What's new in midwifery - 15th April 2024
Selected new (or newish) items of interest. I am trying with this one to use DOIs as the link, please consult your library service, if you have access to one, if you have trouble accessing full text.In the news, Guardian analysis of NHS figures shows black women in England are more likely to have serious birth complications, Some systematic reviews and researchEffectiveness of care bundles in preventing postpartum haemorrhage, a systematic review, Socio-economic disadvantage and utilisation of labour epidural analgesia, a study carried out in Scotland, A systematic review of maternal and neo...
Source: Browsing - April 15, 2024 Category: Databases & Libraries Tags: midwifery Source Type: blogs
A teenager involved in a motor vehicle collision with abnormal ECG
Written by Pendell MeyersA teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330:What do you think?The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. It is very unlikely that a previously healthy teenager would have such disease of the conduction system, bringing up the possibility of blunt cardiac injury in this clinical setting.Trauma CTs showed a " mi...
Source: Dr. Smith's ECG Blog - February 6, 2024 Category: Cardiology Authors: Pendell Source Type: blogs
What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?
A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest. She said this was midsternal and felt like a tightness. This originally radiated into her left arm. Over some time and the pain moved into her other arm as well as her jaw. She also had some shortness of breath. She was brought in by ambulance and re...
Source: Dr. Smith's ECG Blog - November 15, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Having Tackled Workflows and Image Enhancement, Generative AI Targets Diagnostics
The following is a guest article by Morris Panner, President at Intelerad Medical Systems
By 2034, the U.S. could face a shortage of up to 124,000 physicians due, in part, to burnout. In the medical imaging field, specifically, this challenge isn’t exactly new – but the technology that could help remedy the problem is. The usage of this potential solution in the imaging space has been delayed due to the perception it’s a bit of a rule-breaker.
A fairly recent arrival to radiology, Generative AI has emerged as a powerful resource, showing promise in a variety of tasks, from supporting streamlined workflows to syntheti...
Source: EMR and HIPAA - September 26, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Ambulatory Clinical Health IT Company Healthcare IT Hospital - Health System Clinical Workflow Generative AI Intelerad Medical Systems Medical Images Morris Panner Physician Burnout Physician Shortage Radiolog Source Type: blogs
Radiologist-clinician collaboration is key to optimal diagnostic outcomes [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join us for a conversation with Houda Bouhmam, a radiology resident, as we explore the crucial collaboration between radiologists and clinicians in achieving the best diagnostic outcomes. Houda shares her transformative journey, dispelling misconceptions about clinical correlation and highlighting its importance in connecting radiographic
Read more…
Radiologist-clinician collaboration is key to optimal diagnostic outcomes [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 11, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Radiology Source Type: blogs
A 20-something with intermittent then acute chest pain
This was sent to me by a partner:" Curious what you think of this one we had overnight. Healthy male under 25 years old with a pretty good story for acute onset crushing chest pain relieved with nitro. He had another episode the day before after exerting himself. No pericardial effusion on ultrasound. "What do you think?First, many on Twitter said " Pericarditis " . This is NOT pericarditis, which virtually NEVER has ST depression any where except aVR. When there is ST depression (as in aVL, V2, V3), then top on the differential is OMI or myocarditis.See our publication: ST depression in ...
Source: Dr. Smith's ECG Blog - April 25, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
One of the Many Advantages of AI in Healthcare: Data
In the world of Healthcare, there isn’t much room for making guesses. When you’re in charge of someone’s well being, it is critical that all of your decisions are well thought through and based on data. This is where AI can be very useful to your organization. AI, when applied properly, is very helpful in not only gathering data, but in sharing, analyzing, and storing it.
We reached out to our incredibly talented Healthcare IT Today Community for their comments and insights on the impact AI can have on data. This is what they had to say.
Ben Herzberg, Chief Scientist at Satori
From “where we are sta...
Source: EMR and HIPAA - February 21, 2023 Category: Information Technology Authors: John Lynn Tags: AI/Machine Learning Ambulatory Analytics/Big Data C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System LTPAC 4medica Artificial Intelligence Ben Herzberg Charlie Clarke Data Driven Healthcare Dr. Source Type: blogs
Fujifilm Announces Asset Purchase Agreement with Inspirata, Inc. to Acquire the Company ’s Digital Pathology Business
Company to expand robust Enterprise Imaging offering with addition of Inspirata’s Digital Pathology technology and team
FUJIFILM Corporation (President and CEO, Representative Director: Teiichi Goto) today announced the company has entered into an asset purchase agreement to acquire the global digital pathology business of Tampa, Florida-based Inspirata, Inc. Upon completion of this agreement, Inspirata’s Dynamyx® digital pathology technology, employees and customers will become part of Fujifilm. The addition of digital pathology will expand Fujifilm’s robust Synapse® Enterprise Imaging offering to enable th...
