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Published in BMJ. 2014 May 20;348:g3028 Authors: Donnino MW et OBJECTIVE: To determine if earlier administration of epinephrine (adrenaline) in patients with non-shockable cardiac arrest rhythms is associated with increased return of spontaneous circulation, survival, and neurologically intact survival. DESIGN: Post hoc analysis of prospectively collected data in a large multicenter registry of in-hospital cardiac […]
Read MorePublished in Acta Anaesthesiol Scand. 2014 Apr 29 Authors: Kambe N et al BACKGROUND: During perioperative fasting, lipid metabolism gradually increases, resulting in free fatty acids (FFA) and/or ketone bodies. Suppression of surgical stress by remifentanil may allow the safe administration of glucose infusions, avoiding both hyperglycemia and ketogenesis. The effects of glucose infusion on […]
Read MoreThe Senate today confirmed Sylvia Mathews Burwell as the next secretary of the US Department of Health and Human Services (HHS) in a 78 to 17 vote that shows how her job of implementing the Affordable Care Act (ACA) will not be easy. Although the vote was overwhelmingly in Burwell’s favor, she had received unanimous […]
Read MoreAdults with migraine have an increased risk for ischemic silent brain infarction relative to their migraine-free peers, a new study confirms. “Migraine is a neurovascular condition of the brain, with a small increased risk of silent brain infarctions, a risk factor for clinical stroke,” lead author Teshamae Monteith, MD, assistant professor of clinical neurology and […]
Read MoreAuthors: Bertrand OF et al., J Am Coll Cardiol 2014 May 13; 63:1842 No, according to a prospective study in which postprocedural concentration of thumb capillary lactate was used as the primary endpoint. To address ongoing controversy about whether Allen test results predict ischemic complications of transradial artery (TRA) catheterization, investigators conducted a prospective study […]
Read MoreAuthors: de Jong W-JJ et al., J Trauma Acute Care Surg 2014 May 76:1282 A Blunt Abdominal Trauma in Children score of greater than 6 had a sensitivity of 100% and specificity of 87% for intra-abdominal injury. Investigators retrospectively validated the Blunt Abdominal Trauma in Children (BATiC) score in children less than 18 years of […]
Read MoreAuthors: Joseph B et al., JAMA Surg 2014 Jun 11; Older trauma patients who were frail were more likely to have in-hospital complications and adverse discharge dispositions than those who were not frail. Although advancing age is associated with worse outcomes in trauma patients (NEJM JW Emerg Med Oct 27 2004 and NEJM JW Emerg […]
Read MoreAll healthcare stakeholders are on the same page when it comes to using value-based payments, two leaders fromCigna said yesterday at the National Bundled Payment Summit in the District of Columbia. But insurers can’t have only one type of value-based program. Providers have different capabilities, ownership and risk tolerance, so payers must meet doctors where […]
Read MoreThis is for our followers who practice in the ICU. Authors: Jabre P et al., Intensive Care Med 2014 May 23; Grief, post-traumatic stress, and depression at 1 year were reduced when family members were permitted to witness resuscitation of loved ones. Despite data that suggest benefit to family members from allowing them to observe […]
Read MoreThere’s new evidence of the “weekend effect and it’s worth examining a phenomenon of why patients don’t want to get sick on a Saturday: The increased chance they’ll face complications. New research published this week from a Johns Hopkins Children’s Center team found simple emergency surgeries can be deadlier for kids on the weekends, raising […]
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