Notes from Dr. RW

Hospitalist resources and more.

Wednesday, November 18, 2015

Industry supported CME: asking the wrong questions

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Larry Husten's latest rant on industry supported CME is a confusing, frustrating read. It asks the wrong questions and ...
Tuesday, November 17, 2015

Blastomycosis the great mimic

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This may be the best review of blastomycosis I've read. Some key points: Unlike many other fungal infectio...
Monday, November 16, 2015

Basilar artery occlusion syndromes

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Free review .
Sunday, November 15, 2015

Donepezil effects on the cardiac conduction system

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Here's a case report and review .
Saturday, November 14, 2015

Acute respiratory distress syndrome: what's evidence based and what's not?

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This question was recently addressed in a review published in Baylor University Medical Center Proceedings. The revie...
Friday, November 13, 2015

Histology matters in ARDS

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From a very important new study and accompanying commentary we can learn some valuable lessons: Out of 101 patients...
Thursday, November 12, 2015

Compatibility of lactated ringers and antibiotics

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Now that people are increasingly using lactated ringers as the go to resuscitation fluid this issue will arise more frequentl...
Wednesday, November 11, 2015

Alcoholic ketoacidosis

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A nice summary from the Mayo Clinic EM Blog .
Tuesday, November 10, 2015

What's left of early goal directed therapy after ProCESS, ARISE and ProMISe?

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A recent review , seeking to answer that question and summarizing the evidence, concluded: Conventional management th...

Medical cannabis: evidence, policy and unintended consequences

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Here's a new review in the Yale Journal of Biology and Medicine. Key points: Cannabinoids (drugs produced ...

Albuterol in the treatment of ARDS

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From a recent review : BACKGROUND: This meta-analysis of randomized controlled trials aimed to systematically ...
Monday, November 09, 2015

Uncritical acceptance of chelation trial results continues

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I recently pointed out an American Heart Association publication's surprisingly credulous view of chelation therapy . N...

Biomarkers in the diagnosis and monitoring of infections

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From a recent free full text review : In a large retrospective study of 1006 patients, an ESR of 100 mm/hour ...

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 .
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Robert W Donnell
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