Wednesday, July 31, 2013

Coordination and integration of health care

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Health care in the U.S. is fragmented and disorganized. Policy experts for years have sought ways to remedy the problem through coordinatio...
Tuesday, July 30, 2013

Epidemiology of atrial fibrillation: emerging concepts

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A recent review provided as free full text in Mayo Clinic Proceedings covered some underappreciated, though not really new, concepts about ...
Monday, July 29, 2013

Brugada syndrome: glance at an ECG, save a life

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Here's a nice summary over at Academic Life in Emergency Medicine.
Sunday, July 28, 2013

Infections due to Klebsiella Pneumoniae Carbapenemase (KPC) producing bacteria: a systematic review

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This is the most extensive review of the experience with these infections I’ve seen. Lots of good information here.
Saturday, July 27, 2013

Aspirin for VTE prophylaxis???

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I'm not sure I believe it but this study showed it to be as good as an anticoagulant in the extended phase of prophylaxis after hip sur...
Friday, July 26, 2013

Whither perioperative beta blockade?

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What are we to do now that much of the literature on this topic is beset with allegations of research fraud? A review last year in the gre...
Monday, July 22, 2013

Protocol driven diuretic dosing in acute decompensated heart failure (ADHF)

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Who says there's no evidence based treatment for ADHF? A lot of people say so particularly in view of the disappointing results with ne...
Friday, July 19, 2013

IV epinephrine when the patient has a pulse

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It doesn't happen often but when you need it you need it. Here are some tricks of the trade and cautions.
Thursday, July 18, 2013

Patient advocate or disruptive physician?

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In today's culture doctors who speak up may find themselves walking on thin ice according to this Medscape piece which concludes: ...
1 comment:
Wednesday, July 17, 2013

Early goal directed therapy: Patwari Academy video

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Via Academic Life in Emergency Medicine . This is a great video. I would like to add some nuance and point to some features that deserve s...
Tuesday, July 16, 2013

Converting from an IV diltiazem drip to PO

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Here's a handy conversion . Via Emergency Medicine PharmD.
Monday, July 15, 2013

The Arora Internal Medicine Board Review controversy revisited

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The American Board of Internal Medicine and the new ethos of academic honesty I blogged several times in 2010 concerning this controversy an...
5 comments:
Sunday, July 14, 2013

Mitral regurgitation as a risk factor in non cardiac surgery

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From a recent paper in the American Journal of Medicine: Methods Patients with significant mitral regurgitation (moderate-severe or sev...
Saturday, July 13, 2013

Carotid artery stenting

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An update .
Friday, July 12, 2013

COPD and heart failure

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The strong association between these two conditions is too often overlooked. The association has implications for diagnosis and management ...
Thursday, July 11, 2013

Pulmonary embolectomy

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Once nearly extinct, the victim of a self-fulfilling prophecy, it is making a comeback and has a role in the care of selected patients with...
Wednesday, July 10, 2013

Pulmonary mucormycosis

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It appears to be an emerging infection according to this review . Think of it in cases of recurrent or non resolving pneumonias especially ...
Tuesday, July 09, 2013

Pacemaker mediated angina

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This purports to be the first published description which is surprising. I think I've seen this.
1 comment:
Monday, July 08, 2013

Prophylactic platelet transfusion in patients with hematologic malignancy

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Recently published in NEJM : Conclusions The results of our study support the need for the continued use of prophylaxis with platelet tr...
Sunday, July 07, 2013

Lower doses of IV diltiazem for rate control of atrial fibrillation

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I was tipped off about this paper by a post at the Emergency Medicind PharmD blog. Apparently the dose of dilt for a fib rate control had...