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Addressing Moral Injury in Emergency Medicine
Background: Moral injury, which is described as the psychological distress that results from actions, or lack of them, that go against one's beliefs or values, has become front and center among issues facing the practice of emergency medicine. Although it predates the COVID-19 outbreak, the pandemic has played a significant role in the increased rate of burnout, and even suicide, among emergency physicians.Case Reports: This paper includes several clinical vignettes to highlight incidents that may occur in the emergency department (ED) when  physicians experience violations of their moral codes, leading to distress and moral injury.
Source: The Journal of Emergency Medicine - September 16, 2021 Category: Emergency Medicine Authors: Al Giwa, David Crutchfield, Debbie Fletcher, Jennifer Gemmill, Jason Kindrat, Austin Smith, Patricia Bayless Tags: Ethics in Emergency Medicine Source Type: research

The LITFL Review 142
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 142nd edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and ALiEM Chris Ni...
Source: Life in the Fast Lane - July 1, 2014 Category: Emergency Medicine Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

The LITFL Review 113
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 111th edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and Chris Nickson [C...
Source: Life in the Fast Lane - October 21, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs

Tropical Travel Trouble 010 Fever, Arthralgia and Rash
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs

Sea Lions Are Starving to Death—and We Don’t Know Why
MoreExposed: The World’s ‘Biggest’ Slaughter of an Endangered SpeciesWatch: How Scientists Plan To Bring Extinct Species Back To LifeNine Killer Whales Die In Rare Mass Beaching in New ZealandOn a sunny, windy morning in the rolling hills outside San Francisco, a pickup truck parks on what was once a missile site for the U.S. military. In the bed of the truck is a big white crate holding a little sea lion pup, an animal about half the size he should be, shaking with weakness. Pacheco—named for the road that runs by the stretch of nearby Ocean Beach where members of the public found the animal stranded...
Source: TIME: Top Science and Health Stories - May 13, 2014 Category: Science Authors: Katy Steinmetz Tags: Uncategorized animals El Nino Environment fish Marine Mammal Center marine mammals pacific ocean Sausalito sea lions SEALs Source Type: news

COVID-19: Physicians in Shackles
By ANISH KOKA, MD A number of politically tinged narratives have divided physicians during the pandemic. It would be unfortunate if politics obscured the major problem brought into stark relief by the pandemic: a system that marginalizes physicians and strips them of agency. In practices big and small, hospital-employed or private practice, nursing homes or hospitals, there are serious issues raising their heads for doctors and their patients. No masks for you When I walked into my office Thursday, March 12th, I assembled the office staff for the first time to talk about COVID.  The prior weekend had been awa...
Source: The Health Care Blog - May 2, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Physicians Anish Koka medical autonomy Pandemic Source Type: blogs

Not The Last of Them
By KIM BELLARD I’m seeing two conflicting yet connected visions about the future. One is when journalist David Wallace-Wells says we might be in for “golden age for medicine,” with CRISPR and mRNA revolutionizing drug development. The second is the dystopian HBO hit “The Last of Us,” in which a fungal infection has turned much of the world’s population into zombie-like creatures. The conflict is clear but the connection not so much. Mr. Wallace-Wells never mentions fungi in his article, but if we’re going to have a golden age of medicine, or if we want to avoid a global fungal outbreak, we better be pay...
Source: The Health Care Blog - June 27, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Fungi Golden Age of Medicine Kim Bellard Source Type: blogs

A Young Boy Spent 47 Days In an ICU and Racked Up $800,000 in Medical Costs Because He Wasn ’t Vaccinated Against Tetanus
A young boy in Oregon spent 47 days in an intensive care unit (ICU), resulting in more than $800,000 in medical costs, because he was not vaccinated against tetanus, according to a case study published by the Centers for Disease Control and Prevention (CDC). Case study co-author Dr. Carl Eriksson, an assistant professor of pediatric critical care at Oregon Health & Science University, who was involved in the boy’s treatment, wrote in an email to TIME that severe tetanus cases are very rare in the U.S., where vaccination effectively prevents such conditions. The boy’s illness was Oregon’s first pediat...
Source: TIME: Health - March 8, 2019 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized Infectious Disease onetime Source Type: news

