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Total 378 results found since Jan 2013.

EDs in Different Parts of the World but the Same Stories
​BY TIM DEPP, MD​I spent two weeks in India and another two weeks at the Centers for Disease Control and Prevention in Minnesota during my global health elective month. It was a great time to reflect on sustainability in developing world medicine and on my medical education and career goals.​Emergency medicine in India is still in its infancy. Some might say it's only just been conceived, still waiting to be born. India is growing incredibly in numerous sectors, and several universities, including George Washington University (GWU), have partnered with established hospitals there to grow the specialty. After completi...
Source: Going Global - December 1, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Ultrasound Imaging Needle Set to Transform Heart Surgery
Researchers in London have published details of a revolutionary new cardiology needle capable of imaging the heart’s soft tissues from within. The team from University College London (UCL) and Queen Mary University of London (QMUL) used the new...
Source: Medgadget - December 1, 2017 Category: Medical Devices Authors: Tom Peach Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs

Point-of-care handheld echocardiography
(Hand held echocardiograph – Representative image) Initially echocardiographs were large machines with poor resolution. Later advances in electronics miniaturized the machines while improving the resolutions. Multiple modes of imaging starting from the initial single dimensional M-Mode and later, 2-D (two dimensional), 3-D (three dimensional), 4-D (live three dimensional) imaging as well as additional techiques like Doppler interrogation, colour flow mapping, tissue Doppler, strain imaging and speckle tracking made echocardiography a versatile diagnostic tool in cardiology. Invasive forms of echocardiography like i...
Source: Cardiophile MD - December 1, 2017 Category: Cardiology Authors: Johnson Francis Tags: Echocardiography Source Type: blogs

The Future of Emergency Medicine: Innovations Making Patients The Point-of-Care
Every minute spent without treatment could reduce the chance of survival in case of medical emergency and trauma patients. Digital health innovations making patients the point-of-care could become a great help for first responders and emergency units in the battle against time. Here, we collected what trends and technologies will have an impact on the future of emergency medicine. Six minutes before brain damage Car crashes, home injuries, fires, natural disasters. The difference between life and death often depends on the speed and efficiency of emergency care services. The work of doctors, paramedics, and nurses being in...
Source: The Medical Futurist - November 28, 2017 Category: Information Technology Authors: nora Tags: imported CPR digital health emergency emergency medicine EMS first aid first response future Health 2.0 Healthcare Innovation technology Source Type: blogs

What is the meaning of hypokinesia, dyskinesia and akinesia?
These terms are used in connection with the heart muscle. Akinesia means lack of movement or contraction of a region of the heart muscle. Dyskinesia means an abnormal movement – instead of contracting in systole, that segment of myocardium bulges out in systole. Hypokinesia means reduced movement or contraction of a segment of the heart muscle. Another term which is sometimes used is hyperkinesia, meaning increased contraction of heart muscle. Hyperkinesia can occur as a compensatory mechanism by which normal heart muscle does a little bit of extra work instead of the heart muscle which is defective with akinesia, hy...
Source: Cardiophile MD - November 18, 2017 Category: Cardiology Authors: Johnson Francis Tags: Heart Disease FAQ Source Type: blogs

Myocardial contrast echocardiography
Myocardial contrast echocardiography has been used in the assessment of myocardial viability. Downside of myocardial contrast echocardiography is the cost of ultrasound contrast agent (UCA). Intravenous administration of UCA improves the visualisation of myocardial segments and enables the assessment of perfusion. Myocardial segments with normal perfusion and those with patchy perfusion are considered to be viable. Those segments which have no perfusion are taken as non viable myocardial segments. UCA consists of ultrasonic microbubbles. A recent study compared myocardial contrast echocardiography with gated single photon...
Source: Cardiophile MD - November 17, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Usono ProbeFix Introduces Continuous, Hands-Free Ultrasound to The World
Usono, a company based in The Netherlands, has created a new kind of ultrasound accessory that is an important diagnostic tool as well as a way to improve reproducibility of ultrasound images. ProbeFix is a fixation system for transthoracic ultrasoun...
Source: Medgadget - November 16, 2017 Category: Medical Devices Authors: Yuriy Sarkisov Tags: Anesthesiology Cardiology Medicine Source Type: blogs

Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency Medicine at UC San Diego.He sent this ECG with the following inquiry:  "What do you think about this? 21 year old with chest pain. I am getting a result of " STEMI " by using the 3-variable formula, and " no STEMI " with the 4-variable. "Computerized QTc = 418Here was my immediate answer:" Tough one! There is a very low T/ST ratio. That is to say, the J-point is very elevated in V3 and V4 but without a tall T-wave. That is unusual for both early repol and LAD occlusion, and sug...
Source: Dr. Smith's ECG Blog - November 8, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

AcQMap, Now FDA Cleared,  Images Heart from Inside Using Ultrasound, Electrical Dipole Density Mapping
Acutus Medical, a company headquartered in Carlsbad, California, won FDA clearance for its AcQMap High Resolution Imaging and Mapping System, as well as the accompanying AcQMap 3D Imaging and Mapping Catheter. The catheter uses ultrasound and more ...
Source: Medgadget - November 6, 2017 Category: Medical Devices Authors: Editors Tags: Cardiology Source Type: blogs

Healcerion Receives FDA Clearance for New SONON 300L Wireless, App-based Ultrasound System
Healcerion, based in South Korea, was the first company to receive FDA clearance for their wireless, app-based ultrasound system back in 2015. The groundbreaking work done by South Korean engineers and scientists laid the foundation for the developme...
Source: Medgadget - November 3, 2017 Category: Medical Devices Authors: Yuriy Sarkisov Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Ob/Gyn Radiology Surgery Urology Vascular Surgery Source Type: blogs

12 Cases of Use of 3- and 4-variable formulas to differentiate normal STE from subtle LAD occlusion
Here are 12 Cases using the 3- and 4-variable formulas, which help to distinguish normal ST elevation in leads V2-V4 from that of subtle LAD occlusion.Instructions for using free subtleSTEMI iPhone app for the 3-variable formula.  4-variable version still to come.Here is a video lecture of subtle LAD occlusion: One hour lecture on Subtle ECG Findings of Coronary OcclusionThe 3-variable formula comes from this paper:Smith SW et al.  Electrocardiographic Differentiation of Early Repolarization FromSubtle Anterior ST-Segment Elevation Myocardial Infarction.  Annals of Emergency Medicine 2012;60:45-56....
Source: Dr. Smith's ECG Blog - November 3, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Cheap, Easy to Integrate Technology Converts Any 2D Ultrasound Machine into 3D Scanner
Portable ultrasound technology is improving and becoming more affordable, allowing it to be used in places previously impossible due to size and cost. Full size ultrasound imagers can do some impressive stuff, such as creating 3D reconstructions obta...
Source: Medgadget - November 2, 2017 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Emergency Medicine Radiology Source Type: blogs

A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain.  It had been on and off all day, then constant for 2.5 hours.  It was central without radiation, sharp but also tight, and was 9/10.   There was some cough, but no SOB; he reports COPD and has been using his inhalers without improvement. He also reports diaphoresis and tingling of his hands since the worsening of pain at 1700.His BP was 160/90.He was given aspirin and nitro via EMS with good improvement in his chest pain.First ED ECG at 2:40 after chest pain became severe.Sinus rhythm.Slight left axis deviation (mostly...
Source: Dr. Smith's ECG Blog - November 1, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Butterfly iQ, a Whole Body Ultrasound That Fits in a Pocket
Butterfly Network, a firm based in Guilford, Connecticut, won FDA clearance and is introducing its Butterfly iQ portable ultrasound system. It consists of a portable transducer that connects directly to an iPhone, and an iOS app to display the images...
Source: Medgadget - October 30, 2017 Category: Medical Devices Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Ob/Gyn Pediatrics Surgery Urology Vascular Surgery Source Type: blogs