In the last several years, hundreds of children across the country have shown up at hospitals unable to move their arms or legs. Dozens of kids have become paralyzed in the past few months alone. Doctors are not exactly sure why but suspect a viruse in the same family as poliovirus, known as enterovirus. A… Read More
This study published in JAMA Cardiology looked at risk factors for mortality and concluded that exercise recovery is helpful in predicting mortality. The study further investigated whether exercise and other clinical variables have differential associations with mortality outcomes in men and women and assesses whether sex-specific risk scores better estimate all-cause mortality among patients undergoing… Read More
A study in Journal of Hospital Medicine, hospitalist Daniel J. Brotman, MD, and his colleagues examined nearly 4,500 acute-care hospitals’ hospital-wide readmission rates and compared them with those hospitals’ mortality rates in six areas used by the Centers for Medicare & Medicaid Services: heart attack, pneumonia, heart failure, stroke, chronic obstructive pulmonary disease, and coronary… Read More
Is too much oxygen detrimental to critical patients? This study published in JAMA looked at whether it was better to maintain patients oxygen saturation at 94-98%(conservative oxygen therapy) versus 97-100%(conventional oxygen therapy). Mortality was found to be significantly higher in the conventional oxygen therapy group as was the relative risk of new shock episode,liver failure… Read More
I lost both of my parents to strokes. So whenever, an article pops up I pay particular attention. I also remember the great promise of tPA and other modalities for the treatment of stroke. Most recently, thrombectomy by our interventional colleagues has come to fruition and even availability through rapid transport. But with each of… Read More
Therapeutic hypothermia has been proposed to be the standard of care after cardiac arrest. However, the data has been inconclusive. This is the study in the October 4, 2016 issue of JAMA looked at whether this controversial treatment improves survival and/or neurological improvement after cardiac arrest. This study interestingly looked at in-hospital cardiac arrests and… Read More
A mystery illness that leaves children barely able to move is making a comeback, two years after an outbreak alarmed doctors and parents. Acute flaccid myelitis (AFM) is a rare illness that anyone can get. It affects a person’s nervous system, specifically the spinal cord. AFM can result from a variety of causes, including viral… Read More
A recent study shows that using a pulse oximetry can help determine if there is a vascular injury in the hand. This is from the journal of Plastic Reconstructive Surgery (Plast Reconstr Surg. 2015 Dec;136(6):1227-33. ) Abstract BACKGROUND:Efficient identification of dysvascular finger(s) following trauma is critical for triaging surgical care and optimizing patient outcomes. The… Read More
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