The Dizzying Experience of Healthcare in the Time of a Pandemic
By Lyle Fettig@fettiglyleCheck out the Pallimed COVID-19 Resource page here. - Ed.I love theletter co-published by Pallimed and Geripal about COVID,and you should read that too. As an erstwhile (for now) Pallimed contributor, I thought I ' d toss in my two cents with some additional thoughts/reflections based on week 1 of preparing for the COVID pandemic as a palliative care physician.Over the last week, I ' ve operated mentally in most of these lanes:1. Primary prevention and public health:Through extensive advocacy for social distancing and widespread testing. I have talked about it with my patients and my own family and...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 17, 2020 Category: Palliative Care Tags: covid emergency preparedness fettig Source Type: blogs

Senate HELP Committee Continues Work on 21st Century Cures Corollary
Earlier this week, the Senate Health, Education, Labor, and Pensions (HELP) Committee held a hearing on a package of legislative measures that are targeted at facilitating medical innovation. This hearing, the second in a set of three, is the Senate's response to the House-passed 21st Century Cures Act (H.R. 6). We wrote about the first hearing, and a recap can be found here. While the second meeting featured much partisan debate and fanfare, the Committee advanced all seven medical innovation measures before them, with six passing by voice and one measure passing by roll call vote of 20-2. In opening statements, Senat...
Source: Policy and Medicine - March 22, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The EPICENTRE (ESPNIC Covid pEdiatric Neonatal Registry) initiative: background and protocol for the international SARS-CoV-2 infections registry
Conclusions: EPICENTRE will allow researchers to clarify the epidemiology, clinical presentation, and outcomes of pediatric and neonatal SARS-CoV-2 infection, refining its clinical management and hopefully providing new insights for clinicians.What is Known:•COVID19 is the new disease caused by SARS-CoV-2 infection and is spreading around the globe.•Majority of data available about SARS-CoV-2 infections originates from adult patients.What is New:•EPICENTRE is the first international, multicenter, multidisciplinary, meta-data driven, hospital-based, online, prospective cohort registry dedicated to neonatal and pediatr...
Source: European Journal of Pediatrics - May 21, 2020 Category: Pediatrics Source Type: research

Burkholderia cepacia complex outbreaks among non-cystic fibrosis patients in the intensive care units: A review of adult and pediatric literature.
Authors: Abdallah M, Abdallah HA, Memish ZA Abstract Burkholderia cepacia complex (Bcc) is a Gram-negative bacterium commonly found in moist environments and soil. Bcc species are associated with many outbreaks in intensive care units (ICUs). In this review, we describe the sources of Bcc outbreaks among non-cystic fibrosis (CF) patients in various ICUs that include neonatal intensive care units, pediatric intensive care units and adult ICUs. Also we summarize the risk factors and outcome predictors of Bcc infection or colonization in non-CF critically ill patients. Finally, we describe the infection control measur...
Source: Infezioni in Medicina - December 19, 2018 Category: Infectious Diseases Tags: Infez Med Source Type: research

Can Our Dysfunctional Health Care System Contain Ebola?
Not to bury the lede, I think it can, but it will be a lot harder than the talking heads on television predict.I have been writing about health care dysfunction since 2003.  Lots of US politicians would have us believe we have the best health care system in the world (e.g., House of Representatives Speaker John Boehner (R-Ohio), here),   Much of the commentary on Ebola also seems based on this "best health care system in the world" notion.  For example, in an interview today (5 October, 2014) on Meet the Press, Dan Pfieffer, "senior White House adviser," saidThere is no country in the world better prepa...
Source: Health Care Renewal - October 6, 2014 Category: Health Management Tags: Ebola virus financialization generic managers ill-informed management perverse incentives public health organizations Source Type: blogs

Home palliative care professionals perception of challenges during the Covid-19 outbreak: A qualitative study
CONCLUSIONS: The first wave of the Covid-19 pandemic brought many challenges and stressors for home palliative care professionals. On the other side, they reported a satisfaction with their critical role in carrying out their work with patients at risk.PMID:33829909 | DOI:10.1177/02692163211008732
Source: Palliative Medicine - April 8, 2021 Category: Palliative Care Authors: Luca Franchini Silvia Varani Rita Ostan Ilenia Bocchi Raffaella Pannuti Guido Biasco Eduardo Bruera Source Type: research