Why medical research keeps changing its mind
Did you ever wonder why medical research seems to flip-flop so often? Eggs used to be terrible for your health; now they’re not so bad. Stomach ulcers were thought to be due to stress and a “type A personality” but that’s been disproven. I was taught that every postmenopausal woman should take hormone replacement therapy to prevent heart disease and bone loss; now it’s considered way too risky. It can make you question every bit of medical news you hear.
But maybe that’s not such a bad thing. Questioning what you read or hear is reasonable. And maybe medical reversals — when new research leads to a complete t...
Source: Harvard Health Blog - January 3, 2020 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Medical Research Prevention Tests and procedures Source Type: blogs
Neonatal Intensive Care
Dr Oliver Flower Neonatal Intensive Care
A neonates journey, just what feedback would your neonatal patient give you after 3 months of intensive care? Insight into the world of a NICU with Trish Woods (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - January 2, 2020 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Clinical Crit Care Intensive Care Pediatrics SMACC19 Neonatal Intensive Care neonate Source Type: blogs
Road to Resus 3: Trauma in the ICU
Dr Oliver Flower Road to Resus 3: Trauma in the ICU
Pre-hospital Resuscitation: Road to Resus Chapter 1 Ashley Liebig, Reuben Strayer and a panel of experts Three episodes spanning the patient journey from roadside pre-hospital trauma through the emergency and resuscitation rooms to the Intensive Care unit. Episode 1: Pre-hospital Resuscitation Episode 2: Resus in Emergency Episode 3: Trauma in the ICU Episode 3 follows […] (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 23, 2019 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Clinical Crit Care SMACC19 trauma Source Type: blogs
Mastering Intensive Care 050 with Andrew Davies
Dr Andrew Davies Mastering Intensive Care 050 with Andrew Davies
To celebrate the 50 episode milestone, podcast host and intensivist Andrew Davies (yes that’s me) is in the spotlight. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 21, 2019 Category: Emergency Medicine Authors: Dr Andrew Davies Tags: Mastering Intensive Care Andrew Davies Source Type: blogs
Vapers Beware: New Study Does NOT Show that E-Cigarettes Cause Chronic Lung Disease
This study is deeply flawed because it fails to consider the most likely explanation for the study findings: that people who use e-cigarettes more likely have a history of more intense smoking than people who do not use e-cigarettes. For example, onestudy found that while only 21% of adult smokers who did not vape were heavy smokers, 68% of adult smokers who did vape were heavy smokers (or had been heavy smokers).This is critical because it shows that in order to control for smoking history properly in a study such as this one, you cannot merely control for whether or not someone was a current or ever smoker at baseline. Y...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 17, 2019 Category: Addiction Source Type: blogs
Road to Resus 2: Resus in Emergency
Dr Oliver Flower Road to Resus 2: Resus in Emergency
Pre-hospital Resuscitation: Road to Resus Chapter 1 Ashley Liebig, Reuben Strayer and a panel of experts Three episodes spanning the patient journey from roadside pre-hospital trauma through the emergency and resuscitation rooms to the Intensive Care unit. Episode 1: Pre-hospital Resuscitation Episode 2: Resus in Emergency Episode 3: Trauma in the ICU Part 2 of […] (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 16, 2019 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Clinical Crit Care SMACC19 Resuscitation Source Type: blogs
Paediatric Intensive Care Audit Network annual report 2019: summary report
Paediatric Intensive Care Audit Network (PICANet) - This is the sixteenth annual PICANet clinical audit report summarising paediatric critical care that took place in the United Kingdom (UK) and Republic of Ireland (ROI) between 2016 and 2018. PICANet continues to provide key information to monitor the quality of care and clinical outcomes in relation to agreed standards, and inform national policy in paediatric critical care.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 15, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Source Type: blogs
Explain yourself, machine. Producing simple text descriptions for AI interpretability
We describe a feature, give a location, and then synthesise a conclusion. For example:
There is an irregular mass with microcalcification in the upper outer quadrant of the breast. Findings are consistent with malignancy.
You don’t need to understand the words I used here, but the point is that the features (irregular mass, microcalcification) are consistent with the diagnosis (breast cancer, malignancy). A doctor reading this report already sees internal consistency, and that reassures them that the report isn’t wrong. An common example of a wrong report could be:
Irregular mass or microcalcification. No ...
