Research and Reviews in the Fastlane 063
This study was made in healthy volunteers crossing over 10′ of 6L NC and then 15L NC. There was more discomfort while at 15L compared with 6L but resolved quickly after termination. There were no adverse outcomes.Recommended by: Daniel CabreraPublic Health, Infectious Diseases Gonsalves G, Stanley P. Panic, Paranoia, and Public Health – The AIDS Epidemic’s Lessons for Ebola. NEJM 2014. PIMD: 25372947Excellent editorial from two AIDS activists looking at our response to the current Ebola pandemic through the lens of living through the initial AIDS panic. There are obvious parallels in the media and public...
Source: Life in the Fast Lane - December 24, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Education airway critical care emergency Emergency Medicine Intensive Care R&R in the FASTLANE recommendations Review Trauma Source Type: blogs
LITFL Review 161
Welcome to the 161st LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the WeekExcellent discussion of the role of Human Factors in medicine from the PHARM podcast featuring Nick Chrimes and Martin Bromiley. [AS]The Best of #FOAMed Emergency Medicine“The Opiate Free ED” – A better approach to pain control in the Eme...
Source: Life in the Fast Lane - December 21, 2014 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Top stories in health and medicine, December 12, 2014
From MedPage Today:
Tools Help Consumers Find Healthcare Bargains. Patients who used an Internet price-transparency tool to shop for laboratory tests and imaging services cut their spending by 14% on lab tests and 13% on imaging, according to a recent study.
Progesterone for TBI Flops in Big Trials. Progesterone treatment failed to help patients with severe acute traumatic brain injury (TBI) in two large, independent trials — in stark contrast to the positive results seen in two earlier trials.
Groups Fault HHS Report on Medicaid Managed Care Providers. A government report finding that more than half of Medicaid ma...
Source: Kevin, M.D. - Medical Weblog - December 12, 2014 Category: Journals (General) Authors: MedPage Today Tags: News Endocrinology Source Type: blogs
We Still Don’t Know What’s Wrong
A few years ago, I was talking with a medical student who had just finished a shift in the ED. He was an excellent student, but today he had a string of patients who left him frustrated. The 40 year-old woman who presented with abdominal pain left the ED with a diagnosis of “abdominal pain.” We discharged the 35 year-old man who presented with a severe headache with a diagnosis of “possible tension headache.” A five year-old girl with a fever left with “fever of probable viral etiology.” We had gotten blood tests and a CT scan on the woman with abdominal pain, the results of which were normal. We had treated th...
Source: Academic Medicine Blog - November 17, 2014 Category: Universities & Medical Training Authors: David P. Sklar, M.D. Tags: Featured From the Editor ambiguity specialty choice tolerance for ambiguity Source Type: blogs
Research and Reviews in the Fastlane 051
Welcome to the 51st 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 10 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, 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 project or check out...
Source: Life in the Fast Lane - October 6, 2014 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Anaesthetics Cardiology Education Emergency Medicine Gastroenterology Infectious Disease Intensive Care Pre-hospital / Retrieval Respiratory Resuscitation critical care literature R&R in the FASTLANE recommendations Research an Source Type: blogs
The LITFL Review 150
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
Welcome to the 150th edition, brought to you by:
Anand Swaminathan [AS] (EM Lyceum, iTeachEM)
Brent Thoma [BT] (BoringEM and Academic Life in EM)
Chris Connolly [CC]
Chris Nickson [CN] ( iTeachEM, RAGE, INTENSIVE and SMACC)
Joe-Anthony Rotella [JAR]
Kane Guthrie [KG]
Mat Goebel [MG]
Segun Olusany...
Source: Life in the Fast Lane - August 27, 2014 Category: Emergency Medicine Authors: Kane Guthrie Tags: LITFL review LITFL R/V Source Type: blogs
Sensitivity Or Specificity? Which Would YOU Prefer?
A typical day at work...from I Love Lucy, first aired September 15, 1952There are days when the grind feels a lot like Lucy's candy factory as seen in the clip above. But the beat goes on, the images keep coming, and they have to be read. As one of my professors used to say, "Miss 'em slow, or miss 'em fast, boys!" Of course, that was a joke. Of course it was. Definitely.You probably know the difference between sensitivity and specificity. In essence, sensitivity is the percentage of the time you find something that is actually present. Specificity is the percentage of the time you don't find something when nothing is ther...
Source: Dalai's PACS Blog - August 19, 2014 Category: Radiologists Source Type: blogs
Wheat: the silent killer
I’ll hear this comment with some frequency:
“Go wheat-free for 4 weeks. If you feel no better, you can go back to it.”