Source: EMR and HIPAA - December 27, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Cardiology PACS digital pathology Dynamyx FUJIFILM FUJIFILM Corporation FUJIFILM Healthcare Americas Corporation FUJIFILM Healthcare Europe FUJIFILM Medical Systems Europe Fujifilm’s Robust Synapse® E Source Type: blogs
December 2022: Something's Missing
"Can I get a turkey sandwich?"I heard this exchange between a patient and a nurse. It's not an unusual request for patients experiencing homelessness. But this patient's chief symptom was that he couldn't eat. Something must be missing here.The patient confirmed to me that he wanted a turkey sandwich and that he had been losing weight because he couldn't eat. His loose pants requiring a new hole for his belt supported his words. Looking closer, I could see a left thoracotomy scar. He told me he had gotten it on his last hospitalization, but he had no idea why. Something was definitely missing here.Reviewing hi...
Source: Lions and Tigers and Bears - November 30, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The Future of Radiology And Artificial Intelligence
What if an algorithm could tell you whether you have cancer based on your CT scan or mammography exam? While I am confident that radiologists’ creative work will be necessary in the future to solve complex issues and supervise diagnostic processes, A.I. will definitely become part of their daily routine in diagnosing simpler cases and taking over repetitive tasks. So rather than getting threatened by it, we should familiarise ourselves with how it could help change the course of radiology for the better.
Radiologists who use A.I. will replace those who don’t
There is a lot of hype and plenty of fear around ar...
Source: The Medical Futurist - September 22, 2022 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine AI artificial intelligence cancer Health Healthcare ibm watson Innovation MRI Radiology technology gc4 medical imaging CT scanning Source Type: blogs
TORdx LUNG Test for Donor Lung Assessment: Interview with Eric Brouwer, Chief Scientific Officer at SQI Diagnostics
SQI Diagnostics, a medtech company based in Canada, is developing the TORdx LUNG Test. The technology is intended to assist clinicians in assessing donor lungs in their suitability for transplantation. At present, clinicians typically assess donor lungs using qualitative variables, such as donor health and lung size. One of the most important factors, lung inflammation, is difficult to assess, and clinicians will often play it safe and reject an organ if there is any doubt about it.
This means that lungs that might actually be suitable for transplantation are often rejected, further compounding the lack of donor organs....
Source: Medgadget - July 18, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Exclusive Medicine Thoracic Surgery lung transplant sqi diagnostics Source Type: blogs
Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.
In this study, 40 presumably healthy male marathon runners had their cardiac troponin and other findings measured before and after running a marathon. 39 pts (97.5%) had baseline cTnT values below the reference limit (less than 14 ng/L). 38 pts (95%) of participants had post-marathon cTnT concentration rise above this reference limit. The median post-marathon cTnT was 41 ng/L, and the 95th percentile concentration was 90 ng/L. None reported " cardiac symptoms " after the race.See this single post for many examples of BTWI:Understanding this pathognomonic ECG would have greatly benefitted the patient.More cases involving BT...
Source: Dr. Smith's ECG Blog - May 19, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
From Surgeries To Keeping Company: The Place Of Robots In Healthcare
Assisting surgeries, disinfecting rooms, dispensing medication, keeping company: believe it or not these are the tasks medical robots will soon undertake in hospitals, pharmacies, or your nearest doctor’s office. These new ‘colleagues’ will definitely make a difference in every field of medicine. Here’s our overview to understand robotics in healthcare better so that everyone can prepare for the appearance of mechanic helpers in medical facilities.
Metallic allies for the benefit of the vulnerable
While there are concerns for machines replacing people in the workforce, we believe there are adv...
Source: The Medical Futurist - April 11, 2022 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine Future of Pharma Robotics digital health Healthcare Hospital medical nanotechnology Surgery pharmacies future of hospital blood telemedicine social companion social companion robot telemedical medical rob Source Type: blogs
The Mysteries of Patella Dislocations
The patella, the largest sesamoid bone of the body, resides within the patellar tendon and gives the quadriceps muscle mechanical advantage during knee extension. It also protects the knee joint. The flat triangular-shaped patella with its apex pointed downward consists of dense trabecular bone covered with a thin compact lamina.The patella develops embryologically from six ossification centers that ultimately fuse around ages 4 to 6. The patellar tendon attaches to the patella inferiorly, and the vastus medialis and lateralis attach medially and laterally. The quadricep muscle attaches at the top and anterior aspects o...
Source: M2E Too! Mellick's Multimedia EduBlog - April 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
April 2022: Above and Below
Wait! What happened there? I had just taken signout, and my colleague was shutting down the x-rays on her computer. This image flashed across the screen.My passion for orthopedic radiographs took over. Fractures of both forearm bones are not something I see often in my non-trauma center community shop. These are most likely from motor vehicle crashes or falls from heights.My mind jumped to the rule of the ring. It had already been fulfilled with the two fractures. Still, my eyes were drawn to the joint to look for a dislocation. My mind was sorting through the eponyms—Galeazzi, Monteggia, Essex-Lopresti—when my g...
Source: Lions and Tigers and Bears - April 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
