Mastering Intensive Care 036 with Hayley Gershengorn
Hayley Gershengorn: Allocating ICU resources to optimise patient outcomes and job satisfaction. Mastering Intensive Care Podcast - Andrew Davies
The post Mastering Intensive Care 036 with Hayley Gershengorn appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - November 13, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Mastering Intensive Care Hayley Gershengorn Source Type: blogs
Dementia Patients Face Needless Transitions in Last 90 Days of Life
This study finds such transitions are not consistent with goals of providing dying patients with comfort.By Alzheimer's Reading RoomA study in theNew England Journal of Medicine reports thatnearly one in five nursing home residents with advanced dementia experiences burdensome transitions in the last 90 days of life.This includes moving to a different facility in the last three days of life or repeat hospitalizations for expected complications of dementia in the last 90 days of life."Ultimately, all of these problems are signs of care gone awry.The best care for a patient with advanced cognitive impairment near the end of ...
Source: Alzheimer's Reading Room, The - November 10, 2018 Category: Neurology Tags: aging alzheimers care alzheimers information dementia elder care health medical science nursing home palliative care Source Type: blogs
This is how your vote affects children ’s health
As pediatricians who care for fragile, premature babies — we know firsthand the road to child health runs through quality health insurance coverage. Our patients require breathing machines, customized intravenous nutrition, expensive, specialized equipment and 24/7 monitoring in the neonatal intensive care unit, often with a dedicated nurse. The high-t ech care our patients require is […]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 - November 1, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/shetal-shah-and-heather-l-brumberg" rel="tag" > Shetal Shah, MD and Heather L. Brumberg, MD, MPH < /a > Tags: Policy Pediatrics Public Health & Washington Watch Source Type: blogs
Antipsychotics Don't Help ICU delirium
by Drew Rosielle (@drosielle)It just gets worse and worse for the idea that antipsychotics have efficacy for delirium.Last year Iposted about the RCT of haloperidol, risperidone, or placebo for delirium symptoms in ' palliative ' patients. I ' m pretty sure I called for more controlled, ' high quality, ' trials, and we are lucky enough to have another.This one is arandomized, double-blinded, registered, controlled trial of haloperidol, ziprasidone, or placebo for ICU delirium, just published in NEJM.The trial took place in a geographically diverse group of US-based intensive care units. They enrolled adult patients in medi...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 25, 2018 Category: Palliative Care Tags: delirium icu journal article rosielle Source Type: blogs
Clinical Ethics and Inappropriate Care at ASBH 2018
In conclusion. patients assessed as receiving inappropriate critical care receive much burdensome and resource-intensive medical care, largely while non-alert, demonstrating the effects of mismatch between treatment and prognosis.
Creeping Noninterference-Focused Autonomy in Modern Medicine: How We Created and Continue to Feed the Problem of FutilityCatherine S. Heith, MD
The intersection of autonomy with modern-technologized and patient-satisfaction-driven medicine has had unexpected consequences. Although autonomy sprung from informed consent and the "right to die" movement, modern medicine, when paired with “ortho...
Source: blog.bioethics.net - September 29, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
The Power of a Pause
by Kayla Sheehan (@kksheehan)October TW, Dizon ZB, Arnold RM, Rosenberg AR.Characteristics of Physician Empathetic Statements During Pediatric Intensive Care Conferences With Family Members: A Qualitative Study. JAMA Network Open. 2018;1(3):e180351. doi:10.1001/jamanetworkopen.2018.0351Ask any patient what qualities they desire in a physician, and empathy will almost always make the list. A physician ’s ability to demonstrate empathy has beenshown to significantly impact patient outcomes1,increase patient satisfaction2, andraise physician “compassion satisfaction,” which may hinder burnout (3). Though much debate sur...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 28, 2018 Category: Palliative Care Tags: communication journal article NICU open access pallimed writing group pediatrics sheehan Source Type: blogs
Jellybean 100 with Claire Kerr
I’m proud to introduce to you Miss Claire Kerr, Paediatric Intensive Care Nurse at the Royal Children’s Hospital in Melbourne. I met Claire at the CICM ASM where she opened the conference. No spoilers here. You will have to listen to Claire’s own story in Claire’s own words. Claire is from Adelaide and had to ...
The post Jellybean 100 with Claire Kerr appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - September 28, 2018 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: Intensive Care JellyBean Pediatrics Claire Kerr Nursing Paediatric Intensive Care Royal Children's Hospital Source Type: blogs
Mastering Intensive Care 035 with Paul Wischmeyer
Never underestimate the simple things we do to our patients. How did your patient feel that time you took several attempts to place a CVC? What might happen after a dose of haloperidol for delirium? In this compelling episode, Professor Paul Wischmeyer, shares some of his experiences as a patient in the ICU. Since he ...
