Technology Enables the Monitoring of Complex Patients at Home
I have blogged frequently about the decreasing number of inpatient hospital admissions (see, for example:Talking to Patients Helps Reduce Hospital Readmissions; Inpatient Admissions Decreasing; Implications for Hospital-Based Labs). One of the factors contributing to this decline are new healthcare models such as"hospital at home" for the care of sicker patients in their homes (see:Are Hospitals Becoming Obsolete; Consequences for Pathology and the Labs;Reducing the Cost of Care; Provide Home Care for Sicker Patients with Remote Monitoring). The majority of the patients suitable for this care approach are CCC pat...
Source: Lab Soft News - July 31, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Delivery Healthcare Information Technology Healthcare Innovations Point-of-Care Testing Public Health Telemedicine Source Type: blogs

Mastering Intensive Care 045 with Scott Weingart
Dr Andrew Davies Mastering Intensive Care 045 with Scott Weingart Episode 45: Scott Weingart - Useful mental strategies of a thoughtful ED intensivist and hugely influential podcaster (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - July 22, 2019 Category: Emergency Medicine Authors: Dr Andrew Davies Tags: Mastering Intensive Care Podcast emcrit emcrit.org Scott Weingart Source Type: blogs

Potrero Medical Receives CE Mark for the Accuryn ® Monitoring System.
The company received its FDA clearance in 2016 when it transformed the traditional urinary catheter into a smart sensing platform that helps to accurately monitor vital signs in real-time, such as urine output (UO) and intra-abdominal pressure (IAP). Traditional urinary catheters have issues draining urine from the bladder, causing inaccurate UO measurements. Using active drain line clearance, the Accuryn® Monitoring System automatically clears the drainage line as needed. Hayward, California – July 15, 2019 – Potrero Medical has received CE mark in the European Union for its technology platform, the Accury...
Source: Medgadget - July 15, 2019 Category: Medical Devices Authors: Potrero Medical Tags: Anesthesiology Cardiac Surgery Cardiology Critical Care Medicine News Sponsored Content Urology Potrero Source Type: blogs

Blood Flow Measurement Using Tiny LED Catheter
Measuring blood flow is important during a variety of surgical procedures, as well as in intensive care settings. Typically, this is performed intermittently, so there’s not a lot of temporal detail in the readings. Now, a team of researchers at Flinders University in Australia has developed a proof-of-concept prototype vascular catheter that can detect tiny changes in blood flow around itself. Because the sensor and the catheter it is attached to are so narrow, it has the potential to be used in neonatal intensive care units, as preemies often suffer from falls in blood pressure and impaired delivery of oxygen t...
Source: Medgadget - July 10, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Cardiac Surgery Cardiology Materials Radiology Vascular Surgery Source Type: blogs

Medicine, mindfulness, movement, mental (ill)health and creativity
Dr Chris Nickson Medicine, mindfulness, movement, mental (ill)health and creativity Dr Elizabeth Winson gives her take on medicine, mindfulness, movement, mental (ill)health and creativity. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - June 23, 2019 Category: Emergency Medicine Authors: Dr Chris Nickson Tags: FFFF Intensive Care LITFL creativity Elizabeth Winson exercise medicine mental health mental illness mindfulness Source Type: blogs

Miracle Medical Machine ECMO Makes Heroic Rescues, but Leaves Patients in Limbo
I am delighted to be a small part of this USA Today story on ECMO. It includes some compelling patient stories.  ECMO is not designed to be a destination, but a bridge to somewhere – recovery, transplantation or an implanted heart device. But when patients are too sick to reach those goals, ECMO can become a "bridge to nowhere," leaving the patient in limbo, possibly even awake and alert, but with no chance of survival outside the intensive care unit. Medical teams and families can be fiercely divided over when to pull the plug. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 18, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Algorithm Uses Individual Medical History to Predict Patient ’s Chance of Survival in ICU
Researchers in Denmark have developed a new algorithm that predicts an individual patient’s risk of mortality in the ICU. Their work, recently published in the journal Digital Health, demonstrates that the algorithm outperforms current non-computational methods of estimating mortality. Algorithms of this nature can help direct resources where they are needed most to best improve patient outcomes, and help catch problems early. In the ICU, doctors and nurses already use various metrics in order to estimate an individual’s chance of survival, so as to determine the best treatment course and deliver optimal care. Yet, the...
Source: Medgadget - June 12, 2019 Category: Medical Devices Authors: Siavash Parkhideh Tags: Critical Care Informatics Source Type: blogs

