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Research and Reviews in the Fastlane 079
This article is a meta-analysis looking at a relatively new technique: POC Ultrasound. This review found that for ED intubations, US had a sensitivity of 98% and a specificity of 94%. The question, however, should be whether this technique is faster than End Tidal CO2, which is extremely reliable.Recommended by: Anand SwaminathanRead More: Ultrasound for Verification of Endotracheal Tube Location (ALiEM)The R&R iconoclastic sneak peek icon keyThe list of contributorsThe R&R ARCHIVER&R Hall of famer You simply MUST READ this!R&R Hot stuff! Everyone’s going to be talking about thisR&R Landmark pap...
Source: Life in the Fast Lane - April 16, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Airway Emergency Medicine Infectious Disease Intensive Care Pediatrics Respiratory Toxicology and Toxinology Trauma critical care Education literature R&R in the FASTLANE recommendations research and reviews Source Type: blogs

A "PR Pawn" Confounds the Public Relations Burnishing of Texas Health Resources and its CEO
The Ebola virus epidemic in Africa is hopefully winding down.  The uproar, if not panic, over Ebola virus in the US has been eclipsed by the latest  internet craze.  However, we are still learning from the echoes of the brief, and thankfully very localized US experience with Ebola.In particular, the country's response to the virus should continue to inspire unease about how our supposedly market based, managerially focused health care non-system can handle real public health threats.Background - Ebola at Texas Health PresbyterianStarting on October 2, 2015, we discussed numerous concerns about whether proble...
Source: Health Care Renewal - March 5, 2015 Category: Health Management Tags: Ebola virus generic management generic managers public relations Texas Health Presbyterian Hospital Texas Health Resources Source Type: blogs

LITFL Review 171
Welcome to the 171th 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 WeekInterested in Free Ultrasound Ebooks? Not sure where to find them? Kasia Hampton from Sonokids has an entire list for you right here! [SO]The Best of #FOAMed Emergency MedicineShould we treat all sore throats with antibiotics in fear of Fusobacterium...
Source: Life in the Fast Lane - March 1, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

The Scary Facts Most Parents Don’t Know About Vaccine Injury Compensation
Conclusion Instead of eliminating the preferred methods of submitting vaccine adverse event reports to VAERS, CDC officials must find ways to encourage accurate reporting of vaccine adverse events. Only a tiny percentage of vaccine reactions, injuries, and deaths are ever reported, failing to give parents a true picture of what can actually happen when their child is vaccinated. The public comment period for this proposal has closed, but you can still make your opinions known about the changes to the VAERS guidelines. Share this article in your social networks to let others know that vaccine injuries and deaths are very re...
Source: vactruth.com - February 19, 2015 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Logical Missy Fluegge Top Stories truth about vaccines Vaccine Adverse Event Reporting System (VAERS) Vaccine Death vaccine injury vaccine injury compensation Source Type: blogs

Why getting your yearly flu shot matters, even if it’s not 100 percent effective
There’s been a lot in the press lately about the flu shot not being effective this year. This provides an excellent opportunity to educate about what the flu vaccine is and why it is important. First, a review of basic biology and immunology. Antigens are proteins on the surface of organisms that trigger an immune response. Recognition of these antigens is how your body responds to infection. If your immune system has seen these antigens before, you will have antibodies against those antigens, and then you will have a better and more robust response to that infection. This could mean that your body fights off the inf...
Source: Kevin, M.D. - Medical Weblog - February 2, 2015 Category: Journals (General) Authors: Tags: Meds Infectious disease Source Type: blogs

Beyond Law Enforcement: The FTC’s Role In Promoting Health Care Competition And Innovation
By now, the Federal Trade Commission’s (FTC) law enforcement efforts in the health care area are well known. We have successfully challenged several hospital and physician practice mergers in the last few years. We also continue to pursue anticompetitive pharmaceutical patent settlements, following a victory at the Supreme Court in the Actavis case. Speaking of the Court, it is currently reviewing a case we brought against the North Carolina Board of Dental Examiners, alleging that its members conspired to exclude non-dentists from providing teeth whitening services in North Carolina. Perhaps less publicized are the FTC...
Source: Health Affairs Blog - January 26, 2015 Category: Health Management Authors: Maureen Ohlhausen Tags: All Categories Competition Connected Health Consumers Health Care Costs Health Law Innovation Policy States Technology Workforce Source Type: blogs

You Won’t Believe Which Big-Name Groups are Opposed to Flu Vaccine Mandates
Conclusion Millions of people are refusing vaccines, in record numbers, as they realize that vaccines are dangerous and ineffective. Now, unions and professional organizations are joining the ranks of anti-vaxers, at least with regard to mandatory vaccination. Those organizations value their members and know that they deserve choices about their bodies and their health care. In return, those groups will be rewarded with a collectively healthier, more innovative work force, because their employees will not be forced to receive injections laced with toxic chemicals. Their employees will also know their ideas and opinions are...
Source: vactruth.com - January 17, 2015 Category: Allergy & Immunology Authors: Missy Fluegge Tags: Missy Fluegge Top Stories American Medical Association (AMA) Mandatory Vaccination National Childhood Vaccine Injury Act truth about vaccines Vaccine Adverse Events Reporting System (VAERS) Source Type: blogs

A scary new medical intervention…
This is a story about a new medical intervention. It’s an important one because it affects all doctors—and therefore all patients. 1. It’s expensive. Of course. 2. There is no credible evidence that it works. But its marketing is aggressive. 3. The overwhelming majority of physicians disapprove of it. 4. Cheaper alternatives exist. 5. The company that makes the treatment is rich and influential. It’s hard to believe something like this could be approved in the United States. But not only is this new intervention approved; it is being forced on physicians—and patients—by eminence-based fiat. The treatment is the...
Source: Dr John M - January 8, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