The post Mastering Intensive Care 035 with Paul Wischmeyer appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - September 28, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Mastering Intensive Care Paul Wischmeyer Source Type: blogs
Leaving time for last words
I was called to your room in the middle of an overnight shift. There you were, breathing quickly, neck veins bulging and oxygen levels hovering despite the mask on your face. I placed my stethoscope on your back and listened to the cacophony of air struggling to make its way through your worsening pneumonia.
“We’re going to place a tube down your throat to help you breathe,” I told you.
Your eyes were pleading, scared. “We’ll put you to sleep. It’ll help you breathe more comfortably. Okay?”
You nodded. You had already told the doctors who cared for you during the day that if your breathing worsened, you would...
Source: Harvard Health Blog - September 24, 2018 Category: Consumer Health News Authors: Daniela J. Lamas, MD Tags: Caregiving End of life Health Tests and procedures Source Type: blogs
Jellybean 099 with Prof Michael Pinsky
This is the third in a special series of Jellybean Podcasts recorded at the College of Intensive Care Medicine’s Annual Scientific Meeting (#CICMASM2018) in Hobart, Tasmania. Professor Michael Pinsky, Researcher extraordinaire and seemingly on the editorial board of almost every journal in critical care. Michael Pinsky needs no introduction. Literally none. Michael is a giant ...
The post Jellybean 099 with Prof Michael Pinsky appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - September 21, 2018 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: JellyBean CICMxJB Michael Pinsky Source Type: blogs
Mastering Intensive Care 034 with Marianne Chapman
Do you have too many career interests outside of your basic clinical practice? Are your daily focus areas as few as three? Family, clinical and perhaps one other thing? In this episode Australian intensivist, Marianne Chapman, speaks about how she keeps her life under control by focusing on her big three – family, clinical and research. ...
The post Mastering Intensive Care 034 with Marianne Chapman appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - September 12, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Marianne Chapman TARGET Source Type: blogs
A young mother ’s close call with opioid dependence
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
Every physician takes the Hippocratic oath and promises to “do no harm.” In the face of the current opioid epidemic, this includes protecting our patients from dependence and addiction, including those who are suffering from debilitating acute and chronic pain. Sometimes this involves getting creative as we develop treatment plans. Luckily, opioids are not the only, nor always the best, defense against pain.
One patient who avoided the negative side effects of long-term opioid use was Beth Hunt. Beth was living life as a new mom wh...
Source: Kevin, M.D. - Medical Weblog - September 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/greg-thompson" rel="tag" > Greg Thompson, MD < /a > Tags: Conditions Pain Management Surgery Source Type: blogs
Jellybean 098 with Dr Susanna Price
Today’s guest is Dr Susanna Price, Clinical Lead in Critical Care, Royal Brompton Hospital, President Elect of the European Society of Cardiology, published everywhere and co-author of too many guidelines to mention. Fresh off the flight from London Susanna stepped up and talked sense to the biggest crowd ever to attend a CICM ASM. The ...
The post Jellybean 098 with Dr Susanna Price appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - September 11, 2018 Category: Emergency Medicine Authors: Dr Doug Lynch Tags: Intensive Care JellyBean CICMxJellybean Grown Up Congenital Heart Disease GUCH Jane Somerville Susanna Price Source Type: blogs
Delirium is a serious and common outcome of treatment in hospital intensive care
Since intensive care units (ICU) were created in hospitals more than a half a century ago, there has been a steady decline in death rates for individuals who are critically ill and require life support. That’s significant and meaningful progress, and it’s thanks to the pioneering work of many doctors, nurses and researchers who have discovered better ways to liberate patients from life support so that they can leave the hospital breathing and functioning on their own.
But as a neurologist who practices medicine in the intensive care unit, I’ve come to recognize that we now need to focus the same attention on the ne...
Source: Kevin, M.D. - Medical Weblog - September 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/j-gordon-boyd" rel="tag" > J. Gordon Boyd, MD, PhD < /a > Tags: Conditions Critical Care Neurology Source Type: blogs
Jellybean 097 with Prof Jean-Louis Teboul
CICMxJellybean 2018 series from the CICM ASM in Hobart. Professor Jean-Louis Teboul. Unexpectedly Unorthodox (CICMxJB 5) In 2018 the College of Intensive Care Medicine of Australia and New Zealand held its Annual Scientific Meeting in Hobart, Tasmania. As they did in Sydney 2017 the college invited Doug Lynch along to interview the 4 top international ...
The post Jellybean 097 with Prof Jean-Louis Teboul appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - September 5, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: Intensive Care JellyBean CICMxJB Jean-Louis Teboul Randomised Control Trial Source Type: blogs
