ivWatch Monitors IV Placement Sites for Leakage, Now Cleared by FDA
ivWatch, a company based in Newport News, Virginia, won FDA clearance for its SmartTouch sensor that detects peripheral IV infiltration and extravasation events. Though somewhat rare, these can be difficult to notice and a late response can lead to grave consequences. The SmartTouch sensor can warn physicians that something is wrong, sometimes hours before a clinician would notice any visual or tactile changes on the patient’s body. The sensor, which is already cleared in Europe, is a single-use disposable device that can be used on patients of any age, including those in the neonatal intensive care unit. Thanks t...
Source: Medgadget - July 8, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Anesthesiology Critical Care Emergency Medicine Pediatrics Public Health Source Type: blogs

Robotic Transcranial Doppler for Stroke Detection and Risk Assessment in COVID: Interview with Diane Bryant, Neural Analytics
Emerging evidence suggests that COVID-19 patients are at a higher risk of stroke and promptly diagnosing and treating such patients is a priority in hospitals across the world. Moreover, identifying which COVID-19 patients are at increased risk of developing a stroke is also important, and may help with preemptive treatment and monitoring. The Lucid Robotic System, developed by LA-based Neural Analytics, is a transcranial doppler system that allows clinicians to identify clots and changes in blood flow in the brain in real time, without needing a specialized technician. The device is robotically assisted and automat...
Source: Medgadget - July 6, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Critical Care Emergency Medicine Exclusive Neurology Neurosurgery Source Type: blogs

Silence Can Be Deadly: Speak up for Safety in a Pandemic
By LISA SHIEH MD, PhD, and JINGYI LIU, MD Jingyi Liu Lisa Shieh There have been disturbing reports of hospitals firing doctors and nurses for speaking up about inadequate PPE. The most famous case was at the PeaceHealth St. Joseph hospital in Washington, where Dr. Ming Lin was let go from his position as an ER physician after he used social media to publicize suggestions for protecting patients and staff.  At Northwestern Memorial Hospital in Chicago, a nurse, Lauri Mazurkiewicz warned colleagues that the hospital’s standard face masks were not safe and brought her own N95 mask. She was fired by the hospita...
Source: The Health Care Blog - June 30, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Hospitals Medical Practice Physicians Hospital safety Jingyi Liu Lisa Shieh Quality safety culture Stanford Medicine Source Type: blogs

COVID-19: information for health and care professionals
Last updated 24th November 2020, 0920 UK time - entries added marked NEW.On this page, evidence summaries, guidelines and government and related information for practitioners.See also theepidemiology and genetics andcurrent awareness pages.  There is a page ofjournal and database publishers making content available free.NEW - REACTFindings from the Real-time Assessment of Community Transmission studyResources from Royal Colleges (list maintained by HEE)Clinical TrialsThe WHO ICTRP indexes trials from a number of sources, including the US and EU registries.  From thelaunch page you can download lists of ...
Source: Browsing - June 27, 2020 Category: Databases & Libraries Tags: coronavirus COVID-19 NCOV Source Type: blogs

The role of the ethics consultant in triage: an Italian experience
by Mario Picozzi, MD Ph.D., Federico Nicoli, Ph.D., Paolo Severgnini, MD The Varese Hospital is located in northern Lombardy and has a total of 582 beds. Last April, 206 of these were dedicated to positive Covid19 patients and 47 were reserved for the Intensive Care Unit (ICU). During the emergency, we have chosen to carry out triage with reference to the criterion of proportionality. This criterion considers both clinical indications and patient preferences, along with treatment costs. We have decided to use this criterion for two reasons: first of all, it actually allows a choice on a case-by-case basis, without falling ...
Source: blog.bioethics.net - June 16, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Clinical Ethics Featured Posts Global Ethics #covid19 #diaryofaplagueyear #reportsfromaroundtheworld COVID-19 Source Type: blogs

Suppressed Voices in Inter-Professional Conflicts
by Asma Fazal, M.B.B.S, MRCPI, MHSc   To care for children in the neonatal intensive care unit (NICU) and the pediatric intensive care unit (PICU) is not easy because in addition to having an emotionally charged environment with high morbidity and mortality, it has a patient population who is not autonomous. Caring for these children in a highly tense environment requires difficult decision-making, which can be ethically challenging at times. These ethical challenges may arise, and vary from lack of interprofessional collaboration, conflicts in values regarding what is the right thing to do in the clinical context, t...
Source: blog.bioethics.net - June 4, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Clinical Ethics Decision making Education Featured Posts Global Ethics Health Care Pediatrics Interprofessional collaboration Interprofessional Conflicts Source Type: blogs

The Meaning of Care and Ethics to Mitigate the Harshness of Triage in Second-Wave Scenario Planning During the Covid-19 Pandemic
by Mathias Wirth, Ph.D.; Laurèl Rauschenbach, MD; Brian Hurwitz, MA, MSc, MD, FRCP, FRCGP; Heinz-Peter Schmiedebach, MD; Jennifer A. Herdt, Ph.D Although the number of severely ill people is declining in some epicenters, there is a risk of a second wave of COVID-19 infection with a large number of patients who are likely to require ventilation or other forms of intensive care. In the current state of the pandemic, second-wave scenario planning should give consideration to alternatives to triage. The shortage of ventilators showed that despite the existence of triage guidelines, moral questions remain. … (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 3, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts OPC Public Health #covid19 #diaryofaplagueyear COVID-19 Triage Source Type: blogs

