Notes from Dr. RW

Hospitalist resources and more.

Sunday, September 30, 2007

Practical aspects of early treatment of sepsis

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Some nuts and bolts from Emergency Medicine News concerning antibiotic choices, EGDT and activated protein C. There’s also a hint concernin...
Saturday, September 29, 2007

What can turn an $800 medical encounter into a $4000 encounter?

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Defensive medicine and the fear of litigation, that’s what. RangelMD gives an example . Compelling reading. Via Kevin M.D.

Conflicting views about disclosure

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Medical journals are becoming increasingly strict in their disclosure requirements concerning authors’ financial conflicts of interest. Dr. ...
1 comment:
Sunday, September 23, 2007

Activated protein C in severe sepsis: patient selection is getting harder

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A meta-analysis recently published in BioMed Central Anesthesiology raised troubling questions on the use of recombinant human activated pro...

Sepsis review from Hospital Physician

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This review on the diagnosis and management of sepsis from the June 2007 issue of Hospital Physician covers multiple aspects of treatment in...

If you treat patients with sepsis this is a must

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Add the MUST Guide to your bookmarks.
Friday, September 21, 2007

Prison time for a medication error?

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That’s what may happen to an Ohio pharmacist.

The neutraceutical-industrial complex

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Herbal woo is a big money industry. It’s coming on strong, largely unchallenged. Compared to the rigorous scrutiny of Big Pharma the N-I c...
Thursday, September 20, 2007

Hospital efficiency tips

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If you’re part of a hospitalist program you can bet your administration will be tracking your length of stay and charges per case. Hospital...
Wednesday, September 19, 2007

Sphygmomanometer on the verge of extinction

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The way things are going there may come a time when you have to visit the Mütter Museum in order to see one. If you don’t believe me, next ...
2 comments:
Tuesday, September 18, 2007

Avandia and Actose: Are there lessons for diabetes care and drug safety?

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In light of new developments in the thiazolidinedione (TZD) controversy now might be a good time to take stock of where we are in drug thera...
1 comment:
Saturday, September 15, 2007

Vancomycin tips

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Not too many years ago the adage was “say no to vanco.” That has changed in the CA-MRSA era as vancomycin assumes front line status for many...

Varicella-zoster virus and the nervous system

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CCJM has a full text review outlining clinical features, diagnosis and treatment.

Churg-Strauss syndrome and related disorders

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The spectrum of pulmonary vasculitis, notably Churg-Strauss syndrome, Wegener’s gramulomatosis and microscopic polyangiitis, is reviewed in ...

Catecholaminergic polymorphic ventricular tachycardia

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It’s another genetic cause of ventricular arrhythmias and sudden death. It’s not Torsades---the QT interval is not prolonged and the tachyc...
Wednesday, September 12, 2007

Erythropoietin treatment in critical illness

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Transfusion of red cells has been associated with adverse outcomes. The search for a safer alternative to red cell transfusion in critically...
Tuesday, September 11, 2007

Whither practice guidelines?

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How helpful are clinical practice guidelines (CPGs)? How are they most effectively used? A couple of my blogging colleagues have been examin...
Sunday, September 09, 2007

Thiamine before dextrose

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Is it a medical myth? Well, the evidence to support the practice is soft according to this article from Emergency Medicine News.

Out with Pharma, in with Woo---AMSA’s agenda for medical education

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In researching the activities of the American Medical Student Association I ran across a couple of items highlighting their efforts to influ...
5 comments:
Friday, September 07, 2007

Taken to task for my criticism of AMSA

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Wednesday I criticized AMSA’s promotion of complementary and alternative medicine (CAM) and suggested that the organization might be just a ...
1 comment:
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Robert W Donnell
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