Notes from Dr. RW

Hospitalist resources and more.

Tuesday, December 31, 2013

Nurses doing housekeeping chores

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---including cleaning and decontaminating patient care areas. Hard to believe but true according to a TV news report . A particularly rich ...
Friday, December 27, 2013

Chemistry and physics lectures

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From Brian Swarthout .
Thursday, December 26, 2013

Baroreceptor failure

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Here is a case report and brief review . It can present with syncope, orthostatic hypotension, labile blood pressure and heart rate. Blood ...
Tuesday, December 24, 2013

Roth spots and little black bags

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Here's another delightful essay by Herbert Fred . With the demise of the little black bags (which were provided as gifts from the drug ...

Patterns of cardiac arrest due to aortic dissection or aneurysm

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From a recent study : Materials and Methods: Patients who were transported to this department from January 2005 to December 2010 and sub...
Friday, December 20, 2013

Excessive CVP levels and microcirculatory impairment

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From BMC Anesthesiology : Methods We performed a post-hoc analysis of a prospective study in septic patients who were resuscitated acco...
Thursday, December 19, 2013

Interobserver variations in the interpretation of ECGs concerning for STEMI

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From a recent study : A cross‐sectional survey was performed consisting of 36 deidentified ECGs that had previously resulted in putative S...

Clinical and electrocardiographic presentations of takotsubo cardiomyopathy

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In this series physical stress was more often the trigger than emotional stress. All manner of electrocardiographic presentations were not...
Wednesday, December 18, 2013

Certification and maintenance of certification: a critical look

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Among the many assumptions that underlie the board certification (BC) and maintenance of certification (MOC) processes most are based on wea...
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Tuesday, December 17, 2013

Novel oral anticoagulants for atrial fibrillation

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A set of resources from the European Society of Cardiology.
Monday, December 16, 2013

New cholesterol guidelines: a brave and wise departure from current practice?

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Well, that's the claim made in a recent BMJ editorial on the new guidelines (HT to DB's Medical Rants ). To recap, the emphasis o...
Sunday, December 15, 2013

The new cholesterol guideline: is it really a paradigm shift?

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There's a lot of misinformation flying around about the 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atheroscl...
Saturday, December 14, 2013

Extracorporeal life support (ECLS)

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This refers to either extracorporeal membrane oxygenation (ECMO) or extracorporeal CO2 removal (ECCO2R), for a variety of indications but ma...
Friday, December 13, 2013

Adipose tissue: metabolically active, proinflammatory

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This review from the Archives of Medical Science helps explain the cardiovascular consequences of the metabolic syndrome.
Thursday, December 12, 2013

Strengthened FDA warnings for Lexiscan and Adenoscan

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New from the FDA : The U.S. Food and Drug Administration (FDA) is warning health care professionals of the rare but serious risk of heart ...
Tuesday, December 10, 2013

Therapeutic hypothermia after cardiac arrest: what’s optimum?

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Results of two trials were presented at AHA. In this one 33 C was no better as a therapeutic target than 36 C in terms of survival or neuro...
Monday, December 09, 2013

Immediate blood pressure lowering in ischemic stroke

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In patients with acute ischemic stroke not receiving thrombolytics, the guidelines for years recommend avoidance of antihypertensive therapy...
Sunday, December 08, 2013

Another novel anticoagulant scores against warfarin

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ENGAGE AF was presented at AHA and published in NEJM : Methods We conducted a randomized, double-blind, double-dummy trial comparing two...
Friday, December 06, 2013

Pitfalls in the evaluation of patients for B12 deficiency

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From a recent study : Methods This retrospective study reviewed the electronic medical records of 192 patients initiated on intramuscular ...
Thursday, December 05, 2013

Biochemistry free and easy

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A free on line text form OSU.
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Robert W Donnell
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