Pain in the Bite
​A 14-year-old boy with no past medical history was brought to the ED in some distress by his parents. One hour earlier while looking for his baseball glove in the garage he had felt a small pinprick just above his right ankle. The patient, however, became increasingly uncomfortable and began complaining of diffuse abdominal pain.​His initial vital signs were a temperature of 97°F, heart rate of 112 bpm, blood pressure of 151/91 mm Hg, and 98% pulse oximetry on room air. He appeared uncomfortable, was diaphoretic, and had a rigid abdomen. A small puncture wound with some mild erythema to the lateral right ankle was no...
Source: The Tox Cave - August 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

The Failed MMR Vaccine Policies on College Campuses
Conclusions The current policy on most college campuses requires verification that incoming students have received two doses of the MMR vaccination. The goal of this policy is to prevent the diseases measles and mumps. A longstanding federal trial against Merck, the pharmaceutical company responsible for making the MMR vaccine, accuses Merck of manipulating data to show the MMR to be more effective against mumps than it is. Recent outbreaks of mumps on college campuses by students vaccinated with the MMR vaccine provides additional evidence that the MMR vaccine is ineffective. Data from the Vaccine Adverse Events Reporting...
Source: vactruth.com - July 25, 2017 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Michelle Goldstein Top Stories college vaccination Mandatory Vaccination MMR vaccine truth about vaccines Source Type: blogs

Tetanus in Italy
Although the incidence of tetanus in Europe has been decreasing for many years, disease rates in Italy have changed little during the past two decades.  In fact, Italy currently accounts for most cases reported in the region. [1]  See graph: Reference: Berger S, 2017. Tetanus: Global Status. 528 pages, 812 graphs, 349 references. Gideon e-books, https://www.gideononline.com/ebooks/disease/tetanus-global-status/ The post Tetanus in Italy appeared first on GIDEON - Global Infectious Diseases and Epidemiology Online Network. (Source: GIDEON blog)
Source: GIDEON blog - June 29, 2017 Category: Databases & Libraries Authors: Dr. Stephen Berger Tags: General Source Type: blogs

Why vaccines are important for our country ’s financial health, too
Follow me on Twitter @drClaire Imagine there was a simple treatment that could be given to babies and toddlers that was not only remarkably effective in preventing illness, but also inexpensive. And imagine that this treatment was not only inexpensive, but also lowered overall health care costs. There’s no need to imagine; the treatment exists. It’s called immunization. It’s National Infant Immunization Week, a time to recognize and celebrate immunization. It’s during infancy that we give the most vaccines, but the benefits extend far beyond infancy and beyond those babies. The protection lasts for years, keeping b...
Source: Harvard Health Blog - April 25, 2017 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Health policy Infectious diseases Managing your health care Parenting Prevention Vaccines Source Type: blogs

Solution for Difficult Problems: Thumb Dislocation
​Finger dislocations in general are relatively simple to identify and treat, but ligament, tendon, or volar plate injuries are often missed. Thumb dislocations can present with or without lacerations, and are often associated with ligamentous injuries. An injured thumb is almost always treated with splinting. Follow-up for these injuries is crucial. Radiographs are useful in locating the areas of injury and identifying avulsion fractures.Thumb dislocation in a 24-year-old man 12 hours after injury.Listen to the patient's story to identify the mechanism by which the injury occurred because mimicking this mechanism is typi...
Source: The Procedural Pause - April 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Solution for Difficult Problems: Thumb Dislocation
​Finger dislocations in general are relatively simple to identify and treat, but ligament, tendon, or volar plate injuries are often missed. Thumb dislocations can present with or without lacerations, and are often associated with ligamentous injuries. An injured thumb is almost always treated with splinting. Follow-up for these injuries is crucial. Radiographs are useful in locating the areas of injury and identifying avulsion fractures.Thumb dislocation in a 24-year-old man 12 hours after injury.Listen to the patient's story to identify the mechanism by which the injury occurred because mimicking this mechanism is typi...
Source: The Procedural Pause - March 31, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

We have a vaccine for six cancers. Why are less than half of kids getting it?
Early in our careers, few of us imagined a vaccine could one day prevent cancer. Now there is a vaccine that keeps the risk of developing six Human Papillomavirus (HPV)-related cancers at bay, but adoption of it has been slow and surprising low. Although it’s been available for more than a decade, as of 2014 only 40 percent of girls had received the full three doses of the vaccine, while only 22 percent of boys had received all three. That is far lower than the 87 percent vaccination rates for the Tdap vaccine, which prevents tetanus, diptheria and acellular pertussis. Rates of uptake are low in all population groups. So...
Source: Kevin, M.D. - Medical Weblog - February 27, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/electra-d-paskett" rel="tag" > Electra D. Paskett, PhD < /a > Tags: Meds Pediatrics Source Type: blogs

