Tuesday, December 14, 2010

Just about the last place I expected to find quackademic medicine

›
---was Vanderbilt University Medical Center. Quackademic medicine goes against Vandy's traditions. VUMC was a leader in the biomedical...

Rescue therapies for severe ARDS

›
Severe ARDS can be defined in various ways, usually by the lung injury score. In general it means you can't ventilate the patient with ...

Anxiety and COPD outcomes

›
From Thorax : Results  COPD was associated with a greater risk of anxiety in multivariable analysis (OR 1.85; 95% CI 1.072 to 3.18). Amon...
Monday, December 13, 2010

"It is not the effect on individuals that is presently at issue -- it is the authority of Congress to compel anyone to purchase health insurance"

›
---said a federal judge today in a ruling upholding Virginia's challenge to Obamacare .

Right ventricular infarction---clues from the standard 12 lead

›
This electrocardiogram was presented in a case discussion at the Prehospital 12-Lead ECG blog. This patient had changes of acute inferior...

In the treatment of obesity it's not just diet and exercise

›
Sleep may be the missing ingredient.

Hematologic toxicity of linezolid

›
This study was based on a medical record review from an academic VA medical center: Patients. Four hundred forty-four patients (mean age...

Evaluation of the patient with hypokalemia---a systematic approach

›
This review is part of the American Journal of Kidney Disease Acid-base and electrolyte teaching case series.
Friday, December 10, 2010

Does early goal directed therapy matter? A point-counterpoint

›
In response to a study published in Chest showing a disturbing low rate of adherence to early goal directed therapy (EGDT) at a large medic...

Combination antibiotics in early septic shock---synergistic effect?

›
In hospital medicine there exists a dialectical tension between the idea of “antimicrobial stewardship,” which encourages restricted use of ...
Thursday, December 09, 2010

Upper extremity DVT secondary to PICC insertion

›
The risk was about 3% in this study .

Renal tubular function

›
This is from the American Journal of Kidney Disease Core Curriculum series. Free full text. Not light reading.

Gurgling and hospital acquired pneumonia

›
Gurgling during speech or quiet breathing noted at any time during hospitalization was a powerful predictor in this study .

The myth of 98,000 patients

›
It's been just over a decade since the Institute of Medicine (IOM) dropped a bomb with the publication of its patient safety report To E...
Wednesday, December 08, 2010

Pneumococcal vaccination for adults: Is it time to switch?

›
To the conjugate vaccine, that is, especially now that the 13-valent vaccine is available. It is much more effective in preventing pneumoco...

New appropriateness criteria for cardiac CT

›
These are just out . Free full text. Included are criteria for both CTA and cardiac calcium scoring.

Emergency treatment of COPD: high flow oxygen and mortality

›
A recent BMJ paper reported : Interventions  High flow oxygen treatment compared with titrated oxygen treatment in the prehospital (ambul...
2 comments:
Tuesday, December 07, 2010

Incidence of Takotsubo cardiomyopathy peaks on Monday

›
Via the American Journal of Emergency Medicine .

Initial assessment and treatment of severe asthma

›
Tips from the Medscape Viewpoints series.

Antiplatelet therapy after intracerebral hemorrhage

›
Patients who have recovered from ICH may have indications for antiplatelet therapy. How often is this done? Is it safe, weeks or months la...