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Total 41 results found since Jan 2013.

Synthetic Cannabis Can Cause Cyclic Vomiting
Another reason to skip "Spice."Cannabinoid hyperemesis,  as it is known, was not documented in the medical literature until 2004. Case studies of more than 100 patients have been reported since then. The biomedical researcher who blogs as Drugmonkey has documented cases of hyperemesis that had been reported in Australia and New Zealand, as well as Omaha and Boston in the U.S.As Drugmonkey reported, patients who are heavy marijuana smokers, and who experience cyclic nausea and vomiting, “discovered on their own that taking a hot bath or shower alleviated their symptoms. So afflicted individuals were taking multiple h...
Source: Addiction Inbox - August 12, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs

Better ways to meet the needs of people with chronic pain
In this study, participants were randomised into two groups – one group received usual care, while the other received automated symptom monitoring via voice-recorded phone calls or the internet, along with one face-to-face meeting with a nurse care management, who discussed medications with a pain physician, followed by a phone call to discuss the care plan, and two other calls, one at one month and one at three months. Additional calls were provided on the basis of symptom records.  Patients in the intervention group benefited, with reduced scores on pain severity and interference as recorded by the Brief Pain Inve...
Source: HealthSkills Weblog - July 20, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Groupwork Pain conditions Research function healthcare Occupational therapy pain management physiotherapy self management Source Type: blogs

Change Day Australia
Change Day is coming and it’s time to make your pledges. What is Change Day? Change Day is running in Australia for the first time this year (http://changeday.com.au). Following the hugely successful NHS Change Day in the UK, the UK team have supported Australians in getting our own one up and running. It’s being run by a group of people who work in health and want to make patient care and our working lives better. The aim being for EACH and EVERY one of us to make a pledge to do something to improve healthcare. Join in the conversation, and share your stories on Twitter, Facebook and YouTube Why should I bother? Al...
Source: Life in the Fast Lane - February 20, 2014 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Health #ChangeDayAus Australia change day pledge Source Type: blogs

EMA Journal December 2013
This report, from the Emergency Care Improvement & Innovation Clinical Network, describes a project that used a multimodal approach, grounded in quality and safety theory, to improve consistency in clinical practice, minimise risks and strengthen clinical governance arrangements for paediatric sedation across a number of Victorian EDs. Key activities addressed clinical governance, risk assessment and procedure documentation, training and credentialing of clinicians, and clinical audit of key quality and safety measures. This multi-modal implementation strategy supported by an evidence-based programme and resources ena...
Source: Life in the Fast Lane - December 23, 2013 Category: Emergency Medicine Doctors Authors: Mike Cadogan Tags: Education eLearning EMA Emergency Medicine Featured Journal burden of GP patients Burnout chest pain EMA Journal emergency medicine australasia NOACs oral anticoagulants paediatric procedural sedation Saline therapy Source Type: blogs

The LITFL Review 112
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 14, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Intensive Care LITFL review LITFL R/V Source Type: blogs

NIH and Other Public Private Partnerships to Research Treatments for Multiple Diseases
Over the past few weeks, the National Institutes of Health (NIH) has made a number of important announcements regarding collaborations with industry as well as the funding of several new research initiatives. Below is a summary of these stories. NIH Partners With Eli Lilly and Others on Rare Diseases FierceBiotechResearch reported that NIH selected four (4) new preclinical drug development studies to uncover new therapies for rare diseases. The projects will be funded through the Therapeutics for Rare and Neglected Diseases (TRND) program under NIH's National Center for Advancing Translational Sciences, NCATS, which ...
Source: Policy and Medicine - October 4, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Healthcare Update Sattelite Edition – 09-18-2013
Copeptin levels may revolutionize chest pain evaluations in the ED. When standard treatment was compared with early discharge after normal copeptin levels were obtained, there was no significant difference in major adverse cardiac events at 30 days. Need to review the study data, but this is a promising new test. Marco Rubio calls federal government’s $8.7 million advertising campaign for Obamacare a “blatant misuse of federal dollars.” International Longshore and Warehouse Union dumps affiliation with the AFL-CIO, citing support of Obamacare and immigration reform as two reasons for the disaffiilation. Good thing to...
Source: WhiteCoat's Call Room - September 18, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

The doctor who exposed his own error
Rather than hiding in shame from his mistakes, Bryan Bledsoe went public to tell the world about his error. Here, he tells me about the reasons behind that decision, and the consequences it has had for his career. Not only did he survive the terrifying experience of ‘going public’, he actually believes that the publicity benefitted him and others. Now he is a successful Emergency Physician, and author, in the USA, but back when he was a junior doctor he sent a patient home with tragic consequences. Dr Bledsoe described the details of his clinical encounter to me – the lady came in with a soft cervical collar on a...
Source: Life in the Fast Lane - August 27, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Emergency Medicine Featured Bryan Bledsoe medical error MJA Source Type: blogs

Thalidomide - The Real Story & The First Seal Baby By James Linder Jones, M.D., M.H.A., FACEP
http://www.healthworldnet.com/articles/the-best-of-the-best/the-first-seal-baby-the-real-story-of-thalidomide.htmlThalidomide, despite its sordid past is undergoing a sort of renaissance and is being manufactured and used worldwide for a variety of illnesses including leprosyThe Thalidomide story had a complex course, full of unintended discoveries, with unforeseen consequences including the elements of an adventure story; heroes and heroines, bad guys, villains, intrigue, deception, antagonists and protagonists, even Nazis.It was December 25, 1956. In Stollberg, Germany. A young, nervous, to-be Dad was waiting for news fr...
Source: PharmaGossip - May 20, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

R&R in the FASTLANE 031
Our currently highly irregular series of eminence-based evidence is finally back again – with the 31st edition: 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 11 recommended reads. Find out more about the R&R in the FASTLANE project here and check out the team of contributors from all around the world. This edition’s R&R Hall of Famer Young NS, Ioannidis JP, Al-Ubaydli O. Why current publicat...
Source: Life in the Fast Lane - May 16, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Emergency Medicine Featured Health Intensive Care R&R in the FASTLANE critical care literature recommendations research and reviews Source Type: blogs

Hopefully we can now stop doing LP ’ s to rule out SAH if CT scan performed within 6 hours of onset
The Canadian study by Perry et al just published in the BMJ studied 3132 patients with worst ever headache across 11 ED’s between 2000-2009 of which 240 (7.7%) had subarachnoid haemorrhage. CT scanning overall had a sensitivity of 93% for detecting SAH, but if done within 6 hours of onset of headache and interpreted by an experienced radiologist, the sensitivity rose to 100% picking up ALL 121 patients with SAH of the 953 patients scanned within 6 hours. Looks like its time to modify our practices as long as we have access to experienced radiologists – overnight may be an issue when such access may not be readi...
Source: Oz E Medicine - emergency medicine in Australia - July 19, 2011 Category: Emergency Medicine Authors: admin Tags: tips and guidelines headache subarachnoid haemorrhage Source Type: blogs