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Uncategorized Published - 4 March, 2019    By - Dr Clemens
When do you use pacemaker for myocardial infarction?

Cardiac Anesthesiologist blog CLASS I (strong) of recommendation, LEVEL B-NR of evidence (moderate-quality evidence from 1 or more well-designed, well-executed nonrandomized studies, observational or registry studies; meta-analyses of such studies) 1. In patients presenting with an acute MI (myocardial infarction), temporary pacing is indicated for medically refractory symptomatic or hemodynamically significant bradycardia related to SND (sinus […]

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Uncategorized Published - 4 March, 2019    By - Dr Clemens
Guidelines for Treatment of Adult Patients With Hyperkalemia

From Cardiac Anesthesiologist blog First: Stop all infusion of potassium. Electrocardiographic Evidence of  Pending Arrest  Loss of P wave and broad slurring of QRS; immediate effective therapy indicated 1. IV infusion of calcium salts 10 mL of 10% calcium chloride during a 10-minute period or 10 mL of 10% calcium gluconate during a 3- to […]

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Uncategorized Published - 4 March, 2019    By - Dr Clemens
Interpretation of ABGs

Interpretation of Arterial Blood Gases (ABGs) Author: David A. Kaufman, MD Chief, Section of Pulmonary, Critical Care & Sleep Medicine Bridgeport Hospital-Yale New Haven Health Assistant Clinical Professor, Yale University School of Medicine Introduction: Interpreting an arterial blood gas (ABG) is a crucial skill for physicians, nurses, respiratory therapists, and other health care personnel. ABG […]

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Uncategorized Published - 4 March, 2019    By - Dr Clemens
Researchers Find A Web Of Factors Behind Multiple Sclerosis

Author: Bret Stetka NPR  January 21, 2019 As the story goes, nearly 80 years ago on the Faroe Islands – a stark North Atlantic archipelago 200 miles off the coast of Scotland — a neurologic epidemic may have washed, or rather convoyed, ashore. Before 1940 the incidence of multiple sclerosis on the Faroes was near, if […]

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Uncategorized Published - 4 March, 2019    By - Dr Clemens
VA offers updated criteria for getting care at outside hospitals

Healthcare Dive by Les Masterson Dive Brief: The Trump Administration has offered criteria to determine when veterans can get care outside the VA. That includes in areas where the VA doesn’t provide the needed care, doesn’t have a full-service facility in the veteran’s state or doesn’t provide adequate access to care in the area. Congress passed the […]

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Uncategorized Published - 3 March, 2019    By - Dr Clemens
New Rules Will Ease Patients’ Access To Electronic Medical Records, Senate Panel Says

Kaiser Health News The chairman of the Senate health committee on Tuesday backed new federal regulations to remove roadblocks patients can face in obtaining copies of their electronic medical records. “These proposed rules remove barriers and should make it easier for patients to more quickly access, use and understand their personal medical information,” Lamar Alexander […]

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Uncategorized Published - 1 March, 2019    By - Dr Clemens
NOACs Recommended Over Warfarin for Many with Afib

By Kelly Young Non–vitamin K oral anticoagulants (NOACs) — including dabigatran, rivaroxaban, apixaban, and edoxaban — are now favored over warfarin to reduce stroke risk in appropriate patients with atrial fibrillation, according to updated guidelines from the American Heart Association, the American College of Cardiology, and the Heart Rhythm Society. The guidelines appear in Circulation. Eligible […]

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Uncategorized Published - 1 March, 2019    By - Dr Clemens
Health Information Counselors

A New Profession for the Age of Big Data Authors: Fiske, Amelia, PhD et al Academic Medicine: January 2019 – Volume 94 – Issue 1 – p 37–41 Health care is increasingly data driven. Concurrently, there are concerns that health professionals lack the time and training to guide patients through the growing medical “data jungle.” In […]

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Uncategorized Published - 1 March, 2019    By - Dr Clemens
Amisulpride for the Rescue Treatment of Postoperative Nausea or Vomiting in Patients Failing Prophylaxis: A Randomized, Placebo-controlled Phase III Trial

Authors: Ashraf S. Habib, M.B., B.Ch. et al  Anesthesiology 2 2019, Vol.130, 203-212. What We Already Know about This Topic: Although antiemetics are commonly used to prevent postoperative nausea or vomiting, the failure rate is appreciable and there is little evidence to guide best therapy for rescue treatment after failed prophylaxis What This Article Tells Us […]

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Uncategorized Published - 1 March, 2019    By - Dr Clemens
Clinical tool rapidly assesses post-intensive care syndrome

The self-report version of the Healthy Aging Brain Care Monitor is valid for assessing post-intensive care syndrome (PICS), according to a study published in the January issue of the American Journal of Critical Care. Sophia Wang, M.D., from the Indiana University School of Medicine in Indianapolis, and colleagues validated the self-report version of the Healthy Aging […]

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