A February 29, 2016 study in JAMA Pediatrics found that parents discovered a surprising number of physician errors in the care of their children. Although it was a small study involving 383 children who were hospitalized during 2013 and 2014, researchers concluded that approximately one in 10 parents caught a mistake their child’s physicians did… Read More
The June 2015 issue of Trauma and Acute Care Surgery recommends that TXA should be considered for use in the prehospital EMS care of trauma patients. Tranexamic Acid is is sold in the US under the brand names Cyklokapron and Lysteda. It is considered an antifibrinolytic agent, an antihemophilic agent, a hemostatic agent and a lysine… Read More
The February 8, 2016 issue of JAMA Internal Medicine had an opinion article that reviewed telemonitoring as one potential approach to decrease readmissions. The article gives background that we are no three years into the Hospital Readmissions Reduction Program and CMS still reports that the CHF readmission rate is still near 22%. The authors commented on a… Read More
Telemedicine is expanding rapidly and there and every year there are additional proposals to further expand its use. Many of the opponents question whether the quality of care will suffer via telemedicine. Telemedicine has been shown to be of value in remotely assessing psychiatric patients, radiological studies, and dermatological conditions. Previously many opponents also… Read More
I always enjoy speaking to and reading Dr. William Sullivan’s work and opinions in the field of medical legal issues. I think that he is truly a thought leader in emergency medicine. His February 2016 article in Emergency Physicians Monthly is very thought provoking. In this article, he explores the use of the phrase “standard… Read More
An article written by myself, Dr. Paul Kivela back in 2010. Like many of you, I grew up with football. I would cheer and applaud the big hits. In high school, college and especially the pros, people worried about broken bones and joint injuries. With helmets, we rarely worried about head injuries, but now, things have… Read More
December marks not just the beginning of the holiday season but also the beginning of the flu season. Although there are variances, December is typically when the first cases of influenza are seen. Often time the peak is in January through March. Source: Medically Sound: News about the flu… Read More
We all expected influenza to hit and finally it is here. It coincides with the peak of February and March 2015. Most of the strains this year are supposedly covered by the flu vaccine however, many of the people we have seen with the flu report receiving this year’s vaccine. Certainly, no vaccine is 100%… Read More
Very cool and succinct article by Josh Farkas on lactate and recommendations for sepsis The article’s summary bullet points are Lactate production in septic shock is not due to anaerobic metabolism or low oxygen delivery. It is largely driven by endogenous epinephrine stimulating aerobic glycolysis via beta-2 adrenergic receptors. Lactate may have a protective effect,… Read More
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