Sunday, September 30, 2018

The pain scale shares the blame for the opioid crisis

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Of course it does .

Pain is not a vital sign

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Something we dared not say aloud 15 years ago . Continuing our look back at the pain dogma of years past.

Nontuberculous mycobacteria: clinical profiles and mortality

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Study here .
Saturday, September 29, 2018

Pain management reversal

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Safe use of opiates, from SHM 2017 . Here’s more on this topic. Diametrically opposed to what they were preaching at hospital...

Pain dogma reversal at SHM

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Medscape reported on the pain management sessions at SHM 2017 in an article titled Rethinking Pain Can Help Hospitalists Fight Opioid Cris...

Nucleated red cells on the peripheral smear in critically ill patients

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In those who survive they predict adverse post hospital events and readmission .
Friday, September 28, 2018

Pacemaker troubleshooting: commonly encountered situations

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Free full text .

Experience in outpatient treatment of PE

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Form a recent study : Highlights More patients with confirmed PE were managed as outpatients ove...

Novel antidotes for calcium blocker and beta blocker overdoses: lipid rescue and high dose insulin

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Nice review here .
Thursday, September 27, 2018

The 2011 norepi shortage was associated with increased mortality in septic shock

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From JAMA .
Wednesday, September 26, 2018

Non MI troponin elevations in patients 50 yo or younger

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From an abstract presentation at AHA : Abstract Background: While increased serum troponin levels are often ...
Tuesday, September 25, 2018

Non-gastrointestinal presentations of celiac disease

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From a recent paper in the American Journal of Medicine : Abstract Purpose The purpose of our study ...
Monday, September 24, 2018

Neurogenic orthostatic hypotension

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From a recent update : Purpose of review Orthostatic hypotension is a phenomenon commonly encountered in a c...
Sunday, September 23, 2018

Exhaled nitric oxide to guide management of asthma

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The conclusion from a recent Cochrane review: AUTHORS' CONCLUSIONS: With new studies included since the...
Saturday, September 22, 2018

Anticoagulant nephropathy: is it unique to warfarin?

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Probably not but it is at least worse with warfarin. Here’s the latest comparative study . The reason? Although all antico...
Friday, September 21, 2018

Niacin hasn’t lived up to its original promise in cardiovascular prevention

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From a recent systematic review : Results Thirteen trials (N = 35,206) were selected for final analysis. The...
Thursday, September 20, 2018

The American College of Cardiology Fourth Universal Definition of Myocardial Infarction has been published

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You can access the full text of the document here . Following are some key points: Any cardiac troponin value above the up...

New in the gram negative pipeline: Imipenem-Relebactam and Meropenem-Vaborbactam

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Report here .
Wednesday, September 19, 2018

Methamphetamine and pulmonary hypertension

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This review describes the recently discovered association.
Tuesday, September 18, 2018

Harmful effects of raised “low T” awareness

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From a recent review : Purpose of review To summarize the research evidence on promotion of testosterone for...