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
56 year old male had 5/10 chest pain for several hours, then presented to the ED in the middle of the night with 1/10 pain.
A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle of the night.He reported chest pain that developed several hours prior to arrival and was 5/10 in intensity. The pain was located in the mid to left chest and developed after riding his bike. There was associated fatigue when symptoms developed and mild shortness of breath at onset of chest pain however that has since resolved. The patient states he experienced similar 7/10 chest pain 2 days prior when he had to hurry to catch the bus. He states he experience...
Source: Dr. Smith's ECG Blog - April 14, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Intravascular Ultrasound (IVUS) for Coronary Intervention
Coronary Intravascular Ultrasound (IVUS) equipment consists of an IVUS catheter, pullback device and the imaging console. If lesion lengths have to be assessed, motorized pullback is required. For assessing lesion morphology a manual pullback can also be done. While manual pullback allows concentration on specific lesions, it may miss some lesions in between if the pullback is not steady. Catheter has to be disengaged while evaluating coronary ostial lesions.
Heparin and intracoronary nitroglycerine are given before the guide wire is inserted after the coronary cannulation with a guide catheter. The IVUS catheter is then i...
Source: Cardiophile MD - April 11, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Suspicions of medical child abuse delayed my child ’ s cancer diagnosis
It was November 2014. I was leaving the parking structure of my local children’s hospital when I realized, “They don’t believe us.” I didn’t know it at the time, but it would take seven more months to find the cause of my eight-year-old daughter’s unremitting abdominal pain. An ultrasound ultimately revealed a malignant mass on
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Suspicions of medical child abuse delayed my child’s cancer diagnosis originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Holly Cantley Tags: Conditions Oncology/Hematology Psychiatry Source Type: blogs
8 Mindblowing Examples Of Technology Innovation In Healthcare
Medical innovations often conjure images of sterile labs, high-tech equipment, and complex procedures. But every now and then, remarkable breakthroughs come with a dash of ‘why didn’t I think of that?’ ingenuity. From reimagined everyday objects to solutions inspired by the natural world, these innovations prove that effective healthcare doesn’t always need to be complicated.
Let’s see some medical innovations that are as surprising as they are effective. We collected eight of our favorites that show how a little out-of-the-box thinking is leading to big changes in healthcare.
1. Zip-up ...
Source: The Medical Futurist - April 9, 2024 Category: Information Technology Authors: Andrea Koncz Tags: TMF creative healthcare healthcare innovation Source Type: blogs
Basics of Echocardiography
Transcript of the video: Echocardiography is now not restricted to the echocardiographic laboratory. It is used in the emergency department, at bedside, in the intensive care unit as well as in the operating room. Hence a basic knowledge is needed for all physicians and paramedics. During echocardiography, a transducer transmits the ultrasound beam towards the heart. Echoes received by the transducer from various structures of the heart are analysed by the echocardiograph and a graphical representation
displayed on the monitor.
Location of the transducer is at the top of the image sector. Structures nearer to the tr...
Source: Cardiophile MD - April 4, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia
An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD.He was unidentified and there were no records availableAfter 7 shocks, he was successfully defibrillated and brought to the ED.Bedside ED ultrasound showed exceedingly poor global LV function, and no B lines.Here is the initial ED ECG. What do you think?Rhythm: Residents asked me why it is not VT. If you use calipers (or equvalent), it is clear that the rhythm...
Source: Dr. Smith's ECG Blog - April 2, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Low-frequency ultrasound for pain relief [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We welcome L. Joseph Parker, a research physician, as we delve into a study that explores the potential of low-frequency ultrasound waves in pain management. Joseph will guide us through the intriguing findings of this study, shedding light on how targeted
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Low-frequency ultrasound for pain relief [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 30, 2024 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Pain Management Source Type: blogs
Wide Complex Tachycardia -- VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?
A 69 y.o. male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Per EMS report, patient believes he has been in atrial fibrillation for 5 days, since coming down with flu-like illness with rhinorrhea, productive cough, SOB. Patient is on rivaroxaben, carvedilol, and dofetilide (to suppress atrial fib -- rhythm control). He states that he maybe missed a dose or two during recent illness. On EMS arrival, patient ' s oxygen sat...