While consumption of modern wheat can indeed yield health conditions with overt symptoms, such as joint pain, skin rashes, and pain and explosive diarrhea from irritable bowel syndrome, many of its effects are silent and do not result in any perceived symptoms.
The changes that underlie autoimmunity, for instance, that lead to multiple sclerosis, Hashimoto’s thyroiditis, rheumatoid arthritis, autoimmune hepatitis, autoimmune pancreatitis, pancreatic beta cell destruction leading t...
Source: Wheat Belly Blog - August 15, 2014 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle autoimmunity blood sugar cancer gluten Inflammation Source Type: blogs
AdDRESSing the Causes of Rash
Conclusion: DRESS syndrome is a rare but potentially life-threatening condition with an estimated mortality rate of 10 percent. Suspicion must be high because it may present as a spectrum of nonspecific clinical and laboratory findings.Tags: rash, tox cave, DRESS, DRESS syndrome, RegiSCAR, hepatitis, myocarditis, myositisPublished: 8/7/2014 2:50:00 PM (Source: The Tox Cave)
Source: The Tox Cave - August 7, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
AdDRESSing the Causes of Rash
Conclusion: DRESS syndrome is a rare but potentially life-threatening condition with an estimated mortality rate of 10 percent. Suspicion must be high because it may present as a spectrum of nonspecific clinical and laboratory findings.Tags: rash, tox cave, DRESS, DRESS syndrome, RegiSCAR, hepatitis, myocarditis, myositisPublished: 8/7/2014 2:50:00 PM (Source: The Tox Cave)
Source: The Tox Cave - August 7, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Can Gingko and Turmeric Help Stop Ebola?
Summary
There is no known pharmaceutical currently available that specifically treats Ebola disease.
One treatment modality that should be considered is the use of herbal medicines, which have both centuries old anecdotal success as well as recent modern biochemical and formal research rationales for their use.
Five areas of action that could be addressed by the herbal medicines as it relates to Ebola would be:
VP24/immune system evasion
GP protein/replicatio;
herbal strategies effective against similar hemorrhagic disease
beneficial modulation of patient immune and inflammatory response systems
prophylactic use for heal...
Source: Inside Surgery - August 1, 2014 Category: Surgery Authors: Editor Tags: Infectious Disease ayurvedic baicalen cathepsin b dengue Ebola gingko herb Quercetin resveratrol rosemary sage st johns work turmeric Source Type: blogs
How and when is the physical exam useful?
Dr. Danielle Ofri has an important piece in the NY Times – The Physical Exam as Refuge . As an outpatient physician, she makes the case that the physical examination provides a special time for the physician to focus entirely on the patient. Is examination time the refuge for the harried physician, and the opportunity to engage the patient in extended conversation about their condition?
While I did outpatient medicine for almost 20 years, for the past 15 I have focused only on inpatient medicine. As some comments suggest, the physical examination yields more information when the patient has clinical symptoms that ...
Source: DB's Medical Rants - July 12, 2014 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Top stories in health and medicine, June 9, 2014
From MedPage Today:
Surgeons Not Very Involved in ACOs, Survey Says. Accountable Care Organizations have given little attention to surgery in the early years of the Medicare program, choosing to focus instead on managing chronic conditions and reducing hospital readmissions.
Early Allergen Exposure Cuts Wheeze Risk. A new study confirmed that when inner-city kids were exposed to allergens they had an increased risk of recurrent wheezing and sensitivity to allergens.
Death Risk Down With Pneumonia Antibiotic. Taking into account both death and myocardial infarction (MI), use of antibiotic regimens that included azithromyc...
Source: Kevin, M.D. - Medical Weblog - June 9, 2014 Category: Journals (General) Authors: MedPage Today Tags: News Diabetes Endocrinology Infectious disease Surgery Source Type: blogs
A Stressing Situation
A 64-year-old woman presented to the emergency department with two days of severe nausea, numerous episodes of vomiting, and progressively worsening right upper quadrant/epigastric abdominal pain. She was continuously spitting clear secretions into an emesis bag on arrival in triage. Her 8/10 dull ”ripping” pain originated in the right upper quadrant and radiated in a band-like pattern to her epigastrium. She was not experiencing any chest pain or shortness of breath. Her medical history included hypertension, type 2 diabetes mellitus, recurrent acute pancreatitis secondary to hyperglycemia, peripheral artery disease, ...
Source: Spontaneous Circulation - March 10, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
