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One of the Great Books of Emergency Medicine Just Published: Extraordinary Cases in Emergency Medicine
This article that established thrombolytic therapy for STEMI as the domain of emergency medicine, not of cardiology.  It made me realize I needed to recognize coronary occlusion on the ECG and differentiate it from PseudoSTEMI patterns.  We emergency physicians could only rely on ourselves to make the right and timely diagnosis because waiting for a cardiologist was to wait too long.Doug and Hennepin (Ernie Ruiz, Joe Clinton, Dave Plummer, and more) taught me long ago that we Emergency Physicians must be the deciders.And that is just one of his countless contributions to EM over a 37 year career.Doug has collecte...
Source: Dr. Smith's ECG Blog - January 8, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

Medgadget Sci-Fi Contest 2018: Meet The Authors and Read Their Stories
From Jules Verne to Isaac Asimov, science fiction writers have inspired scientists, explorers, and thrill seekers to influence the future of humanity. While Sci-Fi may seem like it’s about the distant future, more often than not it’s comm...
Source: Medgadget - December 3, 2018 Category: Medical Devices Authors: Editors Tags: Art Exclusive Medicine Source Type: blogs

Top Online ECG Courses
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Difficult to master (and even harder to teach), the area of ECG interpretation has spawned an entire learning industry devoted to the topic. We take a Google deep dive to evaluate you 17 of the the best #FOAMed and paid ECG courses available online. ECG Course selection criteria Inclusion criteria: The ECG course had to be in the English language readily accessible online, without requiring a formal application process found within the first 50 organic Google search res...
Source: Life in the Fast Lane - July 3, 2018 Category: Emergency Medicine Authors: Michael Connelly Tags: ECG Education Review Website ECG Academy ECG Course ECG Course online EKG medmastery Medvarsity Top 10 Source Type: blogs

James Hayes Fellowship Study Group 2018
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog The Victorian Registrar Study Group is held in at the Australasian College of Emergency Medicine Headquarters at West Melbourne on Saturday mornings, and has been a very great success since its inception.It was developed from Dr James Hayes’ Victorian Registrars Teaching program that ran from the Northern Hospital for just on 15 years. When this program was terminated in 2013, the current program at the College was created by a group of highly esteemed educators, (many o...
Source: Life in the Fast Lane - April 13, 2018 Category: Emergency Medicine Authors: Neil Long Tags: FACEM Fellowship James Hayes Study group VIC VIC FACEM Source Type: blogs

In defense of FOX ’s The Resident
The public’s apparently insatiable appetite for medical drama continues unabated as yet another prime-time TV show set in a hospital has hit our screens. FOX’s The Resident has generated discussion like no other. This may simply be due to the fact it’s the first major launch in the era of widespread social media, but it seems to have enraged a vast swathe of our ranks. Has The Resident crossed a line or have we become a medical “generation snowflake”? Health care professionals don’t tend to admit that they watch medical shows. “Oh it’s too much like work!” is a common refrain, but magically most o...
Source: Kevin, M.D. - Medical Weblog - February 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rohin-francis" rel="tag" > Rohin Francis, MD < /a > Tags: Physician Hospital-Based Medicine Mainstream media Source Type: blogs

Bob Wachter ’ s 2017 Penn Med Commencement Address “ Go to Radiology ”
By ROBERT WACHTER, MD Dean Jameson, Trustees, Faculty, Family and Friends, and most of all, Graduates of the Class of 2017: Standing before you on this wonderful day, seeing all the proud parents and significant others, I can’t help but think about my father. My dad didn’t go to college; he joined the Air Force right after high school, then entered the family business, which manufactured women’s clothing. He did reasonably well, and my folks ended up moving to a New York City suburb, where I grew up. There were a lot of professionals in the neighborhood, but my dad admired the doctors the most. He was even a little e...
Source: The Health Care Blog - May 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Penn Radiology Robert Wachter Speeches UCSF Source Type: blogs

How Yoga Helps with Depression, Anxiety and Addiction
Aerobic movement of any kind helps to relieve depression and anxiety by boosting our brain’s dopamine levels and providing endorphins. But some types of exercises are superior for healing chronic conditions, mood disorders, and addiction. Yoga’s therapeutic benefits have been studied in recent decades, with much of the research being in randomized controlled trials — the most rigorous for proving efficacy. There are many types of yoga, of course — from the more aerobic power yoga to a meditative gentle yoga. Hatha yoga, the most studied, combines physical postures (asanas) and controlled breathing with sho...
Source: World of Psychology - March 1, 2017 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Alcoholism Alternative and Nutritional Supplements Anxiety and Panic Bipolar Depression Exercise & Fitness Mindfulness Personal Self-Esteem Stress Bikram yoga despressive episode Mood Disorder stress reduction Yoga styles Source Type: blogs

