A Bayer of a Case
A 30-year-old woman was brought in by EMS tearful and reluctant to answer questions initially. Her mother was with her and stated that the patient had been depressed and may have taken some pills in a suicide attempt. Her initial vitals on presentation were a temperature of 99.1°F, heart rate of 128 bpm, blood pressure of132/92 mm Hg, and a respiratory rate of 26 bpm. She had clear lungs and sinus tachycardia on cardiac monitoring. She admitted to having taken "a lot" of aspirin.Initial LabsCBC: WBC of 14, hemoglobin of 14 g/dL, hematocrit of 42%, platelet count of 250,000BMP: Sodium of 132 mEq/L, pot...
Source: The Tox Cave - August 31, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Jellybean 096 with Nik Kumar
Big data. It’s very big. There’s a lot of it. Sometimes you just have to look a bit closer to find the best stuff. Matt Mac Partlin strikes gold in Wollongong. Moment to moment information on heart rate, respiratory rate, how much urine has come out, how much fluid has gone in, the sodium, the ...
The post Jellybean 096 with Nik Kumar appeared first on Life in the Fast Lane. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - August 31, 2018 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean ANZICS Datathon Big Data Nik Kumar RCT Source Type: blogs
Constipation Nation
Our ancestors who lived without grains, sugars, and soft drinks enjoyed predictable bowel behavior. They ate some turtle, fish, clams, mushrooms, coconut, or mongongo nuts for breakfast, and out it all came that afternoon or evening—large, steamy, filled with undigested remains and prolific quantities of bacteria, no straining, laxatives, or stack of magazines required. If instead you are living a modern life and have pancakes with maple syrup for breakfast, you’ll be lucky to pass that out by tomorrow or the next day. Or perhaps you will be constipated, not passing out your pancakes and syrup for days, passing it inco...
Source: Wheat Belly Blog - August 30, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bloating bowel flora bran constipation Dr. Davis fiber grain-free grains hydrate Inflammation laxatives Opiate drugs Opiods prebiotic undoctored wheat belly Wheat Belly Total Health Source Type: blogs
Constipated Society
Our ancestors who lived without grains, sugars, and soft drinks enjoy predictable bowel behavior. They ate some turtle, fish, clams, mushrooms, coconut, or mongongo nuts for breakfast, and out it all came that afternoon or evening—large, steamy, filled with undigested remains and prolific quantities of bacteria, no straining, laxatives, or stack of magazines required. If instead you are living a modern life and have pancakes with maple syrup for breakfast and you’ll be lucky to pass that out by tomorrow or the next day. Or perhaps you will be constipated, not passing out your pancakes and syrup for days, passing it inc...
Source: Wheat Belly Blog - August 30, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bloating bowel flora bran constipation Dr. Davis fiber grain-free grains hydrate Inflammation laxatives Opiate drugs Opiods prebiotic undoctored wheat belly Wheat Belly Total Health Source Type: blogs
LITFL Review 345
Life in the Fast Lane • LITFL • Medical Blog Life in the Fast Lane • LITFL • Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 345th 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
From Australia’s SONO AUS 2018 conference back in February are half-hour presenta...
Source: Life in the Fast Lane - August 27, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Heat related illness: How to keep your cool
The summer season is waning but we’re not done with the heat. Hot and humid weather can bring a host of heat-related problems: heat cramps, heat rash, heat exhaustion, heat stroke…. It’s helpful to be aware of these issues, especially as we experience changes in the climate with humidity or rising temperatures. There have been several studies which have documented an uptick in emergency department visits and hospital admissions for conditions like dehydration, electrolyte imbalances, and other types of heat related illness during times of high heat. Persons who are particularly at risk are the very young and old, th...
Source: Harvard Health Blog - August 17, 2018 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Environmental health Safety Source Type: blogs
Lancet Paper Adds To Evidence That Reducing Salt To Very Low Levels May Be Dangerous
A new paper from a very large ongoing observational study offers additional and more powerful evidence that dramatic reductions in salt consumption may not be beneficial and might even prove harmful. The finding supports growing criticism that current guideline recommendations to dramatically lower salt intake in the general population may be misguided. The study also...Click here to continue reading... (Source: CardioBrief)
Source: CardioBrief - August 9, 2018 Category: Cardiology Authors: Larry Husten Tags: Policy & Ethics Prevention, Epidemiology & Outcomes guidelines potassium PURE salt sodium Source Type: blogs
Belly fat linked with higher heart disease risk
Muffin top. Spare tire. Beer belly. Whatever you call it, research shows that extra fat around your belly poses a unique health threat.
The study in the March 6, 2018 issue of the Journal of the American Heart Association involved about 500,000 people, ages 40 to 69, in the United Kingdom. The researchers took body measurements of the participants and then kept track of who had heart attacks over the next seven years. During that period, the women who carried more weight around their middles (measured by waist circumference, waist-to-hip ratio, or waist-to-height ratio) had a 10% to 20% greater risk of heart attack than wo...
