Monday, November 09, 2015

Under utilization of implantable cardioverter-defibrillators post MI

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Many health policy experts claim that reduction of variation in treatments by adherence to evidence based medicine would curb costs. T...
Sunday, November 08, 2015

Systematic review of atrial fibrillation treatment

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From JAMA . Nothing new here, and the review ignores recent research on obesity reduction as a treatment for atrial fibrilla...
Saturday, November 07, 2015

Managing volume overload in decompensated heart failure

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Key points from a review in mayo Clinic Proceedings: Although larger trials are needed, small studie...
Saturday, October 31, 2015

Acute chest syndrome

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From the Mayo Clinic EMBlog .
Friday, October 30, 2015

Does accreditation really improve hospital care?

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This systematic review found insufficient evidence .
Thursday, October 29, 2015

Accidental hypothermia

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Here's a summary post from the Mayo EMBlog .
Saturday, October 24, 2015

Pseudonormalization of the electrocardiogram during chest pain

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A manifestation of Wellens syndrome .
Friday, October 23, 2015

Measurement of ventricular repolarization dispersion in chest pain

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Although the authors of this paper , for purposes of discussion, use the generally accepted term “NSTEMI” in reference to acute coronary syn...
Thursday, October 22, 2015

Uric acid level as a marker for renal hemodynamics

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Free full text review here concludes: The results of many clinical and experimental studies clearly demonstrate tha...
Wednesday, October 21, 2015

Under diuresis of patients hospitalized with heart failure

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---was associated with higher mortality and readmission rates in this study . A simple score based on orthopnea and pedal ed...
Tuesday, October 20, 2015

What is the best way to evaluate thrombocytopenia in the ICU?

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Should we use a systematic approach to evaluate it as fully as possible? Traditionally we're more selective. We formula...
Monday, October 19, 2015

Beta agonist induced stress cardiomyopathy occurring during asthma treatment

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Here is a case report and brief review .
Sunday, October 18, 2015

What is the evidence for treatment of asymptomatic left ventricular dysfunction?

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This is now known as stage B heart failure .
Saturday, October 17, 2015

Skin mottling over the knee

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Commonly seen. Among septic shock patients, robustly associated with mortality .
Friday, October 16, 2015

Interatrial block

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Reported here are two cases in which the block was intermittent (second degree) and seen during hemodialysis.
Thursday, October 15, 2015

Scrub typhus

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Free full text review .
Wednesday, October 14, 2015

Paraneoplastic neurologic disorders in small cell lung cancer are more common than appreciated

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---in this study : Methods: Two hundred sixty-four consecutive patients with biopsy-proven SCLC were recruited at th...
Tuesday, October 13, 2015

Causes of sudden cardiac death in athletes

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From a large NCAA database as reported in Circulation : Conclusions—The rate of SCD in National Collegiate Athletic Associat...
Monday, October 12, 2015

Point of care lung ultrasound

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Here's a nice free full text review in the Annals of Intensive Care.
Sunday, October 11, 2015

Right heart thrombus visualized on the echocardiogram (PE in transit)

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The optimal treatment is controversial .