LITFL Review #208
Welcome to the 208th 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 chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Tim Leeuwenburg’s talk from SMACC US, Coping with Isolation, speaks to those physicians who practice “all alone” in a rural environment. The take-home message: vulnerability is OK; be kind to each other; and we are never alone with FOAMed. ...
Source: Life in the Fast Lane - November 29, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
LITFL Review 185
Welcome to the 185th 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 chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Incredible reenactment videos of the Elaine Bromiley case, “a routine operation that went horribly awry.” From EMCrit, where Nicholas Chrimes’s videos show how things go wrong and how they can go right. [AS]
The Best of #...
Source: Life in the Fast Lane - June 7, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
She took Zofran and her son had a heart defect. Here’s why she’s not suing.
I suffered from extreme nausea during my pregnancy; I had triplets, and I’m pretty sure I had a triple dose. I never threw up, but you know how your mouth salivates the moment right before you vomit, that sensation that sends you running to the bathroom? I had that. All. Day. Long. For four weeks.
By day four or five I was beside myself. I was drooling on my knees into a trash can or a toilet almost constantly. I kept a kidney basin beside me as I charted in the office, and my colleagues knew to leave a bathroom free. Just in case. If I could have been off work I would have, except I knew I would have to stop working aro...
Source: Kevin, M.D. - Medical Weblog - May 15, 2015 Category: Journals (General) Authors: Jennifer Gunter, MD Tags: Conditions Medications OB/GYN Source Type: blogs
First Time Mother Shows Up In ER With Complaints of Bilateral Symmetrical Breast Swelling.
Jackson, MS - In what ER doctors are calling one of the strangest cases of Failure To Parent ever, 20 year-old first time mother Tanya Jameson called 911 demanding to be transported back to Jackson Memorial Hospital by ambulance with complaints of severe, progressive, bilateral breast swelling three days after delivering a bouncy 10 pound 2 ounce baby boy.Paramedics arrived at the scene to find Tanya's mother in a panic consoling her daughter writhing in pain. "You've got to take my daughter to the ER. Those damn doctors let her out too soon. Something is terribly wrong!" said her anxiety ridden mot...
Source: The Happy Hospitalist - May 10, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Just how much “healthcare” do you need minus grains?
Jamilyn shared her early experience with this lifestyle:
“I started Wheat Belly February 9th, 2015. I have lost 20 pounds in just over 2 months and 10 on my own in the 9 months prior to WB–30 pounds difference from the first picture to the 3rd picture.
“I have eliminated all of the many medications I was taking for migraines, IBS, gastroparesis, chronic sinusitis, and joint pain. I haven’t taken Allegra or Flonase (which I have taken everyday since I was in my 20’s) since the second day of Wheat Belly. I no longer need my Protonix, Reglan, Carafate, or Zofran for my gastroparesis either. No m...
Source: Wheat Belly Blog - April 15, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories gastroparesis grains IBS joint pain sinusitis Source Type: blogs
Cases: Second-Line Anti-emetic Therapies for Refractory Chemotherapy-Induced Nausea and Vomiting (CINV)
Discussion:Nausea and vomiting (NV) are commonly reported side effects with chemotherapy.1 The primary pathway for NV involves the chemotherapy drugs directly stimulating the chemoreceptor trigger zone (CTZ), in the area postrema at the base of the fourth ventricle. Activated receptors in the CTZ transmit signals to the vomiting center in the brainstem to produce NV. Receptors in the CTZ include serotonergic receptor 5-hydroxytryptamine type 3 (5-HT3), dopaminergic (D2) and neurokinin type 1 (NK-1) receptors. In addition, chemotherapy can damage GI mucosa causing local release of 5-HT3 neurotransmitters by gut enteroch...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 25, 2014 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs
Gastroparesis Awareness Month: A Day In The Life
This is my second post for Gastroparesis Awareness Month. Read my first post, Tube Love, here. My first post was a love poem to my feeding tube. :-) My second one is a little more serious and a lot longer. I apologize for the length. I have trouble reading lengthy posts myself. But sometimes I’m incapable of summarizing myself, so I have to write posts that are too long for even me to read. I hope you’ll at least be able to skim through the important parts. I’ve tried to break up the text with lots of photos, to see if that helps any.
A DAY IN THE LIFE
My day starts when my morning careg...
Source: Ballastexistenz - August 23, 2014 Category: Autism Authors: Mel Baggs Tags: Adrenal insufficiency Aspiration pneumonia Bronchiectasis Education Feeding tube Food Gastroparesis Life Skills Medical Medical stuff Personal history Treatment adult tubie adult tubies awareness awareness months bipap ce Source Type: blogs
Healthcare Update Satellite — 07-2-2014
Ve have vays of keeping you qviet. Halt den mund! Government-contracted security force who actually call themselves the “Brown Shirts” … threatens to arrest medical providers if they leak any information to media about all of the medical illnesses that are being seen at an illegal alien refugee camp in Lackland Air Force Base.
By the way, this story is from FoxNews, so everyone should just ignore it until you or your family members sit next to one of them on a bus or in a movie theater. Combine these kids on playgrounds with anti-vax kids? What could go wrong?
Nothing to worry about. Nothing at all.
New Y...
Source: WhiteCoat's Call Room - July 2, 2014 Category: Emergency Medicine Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs
Research and Reviews in the Fastlane 035
This study suggests that antiemetics are not nearly as potent as widely believed. These drugs have been shown to be effective in preventing nausea (i.e. pretreatment for chemo) but it’s appears that the mechanism for halting nausea is different than that for preventing it.
Recommended by: Anand Swaminathan
Read More: Nausea? We’ve Got Placebo for That
The Best of the Rest
Emergency Medicine, Pulmonary
1. Kew KM, Kirtchuk L, Michell C. Intravenous magnesium sulfate for treating adults with acute asthma in the emergency department. Cochrane Database Syst Rev. 2014 May 28;5 PubMed ID: 24865567
This Cochr...
Source: Life in the Fast Lane - June 18, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Anaesthetics Cardiology Emergency Medicine Evidence Based Medicine General Surgery Intensive Care Palliative care Pediatrics Respiratory Resuscitation Trauma critical care literature R&R in the FASTLANE recommendations resear Source Type: blogs
Research and Reviews in the Fastlane 035
This study suggests that antiemetics are not nearly as potent as widely believed. These drugs have been shown to be effective in preventing nausea (i.e. pretreatment for chemo) but it’s appears that the mechanism for halting nausea is different than that for preventing it.
Recommended by: Anand Swaminathan
Read More: Nausea? We’ve Got Placebo for That
The Best of the Rest
Emergency Medicine, Pulmonary
1. Kew KM, Kirtchuk L, Michell C. Intravenous magnesium sulfate for treating adults with acute asthma in the emergency department. Cochrane Database Syst Rev. 2014 May 28;5 PubMed ID: 24865...
Source: Life in the Fast Lane - June 18, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Anaesthetics Cardiology Emergency Medicine Evidence Based Medicine Featured General Surgery Intensive Care Palliative care Pediatrics Respiratory Resuscitation Trauma critical care literature R&R in the FASTLANE recommendatio Source Type: blogs
Fat people and feeding tubes.
This isn’t a post I like to write. The idea to write it always comes after someone, who is not communicating with me in good faith, approaches me and makes snide remarks about how I can possibly need a feeding tube if I’m fat. Except they usually go beyond calling me fat. They usually make some reference to my weight that makes it sound like I’m unusually fat, just to make things worse. In one case, a known repeat cyber-bully (he has made threatening phone calls to a friend of mine — if I’d recognized him on sight I’d have deleted his comment unread) even told me he’d lost...
Source: Ballastexistenz - May 15, 2014 Category: Autism Authors: Mel Baggs Tags: Abuse Bullying Death Ethics Ethics, justice, etc. Food Medical Medical stuff Prejudice Rumors Stereotypes Treatment Trolls Discrimination fat fat and health fat health fatphobia feeding tube feeding tubes gastropare Source Type: blogs
Cases: "Am I really going to have to live like this?": The Role of Octreotide in Patients with Persistent Nausea and Vomiting after Venting Gastrostomy
Discussion:Malignant bowel obstruction can occur with any cancer but is most commonly associated with advanced ovarian cancer, where it occurs in up to 50% of patients. It generally indicates a poor prognosis and carries a heavy symptom burden predominated by nausea, vomiting and abdominal pain. Patients with carcinomatosis, like Ms BB, are generally not candidates for surgical correction of the obstruction or endoscopic stenting. Fortunately, medical management can be very effective. Abdominal pain is treated with opioids and nausea is treated with metoclopramide in partial obstructions and haloperidol in complete obstruc...
Source: Pallimed: A Hospice and Palliative Medicine Blog - April 10, 2014 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs
Acamprosate For Alcohol: Why the Research Might Be Wrong
Calcium may be curbing the urge to drink. “Occasionally,” reads the opening sentence of a commentary published online last month in Neuropsychopharmacology, “a paper comes along that fundamentally challenges what we thought we knew about a drug mechanism.” The drug in question is acamprosate, and the mechanism of action under scrutiny is the drug’s ability to promote abstinence in alcoholics. The author of the unusual commentary is Markus Heilig, Chief of the Laboratory of Clinical and Translational Studies at the National Institute on Alcohol Abuse and Alcoholism (NIAAA).Acamprosate, in use worldwide and current...
Source: Addiction Inbox - February 17, 2014 Category: Addiction Authors: Dirk Hanson Source Type: blogs
Give and Take Medicine (Good Doctor and Nurse Humor).
Being a great doctor or nurse means learning how to give and take. Healthcare professionals are not dictators and patients are not entitled to whatever they read on the internet. Nursing and doctoring are an art of skillful negotiation with patients and their families. As professionals, doctors and nurses have an obligation to seek out the care plan that is in the best interests of their patients. The Happy Hospitalists wants all patients to know that your doctor and nurse are there for you. They are ALWAYS thinking about how to make you the most satisfied patient. They have to because ...
Source: The Happy Hospitalist - January 26, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Merry Christmas Big Pharma, from PharmaGossip and Sid Wolfe
Escalating criminal and civil violations: pharma has corporate integrity? Not reallySidney M Wolfe looks at the system that should, but does not, deter drug companies from breaking the lawAre criminal and civil penalties of hundreds of millions of dollars an important deterrent to law breaking by international drug companies?Further, would external monitoring in the form of US government mandated corporate integrity agreements (CIA)1 to prevent recurrences of such illegal activities, lasting five years after being signed, be an additional deterrent? Yes in both cases, but only if the size of the penalties outweig...
Source: PharmaGossip - December 24, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
