SheMD

DECEMBER 10, 2023

For years, my family and friends were confused every time they heard about me seeing an adult patient. In medical school, we spend two years in the classroom learning about medicine then embark on two years of “rotations” in the hospital, exposed to certain core clerkships including internal medicine and pediatrics. to doctor.

Pediatrics 98

Pediatrics EKG/ECG Wellness Psychiatric 98

Sensible Medicine

FEBRUARY 12, 2024

This is a positive story about a negative trial. Neurologist Hooman Kamel from the Weil Cornell Medical Center in NY had an idea about atrial fibrillation and stroke. Kamel’s new idea about AF and stroke was that the main problem was primary atrial disease. During the trial, about 15% of patients developed new AF.

Wellness 124

Wellness Stroke EKG/ECG Academics 124

The Trauma Pro

SEPTEMBER 26, 2023

A useful rule of thumb is that if the fetal dose is less than 50 mGy during any trimester, the risk of an abortion or fetal malformation is about the same as from other risks to the pregnancy. There are some alternatives available to us, including the good old physical exam, conventional x-rays, and ultrasound. Another chart!

Radiology 288

Radiology Radiology Ultrasounds Wellness 288

The Trauma Pro

MAY 3, 2024

They scanned five years of data from the National Inpatient Sample, which included data from 35 million inpatient admissions in the US. They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. It mostly confirms earlier work and adds significant insights about cost and discharge status.

Fractures 147

Fractures Documentation/Coding Radiology Radiology 147

Sensible Medicine

NOVEMBER 5, 2023

“You are a space cadet— what are you thinking about?” And honestly— that is where my mind was— I’m sorry— sometimes, I keep thinking about if we might be missing something." “Do you think it is worth it, these transplants— you only do it because you have to do it?”

Hospitals 128

Hospitals Wellness 128

Sensible Medicine

MARCH 19, 2024

Primary care physicians are increasingly voicing concerns about the guideline-driven paradigm of clinical practice. Our best research methodologies produce population-level estimates that allow us to determine average effects of interventions. Adam Cifu Sensible Medicine is a reader-supported publication.

Research 140

Research Outcomes 140

The Trauma Pro

FEBRUARY 9, 2024

First, the patient has passed all the initial decision points that would send us straight to the OR (ABC problems in ATLS jargon). This will give good information about nearby structures and the vasculature. The nail is not palpable on either side. And the patient only complains of a little discomfort when he swallows. What to do?

Wellness 147

Wellness 147

American Medical Compliance

APRIL 16, 2024

During an emergency or at the end of life, you may face questions about your medical treatment and not be able to answer them. To become certified, please visit us at: American Medical Compliance (AMC). You also may assume your loved ones know what you would want, but that’s not always true.

Documentation/Coding 100

Documentation/Coding Research Outcomes 100

Sensible Medicine

APRIL 17, 2024

If you can’t believe we are still talking about this, that is sort of the point of the post. I have written my own essays about it on Sensible Medicine on September 28 th , 2022 , and January 11 th , 2024. When Dr. Sarkisian emailed me about a recent experience, I asked if she would expand her thoughts to an article.

Patient Safety 106

Patient Safety Hospitals 106

Science Based Medicine

JUNE 30, 2023

Those of us who thought about vaccines before the pandemic know perfectly well that anti-vaxxers start with their conclusions and work backwards to retrofit the "evidence." Doctors who do the same shouldn't be regarded any differently.

Wellness 109

Wellness 109

Pediatric EM Morsels

FEBRUARY 2, 2024

There have been many times I have encountered a triage note which states “ patient recently returned from … (insert awesome foreign country) … ” Not only does this leave me daydreaming about my future travel adventures, but has often caused me to take pause. Make sure you are also asking about long layovers during travel!

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

American Medical Compliance

MARCH 26, 2024

What you will learn: Description of retaliation Filing a discrimination complaint against a recipient of EPA funds Employment complaint resolutions Alternative dispute resolution Filing a formal complaint Investigation Frequent questions about the discrimination complaint process Details Course length: 30 minutes.

