Wednesday, November 30, 2011

Can the post resuscitation electrocardiogram distinguish between patients who do or do not need to go to the cath lab post resuscitation?

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According to this paper it can help despite recent teaching which says it is unreliable: ST-segment elevation predicted AMI with 88% sensi...

Troponin measurement in heart failure

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What does it mean when it’s elevated? Does it mean ACS or chronic elevation as a part of the heart failure syndrome? How does one disting...

Hospitalization for adverse medication events in elders

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67% in a new study were due to oral hypoglycemics, insulins and antithrombotics, none of which are on the Beers list . The authors conclud...
Tuesday, November 29, 2011

EMRAP TV

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Short videos on clinical emergency medicine and the intersection with critical care medicine.

Intraosseous access

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---may be catching on in the ER but is still underutilized. It can serve as a bridge to a central line if you can't get a peripheral in...

Gram positive bacteremia in hemodialysis patients

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A review in the American Journal of Kidney Diseases. Free full text.

Celiac disease

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It has a wide clinical spectrum with many atypical variations. A review in the Archives of Pathology and Laboratory Medicine.

Update on animal bite infections

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This is a very comprehensive review. Article at journal site . Free full text from Medscape .
Monday, November 28, 2011

Open courseware from Yale

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Multiple subjects covered here .

Vaccine news from IDSA

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A Medscape video by Dr. William Schaffner.

Managing severe acute valvular regurgitation

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Here is a review from the Texas Heart Institute Journal, focusing on left sided valvular regurg: Although acute, severe valvular regurgita...

Cerebral salt wasting vs SIADH

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Via The Bottom Line : Cerebral salt wasting is associated with hypovolemic hyponatremia in patients with intracranial disease, such as suba...
Friday, November 25, 2011

Donald Berwick to step down as CMS leader

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Berwick, who once said evidence based medicine may have to “take a back seat,” has decided to take a back seat himself rather than face con...
Wednesday, November 23, 2011

Bacteremia as a red flag for colon cancer---it’s not just Strep bovis

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According to a poster presentation at the 51st Interscience Conference on Antimicrobial Agents and Chemotherapy other species, particularly...

Anti-Xa assays---ready for prime time on the wards?

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The anti-Xa assay is becoming more readily available in community hospital labs. Its potential value in dosing low molecular weight heparin...
Tuesday, November 22, 2011

What is HCAHPS?

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Ever notice how a new acronym or buzzword gets introduced and no body bothers to tell you what it means? It may be that the people throwing...

Physical fitness and brain aging

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Physical fitness may be associated with slowed brain aging according to a presentation at the Society for Neuroscience. Via WSH Health Blog...

Does Up To Date save lives?

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Maybe so according to this study in which hospital outcomes were compared based on use or non-use of Up To Date: We found that patients ad...
Monday, November 21, 2011

Managing the patient with electrical storm

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Very helpful article from the Texas Heart Institute Journal.

Do you need to interrupt single or dual antiplatelet therapy for dental extractions?

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No, but a marked increase in bleeding in patients on uninterrupted dual antiplatelet therapy may require local hemostatic measures according...