Painless Nasogastric Tube Placement
A 6-year-old boy presented with intermittent abdominal pain, nausea, and vomiting. Because his abdominal examination was unremarkable, the pain intermittent, and constipation a possibility, we provided an enema along with an abdominal pain workup but no radiographs. His pain improved, the abdominal labs were unremarkable, and the child tolerated an oral fluid challenge after treatment with ondansetron.The mother was advised at discharge to return if she became concerned about her child's condition. They did return a few hours later for increased vomiting and abdominal pain. A CT scan demonstrated multiple dilated loops ...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Umbilical Hernias: Systemic Racism, Dogma, And Pediatric Surgery
by Stephanie Preston, MD
In the health professions, we have all been taught that some of the most common, chronic, and debilitating diseases in the United States – hypertension, diabetes, heart disease, and most cancers – disproportionately affect Black Americans. As resident surgeons, dogma holds that umbilical hernias are more prevalent in Black children, but without any discussion about underlying drivers. There is no evidence to support that this disparity is related to biologic or genetic differences. However, a recently published study continues to state that umbilical hernias are 8-9x more prevalent among Bla...
Source: blog.bioethics.net - April 13, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Children/Adolescents Ethics Featured Posts Health Care Health Disparities Pediatrics Source Type: blogs
Embrace the growth mindset while practicing the humbling business of modern medicine
As a newly minted neonatal-cardiac intensivist, I was all ready to take on the world. I mean, caring for the babies with congenital heart disease (CHD), congenital diaphragmatic hernias (CDH) and all other congenital anomalies and premature birth. I was excited and ready for service. It was my 27th year of“being a student.” I […]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 25, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Physician Critical Care Pediatrics Source Type: blogs
Testicular pain: Everything you need to know as a parent
You're reading Testicular pain: Everything you need to know as a parent, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
Does your of age son often complain about the pain in testicles? Does he feel uncomfortable while riding his bicycles or bike? If yes! It could be testicular pain which mostly occurs among teenage boys. It’s very uncommon to see the pain in boys above 25 years old. Testicular pain often requires immediate medical attention. If the treatment is started within 6 hrs of beginning of the pain, then...
Source: PickTheBrain | Motivation and Self Improvement - August 22, 2019 Category: Consumer Health News Authors: lakshmikrishnanunni Tags: health and fitness Causes of Testicular Pain in Children Kidshealth Testicle Pain Testicle Pain in Children Testicular Pain in Kids Source Type: blogs
Opioids for acute pain: How much is too much?
In this study, the researchers looked at opioid prescriptions in 2016, and the numbers are shocking. In the US, 22% of prescriptions written by dentists were for opioids, compared with just 0.6% for British dentists, and US dentists prescribed about 35 opioids per 1,000 population, compared to just 0.5 opioid prescriptions per 1,000 population in England. Additionally, the opioid prescribed in England was a relatively weak codeine-like drug, whereas in the US the majority of prescriptions were for hydrocodone, a stronger opioid with greater abuse potential.
When does an opioid prescription make sense?
It is simply impossib...
Source: Harvard Health Blog - July 24, 2019 Category: Consumer Health News Authors: Scott Weiner, MD Tags: Addiction Pain Management Source Type: blogs
Overheard: Using Respiratory Muscle Strength Training in Dysphagia
The objective data comes from what you measure as an outcome. The device is the trainer. Again, use pressure threshold and then set out to measure the outcomes, a scale, a swallow exam, a cough flow rate, a voice quality, etc.
Participant: How do you establish goals? There are norms for peak cough, is this what you use?