This is Why You Should Not Blindly Follow Your Doctor’s Advice to Vaccinate
Conclusion Most of us have been trained to believe that vaccines are safe and prevent disease. It is very confusing to first realize that this may not be true. Tremendous pressures exist from physicians, hospitals, family and the public school systems to vaccinate ourselves and our children. Physicians are taught to recommend vaccinations as a first-line defense against disease, while they are not taught the serious health damages created by vaccines. Physicians often blindly follow the recommendations of their professional organizations to vaccinate, without doing any independent research. Those few physicians and nurses ...
Source: vactruth.com - January 2, 2015 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Stories American Academy of Pediatricians (AAP) American Medical Association (AMA) Hepatitis B vaccine Vaccine Exemption Source Type: blogs

LITFL Review 161
Welcome to the 161st 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 WeekExcellent discussion of the role of Human Factors in medicine from the PHARM podcast featuring Nick Chrimes and Martin Bromiley. [AS]The Best of #FOAMed Emergency Medicine“The Opiate Free ED” –  A better approach to pain control in the Eme...
Source: Life in the Fast Lane - December 21, 2014 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

ACO Quality Results: Good But Not Great
On September 23, 2014, the Centers for Medicare and Medicaid Services (CMS) released Year 1 Quality Performance results for Accountable Care Organizations (ACOs) that began participating in the Medicare Shared Savings Program (MSSP) in 2012 or 2013. Another report, released shortly before, outlined financial performance of the ACOs and showed that only 49 ACOs, or 22 percent of those ACOs, qualified for shared savings payments by successfully reducing total spending. Opportunity for continued quality improvement aside, a troublesome snag for the program could be a very low correlation between improved quality and earned sa...
Source: Health Affairs Blog - December 18, 2014 Category: Health Management Authors: David Muhlestein and Chase Hall Tags: All Categories Health Reform Medicaid Medicare Policy Quality Source Type: blogs

10 Reasons Not To Vaccinate
Conclusion You are on your own to try and regain your health in the event that you are vaccine injured. The expense and suffering is yours alone to face. Very few individuals will be awarded money from funds set up by the National Childhood Vaccine Injury Act. The system is designed for individuals to fail in making their claim of vaccine injury. The public pays for this injury fund in the cost of taxes on vaccinations. To learn more, read my other in-depth articles on vaccinations which have been published on VacTruth or Natural News, here: Vaccinations You may also check the resources below. Most important is to remember...
Source: vactruth.com - December 12, 2014 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Michelle Goldstein Top Stories autism National Vaccine Injury Compensation Program (NVICP) Reasons Not to Vaccinate Sudden Infant Death Syndrome (SIDS) truth about vaccines Vaccine Adverse Event Reporting System (VAERS) Source Type: blogs

Does Public Health Have A Future?
Ebola’s arrival in the U.S. hit Americans with a jolt. Regardless of how you feel about the response to date, it should remind everyone of the importance of public health. Fortunately, public health in the U.S. has built an extraordinary track record of success. Smallpox, one of the most dreaded diseases in history, was eradicated worldwide. New vaccines have sharply cut the toll of deaths and disabilities from H flu meningitis, tetanus, pneumococcal sepsis and other deadly diseases. Adding folate to foods dramatically reduced neural tube defects in newborns. Safer cars and better roadway designs cut fatal crashes per m...
Source: Health Affairs Blog - December 10, 2014 Category: Health Management Authors: Arthur Kellermann and Mark Kortepeter Tags: All Categories Environmental Health Prevention Public Health Source Type: blogs

Research and Reviews in the Fastlane 056
This article offers solutions in which he calls for a shift in the research mentality. The pearls: Focus on replication of research findings (and reward this) Broad collaboration and data sharing Altering the reward system for publication and academic advancement (i.e. reward not the number of publications but their impact; focus on the quality of peer review) Recommended by Lauren Westafer Resuscitation, Emergency MedicineSmekal D et al. CPR-related injuries after manual or mechanical chest compressions with the LUCAS™ device: A multicentre study of victims after unsuccessful resuscitation. Resuscitation 2014. PMID ...
Source: Life in the Fast Lane - November 4, 2014 Category: Emergency Medicine Authors: Soren Rudolph Tags: Cardiology Education Emergency Medicine Infectious Disease Intensive Care Neurology Neurosurgery R&R in the FASTLANE Resuscitation Wilderness Medicine acute coronary syndrome airway blood transfusion critical care ENT Review Source Type: blogs

Research and Reviews in the Fastlane 055
This study demonstrates a higher success rate (100% vs. 88%) and lower pneumothorax rate (0% vs. 5%) in comparing ultrasound guided versus landmark technique for placement. Although the ultrasound guided method may be technically difficult to learn and take some time investment, that time is repayed in the shorter time to accessing the vessel and lower complication rate. Recommended by: Anand Swaminathan Emergency medicineRosen P. The biology of emergency medicine. JACEP. 1979 Jul;8(7):280-3. PubMed PMID 449164 Peter Rosen has called this ‘the only good article I have ever written’. This is Rosen’s rati...
Source: Life in the Fast Lane - October 28, 2014 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Clinical Research Emergency Medicine Intensive Care Neurology Resuscitation Trauma critical care Education literature R&R in the FASTLANE recommendations Research and Review Source Type: blogs