The 5 Stages of EMR Acceptance (With Apologies to Kubler-Ross)
By FRANK MEISSNER                                                    DENIAL                    I can’t believe they are making me use this system!                                                  ANGER                 I CAN’T BELIEVE THEY ARE MAKING ME USE WHAT                       THEY LAUGHINGLY CALL A SYSTEM!                                                 BARGAINING  ‘Look if I agree too willingly and cheerfully use this system, can you ask for and fund these change orders, add these features, re...
Source: The Health Care Blog - March 15, 2016 Category: Consumer Health News Authors: John Irvine Tags: Featured THCB Uncategorized Source Type: blogs

Private Medicine in India is No Free Market
By MICHEL ACCAD, MD On the surface, the proposition that medical care in India is a free market seems plausible. Setting aside the perennially underfunded public healthcare system, there is a large second tier system where patients get care without any apparent oversight. Sure, laws and rules abound, but these are easily overcome with bribes paid to bureaucrats. A “cost of doing business,” you might say. In that private system, the care rendered is up to the doctor and patient, and the terms of the transaction are simply decided on the basis of cash exchanging hands. What could be more free market than that? A libertar...
Source: The Health Care Blog - October 1, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

The ABIM Controversy: A Brief History of Board Certification and MOC
By ROBERT WACHTER, MD What’s up with the ABIM?” “I just got a note about an alternative board. Should I join it?” “Aren’t you glad to be off the Board?” These days, I get these questions from friends and colleagues regularly. When I first joined the board of directors of the American Board of Internal Medicine (ABIM) in 2004, the organization was a well-respected pillar of American medicine. Today the organization finds itself in a fight for its life, being painted as everything from out of touch to money-hungry to, more recently, corrupt. I just completed my decade-long service to the ABIM and, more recentl...
Source: The Health Care Blog - July 2, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB ABIM Source Type: blogs

Value-based Interoperability: Less is more
By MARGALIT GUR-ARIE Interoperability in health care is all the rage now. After publishing a ten year interoperability plan, which according to the Federal Trade Commission (FTC) is well positioned to protect us from wanton market competition and heretic innovations, the Office of the National Coordinator for Health Information Technology (ONC) published the obligatory J’accuse report on information blocking, chockfull of vague anecdotal innuendos and not much else. Nowadays, every health care conversation with every expert, every representative, every lobbyist and every stakeholder, is bound to turn to the lame...
Source: The Health Care Blog - May 18, 2015 Category: Consumer Health News Authors: John Irvine Tags: Tech THCB Source Type: blogs

Viva La Evidence
Hi All, It’s been a while. The hospital is abuzz with electrophysiology problems. I’ve been unleashing some serious medical fury in the past weeks. It has been fun, though it gets in the way of writing and training. James McCormack (@medmyths) is a “Pharmacist, Professor, Medication Mythbuster, and Healthy Skeptic at the Faculty of Pharmaceutical Sciences at UBC.” I have recently subscribed to his You Tube Channel. Here is his latest four-minute gem on using clinical evidence as a therapeutic tool. I don’t think clinical evidence is just for doctors. Now that the playing field of medical infor...
Source: Dr John M - December 5, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Medical decisions — tradeoffs, emotions, preferences and experts
Maybe you wonder why I, a cardiologist, writes about vaccines and mammography. It is because I have grown intensely interested in the medical decision. As a doctor in a preference-sensitive field, electrophysiology, how do I help patients understand and choose the best path–of which there are many. This seems like a simple task, but with humans, it is not. Especially these days, when we choose from so many tools. Many forces play on the act of deciding on action or inaction. There is how I feel as a doctor about the risks and tradeoffs. That’s important because we influence decisions based on how we present the...
Source: Dr John M - October 24, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Mexico congress recap — Is it selfish for doctors not to be on Social Media?
When Dr Eduardo Hernandez Castillo (@CardioLeaks) asked me to come to Mexico to speak with a group of physicians about the power of social media, I paused. Should I go to Mexico? I have been traveling a lot; it was a long trip; I was just starting to get fit again, and the atrial fibrillation/anticoagulation congress was industry-sponsored. I wrote back to Eduardo about these reservations. He explained that there was a great need for education (of patients and doctors) in Mexico. Yes, it was true; Bristol-Myers Squibb and Pfizer, the makers of apixaban (Eliquis) were sponsors of the E-Summit 2014. But Eduardo said I would ...
Source: Dr John M - August 18, 2014 Category: Cardiology Authors: Dr John Source Type: blogs