Notes from Dr. RW
Hospitalist resources and more.
Friday, July 29, 2011
A clinical image collection
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From Life in the Fast Lane .
A clinical prediction rule may obviate the need for TEE in patients with nosocomial Staph aureus bacteremia
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Here is the abstract of the recent paper. The complete rule is not covered in the abstract but is outlined in this post from Hospital Medi...
Thursday, July 28, 2011
Delirium guidelines from NICE
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Available here . HT to Hospital Medicine Quick Hits .
Clot Connect MD
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A resource on thrombosis and thrombophilia.
Dealing with bleeding in patients on Pradaxa
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Very little has been published on this, but some folks have worked it out. Here's a very helpful post on the topic from the EMCrit blo...
Wednesday, July 27, 2011
The anticoagulation forum
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This is an educational resource on topics related to antithrombotic therapy. Archived webcasts of the 11th National Conference on Anticoag...
Pure quackery invades a critical care nursing journal
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You've got to see it to believe it . Via Respectful Insolence .
Appreciating hospitalists for (gasp!) their clinical skills
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Since its origins the hospitalist movement has been redefined. According to our founding documents a hospitalist was a generalist physician...
Tuesday, July 26, 2011
What's wrong with performance measures?
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In large part they are substitutes for thought . That's why they are so faulty and so many docs resist them.
CT angiography is not the diagnostic modality of choice for PE
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A recent study published in Chest evaluated the sequence of clinical scoring, D-dimer testing, compression ultrasonography, V/Q scanning an...
Review of therapeutic hypothermia after cardiac arrest
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Here's a nice update from CCJM with free full text and CME available. Points of interest: For neurologically appropriate patients (GC...
Monday, July 25, 2011
Trends in elective PCI post-COURAGE
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It looks like cardiologists are following the evidence according to this new study : Conclusions—Publication of results from the COURAGE tr...
1 comment:
Unexplained AV block in younger patients: think beyond the pacemaker!
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In this recent paper investigators found a surprisingly high prevalence of cardiac sarcoidosis and giant cell myocarditis among patients ag...
Benign versus malignant early repolarization---can they be distinguished?
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The early repolarization pattern on the electrocardiogram was long considered a benign variant. Recent evidence suggests a subset of patien...
Friday, July 22, 2011
Quick reference card, asthma classification
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The asthma classification is important to an understanding of the treatment guidelines. I’ve always found it difficult to keep straight, so...
CT pulmonary angiography and overdiagnosis of PE
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A new study published in Archives of Internal Medicine looked at changing trends in diagnosis and outcomes for pulmonary embolism since int...
1 comment:
Thursday, July 14, 2011
The changing profile of bacterial meningitis
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From an NEJM study : The incidence of meningitis changed by −31% (95% confidence interval [CI], −33 to −29) during the surveillance period,...
Parenteral iron therapy
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---is enjoying expanded use . Newer products are safer and no longer carry black box warnings.
Wednesday, July 13, 2011
Brugada pattern quick reference card
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From the Paucis Verbis series at the Academic Life in Emergency Medicine blog.
ACLS and the use of antiarrhythmic agents
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Here's a new systematic review published in the journal Resuscitation. The conclusions were in line with the current recommendations: ...
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