Parenting as an ICU physician
COVID-19 has upended the medical community. Nowhere more so than in the intensive care unit. Life as an intensivist with two young children and a working spouse is never dull. I liken it to tight-rope walking with a pole for balance. I wake up every morning and balance the clinical responsibilities, teaching, reviewing journals, learning, […]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, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mary-jarzebowski" rel="tag" > Mary Jarzebowski, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Critical Care Hospital-Based Medicine Infectious Disease Source Type: blogs

Is Family Presence Safe During the COVID-19 Pandemic?
by Stephen P. Wood, MS, ACNP-BC I stood facing the iPad attached to a rolling stand punching in the phone number of the young granddaughter of my intensive care unit patient. He arrived less than twenty-four hours before. I had taken the call the day before from the outside hospital emergency department and the story was grim. This was a seventy-six-year-old male who had acute myeloid leukemia, hypertension, as well as a history of congestive heart failure. He had been sick for the past two days with a fever, a cough and weakness.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 1, 2020 Category: Medical Ethics Authors: Blog Editor Tags: End of Life Care Featured Posts Health Care Public Health #bioethicsontheground #covid19 #diaryofaplagueyear COVID-19 Source Type: blogs

COVID-19 from the New York City frontlines [PODCAST]
“As a physician anesthesiologist who has previously been on assignment for Doctors Without Borders in a resource-depleted region fraught with conflict, I ’d like to say there’s little I haven’t seen. But now, after four weeks of staffing COVID intensive care units and emergency response teams throughout New York City, I struggle to distinguish between the […]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, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Anesthesiology COVID-19 coronavirus Infectious Disease Source Type: blogs

STEM CELL THERAPY: Update on Patients Treated with PLX cells for Acute Respiratory Distress Syndrome (ARDS) associated with COVID-19
On May 14, 2020, Pluristem Therapeutics Inc. published follow-up data on patients treated under their compassionate use program. These patients were all being treated for with Acute Respiratory Distress Syndrome (ARDS) associated with the SARS-CoV-2 virus, and in intensive care units requiring mechanical ventilation. As of the publication date, 18 patients have been treated with PLX cells, allogeneic mesenchymal-like cells derived from human placentas after the delivery of full-term healthy babies. The patients treated include one patient in the United States. This patient received the treatment as part of the FDA Single P...
Source: Cord Blood News - May 28, 2020 Category: Perinatology & Neonatology Authors: maze_cordadmin Tags: stem cells Source Type: blogs

Observations from “seeing” patients on the other side of the phone
Little did I know when I selected my sub-specialty during residency that 15 years later, we would be at the forefront of a pandemic. Over the last eight weeks, I have, just like many physicians trained in pulmonary and critical care medicine, spent countless hours in the intensive care unit (ICU) treating patients with COVID-19, […]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 - May 21, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sucharita-kher" rel="tag" > Sucharita Kher, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Mobile health Source Type: blogs

Choosing Between Life and Death During COVID-19: The A.I. Trolley Problem
Suppose you’re the sole witness of a trolley that has gone out of control, hurtling towards 5 people tied to its track, with no way to stop it in time. Good news: there’s a lever you can pull to alter its direction. Bad news: the other track isn’t safe either as it has one person tied to it. What will you do in this situation? Let the trolley continue on its initial course and kill those 5 people on the way or pull the lever to save them at the expense of that other person’s life? Source: https://www.lionsroar.com/ This ethical thought experiment, known as the Trolley Problem, was put forth by Philippa Foot b...
Source: The Medical Futurist - May 14, 2020 Category: Information Technology Authors: Prans Tags: Artificial Intelligence Bioethics Future of Medicine Healthcare Policy covid19 Source Type: blogs

Will the Uncertainties of COVID Science Resurrect Blogs?
Health news was popular before the pandemic. Now, almost all news is health news. It’s not only a rapt audience contributing to the deluge of COVID19 news. Two other factors: 1) the availability of preprint servers, digital archives where a scientific paper can be published without formal peer-review and 2) the attention economy. Attention is currency. Since the business model of both scientific journals, internet-based medical news sites and mainstream media is attention (citations, views), both groups are eager to publish all that is COVID. The slew of COVID papers are outpacing the normal vetting process. ...
Source: Dr John M - May 8, 2020 Category: Cardiology Authors: Dr John Source Type: blogs

Please don ’t call me a hero. This is what nurses have always done.
Before becoming a certified registered nurse anesthetist (CRNA), I was a surgical intensive care unit (SICU) nurse for decades. During that time, I often saw patients during their greatest time of need – trauma victims, transplant recipients, patients with brain tumors, ruptured aortas, and septic shock. I thought I had seen it all, but working […]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 - May 4, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Conditions COVID-19 coronavirus Critical Care Infectious Disease Source Type: blogs