Notes from Dr. RW

Despite the fact that Joint Commission’s disruptive behavior standards now apply equally across all disciplines in the health care environm...

Updated in NEJM. Key points: …patients whose pupillary reactions were absent at day 3 after cardiac arrest had poor ou...

F ew patients require weaning from mechanical ventilation. Theophylline has largely been discarded from day to day pulmonary medicine. In...

In this update the use of corticosteroids with patient selection based on severity scores and the use of pentoxifylline wer...

There’s a nice post on this topic in the Clinical Correlations blog titled Neutorpenic Precautions Demystified. It should have been titled...

---is very common, according to a presentation at the 2009 International Congress on Peer Review and Biomedical Publication. Comments from...

Recognition of focused practice is the more correct term. According to Bob Wachter it’s cleared the final hurdle of approval by the Americ...

Not helpful according to this brief update from CCJM.

From a new paper in Circulation: Multivariable predictors of HFPEF (versus HFREF) included elevated systolic blood press...

The best scientific critique of acupuncture I ever heard was by Wallace Sampson : The other mistake people make about acupuncture, Sampson...

Works wonders for your cyclic AMP , too!

---was the focus of the latest Medscape Roundtable Discussion . This Roundtable, really a series of “cerebral burps” by a larger number of ...

There, he said it . "You know, what I would be willing to do is to consider any ideas out there that would actually work in terms of...

I know I’m late with this. In fact, I’m woefully behind on blogging in general thanks to a couple of weeks on the road and a busy work sche...

A summary of the protocol and the supporting evidence is provided here .

---but new evidence may be making a dent . Emergency physicians have long been among the most vociferously opposed to tPA for stroke, but so...

Emergency Medicine professor James Roberts, MD is writing a series of articles on electrocardiographic patterns likely to be...

---is this : Patients, especially when they are sick and least able to fend for themselves, are in dire need of an advocate, a professional ...

---but maybe your hospitalist program can create a little slice of Mayo in your own corner of the world. If enough of us do this, who know...

---according to this study . Discharge summaries were available for 99.2% of 668 patients whose data were analyzed. These summaries mentione...