Notes from Dr. RW
Hospitalist resources and more.
Monday, January 10, 2011
Internet addiction and depression
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A study out last year from the journal Psychopathology found a relationship between excessive Internet use and depression. It was based on...
Acute respiratory failure complicating obesity hypoventilation syndrome
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Review in Current Opinion in Pulmonary Medicine.
What have we learned about fluid therapy in septic shock?
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From a review in Current Opinion in Critical Care: Front load it and titrate it early to hemodynamic goals. Although starch preparati...
Saturday, January 08, 2011
What is an internist anyway?
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One time years ago, when it came out in conversation that I was a doctor, a lady asked what kind of a doctor I was. “An internist,” I said....
Friday, January 07, 2011
The provision on reimbursement for end of life counseling
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---What does would it add? As I've explained before, we've always had reimbursement for end of life counseling. I've availe...
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Obama pulls the plug
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---not on Grandma, but on the end of life counseling provision . This is actually the second time the plug was pulled. First time around i...
Blogging: “It doesn't matter if anyone reads it.”
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This is according to Seth Godin. As he said, it's the metacognition that matters. Blogging has forced me to think about what I read...
Wednesday, January 05, 2011
Intraosseous access: when and how
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According to this Medscape presentation : IO access is one of the quickest ways to establish vascular access for the rapid infusion of flui...
1 comment:
Tuesday, January 04, 2011
Pneumonia in critically ill patients: age matters
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From a study in Critical Care Medicine. Conclusions: Increasing age was independently associated with risk-adjusted short- and long-term mo...
Using the EMR to reduce ventilator associated lung injury
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The EMR has not lived up to its promise of improving patient safety and quality. Reasons for this might include the fact that the process “...
Outcomes after convulsive status epilepticus
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---were generally poor and related to the duration of status in this study : The median time from convulsive status epilepticus onset to an...
Blood pressure measurement in hypotensive critically ill patients
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How many intensivists do it non-invasively? From a survey of SCCM members: Measurements and Main Results: Use of non-invasive and invasive...
Pulmonary-critical care slide show
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Pulmonary (Read) View more presentations from changezkn . This slide show has excellent content and numerous pearls warranting posting he...
Monday, January 03, 2011
Results of a community wide campaign to improve cardiac resuscitation
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The Take Heart America campaign resulted in process improvements and more than double the rate of cardiac arrest survival as reported in Cri...
VRE urinary tract infections: when and how to treat
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Review in Pharmacotherapy. Full text via Medscape .
Friday, December 31, 2010
Physiology lecture notes
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From Eastern Kentucky University . Lecture notes enhanced by You Tube videos.
Thursday, December 30, 2010
Physiology lectures from LA City College
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These are word files and a few MP3s.
Partial DNR orders: always patient centered, often irrational, maybe harmful
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In the era of patient centered care it's fashionable during DNR discussions to let people pick and choose from a menu of interventions, ...
Osteoporosis treatment after hip fracture: how often done and by whom?
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Not nearly often enough, and it depends on the specialty service according to this study .
Wednesday, December 29, 2010
The 2010 dumb awards for public policy speech
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Bright people in high places occasionally say dumb things. In such a politically charged time as 2010 it made for great entertainment. Her...
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