104

104

American Medical Compliance

APRIL 16, 2024

To become certified, please visit us at: American Medical Compliance (AMC). However, around 30% of all antibiotics provided in US acute care hospitals are either unneeded or inappropriate. To learn more about antibiotic stewardship and to implement these safe practices into your healthcare facility, click the button below.

Leadership 97

Leadership Sepsis Outcomes Hospitals 97

SheMD

NOVEMBER 27, 2023

Dr. Sriraman joins us on the blog to discuss "mommy guilt" and how our children REALLY see us, as incredible Moms in Medicine. When I think about that moment, I immediately get a visceral reaction of how angry and hurt I was. However, this maternal guilt many of us feel is compounded for us as female physicians.

Pediatrics 98

Pediatrics Research Operations 98

The Trauma Pro

JUNE 16, 2023

This term has become a catch-all to caution the reader or listener to think about a (usually) less common diagnostic possibility. As trauma professionals, we are advised to do this about so many things, it really has become sad and meaningless. Bottom line: Don’t use this phrase in your presentations or writing.

113

113

Sensible Medicine

APRIL 14, 2024

Last week, the US FDA held a meeting to decide if a new surrogate endpoint (Minimal Residual Disease or MRD negativity) could be used to give more & faster drug approvals for patients with newly diagnosed multiple myeloma. It will bankrupt us, and exposes sick and vulnerable people to considerable risk.

Patient Safety 143

Patient Safety Academics Outcomes Wellness 143

Sensible Medicine

JANUARY 11, 2024

They talked about this period as a remarkable and unique time in their lives. People talked about their fears, the aspects of “lockdown” that they found difficult and those that they remembered fondly – more time with teenage children, board games, conversations, movies, “zocktails.”

Wellness 106

Wellness 106

Sensible Medicine

MARCH 18, 2024

Whereas he previously thought that early medical intervention had little benefit, Dr Mandrola now argues that “younger lower-risk patients may have the most to gain from primary prevention,” and uses statin drugs that lower cholesterol, as an example of why his thinking has changed.

Stroke 145

Stroke Research 145

Emergency Live

OCTOBER 16, 2023

This date aims to raise awareness about the importance of life-saving manoeuvres and how each of us can actually make a difference. The Mission of […] The post World Restart a Heart Day: The Importance of Cardiopulmonary Resuscitation appeared first on Emergency Live.

Resuscitation 93

Resuscitation 93

Emergency Medicine Journal

APRIL 22, 2024

Of course COSTED wasn’t just about vapes. Controls received written information about a local NHS stop smoking service but were not directly referred. The headlines tell the tale (more abstinence in the intervention group), but the study sparked some other questions for us. Is it a good.

Emergency Department 52

Emergency Department Hospitals 52

The Trauma Pro

MAY 12, 2023

And unfortunately, this elevation can be confusing if the patient is at risk for developing inflammatory or infectious processes that might be monitored using the WBC count. What about after splenectomy or IR embolization? And the conclusion about splenic function being related to WBC count was pulled out of a hat. Selective?

130

130

American Medical Compliance

MARCH 26, 2024

Most of us don’t recognize our own biases, yet we have them. To become certified, please visit us at: American Medical Compliance (AMC). To learn more about creating a more inclusive and culturally aware environment in your dental practice, click the button below. It is the very nature of being human.

Research 105

Research Wellness 105

Maria Yang, MD

APRIL 21, 2024

This article, 5 things to know about the Grants Pass homelessness case before the US Supreme Court , summarizes the issue well: “The repercussions could have national implications for how cities can regulate homelessness.” This paper is from 2014, though it holds lessons that we in the US can and should learn from.

Research 52

Research Psychiatric Wellness 52

American Medical Compliance

MARCH 26, 2024

Most of us don’t recognize our own biases, yet we have them. To become certified, please visit us at: American Medical Compliance (AMC). To learn more about creating a more inclusive and culturally aware environment in your healthcare organization, click the button below. It is the very nature of being human.

Research 103

Research Wellness 103

Medagadget

NOVEMBER 7, 2023

So far, the system has been shown to assist with postural control, which in this context refers to the many complex and unconscious movements that the muscles in our legs make to maintain balance and keep us upright, even when we are largely standing still.