Source: Dr. Smith's ECG Blog - March 28, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
A man in his 50s with shortness of breath
Sent by Tom Fiero, written by Pendell Meyers A man in his 50s presented with acute shortness of breath. Unfortunately we do not have access to the patients presenting vital signs.Here is his ECG:Original image, suboptimal qualityQuality improved with PM Cardio digitizationThe ECG is highly suggestive of acute right heart strain, with sinus tachycardia, S1Q3T3, and T wave inversions in anterior and inferior with morphology consistent with acute right heart strain. There is also STE in lead III with reciprocal depression in aVL and I, as well as some subendocardial ischemia pattern with STD in V5-V6 and STE in aVR. Thus...
Source: Dr. Smith's ECG Blog - March 26, 2024 Category: Cardiology Authors: Pendell Source Type: blogs
Ultrasound shows promise as new pain treatment, targeting a specific brain region
A recent study published in PhysicsWorld documented a possible new treatment for pain. Something most physicians would be surprised to hear. Ultrasound. That’s right, low-frequency ultrasound waves, when directed to a specific area of the brain called the insula, have been shown to give some pain relief to persons who were being subjected to a
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Ultrasound shows promise as new pain treatment, targeting a specific brain region originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 6, 2024 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Conditions Pain Management Source Type: blogs
Bonus Features – March 3, 2024 – 75% of healthcare leaders expect widespread implementation of AI in 3 years, 78% of orgs lack knowledge on how to train employees to use AI, plus 18 more stories
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
Studies
Roughly 75% of healthcare leaders expect widespread implementation of AI within three years, according to a BRG survey. Additionally, 60% believe current AI regulations provide adequate safety measures.
While healthcare...
Source: EMR and HIPAA - March 3, 2024 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Amazon Web Services AnalyticsIQ Belong.life Berkeley Research Group Brand Engagement Network care.ai CharmHealth CHIME Deloitte Center for Health Solutions eClinicalWorks FHIR GE Healthcare Greenway Health hc1 Ins Source Type: blogs
Next frontier in radiation free Cath lab : Fibro-optic guided Catheterization
It is a 120-year challenge. Can anyone replace Rontgen’s X-ray discovered in 1895 for medical imaging? The Nobel winning Invention redefined the way we looked at our body and management of diseases for over a century. However, the fact remained it is an invasive and injuring investigation. What is the alternative for the X-radiation ?
CT scan was a great invention, but it turned out to be a gigantic 360-degree clone of X-ray machine. Today’s cath lab, however sophisticated , is like spending hours together inside a hot Chernobyl coffee shop. MRI was a true game changer. With zero radiation, MRI came close i...
Source: Dr.S.Venkatesan MD - March 1, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized FORS cardiac catheterisation ice intra cardiac echocardiography ivus mri oct proton mri imaging radiation saftety ultrasound imaging Source Type: blogs
Why Flight Emergency Medical Kits Need A Digital Health Upgrade
A few weeks ago a doctor used an Apple Watch to aid an elderly woman who suffered a medical emergency on a flight. NHS doctor Rashid Riaz, from Hereford, borrowed the device from a flight attendant to check the patient’s oxygen levels.
“The Apple Watch helped me find out the patient had low oxygen saturation,” the medic explained. Later, he also called on all airlines to consider having emergency physician kits as standard, which would ideally include tools to take basic measurements, diabetic and blood pressure meters, and an oxygen saturation monitor.
We all know that aircraft have some medical su...
Source: The Medical Futurist - February 27, 2024 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine Health Sensors & Trackers portable diagnostics emergency medicine Healthcare technology flight medicine wearables Source Type: blogs
Fetal aortic valvuloplasty
is considered for fetuses with severe valvar aortic stenosis and echocardiographic features suggesting a risk of progression to hypoplastic left heart syndrome. Though surgical options are available for infants with hypoplastic left heart syndrome, morbidity and mortality are high. So if progression to hypoplastic left heart syndrome can be prevented by fetal aortic valvuloplasty, that would be theoretically a great boon. But centers which offer fetal aortic valvuloplasty are very few and cases suitable for fetal aortic valvuloplasty are quite rare. Hence there is difficulty in attaining good case volumes for optimal proc...
Source: Cardiophile MD - February 22, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Structural Heart Disease Interventions Source Type: blogs
