical brand drugs switching to over-the-counter packaged goods, the Cellscope Otoscope used by parents checking their young children’s earaches, connected shoes and earbuds for athletic enhancement, and omni-channel retail shopping….these are a few of the signals we s...
Source: Disruptive Women in Health Care - April 20, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Rx Source Type: blogs

Ultrasound: Foreign Body Removal
Part 2 in a SeriesAre you ready for summer? That means more bare feet, flip-flops, and the potential for foreign bodies of the foot and toe. We will continue to highlight tools and tricks to help you master soft tissue foreign body removal in the emergency department. A refresher on the basics of ultrasound is available in our blog post from last month: http://emn.online/1UGtduz.Foreign bodies of the toe or foot are common presentations in emergency departments, and one way to determine the size and shape of retained superficial foreign bodies is to use ultrasound and the linear probe. This simple technique may hel...
Source: The Procedural Pause - April 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

When Exercise Plans Go Awry: The Ball's in Your Court
By Crabby McSlackerHi y'all!Yep, as you can tell by my accent, I'm still in Texas. Our place in Provincetown Massachusetts is still undergoing renovation.And how's that going?Since our move-in date is fast approaching, we were curious ourselves. So a few days ago some kind friends of ours stopped by the place to snap an encouraging picture for us and...Um....Still a little work to do, apparently.Of course there are all sorts of tempting analogies I could draw between home remodeling and fitness. Because home improvement and self improvement projects have a lot in common, right? Both require patience, planning, determinatio...
Source: Cranky Fitness - March 30, 2016 Category: Consumer Health News Authors: J Graham Source Type: blogs

Snow In March
Late March, at that. The first day of spring, officially, was yesterday. You wouldn’t know it by today’s weather, though. Last night and early this morning the area where I live received probably three inches of snow. While that by itself isn’t a big deal, apparently there was a short tremor near me with the epicenter near Hopkinton, New Hampshire. I wasn’t aware of it until a few minutes before I started writing this, and apparently it lasted for 20-30 seconds. Considering we’re talking about New England weather, this isn’t terribly aberrant. Just the same, it is a little bit annoying. ...
Source: Qui Interrogat - March 21, 2016 Category: Nursing Authors: Walt Trachim Tags: Uncategorized Source Type: blogs

CDC Releases Guidelines for Prescribing Opioids
The dramatic increase in overdose deaths due to opioids has been a major focus of political and medical leaders over the last few months, and the Center for Disease Control and Prevention recently released new guidelines for practitioners to think twice before prescribing opioid medications for their patients. The guidelines, which are voluntary, ask primary care providers who are treating adults with chronic pain to consider alternatives to prescription painkillers such as oxycodone and hydrocodone, to limit treatment length, and to monitor their patients to see if the opioids are the best choice for them. Even though...
Source: Policy and Medicine - March 21, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

A Nefarious Character with an Agenda
Every new advanced nurse practitioner, physician assistant, or resident gets his fair share of complex emergency department procedures during training. Seasoned providers, however, are just as excited to place a central line in a septic patient, LP a "rule-out meningitis," or swiftly fix a nursemaid's elbow.This month we hope to remind you of a few sweet and satisfying procedures that take only moments to do. Your skill in completing these procedures is imperative. Not only will you amaze your patient, but you'll shorten your door to dispo-time.The StyeThe stye is a nefarious character with an agenda. It starts o...
Source: The Procedural Pause - February 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Do you know about behcet’s syndrome?
I was reading some medical records the other day and came upon a condition known as Behcet’s syndrome. It is actually a rare disease, but more frequent and severe in patients from the Eastern Mediterranean and Asia. Inherited (genetic) and environmental factors, such as microbe infections, are suspected to be factors that contribute to the development of Behcet’s. The syndrome is not proven to be contagious. The symptoms of Behcet’s syndrome depend on the area of the body affected. Behcet’s syndrome can involve inflammation of many areas of the body. These areas include the arteries that supply blood to the body’...
Source: Nursing Comments - January 24, 2016 Category: Nursing Authors: Stephanie Jewett, RN Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases Behcet's disease Behcet's syndrome cortisone genital ulcers inflammation mouth ucerations skin test Source Type: blogs

Do you know about behcet ’s syndrome?
I was reading some medical records the other day and came upon a condition known as Behcet’s syndrome. It is actually a rare disease, but more frequent and severe in patients from the Eastern Mediterranean and Asia. Inherited (genetic) and environmental factors, such as microbe infections, are suspected to be factors that contribute to the development of Behcet’s. The syndrome is not proven to be contagious. The symptoms of Behcet’s syndrome depend on the area of the body affected. Behcet’s syndrome can involve inflammation of many areas of the body. These areas include the arteries that supply blood to the body’...
Source: Nursing Comments - January 24, 2016 Category: Nursing Authors: Stephanie Jewett, RN Tags: Advice/Education Caregiving General Public Nursing/Nursing Students Patients/Specific Diseases Behcet's disease Behcet's syndrome cortisone genital ulcers inflammation mouth ucerations skin test Source Type: blogs