Patient death by data: A poem
“Afternoon,” the doctor says. “What brings you here today?” A cough? A cold? A belly ache? Some feelings of dismay? Well, tell me just what ails you, and I’ll try to do my best, To sort through all your problems and put your fears to rest. But give me just a moment — my computer must get started. Without attention to its needs, your visit goes uncharted. You say your chest is hurting? And you’re really short of breath? But lack of colon cancer screen could lead to early death! And what about your tetanus shot? And hepatitis C? And what of all the illness hidden in your family tree? I know your chest is hu...
Source: Kevin, M.D. - Medical Weblog - January 23, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/ellen-kemper" rel="tag" > Ellen Kemper, MD < /a > Tags: Physician Primary care Source Type: blogs

A 7-Pound Premature Baby Died After Receiving 8 Vaccine Doses, Her Death Was Blamed On Co-Sleeping Instead Of The Toxic Vaccines
Conclusion Medical examiners are putting the blame on parents for co-sleeping, while completely ignoring the vaccines given to the child hours or days before, when investigating these infant deaths. They will also relate an infant’s death to poisoning of the body due to something the child ingested or inhaled, but not from the poisons injected through the vaccines. [29] In the state of Louisiana, health officials have been applauded for having fairly high vaccination rates, but at the same time, Louisiana has consistently been ranked one of the worst states in the nation for having high infant mortality rates, but nowher...
Source: vactruth.com - January 19, 2017 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Case Reports on Vaccine Injury Human Recent Articles Top Picks Top Stories Aysia Hope Clark Lafayette General Medical Center National Vaccine Injury Compensation Program Recombivax Source Type: blogs

Pediatric Nail Bed Laceration Basics – Part 5
​When and where should you use prolene? What about nylon suture threads? We will end with the latest on antibiotic use in hand injuries.Pediatric nail bed laceration and finger laceration. Tissue adhesives can be used in place of absorbable sutures for minor injuries to the nail bed.Nylon vs. ProleneHow do we decide on which to use and where to use it? Prolene is a synthetic, monofilament, non-absorbable polypropylene thread. This material can be difficult to handle, and many practitioners avoid using it. Its fishing thread-like structure makes it stiff, and its knots tend to be loose, especially for larger threads.Nylon...
Source: The Procedural Pause - January 3, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

13 Year-Old Boy Permanently Disabled from Chicken Pox Vaccine Wins His Case in Vaccine Court
Conclusion Doctors often assure parents that vaccines are safe, using phrases like “one in a million” and “rare” to describe adverse reactions. Yet, with sad stories like RD’s, thousands of adverse events reported to VAERS, and the creation of a special court for vaccine injuries, informed parents know those vaccine safety claims are simply not true. If you have not already done so, please consider the overall safety of vaccinations. A federal program has awarded billions of dollars, through an arduous, emotionally painful process, to people whose family members have suffered injury or death at the legally protec...
Source: vactruth.com - December 30, 2016 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Case Reports on Vaccine Injury Human Missy Fluegge Patricia Finn transverse myelitis truth about vaccines United States Court of Federal Claims Vaccine Court VAERS Varicella vaccine Source Type: blogs

Funtabulously Frivolous Friday Five 169
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 169 Question 1 Children in Ladakh in the Himalayas never seem to get neonatal tetanus. What explanation is given for this? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1681234847'));expand(document.getElementById('ddetlink1681234847')) The effects of high altitude prevents the organism living in the soil. [Reference] Question 2 In 1667, a human received one of the first blood transfusions. Wh...
Source: Life in the Fast Lane - December 9, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five blood transfusion Charcot laryngeal vertigo cornflakes Cough syncope dancing mania Jean-Baptiste Denys kellogg masturbation neonatal tetanus st vitus Source Type: blogs

Solutions for Difficult Problems: Part 4: Pediatric Nail Bed Laceration Basics
​How do you go about choosing your suture thread? Absorbable sutures may include polyglycolic acid, chromic catgut, or glycerol-impregnated catgut. Non-absorbable sutures are typically made of silk, Prolene, or nylon. Suture materials may be synthetic or natural, and they can be mono- or multifilament. Sutures may also be braided, unbraided, or coated. Sizes of suture materials also vary greatly. A 3.0-sized thread is a lot bigger than a 6.0-sized thread, for example.​Keep these key principles in mind: The time it takes for the thread to be absorbed is dependent on the tissue type and thickness, the size and type o...
Source: The Procedural Pause - December 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs