MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'critical care'. Sat, 03 Sep 2011 01:58:52 +0100 http://www.medworm.com/index.php?rid=5181810&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FsuwvoByosDQ%2F Do you work in an emergency department? Or maybe in an ICU? Or perhaps the prehospital environment? Regardless, of where you look after critically ill patients you MUST click on this LINK now! What will you find there? Two things: The first part of a talk by ‘Early Goal Directed Therapy’ legend Dr Manny Rivers on [...] (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5181810 Thu, 01 Sep 2011 17:38:31 +0100 5181810 http://www.medworm.com/index.php?rid=5181849&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F08%2Fsystematic-review-of-therapeutic.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5181849 Wed, 31 Aug 2011 12:06:00 +0100 5181849 http://www.medworm.com/index.php?rid=5174623&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2Ft2VfNF7BdPo%2F The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5174623 Mon, 29 Aug 2011 02:06:00 +0100 5174623 http://www.medworm.com/index.php?rid=5159102&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F08%2Fmanagement-of-accidental-hypothermia.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5159102 Tue, 23 Aug 2011 14:04:00 +0100 5159102 http://www.medworm.com/index.php?rid=5159010&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FYnCNffSklNA%2F The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5159010 Mon, 22 Aug 2011 15:32:21 +0100 5159010 http://www.medworm.com/index.php?rid=5139827&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F08%2Fearly-goal-directed-therapy-in-er-is.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5139827 Thu, 18 Aug 2011 11:29:00 +0100 5139827 http://www.medworm.com/index.php?rid=5139831&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F08%2Fmanagement-of-cardiac-arrest-in.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5139831 Wed, 17 Aug 2011 14:57:00 +0100 5139831 http://www.medworm.com/index.php?rid=5139832&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F08%2Fpoint-of-care-echo-to-evaluate-for.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5139832 Wed, 17 Aug 2011 14:55:00 +0100 5139832 http://www.medworm.com/index.php?rid=5130851&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FVRZhTjLQxpc%2Fmasimo-reintroduces-pronto-7-finger-sensor-after-recall.html We reported on the introduction of Masimo‘s Pronto 7 back in June 2010. To review, this handheld, noninvasive device provides a spot-check of hemoglobin (SpHb), SpO2, pulse rate, and perfusion index.  Since then, Masimo voluntarily recalled the sensors associated with this device due to problems with reliability of data at low ambient temperatures.  The company has subsequently redesigned the sensors and re-validated the data with thousands of patients. With the new sensors validated, Masimo has initiated international availability of Pronto-7 in Europe, Middle East, Africa, South America, and Asia (except for countries requiring clearance, such as Japan). As far as the U.S. is concerned, FDA 510(k) clearance is pending at this time. Masimo Founder and CEO, Joe Kiani, stated: &#822... Medgadget blogs http://www.medworm.com/rss/comments.php?id=5130851 Mon, 15 Aug 2011 15:29:56 +0100 5130851 http://www.medworm.com/index.php?rid=5125823&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FHryk4-WPp3g%2Fworldheart-corporation-ends-its-levacor-ventricular-assist-device-program-to-focus-on-next-generation-miflow-vads.html World Heart Corporation (WorldHeart) announced on July 29th, 2011 that it shall no longer pursue commercialization of their Levacor Ventricular Assist Device (VAD) technology and will focus on a smaller, new-generation MiFlow VAD.  WorldHeart’s investor page notes that with continued delay of their Bridge-To-Transplant Study and associated device refinements they no longer see Levacor as a commercially competitive product.  The Levacor VAD, a centrifugal pump that is completely magnetically levitated unlike other assist devices with mechanical or blood-lubricated bearings, is designed for adults with late-stage heart failure as a bridge to transplant. The company plans to focus on next generation technology such as the MiFlow VAD, a device designed to provide cardiac output flow up to ... Medgadget blogs http://www.medworm.com/rss/comments.php?id=5125823 Fri, 12 Aug 2011 15:43:40 +0100 5125823 http://www.medworm.com/index.php?rid=5096266&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F08%2Freduction-of-central-line-infections.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5096266 Wed, 03 Aug 2011 11:55:00 +0100 5096266 http://www.medworm.com/index.php?rid=5096218&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FUSTuFGYGhvM%2F LITFL puts you to the test, with 10 of the best Questions and Answer from this months EM Critical Care Article on Noninvasive Ventilation. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5096218 Tue, 02 Aug 2011 01:52:36 +0100 5096218 http://www.medworm.com/index.php?rid=5086181&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F6lpnY5uHtW0%2F LITFL puts you to the test, with 10 of the best Questions and Answer from this months EM Critical Care Article on Noninvasive Ventilation. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5086181 Tue, 02 Aug 2011 01:52:36 +0100 5086181 http://www.medworm.com/index.php?rid=5069507&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F07%2Freview-of-therapeutic-hypothermia-after.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5069507 Tue, 26 Jul 2011 11:19:00 +0100 5069507 http://www.medworm.com/index.php?rid=5057794&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FBDvwYc3vTEA%2Fspacelabs-healthcare-xprezzon-patient-monitor-from-the-future-also-viewable-on-ipad.html Spacelabs Healthcare (named so because it originally developed telemetry devices to monitor the vital signs of orbiting astronauts) has recently launched XPREZZON, a patient monitor that pretty much fullfills all the wishes we ever had for a monitor and that also makes some clever use of existing remote desktop technology. It has a sleek, frameless, iPad-like high resolution touchscreen display. It can display custom trends which can be accessed with a single touch, or they can be displayed continuously and arranged to the user’s liking. It has bright LED alarm lights both on the front and the back. For those accustomed to dual-screen desktop set-ups, a second display can be attached to the monitor, acting as a secondary screen for charting and other clinical applications. Under the ... Medgadget blogs http://www.medworm.com/rss/comments.php?id=5057794 Fri, 22 Jul 2011 15:08:50 +0100 5057794 http://www.medworm.com/index.php?rid=5028529&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2F4SGK1QQD57w%2Fedwards-ev1000-critical-care-platform-gets-fda-clearance.html The course of a general anesthetic has often been likened to an airplane flight – the induction (takeoff), emergence (landing), and whatever turbulence you encounter along the way.  Now the cockpit just became a lot fancier with a new monitoring system from Edwards Lifesciences.  The Edwards EV1000, which just received FDA clearance, is touted as presenting the status of the patient in an “entirely new, intuitive and meaningful way.” The system integrates the FloTrac arterial waveform analyzer and PreSep/PediaSat oximetry catheters, along with the VolumeView transpulmonary thermodilution method to calculate and display a wide array of physiological variables to help diagnosis and treat critical illness. The VolumeView looks especially interesting, touting to calculate t... Medgadget blogs http://www.medworm.com/rss/comments.php?id=5028529 Thu, 14 Jul 2011 15:27:36 +0100 5028529 http://www.medworm.com/index.php?rid=5028349&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F07%2Facls-and-use-of-antiarrhythmic-agents.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5028349 Wed, 13 Jul 2011 11:48:00 +0100 5028349 http://www.medworm.com/index.php?rid=5028356&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F07%2Fthrombocytopenia-in-icu.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=5028356 Tue, 12 Jul 2011 10:05:00 +0100 5028356 http://www.medworm.com/index.php?rid=5008359&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FvcRAbjBQ0IA%2Fintelesens-aingeal-vital-signs-monitor-gets-u-s-clearance.html Intelesens, “the Belfast wireless health monitoring company,” received FDA regulatory clearance for its Aingeal wireless Holter monitor. The device measures ECG, heart and respiratory rate, temperature and body motion and relays it to a central server for clinician analysis. The device underwent clinical testing at the Massachusetts General Hospital last year and has already received European marketing approval. Real time monitoring and analysis of respiration and ECG signals (modified Lead II) Skin temperature and activity (3-axis accelerometer) Up to 48 hours of use Recognition and notification of specific cardiac events (configurable by clinician) Pre and post event data recording (configurable by clinician) Out of range detection and alert to patient Min... Medgadget blogs http://www.medworm.com/rss/comments.php?id=5008359 Wed, 06 Jul 2011 19:36:59 +0100 5008359 http://www.medworm.com/index.php?rid=5008360&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FgSD_a-aFQfU%2Fibag-urine-bag-tweets-when-it-is-getting-full.html Wireless technology is penetrating all sorts of aspects of our world and culture. According to MedCity News, Future Path Medical received FDA regulatory approval to market a urine bag with wireless capabilities. The tiny computer that attaches to the traditional bag measures the fill status and temperature of the fluids inside, and transmits that information via standard IP to any device that wants to receive it. Could be very convenient for caretakers not to have to check up on the status of the bag. iBag™ combines a low-cost fluid sensor with an optional thermistor-based catheter, software and wireless communications providing urine monitoring. In addition, iBag™ will contribute to reduced urine spills and potentially with caregiver assistance – no urine backup in the patient.... Medgadget blogs http://www.medworm.com/rss/comments.php?id=5008360 Wed, 06 Jul 2011 18:31:06 +0100 5008360 http://www.medworm.com/index.php?rid=4992685&cid=t_95830_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fnurse-prompts-are-key-to-successful-implementation-of-icu-safety-measures%2F2011.07.02 Over the last few years, you may have heard a lot about the value of checklists in ICU medicine and their ability to reduce mortality, reduce cost and reduce length of stay.   But a recent study took the concept one step further and suggested that checklists by themselves may not be  effective unless physicians are prompted to act on the checklist. As reported in the American Journal of Respiratory and Critical Care Journal, a single site cohort study performed at Northwestern University Feinberg School of Medicine’s medical intensive care unit compared two rounding groups of physicians.  One group was prompted to use the checklist.  The other group of physicians had access to the checklist but were not prompted to use it. What they found was shocking.  Both groups had access t... Better Health blogs http://www.medworm.com/rss/comments.php?id=4992685 Sat, 02 Jul 2011 16:10:00 +0100 4992685 http://www.medworm.com/index.php?rid=4984478&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F06%2Fexpanding-use-of-checklists.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4984478 Thu, 30 Jun 2011 04:29:00 +0100 4984478 http://www.medworm.com/index.php?rid=4975866&cid=t_95830_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdo-physicians-prefer-ventilated-and-sedated-patients%2F2011.06.28 You ever wonder what doctors really think but are afraid to say out loud?  Here’s one example: “I wish all my patients were on a ventilator” There’s a reason vented and sedated patients are considered desirable.  In addition to the obvious economic benefits of ROS unobtainable Billing critical care CPT 99291, 99292 There are the less talked about, but equally pleasant side effects most hospitalists, ER doctors, cardiologists, gastroenterologists, pulmonologists,  surgeons, infectious disease doctors, endocrinologists, psychiatrists, rheumatologists, dermatologists, nurses, respiratory therapists and physical therapists wouldn’t admit, but would agree, without hesitation.  As a general rule: Patients on ventilators are just faster, easier and more pleas... Better Health blogs http://www.medworm.com/rss/comments.php?id=4975866 Tue, 28 Jun 2011 15:00:00 +0100 4975866 http://www.medworm.com/index.php?rid=4953030&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2F4hfZyRZqbXY%2Fnew-allied-healthcare-mass-casualty-ventilators.html St. Louis-based Allied Healthcare has released a line of ventilators designed for mass casualty situations. During natural or man-made disasters, hospitals may be overwhelmed by the sheer number of patients needing life support, and clinical staff typically not qualified to provide life support may be required to assist. Additionally, electric power may become unavailable for stand-alone mobile ventilators that can operate for extended periods of time and demand continuous electricity. The Allied Mass Casualty Ventilators were designed for such situations, and they feature simple operation, long battery life, and are able to operate without external gas connections. “If you can’t breathe nothing else matters,” said Jack Dabrowski, Allied’s National Product Manager. “Early respon... Medgadget blogs http://www.medworm.com/rss/comments.php?id=4953030 Tue, 21 Jun 2011 18:23:40 +0100 4953030 http://www.medworm.com/index.php?rid=4952852&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FLbq2SFrYZZ0%2F The first of EB Medicine's EM Critical Care review articles is out - here is a Q&A on respiratory monitoring inspired by this exciting new publication. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4952852 Mon, 20 Jun 2011 00:00:31 +0100 4952852 http://www.medworm.com/index.php?rid=4952907&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F06%2Fintubation-tips.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4952907 Fri, 17 Jun 2011 20:05:00 +0100 4952907 http://www.medworm.com/index.php?rid=4952908&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F06%2Fprehospital-point-of-care-lactate.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4952908 Fri, 17 Jun 2011 19:07:00 +0100 4952908 http://www.medworm.com/index.php?rid=4934160&cid=t_95830_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fvitamin-d-for-copd-why-that-wont-be-enough%2F2011.06.16 I am frequently extolling the health benefits of Vitamin D because almost weekly there is a new study that correlates high vitamin D levels with reducing some disease.  The latest is from the American Journal of Respiratory and Critical Care Medicine and research shows that high doses of vitamin D supplementation improved respiratory muscle strength in patients with Chronic Obstructive Pulmonary Disease (COPD).  The patients that did not receive supplemental vitamin D had blood levels of 22.8 compared to 53.8 in the supplemented group.  The patients who were supplemented had improved respiratory function, strength and less shortness of breath.  It certainly didn’t cure or reverse COPD but the improvement was an encouraging trend in this terrible chronic disease. In reading about ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4934160 Thu, 16 Jun 2011 14:00:00 +0100 4934160 http://www.medworm.com/index.php?rid=4934412&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FPRizppjueyk%2Fearlysense%25e2%2580%2599s-contact-free-patient-monitoring-system-gets-a-wifi-upgrade.html Israel-based EarlySense Ltd. has announced the latest improvements to its contact-free patient monitoring solution. The newly FDA cleared and CE marked component makes the EverOn System even easier to use by adding wifi functionality. The EverOn system’s sensor is placed under the patient’s mattress, and can monitor heart rate, respiratory rate, and patient motion. From the press release: EarlySense’s contact-free patient monitoring system, which was FDA cleared and CE approved in 2010, automatically and continuously monitors a patient’s vital signs and movement, from the moment the patient enters the bed, using a contact-free sensor that is placed under the mattress. The system records and documents the cardiac, respiratory, and motion parameters for a full hospital unit. It alert... Medgadget blogs http://www.medworm.com/rss/comments.php?id=4934412 Wed, 15 Jun 2011 14:46:00 +0100 4934412 http://www.medworm.com/index.php?rid=4921469&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F06%2Fbilateral-adrenal-hemorrhage.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4921469 Fri, 10 Jun 2011 17:31:00 +0100 4921469 http://www.medworm.com/index.php?rid=4911606&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2F-RCfr_LN-c8%2Fmedegrip-given-go-ahead-in-europe.html MedeGrip, a simple foam device for working with small or breakable things in the clinic or on the floor, has received the European CE Mark of approval.  It was less than a month ago that MedeGrip was successfully registered with the FDA as a Class 1 device and Access Scientific included it as part of the POWERWAND Maximum Barrier Kit. Developed by a PICC line nurse, the device helps take away the pain of handling things like Luer Loks and pin knots, and makes it a bit safer to work with glass ampules. Here’s a short video demonstrating the MedeGrip: Product page: MedeGrip… Flashbacks: MedeGrip to Make Work With Central Lines, Ampules, Other Devices Easier and Safer; MedeGrip for Pain Free Fingers Gets FDA Registered (Source: Medgadget) Medgadget blogs http://www.medworm.com/rss/comments.php?id=4911606 Tue, 07 Jun 2011 21:54:35 +0100 4911606 http://www.medworm.com/index.php?rid=4911607&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2FyaO1kZqzbqE%2Fphilips-new-budget-conscious-petct-with-time-of-flight-technology.html Philips has introduced its Astonish TF Time-of-Flight (TOF) technology into its new budget PET/CT scanner, the TruFlight Select, and will be making TOF a standard on the company’s entire PET line.  By using intelligent timing, Astonish TF pinpoints the location of events with greater precision, leading to what the company claims is an up to 30% greater contrast resolution compared with non-TOF equipped systems. From the announcement: TOF technology for positron emission tomography (PET) scanners is designed to enhance image quality by reducing image artifacts and providing higher sensitivity. The resulting images help clinicians better detect and locate lesions to increase diagnostic confidence and preserve healthy tissue during treatment. According to a recent study, TOF scans can ... Medgadget blogs http://www.medworm.com/rss/comments.php?id=4911607 Tue, 07 Jun 2011 19:55:06 +0100 4911607 http://www.medworm.com/index.php?rid=4902509&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2Fpw7mTXLHXzE%2Fmasimo-e1-pulse-oximetry-ear-sensor-receives-fda-and-ce-approval.html Masimo has received both US FDA and European CE clearance for its E1 single-patient-use pulse oximetry ear sensor. The ear is often used as an alternative site to measure oxygenation in situations where measurement at the fingertip is impractical, such as when there is excessive patient movement or when perfusion is too low to obtain reliable results. While traditional fingerclip sensors are often applied to the earlobe, the E1 is attached more securely in the cavum conchae. It promises to give faster detection of oxygen saturation changes during low perfusion, and to avoid cross-contamination risks associated with reusable sensors. Masimo has started a limited market release of the device. Press release: Masimo Initiates Limited Market Release of E1, Single-Patient-Use Ear Sensor for Puls... Medgadget blogs http://www.medworm.com/rss/comments.php?id=4902509 Mon, 06 Jun 2011 13:00:43 +0100 4902509 http://www.medworm.com/index.php?rid=4893601&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2Fv4yFpPxwYos%2Fmadgic-airway-from-lma-aids-in-fiberoptic-intubations.html Fiberoptic intubations can be a messy business, best done with meticulous preparation of the airway.  Topical analgesia/anesthesia of the mouth (and/or nose), palate, pharynx, tongue and vocal cords is essential to a successful awake fiberoptic intubation,  but precisely delivering the local anesthetic while maintaining oxygenation can be tricky.  The MADgic atomizer and MADGic airway from LMA incorporate all these tasks into one apparatus. The mouth,  tongue, palate, and throat are first sprayed with topical anesthetic, then the MADgic airway is inserted. This device has a built-in atomizer that should be now directed at the glottic opening, allowing you to spray the vocal cords directly with more anesthetic.  All the while, an oxygen port delivers fresh gas to the patient while you ... Medgadget blogs http://www.medworm.com/rss/comments.php?id=4893601 Thu, 02 Jun 2011 16:51:06 +0100 4893601 http://www.medworm.com/index.php?rid=4893505&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F06%2Fearly-goal-directed-therapy-for-sepsis.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4893505 Thu, 02 Jun 2011 14:54:00 +0100 4893505 http://www.medworm.com/index.php?rid=4883694&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2F2xQKuhnDqcw%2Fnoninvasively_measuring_brain_temperature-2.html MMS Radiometric Sensing Transducer Researchers at the Children’s Hospital of The King’s Daughters in Norfolk, Virginia, have developed a device that can non-invasively measure brain temperature. The device is about the size of a box of matches and rests on a patient’s head, passively detecting microwave emissions produced by the brain tissue beneath the skull. The device is able to measure the temperature of brain tissue 1.5 centimeters beneath the skull. It mainly would have application in monitoring cooling therapy, and would be used to prevent brain damage during cardiac arrest, total circulatory arrest, or for monitoring intracerebral temperatures in hypoxic newborns.The device is currently being evaluated on infants with Hypoxic-Ischemic Encephalopathy, and findings ... Medgadget blogs http://www.medworm.com/rss/comments.php?id=4883694 Tue, 31 May 2011 20:01:52 +0100 4883694 http://www.medworm.com/index.php?rid=4872128&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F05%2Fantibiotic-pharmacokinetics-in-critical.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4872128 Thu, 26 May 2011 22:03:00 +0100 4872128 http://www.medworm.com/index.php?rid=4862592&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F05%2Fguidelines-for-bipap-and-cpap-in.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4862592 Mon, 23 May 2011 22:14:00 +0100 4862592 http://www.medworm.com/index.php?rid=4862593&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F05%2Ffunctional-limitations-5-years-after.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4862593 Mon, 23 May 2011 22:09:00 +0100 4862593 http://www.medworm.com/index.php?rid=4841526&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F05%2Ffluid-resuscitation-in-septic-shock.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4841526 Thu, 19 May 2011 17:19:00 +0100 4841526 http://www.medworm.com/index.php?rid=4841527&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F05%2Ftele-icu-aka-eicu-does-it-affect.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4841527 Thu, 19 May 2011 10:53:00 +0100 4841527 http://www.medworm.com/index.php?rid=4829024&cid=t_95830_113_f&fid=22291&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedgadget%2F%7E3%2Fs44NBVTciE0%2Fsuntech-medical-launches-disposable-blood-pressure-cuffs.html SunTech Medical has launched a new line of disposable blood pressure cuffs. These cuffs can be used as dedicated single-patient blood pressure cuffs in order to reduce cross-patient contamination. They have a tapered-end design for easy cuff application and softer materials for patient comfort. Conveniently, the patient’s name can be written onto the cuff. A wide range of sizes, from infant cuffs to large thigh cuffs, is available, and sizes are color-coded. Press release: SunTech Medical Launches Disposable Blood Pressure Cuffs… Product page: Suntech Medical Disposable Cuff… (Source: Medgadget) Medgadget blogs http://www.medworm.com/rss/comments.php?id=4829024 Mon, 16 May 2011 20:10:38 +0100 4829024 http://www.medworm.com/index.php?rid=4775395&cid=t_95830_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fend-of-life-care-costs-does-your-doctor-know-when-youre-going-to-die%2F2011.05.01 One interesting comment I have seen come up over and over is the idea that end-of-life costs are the thing that is spiralling out of control and that if we could somehow find a way to curb the costs of futile care, then that would somehow solve the health care inflation crisis. Andrew Sullivan endorsed such an idea the other day, a “Modest Proposal,” which is not nearly as radical or amusing as Swift’s. And indeed, there is a modicum of sense in the idea. Estimates are that spending in the last six months of a person’s life account for 30-50% of their overall health care costs, and that the spending in the last year of a person’s life accounts for 25% of overall medicare spending. So — simple solution, right? cut down on the futile care, and we’re ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4775395 Sun, 01 May 2011 18:00:00 +0100 4775395 http://www.medworm.com/index.php?rid=4742394&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F97wdnbqPnVw%2F We have added the data-table search function and sorting fields to assist readers finding the best emergency medicine resources, their twitter handles, FB pages and RSS feeds. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4742394 Fri, 22 Apr 2011 10:51:50 +0100 4742394 http://www.medworm.com/index.php?rid=4714792&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F04%2Fdecompression-sickness.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4714792 Thu, 14 Apr 2011 11:17:00 +0100 4714792 http://www.medworm.com/index.php?rid=4676783&cid=t_95830_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmedical-apps-allow-doctors-to-monitor-icu-patients-remotely%2F2011.04.05 We have reported in the past on AirStrip, a smartphone and iPad app that allows a mobile doctor to monitor the vital signs of patients in an obstetric ward or an ICU. The reverse, where a fixed doctor monitors multiple remote patients is now entering the mainstream and already making a difference in many patients’ lives. In a compelling anecdote recently reported in Computerworld, a man experienced cardiac arrest while shopping and was taken to a nearby community hospital. An intensivist, monitoring from an eICU miles away, was immediately consulted. The remote doctor guided the treating physicians as they initiated unfamiliar hypothermia therapy to preserve the brain, and continued to follow the patient remotely throughout his 10 day ICU stay.  Happily, the patient had a good outcome a... Better Health blogs http://www.medworm.com/rss/comments.php?id=4676783 Tue, 05 Apr 2011 11:00:36 +0100 4676783 http://www.medworm.com/index.php?rid=4615111&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FUPk6PtyjgnI%2F It's time for the enigmatic eleventh edition of the LITFL Review --- a weekly round up of the best and brightest in emergency medicine and critical care on the web. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4615111 Mon, 21 Mar 2011 11:03:22 +0100 4615111 http://www.medworm.com/index.php?rid=4575008&cid=t_95830_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F03%2Fsociety-critical-care-medicine-events-japan%2F The Society of Critical Care Medicine has posted information on their website that they are following news reports on the earthquake and resulting tsunami in Japan and states that the SCCM will be available to assist if needed by government and aid agencies. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4575008 Fri, 11 Mar 2011 18:35:22 +0100 4575008 http://www.medworm.com/index.php?rid=4532234&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F03%2Fairway-pressure-release-ventilation.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4532234 Tue, 01 Mar 2011 13:01:00 +0100 4532234 http://www.medworm.com/index.php?rid=4532216&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FWWwrMU3Zo3M%2F The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4532216 Tue, 01 Mar 2011 09:32:20 +0100 4532216 http://www.medworm.com/index.php?rid=4501604&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F02%2Fmycoplasma-pneumoniae-severe-vap-and.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4501604 Mon, 21 Feb 2011 11:58:00 +0100 4501604 http://www.medworm.com/index.php?rid=4489702&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F02%2Fincident-and-prevalent-thrombocytopenia.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4489702 Thu, 17 Feb 2011 13:12:00 +0100 4489702 http://www.medworm.com/index.php?rid=4411542&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fblood-ammonia-and-lactate-levels-after.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4411542 Fri, 28 Jan 2011 12:50:00 +0100 4411542 http://www.medworm.com/index.php?rid=4399549&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fshould-red-cell-transfusion-be.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4399549 Wed, 26 Jan 2011 11:52:00 +0100 4399549 http://www.medworm.com/index.php?rid=4382786&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Ftranscutaneous-pacing-and-problem-of.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4382786 Fri, 21 Jan 2011 13:02:00 +0100 4382786 http://www.medworm.com/index.php?rid=4349532&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fcan-we-prevent-ventilator-associated.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4349532 Fri, 14 Jan 2011 12:42:00 +0100 4349532 http://www.medworm.com/index.php?rid=4343179&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fwhat-is-effectiveness-of-aed-in.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4343179 Thu, 13 Jan 2011 13:24:00 +0100 4343179 http://www.medworm.com/index.php?rid=4337986&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Frescue-therapy-for-refractory-hypoxemia.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4337986 Tue, 11 Jan 2011 18:37:00 +0100 4337986 http://www.medworm.com/index.php?rid=4331020&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FWAWtr-Occyk%2F The LITFL team recently added the ICU Rounds podcast to our easy-to-search database of free online podcasts. This podcast has been running for a couple of years now, and is produced by the exceptionally prolific Jeffrey Guy. Dr Guy has specialty training in burn surgery, trauma surgery, and critical care and is an Associate Professor [...] (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4331020 Tue, 11 Jan 2011 03:00:34 +0100 4331020 http://www.medworm.com/index.php?rid=4331043&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Facute-respiratory-failure-complicating.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4331043 Mon, 10 Jan 2011 11:53:00 +0100 4331043 http://www.medworm.com/index.php?rid=4331044&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fwhat-have-we-learned-about-fluid.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4331044 Mon, 10 Jan 2011 11:48:00 +0100 4331044 http://www.medworm.com/index.php?rid=4314031&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fintraosseous-access-when-and-how.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4314031 Wed, 05 Jan 2011 11:35:00 +0100 4314031 http://www.medworm.com/index.php?rid=4309643&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fpneumonia-in-critically-ill-patients.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4309643 Tue, 04 Jan 2011 14:13:00 +0100 4309643 http://www.medworm.com/index.php?rid=4309644&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fusing-emr-to-reduce-ventilator.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4309644 Tue, 04 Jan 2011 14:05:00 +0100 4309644 http://www.medworm.com/index.php?rid=4309646&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fblood-pressure-measurement-in.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4309646 Tue, 04 Jan 2011 11:51:00 +0100 4309646 http://www.medworm.com/index.php?rid=4309647&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2011%2F01%2Fpulmonary-critical-care-slide-show.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4309647 Tue, 04 Jan 2011 11:33:00 +0100 4309647 http://www.medworm.com/index.php?rid=4309617&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FMLc9Bgh1ERU%2F A look at Cliff Reid's fantastic website: ResusME - Resuscitation Medicine Education. A great way to keep up with cutting edge research and developments in life-saving medicine. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4309617 Tue, 04 Jan 2011 00:00:51 +0100 4309617 http://www.medworm.com/index.php?rid=4300573&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fpartial-dnr-orders-always-patient.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4300573 Thu, 30 Dec 2010 11:48:00 +0100 4300573 http://www.medworm.com/index.php?rid=4294675&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fwhats-new-in-cpr-and-emergency-cardiac.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4294675 Tue, 28 Dec 2010 11:27:00 +0100 4294675 http://www.medworm.com/index.php?rid=4294641&cid=t_95830_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FiBl6-3Z31ZE%2F Wouldn't it be great if there was a list of the 100 most important papers published in the emergency medicine literature... with article summaries provided. Now, that's an idea... (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4294641 Tue, 28 Dec 2010 00:00:25 +0100 4294641 http://www.medworm.com/index.php?rid=4294676&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Frespiratory-failure-and-mechanical.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4294676 Mon, 27 Dec 2010 12:15:00 +0100 4294676 http://www.medworm.com/index.php?rid=4294677&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fhow-can-we-leverage-adherence-to-best.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4294677 Mon, 27 Dec 2010 11:48:00 +0100 4294677 http://www.medworm.com/index.php?rid=4275345&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fpylephlebitis-as-unrecognized-cause-of.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4275345 Tue, 21 Dec 2010 11:36:00 +0100 4275345 http://www.medworm.com/index.php?rid=4258897&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Frescue-therapies-for-severe-ards.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4258897 Tue, 14 Dec 2010 17:16:00 +0100 4258897 http://www.medworm.com/index.php?rid=4249074&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fdoes-early-goal-directed-therapy-matter.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4249074 Fri, 10 Dec 2010 13:14:00 +0100 4249074 http://www.medworm.com/index.php?rid=4249075&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fcombination-antibiotics-in-early-septic.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4249075 Fri, 10 Dec 2010 13:06:00 +0100 4249075 http://www.medworm.com/index.php?rid=4241745&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Femergency-treatment-of-copd-high-flow.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4241745 Wed, 08 Dec 2010 13:06:00 +0100 4241745 http://www.medworm.com/index.php?rid=4233211&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fblue-journal-podcasts.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4233211 Mon, 06 Dec 2010 12:47:00 +0100 4233211 http://www.medworm.com/index.php?rid=4225346&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Femergency-uses-of-glucagon.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4225346 Thu, 02 Dec 2010 21:15:00 +0100 4225346 http://www.medworm.com/index.php?rid=4225349&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F12%2Fpropofol-infusion-syndrome.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4225349 Thu, 02 Dec 2010 12:14:00 +0100 4225349 http://www.medworm.com/index.php?rid=4197109&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Fleft-ventricular-dysfunction-in.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4197109 Tue, 23 Nov 2010 11:57:00 +0100 4197109 http://www.medworm.com/index.php?rid=4197111&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Finotropes-in-critically-ill-patients.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4197111 Tue, 23 Nov 2010 11:01:00 +0100 4197111 http://www.medworm.com/index.php?rid=4183312&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Fanother-podcast-on-new-acls-guidelines.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4183312 Fri, 19 Nov 2010 15:07:00 +0100 4183312 http://www.medworm.com/index.php?rid=4183315&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Fhypophosphatemia-in-icu.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4183315 Fri, 19 Nov 2010 11:23:00 +0100 4183315 http://www.medworm.com/index.php?rid=4179345&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Femergency-medicine-handbook.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4179345 Thu, 18 Nov 2010 11:14:00 +0100 4179345 http://www.medworm.com/index.php?rid=4179346&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Fventilator-induced-respiratory-muscle.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4179346 Thu, 18 Nov 2010 11:03:00 +0100 4179346 http://www.medworm.com/index.php?rid=4179347&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Femergency-medicine-audio-lectures.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4179347 Thu, 18 Nov 2010 11:01:00 +0100 4179347 http://www.medworm.com/index.php?rid=4159261&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Fekg-cases-in-critical-care.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4159261 Fri, 12 Nov 2010 13:13:00 +0100 4159261 http://www.medworm.com/index.php?rid=4155250&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Fuse-of-neuromuscular-blockers-in-ards_11.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4155250 Thu, 11 Nov 2010 11:35:00 +0100 4155250 http://www.medworm.com/index.php?rid=4133765&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Ficuroomnet.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4133765 Thu, 04 Nov 2010 10:03:00 +0100 4133765 http://www.medworm.com/index.php?rid=4133766&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F11%2Femrap-tv.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4133766 Thu, 04 Nov 2010 10:00:00 +0100 4133766 http://www.medworm.com/index.php?rid=4118998&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F10%2Fidiots-guide-to-capnography.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4118998 Wed, 27 Oct 2010 10:38:00 +0100 4118998 http://www.medworm.com/index.php?rid=4098004&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F10%2Fmore-on-cpr-acls-2010.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4098004 Thu, 21 Oct 2010 10:38:00 +0100 4098004 http://www.medworm.com/index.php?rid=4082116&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F10%2F2010-acls-guidelines-are-here.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4082116 Tue, 19 Oct 2010 02:44:00 +0100 4082116 http://www.medworm.com/index.php?rid=4060633&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F10%2Femergency-medicine-forum.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4060633 Tue, 12 Oct 2010 10:45:00 +0100 4060633 http://www.medworm.com/index.php?rid=4022930&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F10%2Fpa-catheter-and-complete-heart-block.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4022930 Fri, 01 Oct 2010 11:22:00 +0100 4022930 http://www.medworm.com/index.php?rid=4013218&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F09%2Fpharmacologic-options-to-decrease.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=4013218 Wed, 29 Sep 2010 10:20:00 +0100 4013218 http://www.medworm.com/index.php?rid=3999018&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F09%2Flactic-acidosis.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=3999018 Fri, 24 Sep 2010 10:45:00 +0100 3999018 http://www.medworm.com/index.php?rid=3993959&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F09%2Fmore-on-new-cpr-ccr-from-36th-annual.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=3993959 Thu, 23 Sep 2010 11:59:00 +0100 3993959 http://www.medworm.com/index.php?rid=3987076&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F09%2Flong-term-functional-outcomes-and.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=3987076 Mon, 20 Sep 2010 11:41:00 +0100 3987076 http://www.medworm.com/index.php?rid=3987077&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F09%2Flong-term-cognitive-impairment-after.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=3987077 Mon, 20 Sep 2010 11:38:00 +0100 3987077 http://www.medworm.com/index.php?rid=3965457&cid=t_95830_105_f&fid=34896&url=http%3A%2F%2Fdoctorrw.blogspot.com%2F2010%2F09%2Fspontaneous-breathing-and-gasping-after.html (Source: Notes from Dr. RW) Notes from Dr. RW blogs http://www.medworm.com/rss/comments.php?id=3965457 Tue, 14 Sep 2010 10:01:00 +0100 3965457 http://www.medworm.com/index.php?rid=3671621&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F17%2Fjournal-of-the-american-medical-association-2010-vol-303-no-22%2F This article examines national trends in the United States of using long term acute care for patients recovering from severe acute illness aged 65 years or older. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy of this article. Filed under: Current Awareness, Journals Tagged: Acute Hospitals, Critical Care, Long Term Care, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3671621 Thu, 17 Jun 2010 15:47:06 +0100 3671621 http://www.medworm.com/index.php?rid=3220470&cid=t_95830_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F01%2Fhaiti-blog-updates-photos-society-critical-care-medicine%2F Reports and photos from The Society of Critical Care Medicine (SCCM) advance field team in Dominican Republic. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3220470 Fri, 29 Jan 2010 04:21:21 +0100 3220470 http://www.medworm.com/index.php?rid=3197548&cid=t_95830_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F01%2Fhaiti-update-society-critical-care-medicine-president-judith-jacobi%2F This excerpt is from an email sent from Dr. Judith Jacobi, PharmD to SCCM members on January 21, 2010 After more than a week has passed since the initial earthquake that destroyed much of the Haitian capital of Port-au-Prince, aftershocks continue and the needs of survivors mount. In our most recent communication with the Pan American Health Organization, they informed us that they are seeking volunteers to be included in a database of healthcare professionals willing to accept potential deployment to Haiti. Interested health professionals should send an email with CV attached to EOC@paho.org. In addition, SCCM has posted information on the Disaster Resources page of our Web site about opportunities to help through Project Hope, the U.S. Department of Health and Human Services, Centers fo... Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3197548 Thu, 21 Jan 2010 22:48:45 +0100 3197548 http://www.medworm.com/index.php?rid=2993732&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F11%2F15%2Fneonatal-services-toolkit%2F Title: Neonatal services toolkit – updated 12 November 2009 Skinny: New guidance to help the NHS improve the care provided for premature and sick babies and their families.  NHS staff from across England and members of Bliss (the baby charity) have helped to develop the toolkit, which provides evidence based guidance for all neonatal services.  Neonatal care should be more family-centred ensuring that the psychological as well as physical needs of babies and families are considered.  The toolkit created by and for the NHS provides guidance on how to improve services in the areas that really matter to parents including: Communication and inclusion in decision making Access to psychological and social support Improved access to and availability of specialised transfer services Safe... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2993732 Sun, 15 Nov 2009 07:42:06 +0100 2993732 http://www.medworm.com/index.php?rid=2781972&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F10%2Fcritical-care-strategy-managing-the-h1n1-flu-pandemic%2F Title: Critical care strategy: managing the H1N1 flu pandemic The Skinny: Establishes the  Department of Health approach to managing critical care during the swine flu pandemic by increasing the number of available critical care beds and preventing people becoming seriously ill as a result of swine flu.  Supported by a Dear Colleague Letter from Ian Dalton, National Director of NHS Flu Resilience that emphasises the need for whole systems thinking and this is reinforced by a Dear Colleague Letter from the Chief Medical Officer. Publisher: DH Size of Publication: 30p Published: 10/09/2009 Posted in Capacity, Grey Literature, Influenza, NHS, Pandemic Tagged: Capacity, Critical Care, Grey Literature, H1N1, High Dependency Care, Influenza, Intensive Care, Pandemic, Strategic Planning, Who... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2781972 Thu, 10 Sep 2009 14:19:18 +0100 2781972 http://www.medworm.com/index.php?rid=2469535&cid=t_95830_105_f&fid=36987&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FIvorKovicMd%2F%7E3%2FTkMry_7qqcA%2F The Apple Worldwide Developers Conference (WWDC) is taking place in San Francisco right now. On the first day Apple introduced the new iPhone 3G S. They also continued their tradition of presenting some interesting upcoming applications. AirStrip Technologies has presented its new medical app called Critical Care. I really don’t have any comments at this moment other than WATCH THE VIDEO IT WILL BLOW YOUR MIND! AirStrip CRITICAL CARE features include: Virtual Views – Remote, virtual real-time monitoring of live cardiac rhythm strips and other waveform data such as pulse oximetry, end tidal CO2 and peak ventilator pressures. Strip Zooming – The zoom feature maintains relative size of waveforms and the background grid allows for easy assessment and measurements. Automated Calipe... Ivor Kovic, M.D. blogs http://www.medworm.com/rss/comments.php?id=2469535 Wed, 10 Jun 2009 10:26:51 +0100 2469535 http://www.medworm.com/index.php?rid=2375949&cid=t_95830_87_f&fid=34825&url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2009%2F04%2Fby-ignoring-rational-arguments-made.html Some of our most formerly venerable medical journals are becoming increasingly radical. Critical Care Medicine, the journal for intensive care doctors, is a case in point. In the past, the Ethics Committee of the Society of Critical Care Medicine supported futile care theory, and quite notably, the Journal published an article arguing that "neurologically devastated" patients should be able to be killed for their organs assuming consent.Now, Yale School of Medicine (of course) professor Constantine A. Manthous, MD, has published in CCM advocating for the permissibility of physician-assisted suicide. (No link, from the abstract): Our collective repudiation of physician-assisted death, in all its forms, has complex origins that are not necessarily rational. If great care is taken to ensure t... Secondhand Smoke blogs http://www.medworm.com/rss/comments.php?id=2375949 Tue, 28 Apr 2009 23:33:00 +0100 2375949 http://www.medworm.com/index.php?rid=2367349&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Frehabilitation-after-critical-illness%2F Title: Rehabilitation after critical illness Source: NICE The Skinny: NICE guideine on the care of: adults who, as a result of critical illness, have stayed in critical care and need rehabilitation. It doesn’t look at the care of: adults who are having treatment for symptoms and pain in the final stages of a terminal illness adults whose rehabilitation needs are already routinely assessed and delivered as part of their care, for example, patients who have brief stays in critical care units for immediate postoperative care after major elective surgery, and patients with conditions for which published guidelines already exist – such as head injury, heart attack and stroke. Documents For healthcare professionals: CG83 Critical illness rehabilitation: NICE guideline (91p, 496.21 ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367349 Wed, 15 Apr 2009 09:40:05 +0100 2367349 http://www.medworm.com/index.php?rid=2305914&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F03%2F27%2Fcompetencies-for-recognising-and-responding-to-acutely-ill-patients-in-hospital%2F (Equality Impact Assessment) sets out a non-mandatory framework of competencies for recognising and responding to acutely ill patients in hospital. It supports NICE Guideline 50 (Acutely ill patients in Hospital - July 2007) and includes comments made during a consultation on the document that took place between March and June 2008. Posted in Accident and Emergency Departments, Competency Framework, Critical Care, Emergency Admission, Grey Literature, Hospitals, Quality Tagged: Competencies, Ctitical Care, Emergency Care, Grey Literature, Hospitals, Quality, Urgent Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2305914 Fri, 27 Mar 2009 16:18:43 +0100 2305914 http://www.medworm.com/index.php?rid=1891913&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F20%2Fbaby-steps-to-better-care-bliss-baby-report-2008%2F from Bliss identifies that staffing levels in specialist neonatal units are not at the levels they should be.  This results in regular closure to admissions. This despite the recruitment of 160 more nurses w to special care baby units. Still a shortage of 1,700 neonatal nurses to provide the minimum care needed to the babies admitted in 2007, was shown. Indeed only one in five neonatal units reported that they met the nurse staffing standard set out by the British Association of Perinatal Medicine in 2001. The result of lack of staff numbers is highlights that long distance transfers of babies between hospitals. Over 50% of units had to close to new admissions at some point. Over the five month period, almost 500 babies were transferred due to a lack of staffed cots. This is on average t... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1891913 Mon, 20 Oct 2008 17:45:19 +0100 1891913 http://www.medworm.com/index.php?rid=1674786&cid=t_95830_87_f&fid=34825&url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2008%2F08%2Freport-on-texas-futile-care-law-shows.html Critical Care Medicine, the journal for intensive care doctors, has published a study (no link available) of the Texas futile care law (Crit Care Med 2007 Vol. 35, No. 5), which allows hospital ethics committees to order unilateral termination of life-sustaining treatment, and only gives patient families 10 days to find another hospital. In reading the below, it is worth noting a few things about the society: First, Critical Care has previously published a guest editorial advocating for doing away with the dead donor rule for organ procurement, in which the doctor-authors argued that organs should be allowed to be procured from living patients if they are either cognitively devestated or imminently dying. Second, it is worth noting that way back in 1997, when the concept was relatively new... Secondhand Smoke blogs http://www.medworm.com/rss/comments.php?id=1674786 Fri, 01 Aug 2008 16:50:00 +0100 1674786 http://www.medworm.com/index.php?rid=1368348&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F04%2F09%2Fnational-education-and-competence-framework-for-advanced-critical-care-practitioners%2F The National education and competence framework for advanced critical care practitioners describes: the role of an advanced critical care practitioner how the role should function within the critical care team the benefits of introducing the role in clinical practice a national framework of education and competence (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1368348 Wed, 09 Apr 2008 19:00:27 +0100 1368348 http://www.medworm.com/index.php?rid=1344674&cid=t_95830_117_f&fid=36026&url=http%3A%2F%2Fblog.healthtalk.com%2Fzimney%2Fcarepages-a-way-to-connect-friends-and-families-during-illness-and-injury%2F HealthTalk has partnered with CarePages to bring you another useful and, as always, free service. You may have already noticed some of their advertisements appearing on many HealthTalk pages, which have a logo that looks like this: CarePages are free, easy-to-use Web pages that help family and friends communicate when a loved one is receiving care. It takes just a few minutes to create a CarePage, share it with friends and family, and build a community of support. CarePages help families stay connected, informed and supported. When a loved one is hospitalized or receiving care, it can be difficult to communicate. With CarePages, updates are shared via e-mail automatically, and visitors can leave messages for the patient and family on the Web page. CarePages give families an emotional lift... Dr. Z's Medical Report blogs http://www.medworm.com/rss/comments.php?id=1344674 Tue, 01 Apr 2008 20:22:00 +0100 1344674 http://www.medworm.com/index.php?rid=1211994&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F06%2F368%2F To use this journal you’ll need your NHS Athens password from Liverpool PCT (You can register here to get one if you work for the PCT.  If you need any training for this or any other electronic resources and you work for the PCT use the contact form at the bottom of this post to request it. Quality Lines David P Stevens Qual Saf Health Care 2008; 17: 1. [Extract] [Full text] [PDF] Handovers and Debussy D P Stevens Qual Saf Health Care 2008; 17: 2-3. doi:10.1136/qshc.2007.025916 [Extract] [Full text] [PDF] Structuring flexibility: the potential good, bad and ugly in standardisation of handovers E S Patterson Qual Saf Health Care 2008; 17: 4-5. doi:10.1136/qshc.2007.022772 [Extract] [Full text] ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1211994 Wed, 06 Feb 2008 13:49:23 +0100 1211994 http://www.medworm.com/index.php?rid=1114003&cid=t_95830_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2F205333136%2F We have fairly exciting news to report surrounding the very lethal cardiac rhythm disturbance V-Fib (ventricular fibrillation). This very sudden and deadly “electric explosion” that occurs inside the hearts of both old and young alike has long eluded scientists and researchers. The new research suggest that the tornado like activity of V-Fib and its electrical waves is organized into spiral vortices, no matter what species of mammal is experiencing the VF. These vortices or rotors as they are sometimes called, keep the heart’s pumping chambers from pumping in sync, thus disorganized impulses and ultimately death. The paper also shows that across animal species — from mice and guinea pigs to sheep and humans — the frequency of the VF activity can be scaled usin... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=1114003 Sun, 23 Dec 2007 23:08:11 +0100 1114003 http://www.medworm.com/index.php?rid=1106948&cid=t_95830_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F20%2Fwas-that-trip-to-bethlehem-critical%2F New from the Trip Database comes the Critical Care Trip Search which searches the following journals alongside core Trip resources. Critical Care Medicine Pediatric Critical Care Medicine Intensive Care Medicine American Journal of Respiratory and Critical Care Medicine Intensive Care Medicine Critical Care Nurse Dimensions of Critical Care Nursing American Journal of Critical Care Australian Critical Care Anesthesiology Anesthesia and Analgesia British Journal of Anaesthesia Anaesthesia Advanced warning the Fade Nativity is on the way… (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1106948 Thu, 20 Dec 2007 12:51:09 +0100 1106948 http://www.medworm.com/index.php?rid=952043&cid=t_95830_105_f&fid=34897&url=http%3A%2F%2Fpulmonaryroundtable.blogspot.com%2F2007%2F10%2Fprecedex.html Redneck Crit Care (nice name) submitted this question:One of our CT surgeons has been using Precedex for postop sedation for vent patients with good success.www.ptjournal.com/ptjournal/fulltext/30/3/PTJ3003158.pdfaccording to information in that article, it appears to be a very attractive option. It is a short-acting alfa2 agonist and you do not have to discontinue this before, during or after extubation because it does not cause respiratory depression. Are many intensivists already using this in medical ICU? (Source: Pulmonary Roundtable) Pulmonary Roundtable blogs http://www.medworm.com/rss/comments.php?id=952043 Mon, 15 Oct 2007 15:53:00 +0100 952043 http://www.medworm.com/index.php?rid=918091&cid=t_95830_111_f&fid=36048&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAHeartyLife%2F%7E3%2F163809143%2F Hmm… I will present this to you with no opinion or comments from me. It seems that researchers out of The Bristol Heart Institute in Britain have confirmed the belief that certain patients that have survived heart attacks and heart disease become more naturally pre-conditioned than their healthy counterparts. … Discovered surprising responses of the heart to mock cardiac surgery in a mouse model. When the heart was stopped and restarted — mimicking the conditions used in most heart bypass surgery — scientists found hearts with coronary disease from genetically modified mice were more resistant to damage than hearts without coronary disease. So what do you think? Have you ever heard of this before? The research team detailed their findings in the October issue of th... A Hearty Life blogs http://www.medworm.com/rss/comments.php?id=918091 Mon, 01 Oct 2007 17:39:59 +0100 918091 http://www.medworm.com/index.php?rid=827950&cid=t_95830_93_f&fid=34691&url=http%3A%2F%2Fwww.grahamazon.com%2F2007%2F08%2Fmy-cu-misconceptions%2F Now that I’ve survived my month of ICU (and actually enjoyed it–love that high acuity stuff), I should clear up some misconceptions about the ICU that I definitely had coming in (and that likely most people have about ICUs). You walk through an Intensive Care Unit and see almost everyone totally sedated and out of it: on a ventilator, with lines going in their arms, legs, necks, urethras, and rectums, and lines of plastic tubing entrapping them, and you think, My God, why are we keeping these poor people alive on a ventilator? They’re too sick to make it, just let them go already! Americans don’t know how to let their loved ones go! So it turns out: while most people in the ICU at any one time are really sick and totally out of it, every day there’s at least a... over my med body! blogs http://www.medworm.com/rss/comments.php?id=827950 Tue, 28 Aug 2007 22:45:04 +0100 827950 http://www.medworm.com/index.php?rid=797010&cid=t_95830_93_f&fid=34691&url=http%3A%2F%2Fwww.grahamazon.com%2F2007%2F08%2Ficu-overwhelming%2F My thoughts about the ICU, starting chronologically from my first day until now, starting my third week: Pre-ICU: Boy, I think I’m really starting to get decent at clerkships–I feel like I’ve got a good grasp of management for most diseases, I can present pretty well, I’m keeping up with the interns on my service. I’ll learn a lot in the ICU! ICU, Days One and Two: (aka Why Being A Med Student Sucks) I hate this. I hate hate hate this. I am stupid, I don’t know anything. These patients are too complex! They’re overwhelming! It takes me an hour just to collect data on all these patients! What the hell are all these ventilator settings? All these random numbers? And the numbers keep changing! And there’s like 4 ABG’s drawn every day! Ugh,... over my med body! blogs http://www.medworm.com/rss/comments.php?id=797010 Mon, 13 Aug 2007 20:23:09 +0100 797010 http://www.medworm.com/index.php?rid=768890&cid=t_95830_93_f&fid=34691&url=http%3A%2F%2Fwww.grahamazon.com%2F2007%2F07%2Fyoung-people-get-sick-too%2F I don’t think I’ve ever seen so many young people in the hospital before. And they’re all in the Intensive Care Unit (ICU). Scary how many people are around my age or younger, and how really sick they are, with diseases and on drugs I’ve never even heard of. We youngin’s are generally a healthy bunch, but man, when we get sick, we tank. And man, when us youngin’s are taking care of you, we’ve got a lot to read. Posting may be light this month. Ugh. (Source: over my med body!) over my med body! blogs http://www.medworm.com/rss/comments.php?id=768890 Tue, 31 Jul 2007 05:33:38 +0100 768890 http://www.medworm.com/index.php?rid=744734&cid=t_95830_86_f&fid=34466&url=http%3A%2F%2Fclinicalevidence.blogspot.com%2F2007%2F07%2Fjuly-jmla-case-organ-donation.html The July installment in the Journal of the Medical Library Association case study series is now up over at the JMLA Case Studies in Health Sciences Librarianship blog.Reference: Todd PM, Jerome RN, Jarquin-Valdivia AA. Organ preservation in a brain dead patient: information support for neurocritical care protocol development. J Med Libr Assoc. 2007 July; 95(3): 238–245. (Source: Clinical Evidence, Searching Tidbits, and Other Minutiae) Clinical Evidence, Searching Tidbits, and Other Minutiae blogs http://www.medworm.com/rss/comments.php?id=744734 Thu, 19 Jul 2007 18:47:00 +0100 744734 http://www.medworm.com/index.php?rid=707408&cid=t_95830_93_f&fid=35707&url=http%3A%2F%2Fhemodynamics.blogspot.com%2F2007%2F07%2Fhow-to-declare-people-dead.html First step:Examine the person who may be dead.Their pupils should be fixed and dilated--that is, showing no responsiveness to light and remaining fully open. They should not have a blink reflex when something brushes against the cornea of the eye. They should have no heart sounds for one minute of listening. They should have no breath sounds, and no other evidence of breathing. They should be unresponsive to deep painful stimuli (e.g., pushing down sharply and rubbing the sternum--the middle of the chest). Especially if they have been brought from somewhere else rather than dying in the hospital, they are "not dead until they are warm and dead", because hypothermia can mimic death by slowing down and dampening down all bodily functions.Next:Write a note in the chart. Like all other notes i... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=707408 Sun, 01 Jul 2007 04:01:00 +0100 707408 http://www.medworm.com/index.php?rid=636608&cid=t_95830_90_f&fid=34474&url=http%3A%2F%2Fcasesblog.blogspot.com%2F2007%2F05%2F30-million-lawsuit-for-complications-of.html A 47 yo female was awarded $30 million to recover past and future medical costs, lost wages and pain and suffering for complications of treatment of septic shock by a Florida court.A plastic surgeon performed a "tummy tuck" (abdominoplasty) in 2001, soon after that the patient began to to have fever. According to the newspaper story, she went to the ER and the on-call surgeon "removed some fluid from her stomach area and... she was given medicine that focused blood flow to the inner part of her body to protect her vital organs.Yerrid said this medicine can be given only after fluids have been administered; otherwise, the flesh in the extremities will die. Haedicke never ordered fluids for Lucia.Haedicke's attorney said Lucia's kidneys were shutting down. Had he administered fluids, she cou... Clinical Cases and Images - Blog blogs http://www.medworm.com/rss/comments.php?id=636608 Sat, 26 May 2007 20:56:00 +0100 636608 http://www.medworm.com/index.php?rid=651738&cid=t_95830_93_f&fid=35707&url=http%3A%2F%2Fhemodynamics.blogspot.com%2F2007%2F05%2Fhow-i-changed-part-1-life-and-death.html "Any animal’s minute-by-minute life is a constant process—or actually, a system of many interlocked processes. All of us animals are constantly kept alive by our systems of life." Video: the Hemodynamic Cat takes a nap.“This process must have changed you,” my friend R said, as we were talking about my upcoming graduation from medical school. “But how did it change you?”I’ve been thinking about that ever since, and I’ll be thinking about it more—this surely won’t be the last that I write about it.* * *Life and death changed around me even in pre-medical biology classes, but much more acutely as a medical student. Walking along a crowded beach, or out in nature, or even sometimes in the city, I much more frequently and knowledgeably remind myself of the physiology of the ... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=651738 Fri, 25 May 2007 03:53:00 +0100 651738 http://www.medworm.com/index.php?rid=651741&cid=t_95830_93_f&fid=35707&url=http%3A%2F%2Fhemodynamics.blogspot.com%2F2007%2F05%2Ftestimony-alberto-gonzales-should-be_17.html Apropos of I'm not sure what, except to illustrate the general theme that Alberto Gonzales is an ethics-less toady, Senator Chuck Shumer (D-NY) drew the following story out of former deputy Attorney General James Comey, told below in an excerpt of the transcript from Wednesday May 16 2007. Let the other blogs chatter about how this hurts or doesn't hurt Gonzales' chance at keeping his job. Here are the questions from the Hemodynamics.blogspot point of view:Where was hospital security?And where were the doctors? and John Ashcroft's nurse?And if you were a resident that month in the ICU, and John Ashcroft were your guy, and you'd been having family meetings with Mrs. Ashcroft, and you knew that Mr. Ashcroft was not the acting attorney general at that moment, what would you do?Finally, if the... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=651741 Thu, 17 May 2007 04:24:00 +0100 651741 http://www.medworm.com/index.php?rid=477678&cid=t_95830_105_f&fid=34897&url=http%3A%2F%2Fpulmonaryroundtable.blogspot.com%2F2007%2F02%2Fc-diff-c-diff-run-run-diff-run.html This is more of a critical care (or general care, if you will) than true pulmonary.I have been seen a lot of docs (including some ID) treating uncomplicated C. diff colitis with PO vanco up front instead of Flagyl. Have recommendations changed? Do you use much PO vanco? (Source: Pulmonary Roundtable) Pulmonary Roundtable blogs http://www.medworm.com/rss/comments.php?id=477678 Wed, 07 Feb 2007 21:32:00 +0100 477678