Kiourkas: Respiratory uses cough peak flow to qualify for noninvasive ventilation for ALS and neuromuscular patients. The norms are different for each person. Suggested ranges are used as a guide to assist in determining if the patient is getting worse at subsequent visits. We also use a SNIP (sniffing pres...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - February 22, 2019 Category: Speech-Language Pathology Authors: Renee Kiourkas Tags: Academia & Research Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia dyspnea muscle strength skilled nursing facility Swallowing Disorders Source Type: blogs
Surgeries Filmed for Virtual Reality Now Available on Oculus Headsets
Operating rooms are highly restricted environments that only patients and clinicians are normally allowed access to. They’re quite different than what laypeople envision, at least judging by how surgical environments are portrayed in popular culture. Moreover, the teamwork and the camaraderie during hours of professional focus, is something that can’t be easily relayed without being there.
GIBLIB, a company whose CEO we recently interviewed, has released the first virtual reality app that lets just about anyone with access to an Oculus headset, to experience what it’s like when serious surgeries are und...
Source: Medgadget - February 20, 2019 Category: Medical Devices Authors: Editors Tags: Education Net News Surgery Source Type: blogs
The EBM Wars: When Evidence has a Price – The ECMO Trials (Part 2)
By ANISH KOKA
The year was 1965, the place was Boston Children’s and a surgery resident named Robert Bartlett took his turn at the bedside of a just born baby unable to breathe. This particular baby couldn’t breathe because of a hole in the diaphragm that had allowed the intestines to travel up into the thoracic cage, and prevent normal development of the lungs. In 1965, Robert Bartlett was engaged in the cutting edge treatment of the time – squeeze a bag that forced oxygenated air into tiny lungs and hope there was enough functioning lung tissue to participate in gas exchange to allow the body...
Source: The Health Care Blog - June 17, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs
Rethinking consent in the age of Facebook and Cambridge Analytica
As physicians and particularly surgeons, we deal with consent all the time. The process can be complex particularly for pediatric surgeons because we obtain it from the parents and the participation of the child in that process varies. For example, it is not unusual to be confronted with a parent who wants their child to undergo an elective operation. Yet that child, being 15 years-old, may have zero interest in submitting themselves to that procedure. The other end of the spectrum can be vexing as well when you have a power of attorney/family member trying to make medical-legal decisions for a demented, legally incompeten...
Source: Kevin, M.D. - Medical Weblog - May 27, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-f-nichol" rel="tag" > Peter F. Nichol, MD, PhD < /a > Tags: Social media Facebook Practice Management Source Type: blogs
Funtabulously Frivolous Friday Five 216
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blogJust when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 216. Question 1Where was this photo taken and what is the significance of this “Trauma Room 1”? By Jpotter1138 – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=27892379+ Reveal the Funtabulous Answerexpand(document.getElementB...
Source: Life in the Fast Lane - December 1, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five aspirin Baxter burns Charles Frederic Gerhardt Charles Frederick morris saint Charles Rufus Baxter Jack Ruby JFK John Connally john f kennedy Lee Harvey Oswald Lewis Macken occam's razor parkland formula Source Type: blogs
LITFL Review 306
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 306th 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 chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
RebelEM unleashes his top 10 pearls from ACEP17 [LP]
EPMonthly published an ER account of the...
Source: Life in the Fast Lane - November 13, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review #FOAMped #FOAMresus #FOAMsim #FOAMus #meded FOAMcc FOAMed LITFL R/V Source Type: blogs
Funtabulously Frivolous Friday Five 212
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 212 – a “where in the world” edition from Dr Mark Corden – paediatric fellow in Melbourne.
Question 1
Where in the world was insulin discovered?
www.diabetes.co.uk
+ Reveal the Funtabulous Answer
expand(document.getElementById('ddet1478966...
Source: Life in the Fast Lane - November 3, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five appendicectomy artificial ear bionic ear claudius aymand cochlear implant frederick banting Graeme Clark hyperbilirubinaemia insulin Leonid Rogozov mestivier phototherapy pierre eymard Sister J Ward sodi Source Type: blogs
LITFL Review 303
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 303rd 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 chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Kenneth Palmer from Karolinska shares his 30-plus years of ECMO experience in a podcast from t...
Source: Life in the Fast Lane - October 22, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs
