Cool Medical Tools
My longtime friend, Kevin Kelly, author, world traveler, and futurist invited me to join him on the Cool Tools podcast. He wanted me to share my most recent medical “Cool Medical Tools”. He also asked me to share the first aid and medical treatments I carry with me when I travel. Check out the video below for our conversation:
Links to My Favorite Recent Cool Medical Tools
01:00 – Timeshifter app
12:55 – Aranet4 CO2 monitor:
19:14 – Bite Helper big bite aid
25:18 – Natrapel insect repellent
26:13 – Zyrtec antihistamine
Cool Stuff in my Personal First Aid Travel Kit
Ibupro...
Source: Conversations with Dr Greene - August 25, 2022 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Kids Travel Safety Vacationing & Travel Source Type: blogs
A woman in her 40s with intractable nausea and vomiting, dyspnea, and lightheadedness
Submitted and written by Oriane Longerstaey MD, peer reviewed by Meyers, Smith, and McLarenA woman in her 40s with diabetes and HLD presented with nausea and vomiting x3 days. She was seen on day 1 of symptoms at an outside ED, no ECG performed, and sent home with return precautions and zofran, which she had been taking around the clock for persistent nausea and vomiting. She presented on day 3 of symptoms because of new onset dyspnea, tachycardia, lightheadedness, and heart palpitations. She had a " burning " sensation in her chest but no " pain " .A 12 lead EKG was obtained at triage: - Sinus rhythm at 96 bpm&...
Source: Dr. Smith's ECG Blog - July 21, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
Painless Nasogastric Tube Placement
A 6-year-old boy presented with intermittent abdominal pain, nausea, and vomiting. Because his abdominal examination was unremarkable, the pain intermittent, and constipation a possibility, we provided an enema along with an abdominal pain workup but no radiographs. His pain improved, the abdominal labs were unremarkable, and the child tolerated an oral fluid challenge after treatment with ondansetron.The mother was advised at discharge to return if she became concerned about her child's condition. They did return a few hours later for increased vomiting and abdominal pain. A CT scan demonstrated multiple dilated loops ...
Source: M2E Too! Mellick's Multimedia EduBlog - March 1, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Almost through cycle 8 of talquetamab / daratumumab / pomalidomide trial
I’m nearly finished with cycle 8. For those of you who’ve asked, the side effects have remained the same throughout for me. the situation with my nails has improved, though! They’re not peeling away from the bottom of the nail anymore. Still, I have issues at the tops of the nails. I have to keep …
The post Almost through cycle 8 of talquetamab / daratumumab / pomalidomide trial appeared first on Beth Morgan Multiple Myeloma Treatment Blog. (Source: beth's myeloma blog)
Source: beth's myeloma blog - December 23, 2021 Category: Cancer & Oncology Authors: Beth Tags: BiTE daratumumab pomalidomide Pomalyst Talquetamab compazine masks Zofran Source Type: blogs
A 52 year old female with chest pain
Written by Pendell Meyers, edits by Steve SmithA 52 year old female with history of hypothyroidism and smoking presented to the ED with an episode of chest pain that began suddenly around 1500 while sitting down at work. She states it felt like a central chest pressure that radiated to her jaw. The pain had been persistently present since since 1500 (seen at 1615 in the ED), but had waxed and waned in severity, with the initial onset of pain being the worst. She had dyspnea and diaphoresis when the pain began. Coworkers called EMS who administered aspirin and NTG, which the patient says did not relieve her pain. During ini...
Source: Dr. Smith's ECG Blog - August 16, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
Pancreatitis with Bizarre T-wave inversions and a normal echo. Is it takotsubo?
I was shown this ECG and told that the patient is suffering from another bout of chronic pancreatitis. I was told there was no chest discomfort or SOB. What do you think?I said " this looks like takotsubo " .With this ECG and the presumptive diagnosis of pancreatitis, takotsubo stress cardiomyopathy is by far most likely. It is possible that it is due to ACS, but thebizarre diffuse T-wave inversions with a very long QT are nearly pathognomonic of takotsubo. (They can also be seen in apical hypertrophic cardiomyopathy, but this patient did not have any such history and previous ECGs were different)If ...
Source: Dr. Smith's ECG Blog - July 31, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs
Acute chest pain, ST Depression in V2 and V3, relief with Nitroglycerine, " normal " coronaries, and apical ballooning. Is it takotsubo?
This was submitted by Michael Fischer, one of our outstanding2nd year EM residents at Hennepin Healthcare.CaseA previously healthy female in her 40s presented 1 hour after abrupt onset 10/10 crushing chest pain that started while brushing her hair that morning. The pain radiated to her bilateral jaw and right shoulder, and did not seem to be exertional or pleuritic in nature. Here is her pre-hospital ECG: What do you think?Smith: V2 and V3 have some minimal ST depression with downsloping. This is highly suggestive of posterior MI.This was read by EMS as non-specific. Aspirin 324mg was given by EMS. Ni...
Source: Dr. Smith's ECG Blog - January 8, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs
Olanzapine FTW for Nausea Outside of CINV
by Drew Rosielle (@drosielle)A few months agoan interesting olanzapine study was published which I have been meaning to write a post about. It ' s important because while olanzapine has really established itself in the last decade as a highly effective antiemetic for chemotherapy induced nausea and vomiting, and is now in multiple CINV guidelines (eg Antiemetics: ASCO Guideline), etc, we don ' t have a lot of data for its efficacy for nausea outside of CINV, and so a well-done RCT is welcome.The study is amulti-center, US, adult, randomized, placebo-controlled, double-blind trial of olanzapine for nausea in advanced cancer...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 1, 2021 Category: Palliative Care Tags: anorexia cachexia nausea olanzapine rosielle Source Type: blogs
Delayed GI Symptoms and a Liver Transplant
A 16-year-old boy presented to an emergency department in rural Pennsylvania for nausea, vomiting, and diarrhea. He reported diffuse abdominal cramping that had started two hours earlier. Shortly prior to arrival, he had multiple episodes of nonbloody diarrhea and emesis. He had no significant past medical history, and was not currently taking any medications or supplements. Initially, the history he gave was limited due to a language barrier. His sister was also being evaluated for similar symptoms.The boy's vital signs were a heart rate of 130 bpm, a blood pressure of 100/50 mm Hg, a respiratory rate of 26 bpm, an oxy...
Source: The Tox Cave - November 30, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Hospitals run on much more than doctors and nurses, so spread the love
As a hospitalist in Minnesota, my colleagues and I are busy preparing for the coming viral storm. It is starting to rain. We read the harrowing front line stories from overwhelmed hospitals in China, Italy, and now here in the U.S., and reach for a sublingual Zofran tablet to calm the nauseous dread. The smart […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/craig-bowron" rel="tag" > Craig Bowron, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs
Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain for 2-3 weeks that became constant in the last day. There is also some generalized weakness. There is some associated SOB, but no nausea and vomiting.Here is the initial EKG:What do you think?There is sinus rhythm, a bit of ST depression (II, aVF, III, V2-V6) and apparently very wide and large T-waves. However, if one looks closely, one sees a distinct and prominent U-wave in leads II, III, aVF. Whether a T-wave or a U-wave, the interval (QT or QU) is very ...
Source: Dr. Smith's ECG Blog - December 17, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs
Acute Angle Closure: Mastering Tonometry
Identifying and managing disease often requires the delicate and skillful use of temperamental emergency department machinery. The ability to apply these may appropriately help determine a difficult diagnosis.Glaucoma, we all know, can cause blindness, and acute narrow angle glaucoma refers to the angles within the eye that are not as wide and open as normal. People with acute angle glaucoma have abnormal anatomy within the eye where the angle changes as the eye is dilated. This can cause blockages of fluid drainage from the anterior to posterior changes resulting in increased intraocular pressure. It ca lead to acute a...
Source: The Procedural Pause - November 9, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Alcohol Pad = Aromatherapy = Nausea Relief?
by Bob Arnold (@rabob)In general, I am a cynic and a nihilist. That means when reviewing the literature, I find most glasses half empty rather than half full (OK, probably this is true in life, but that is TMI). I am very unlikely to try a new treatment based on one study.For every rule, however, there is an exception. I am completely enthralled with aromatherapy and thus found anarticle in the Annals of Emergency Medicine by Beadle on isopropyl alcohol nasal inhalation for nausea in the emergency department. It was a randomized controlled trial which made it swoon-worthy. The only problem was it was a placebo trial and so...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 24, 2018 Category: Palliative Care Tags: arnold emergency department journal article nausea ondansetron pallimed writing group research vomiting Source Type: blogs
Double Trouble: Both-Bone Fractures
Both-bone forearm fractures may make you feel a little nervous. A completely crooked forearm is definitely a disturbing sight. Both-bone forearm fractures (especially of the midshaft) typically require surgical intervention, but relocation of bony injuries, regardless of site or complexity, is an important and necessary skill you need to know. Plus, you will be required to assist with sedation, reduction, and splinting when the orthopedic team is involved.Correcting and stabilizing two bones (instead of one) may seem tricky, but we are going to help you do it right. This complex procedure should be done with orthoped...
Source: The Procedural Pause - August 31, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A Balancing Act: Diet Selection for Older Adults
This study highlights that, beyond the detrimental effects of tube feeding on quality of life, there could be detrimental effects from non-oral feeding on the health of our patients. This is obviously not the case for all patients, so each individual case needs to be considered, but these studies comparing outcomes are important to consider.
Participant: When using the IDDSI (International Dysphagia Diet Standardization Initiative), are there at least two numbers included in a diet order: one for foods and one for liquids? Are dietary departments fully onboard?
Rogus-Pulia: My understanding of IDDSI is that, yes, there w...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - June 18, 2018 Category: Speech-Language Pathology Authors: Jillian Kornak Tags: Academia & Research Health Care Private Practice Slider Speech-Language Pathology Dysphagia Feeding Disorders nutrition Speech Disorders Swallowing Disorders Source Type: blogs
