FDA Clears FlowTriever, First Device to Pull Blood Clots from Lungs
Inari Medical of Irvine, California won the first FDA clearance for a thrombectomy device to be used for treatment of pulmonary embolisms.
The FlowTriever went through a clinical study involving 106 patients with acute pulmonary embolism and RV/LV (right ventricular/left ventricular) ratio of at least 0.9 that were treated using the device instead of commonly used clot busters. According to the company, “the mean RV/LV ratio in the study decreased from a baseline of 1.53 to 1.15 at 48 hours postprocedure, a difference of 0.39 (p<0.0001). The study also demonstrated excellent safety at 30 days, with a low 3.8% ra...
Source: Medgadget - May 22, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Radiology Thoracic Surgery Vascular Surgery Source Type: blogs
LITFL Review 332
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 332nd 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.
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The Most Fair Dinkum Ripper Beauts of the Week
Pulmonary embol...
Source: Life in the Fast Lane - May 20, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs
Airway hemorrhage in Eisenmenger syndrome – Cardiology MCQ – Answer
New !!!
Cardiology MCQs from Cardiophile MD – Volume 3: Interactive Kindle Edition
Cardiology MCQs from Cardiophile MD – Volume 3 Paperback
All of the following are true about airway hemorrhages in Eisenmenger syndrome except:
Correct answer: c) More likely while descending a mountain
In Eisenmenger syndrome airway hemorrhages have to be thought of specially when moving from lower to a higher altitude as during air travel or while ascending a mountain. Hemoptysis has been reported as a cause of death in Eisenmenger syndrome in 11-29% [1].
Defects in hemostatic mechanism due to abnormal platelet function, throm...
Source: Cardiophile MD - May 15, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Syncope guidelines published Day 1
The Europeans have published a thorough guideline for syncope. I have not had time to absorb the entire guideline – it is dense but seems very well done. There is enough material here for 5 days of short posts rather than one long post. Today, I have copied their key messages.
2018 ESC Guidelines for the diagnosis and management of syncope, European Heart Journal
10. Key messages
The ESC Task Force has selected 19 simple rules to guide the diagnosis and management of syncope patients with TLOC (total loss of consciousness) according to the 2018 ESC Guidelines on syncope:
Diagnosis: initial evaluation
At the initi...
Source: DB's Medical Rants - May 7, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
LITFL Review 330
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 330th 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.
Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription
The Most Fair Dinkum Ripper Beauts of the Week
Last week, our ...
Source: Life in the Fast Lane - May 6, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
MKSAP: 19-year-old woman is seen for counseling regarding contraceptives
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications.
On physical examination, she appears well. Vital signs are normal; BMI is 31. The ...
Source: Kevin, M.D. - Medical Weblog - April 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions OB/GYN Source Type: blogs
Mastering Intensive Care 028 with John Santamaria
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
John Santamaria – Genuine care for patients both during and after the ICU stay
How well do you understand what happens to your patients after they leave the ICU?
Do you find out how they go and feed this back to your ICU team?
Most of you give excellent care to your patients whilst they are in the intensive care unit. No doubt this will be compassionate, appropriate, diligent, information-driven, holistic, team-based and communicative care.
But when they leave the ICU, ...
Source: Life in the Fast Lane - March 31, 2018 Category: Emergency Medicine Authors: Andrew Davies Tags: Intensive Care Mastering Intensive Care Andrew Davies ex-ICU genuine care John Santamaria Source Type: blogs
A crashing patient with an abnormal ECG that you must recognize
In conclusion, the presence of negative T waves in both leads III and V1 allows PE to be differentiated simply but accurately from ACS in patients with negative T waves in the precordial leads. "Witting et al. looked at consecutive patients with PE, ACS, or neither. They found that only 11% of PE had 1 mm T-wave inversions in both lead III and lead V1, vs. 4.6% of controls. This does not contradict the conclusions of Kosuge et al. that when T-wave inversions in the right precordial leads and in lead III are indeed present, then PE may indeed by more common. In m...
Source: Dr. Smith's ECG Blog - March 12, 2018 Category: Cardiology Authors: Pendell Source Type: blogs
On Forcing Street People to Get Psychiatric Treatment
In theNew York Times, Benjamin Weiser has a beautiful and moving story about Nakesha Williams, a lovely and vibrant woman who graduated from Williams College and then became ill with a psychotic disorder. She lived for years on the street in New York City. Please do surf over to Mr. Weiser's story,"A 'Bright Light' Dimmed in the Shadows of Homelessness." The story is a tragic one about a promising woman whose future, and ultimately her life, are lost to mental illness. Despite so many people who loved and cared about her, and so many who tried to get her help, Ms. Williams dies alone on the street. She is ...
Source: Shrink Rap - March 4, 2018 Category: Psychiatry Authors: Unknown Source Type: blogs
Scary ST Elevation. What is it?
911 was called for an 18 year old who had altered mental status after using K2 (a recreational drug). The medics put the patient on the monitor and saw ST elevation. They then recorded a prehospital 12-lead (not shown, as it is identical to the ED ECG), which showed marked ST Elevation. The computer diagnosed " Pericarditis. " They were very worried, and brought the patient to the " Stabilization Room " for critically ill patients.On arrival, I looked at the prehospital ECG (again, identical to the ED ECG shown below):What did I think?I immediately said " Normal Variant ST Elevation, " and directed ...
Source: Dr. Smith's ECG Blog - March 2, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
This case comes from Sam Ghali (@EM_RESUS). A 60-year-old man calls 911 after experiencing sudden onset chest pain, palpitations, and shortness of breath. Here are his vital signs:HR: 130-160, BP: 140/75, RR:22, Temp: 98.5 F, SaO2: 98%This is his 12-Lead ECG:He is in atrial fibrillation with a rapid ventricular response at a rate of around 140 bpm. There are several abberantly conducted beats. There is ST-Elevation in aVR of several millimeters and diffuse ST-Depression with the maximal depression vector towards Lead II in the limb leads and towards V5 in the precordial leads.ECG reading is all ab...
Source: Dr. Smith's ECG Blog - February 28, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
Shoulder pain after lifting a heavy box
Written by Pendell Meyers, edits by Steve SmithThis will be too easy for most long-time readers, but if you are at that level, sit back and enjoy noticing how few milliseconds it takes to recognize this thanks to so many prior examples on this blog!I was sent this ECG from EMS with only the information that it belonged to a middle aged male with left shoulder pain.What do you think?There are hyperacute T-waves in leads V1-V6, as well as in leads II, III, aVF. The J-points are all at baseline with the exception of leads V2-V3 which show a small amount of STD (which makes de Winter morphology in the presence of hyperacute T-...
Source: Dr. Smith's ECG Blog - February 22, 2018 Category: Cardiology Authors: Pendell Source Type: blogs
LITFL Review 319
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 319th 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
A “proper” set of posts: Rory Spiegel investigates whether we have achieved diagnostic ab...
Source: Life in the Fast Lane - February 19, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