Source: Harvard Health Blog - July 26, 2018 Category: Consumer Health News Authors: Kelly Bilodeau Tags: Diet and Weight Loss Health Heart Health Source Type: blogs
10 tricks to reduce salt (sodium) in your diet
The average adult eats about 3,400 milligrams (mg) of sodium per day — far more than the recommended daily goal of 2,300 mg. Here are the top 10 types of food that account for more than 40% of the sodium we eat each day, along with some ideas for simple swaps to help you eat less salt.
1. Breads and rolls
This category tops the list not because bread is especially salty (a slice contains about 100 to 200 mg of sodium), but because we eat so much of it.
Smart swaps: Instead of toast or a bagel for breakfast, have a bowl of oatmeal prepared with just a pinch of salt. Bypass the dinner breadbasket for a serving of whole gra...
Source: Harvard Health Blog - July 20, 2018 Category: Consumer Health News Authors: Julie Corliss Tags: Health Healthy Eating Heart Health Hypertension and Stroke Source Type: blogs
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI?
A young woman presented with status seizures and apparent overdose of bupropion. There was a question of cocaine use too (with later suspicion of possible ingestion or body stuffing).She had status seizures for which she was intubated and medically treated (successfully) with propofol and benzos.An ECG was recorded:Sinus tach, with a slightly widened QRS (113 ms) and slightly long QTThere is a slightly abnormally large R-wave in aVR.So there might be some sodium channel blockade here, which is expected with cocaine.Bicarbonate was given.This was recorded 8 hours later:QRS = 148 ms and large R-wave in aVR (very danger...
Source: Dr. Smith's ECG Blog - July 20, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
5 habits for moms that help prevent childhood obesity
We are in the midst of an obesity epidemic in the United States. Currently 40% of adults and almost 20% of children are obese. The childhood obesity numbers particularly worry us, because the effects of obesity accumulate over time. A child who is obese is more likely to develop diabetes, heart disease, and other complications of obesity earlier in life than someone who develops obesity in adulthood.
When we think about preventing obesity in children, we naturally tend to think of the children themselves. We think about doing everything we can to be sure they follow healthy lifestyle habits, in particular eating a healthy ...
Source: Harvard Health Blog - July 10, 2018 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Exercise and Fitness Parenting Women's Health Source Type: blogs
MKSAP: 68-year-old man with heart failure
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 68-year-old man is evaluated at a follow-up appointment. He has a 7-year history of heart failure secondary to ischemic cardiomyopathy. Over the past 6 months, he has had three hospitalizations for exacerbations of his heart failure. He currently has exertional dyspnea while getting dressed, and his maximal activity level is limited to riding to the store with his wife but staying in the car. Medical history is significant for disseminated prostate cancer treated with androgen deprivation therapy. Medications ...
Source: Kevin, M.D. - Medical Weblog - July 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Cardiology Source Type: blogs
Healthy lifestyle: 5 keys to a longer life
How is it that the United States spends the most money on healthcare, and yet still has the one of the lowest life expectancies of all developed nations? (To be specific: $9,400 per capita, 79 years, and 31st.)
Maybe those of us in healthcare have been looking at it all wrong, for too long.
Healthy lifestyle and longevity
Researchers from the Harvard T.H. Chan School of Public Health conducted a massive study of the impact of health habits on life expectancy, using data from the well-known Nurses’ Health Study (NHS) and the Health Professionals Follow-up Study (HPFS). This means that they had data on a huge number of peo...
Source: Harvard Health Blog - July 5, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Health Prevention Source Type: blogs
Nanolasers to Shine Light on Things Inside Body
At the Lawrence Berkeley National Laboratory, scientists have created microscopic lasers that may end up being used for imaging inside the body, control of biological activity via optogenetics, and performing novel biological studies on living specimens. The lasers, which are about 5 microns in diameter, smaller than red blood cells, turn infrared light into coherent blue and near-infrared laser light.
They’re made of polymer nanoparticles mixed with sodium yttrium fluoride nanoparticles doped with thulium. Though they were expected to “upconvert” light from a lower to a higher frequency, the particles un...
Source: Medgadget - June 25, 2018 Category: Medical Devices Authors: Editors Tags: Genetics Materials Nanomedicine Source Type: blogs
Illustrated Guide to ECG Interpretation
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Book Review: Sparkson’s Illustrated Guide to ECG Interpretation
Everything you need for easy ECG interpretation! Packed with vital information, Sparkson’s Illustrated Guide to ECG Interpretation is an electrocardiography reference unlike any other. The book’s format is both innovative and captivating, ensuring that readers retain a wealth of practical knowledge for accurate ECG interpretation. With crystal-clear text and incredibly entertaining illustrations, you...
Source: Life in the Fast Lane - June 20, 2018 Category: Emergency Medicine Authors: Lowri Bowen Tags: Book Review ECG interpretation Jorge Muniz Sparkson Source Type: blogs