Research 105

Research 105

SheMD

AUGUST 31, 2023

We had talked about this prior to the match multiple times, and he had encouraged me to leave and to focus on my career. I laugh now, thinking about how logical his response was to something that was causing me emotional stress. That sentence alone has held so much weight for us. I chose to leave my home state. Oh,” I said.

Leadership 98

Leadership Wellness Research 98

EB Medicine

AUGUST 1, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department Etiology/pathophysiology Risk factors Differential diagnosis Prehospital care ED history and physical exam Diagnostic scoring systems (..)

Emergency Department 98

Emergency Department EKG/ECG 98

Maria Yang, MD

APRIL 8, 2024

It reminds us of the interdependencies between and within ourselves. To intentionally use a trivial example (because there are WAY too many heavy things happening these days), consider a city’s baseball team. Grumpy viewers write corrosive comments about the Tridents in the city’s newspaper.

Psychiatric 52

Psychiatric Leadership Wellness 52

Maria Yang, MD

SEPTEMBER 27, 2023

This is an excellent example of data visualization about the experience of loneliness in the US. This documentary is about the San Quentin Marathon. Dr. Glaucomflecken’s series of short videos about the US health care system is accurate, devastating, and, when it can be, amusing. 30 Days of Healthcare.

59

59

Sensible Medicine

NOVEMBER 6, 2023

Today I will tell you about one-year results of the SWISS-APERO trial—which compared outcomes with the two most common types of closure devices. Reddy, however, seemed unconvinced: Addressing the question of the best tools for evaluating leak, Reddy suggested that it might not matter whether it’s assessed using TEE or CT.

Stroke 128

Stroke Outcomes Ultrasounds Wellness 128

Sensible Medicine

APRIL 12, 2024

I have written about the misery of my schedule during residency. But, as is so often the case, the technology that makes many things easier also causes us to lose something. We have an entire cadre of authors warning us about a dystopic future ruled by artificial intelligence while we invite AI into our clinics and hospitals.

Radiology 74

Radiology Radiology Hospitals Documentation/Coding 74

PulmCCM

MAY 2, 2024

Although there were only 5,000 total recorded cases in 28 US states as of 2022, the rate of increase in C. Candida auris was present in about 7% of the 470 patients tested. The fungus spread across Asia, the Mideast, and Africa before arriving in the U.S. Since 2018, C. auris cases has been accelerating.

Hospitals 52

Hospitals 52

Stop and Think

DECEMBER 29, 2023

I wrote this on my TheHeart.org | Medscape Cardiology recap piece: Changing Ideas About Atrial Fibrillation We learned this year that not all atrial fibrillation (AF) is the same. For an older patient with stroke risk factors and 3 hours of AF on a cardiac device, pre-2023 thinking would have us leaning toward anticoagulation.

Stroke 83

Stroke Research EKG/ECG Wellness 83

Medagadget

JUNE 19, 2023

The recent COVID-19 pandemic has spurred scientists to develop a better understanding of respiratory disease – after all, some of the most contagious diseases are spread through the air, so understanding how they infect and develop in lung tissue would go a long way towards helping us to be better prepared for the next pandemic.

Research 90

Research 90

Maria Yang, MD

JUNE 4, 2023

I’ll say more about compulsory mental health care (also called involuntary psychiatric treatment) and involuntary medications in a separate post. I am certain that I wrote about the following anecdote at the time it happened; I was upset and distressed. “Why is he making us do this?” we wondered.

Psychiatric 59

Psychiatric Outcomes 59

Sensible Medicine

FEBRUARY 5, 2024

The trial enrolled about a 1100 patients with 2:1 randomization; about 700 in the carvedilol arm and 400 in the placebo arm. Well, it turns out that there were 4 US carvedilol trials in HF. That is not what happened in the case of the US carvedilol trials. I am not sure there is a right answer. How could that be?

Wellness 74

Wellness Hospitals 74

JournalFeed

MARCH 2, 2024

For access to more, please visit JournalFeed.org for details about becoming a member. Tuesday Spoon Feed This survey of US physicians found taking more than 3 weeks of vacation per year was associated with lower rates of burnout, while spending 30 minutes or more per vacation day on patient-related work was associated with increased burnout.

Hospitals 52

Hospitals 52