A family physician changes the culture of his department
“He died because he’s Black!” screamed his mother, inconsolable in the intensive care unit as her unresponsive teenage son underwent a formal neurologic examination. We had done all that we could. Mr. M had experienced a cardiac arrest for unknown reasons at home, and his mom felt the emergency medical technicians treated her son differently, […]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 - June 1, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/cleveland-piggott" rel="tag" > Cleveland Piggott, MD, MPH < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Where did all the magnesium go?
We pay special attention to restoration of magnesium in the Wheat Belly lifestyle. This is because magnesium deficiency is universal, affecting virtually everyone, is severe, and has substantial implications for health. But why? Why has everyone become so depleted in magnesium in the modern world? There are five major reasons: Water filtration—We filter our water out of necessity, since modern waterways are contaminated by sewage runoff, pesticide/herbicides, algal overgrowth, etc. So, rather than drinking from a nearby stream or river that runs freely over rocks and minerals rich in magnesium, we drink water filter...
Source: Wheat Belly Blog - May 30, 2019 Category: Cardiology Authors: Dr. Davis Tags: Magnesium grain-free phytates undoctored wheat belly Source Type: blogs

Mastering Intensive Care 043 with Jo Stewart
Dr Andrew Davies Mastering Intensive Care 043 with Jo Stewart Mastering Intensive Care Episode 43 with Jo Stewart - Educating, leading, retaining and supporting Intensive Care nurses (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - May 13, 2019 Category: Emergency Medicine Authors: Dr Andrew Davies Tags: Mastering Intensive Care BASIC for nurses International nurses day Jo Stewart Nursing Source Type: blogs

NICU Graduates: On Track for Ongoing Feeding Success!
As each little feeder prepares to transition from our 20-bed, level III (very tiny or sick newborns) neonatal intensive care unit (NICU) to home, the interprofessional team assigns them one of three tracks to support their feeding skills progression. We do this as part of the rounds our team participates in together each day. This approach helps monitor feeding as babies mature, provides prompt intervention when needed, and supports our ongoing goal of reduced hospital readmissions associated with feeding. Here’s how each track works to support our smallest patients: Third track infants receive the guidance of our nurse...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - May 10, 2019 Category: Speech-Language Pathology Authors: Allyson Goodwyn-Craine Tags: Health Care Private Practice Slider Speech-Language Pathology Early Intervention Feeding Disorders NICU Swallowing Disorders Source Type: blogs

VitalMinds from Philips to Control Delirium in ICU
Patients in Intensive Care Units (ICUs) often suffer through delirium, including experiencing disorientation and witnessing hallucinations. Going through delirium seems to negatively affect future outcomes, in addition to being a hindrance to receiving proper medical care while hospitalized. For these reasons acute delirium should be dealt with, but there are few real treatment options. Philips is now releasing a solution that the company believes will help to lessen the frequency of delirium in ICU patients. The VitalMinds product consists of a VitalSkyp light therapy system, a controlled sound environment, and training ...
Source: Medgadget - May 6, 2019 Category: Medical Devices Authors: Editors Tags: Critical Care Neurology Psychiatry Source Type: blogs

The eICU Is Turning Night Into Day Through Telemedicine
Physicians and nurses deliver care from the other side of the Earth by working in daylight hours in Australia covering night shifts in Atlanta with the help of telemedicine. That’s the core concept of how night intensive care in the Emory eICU Center is carried out in partnership with Emory Healthcare, the Royal Perth Hospital in Australia and health technology company, Philips. Emory is the very first who’s bringing its staff to the other side of the globe for better patient care and more satisfied staff. The vision to turn “night into day” was co-developed by Timothy Buchman, Ph.D., MD, founding director of the E...
Source: The Medical Futurist - May 2, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Medical Professionals Telemedicine & Smartphones care clinical practice critical care digital digital health doctor Healthcare healthcare design healthcare process healthcare system Innovation nurse technol Source Type: blogs

Mastering Intensive Care 042 with Paul Young
Dr Andrew Davies Mastering Intensive Care 042 with Paul Young Mastering Intensive Care Podcast 042 with Paul Young: Moving on as an ICU family after the death of a respected leader (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 27, 2019 Category: Emergency Medicine Authors: Dr Andrew Davies Tags: Mastering Intensive Care Podcast Dr Peter Hicks Paul Young Source Type: blogs