Source: The Health Care Blog - December 12, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Artificial Intelligence Health Tech AI Luke Oakden-Rayner machine learning Radiology Source Type: blogs
Are the Critically Ill Actually Hungry?
Dr Oliver Flower Are the Critically Ill Actually Hungry?
The delivery of nutrition to the critically ill is incredibly complex. There is little evidence that providing standard nutritional requirements of 25K/cal/Kg improves outcome. Foremost amongst this evidence is the TARGET trial, a large randomised controlled trial of 4000 patients in Intensive care (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 11, 2019 Category: Emergency Medicine Authors: Dr Oliver Flower Tags: Clinical Crit Care Intensive Care SMACC19 Critical Care Nutrition Nutritional Assessment Nutritional Requirements TARGET Source Type: blogs
Mastering Intensive Care 049 with Hugh Montgomery
Dr Andrew Davies Mastering Intensive Care 049 with Hugh Montgomery
British intensivist, Professor Hugh Montgomery, a deeply passionate and highly intelligent man, who was a founding member of the UK Climate and Health Council, and who has helped raise awareness about climate change for over 2 decades. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 11, 2019 Category: Emergency Medicine Authors: Dr Andrew Davies Tags: Mastering Intensive Care Arctic tern Artic tern climate climate and health alliance climate change Cloudsailors Control Hugh Montgomery Source Type: blogs
Mastering Intensive Care 048 with Laura Rock
Dr Andrew Davies Mastering Intensive Care 048 with Laura Rock
Dr Laura Rock, an American intensivist, who reminds us on this podcast that communication skills are learnable (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - December 10, 2019 Category: Emergency Medicine Authors: Dr Andrew Davies Tags: Mastering Intensive Care communication skills Laura Rock Source Type: blogs
Virtue and Suffering: Where the Personal and Professional Collide
By Lauren Rissman A distraught, exhausted mother asked through her tears, “Doctor, what would you do?” The palliative care, neurology and pediatric intensive care team sat in silence in the cold glow of fluorescent light. At that moment, I felt a zap of pain to my heart. It was sharp, followed by a lingering ache. […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - December 9, 2019 Category: Medical Ethics Authors: reflectivemeded Tags: Health Care syndicated Uncategorized Source Type: blogs
3 lessons physicians can learn from adversity
This time last year, I took the podium at conferences as far away as Dubai to deliver my keynote speech entitled,“On The Cusp Of Life And Death, Choose Life.” My talk highlighted the professional and personal development opportunities that show up as doctors, nurses, and parents navigate the challenges in the neonatal intensive care […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 3, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/stephanie-wellington" rel="tag" > Stephanie Wellington, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs
SOMATOM On.site: A Portable CT Scanner for Bedside Head Exams
At the ongoing RSNA conference in Chicago, a gathering of the world’s radiologists, Siemens Healthineers introduced its SOMATOM On.site CT scanner that can be wheeled right into patient rooms for bedside exams.
Currently, patients requiring a head CT have to be taken to wherever the scanner is, but the mobility of the SOMATOM On.site allows for the equation to flip. For patients in intensive care units this reduces the risks involved in transportation and doesn’t tie up multiple staff when a single person can transport the SOMATOM On.site on their own. The device even features a front facing camera that dis...
Source: Medgadget - December 3, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Critical Care Neurology Neurosurgery Radiology Source Type: blogs
New Portable MRI Could Change the Way We Approach Emergency Imaging
Jonathan Rothberg, an entrepreneur with a knack for developing creative solutions for imaging needs, is adding a portable MRI scanner about the size of a photo booth to his growinglistof accessible imaging inventions. The scanner was spun out of Rothberg ’s latest startup, Hyperfine. According to STAT News, the MRI is priced around $50,000, it ’s 20 times cheaper to build than traditional MRI, 10 times lighter, and consumes 35 percent less energy than a 1.5 Tesla MRI. It was designed for emergency situations, and can be easily wheeled around and patients don’t need to remove any metal accessories to use it. Ke...
Source: radRounds - November 15, 2019 Category: Radiology Authors: Julie Morse Source Type: blogs
