Archive for the ‘Discussion’ Category

time to talk about it….its just been approved in TriCounty now as an optional medication. RebelEM had a great post about it recently (click here) and several good articles as well that were included on the recent journal club for EMS Residents as well that I have included here as well. Click on all three […]

just read a great article from Emergency Physicians Monthly newsletter about when HIPPA does NOT apply to a situation. I agree that we are too anxious about releasing information about our patients, especially to our other facilities or related service lines. For example, when medics bring in a cardiac patient and later return and want […]

For those of you who don’t know me well, I love the movie Patch Adams with Robin Williams! In fact, it was one of the main influences in my decision to practice medicine (and in homage i proudly copied him by walking down the aisle at my medical school graduation with my red clown nose) […]

Stroke Education

Posted: 29th March 2015 by Dr D in Attending Practice, Discussion, Training

Do you need to brush up a bit on your NIH Scale? Not sure where you should live because both Cinncinatti and Los Angeles have a stroke scale? though i am joking a bit, here is a great link to a summary page of all the different stroke scales (both Pre-Hospital, Acute assesment, Functional, Outcome […]

Jimmy Kimmel tells it like it is….

Posted: 1st March 2015 by Dr D in Discussion, opinion

I typically am not a fan of TV personalities taking a stance on medical issues. Usually i feel that they play to the hype of the popular media. HOWEVER – i greatly agree with and appreciate Mr. Jimmy Kimmel’s recent rant on immunizations. Thanks for calling it what it is and saying what the majority of physician […]

Queen said it best in 1980….another one bites the dust! say goodby to our good friend vasopressin as it meets the all to familliar demise of good medications without a manufacturer; but have no worries, there is STILL going to be vasopressin, just under a different name. This time, it morphs into “Vasostrict” with a […]

CDC, WHO, Ebola, and You!

Posted: 7th October 2014 by Dr D in Discussion, opinion

The Centers for Disease Control and Prevention (CDC) is working with other U.S. government agencies, the World Health Organization, and other domestic and international partners in an international response to the current Ebola outbreak in West Africa. CDC has activated its Emergency Operations Center to respond to Ebola. Included in this message are new guidance […]

Taking care of patients with an acute myocardial infarction is tough; but how can we improve this process? “WE” as a healthcare system share the responsibility to identify, transport, treat, and discharge these patients as quickly and efficiently as possible. There are a LOT of moving pieces to this puzzle. Lets look at some of the current […]

i mentioned this in a tweet and post a few months ago….now the first case is here in the US as well. (RESIDENTS) start adding this to your differential diagnosis during your presentations 😉 Middle East Respiratory Syndrome (MERS) Middle East Respiratory Syndrome (MERS) is viral respiratory illness first reported in Saudi Arabia in 2012. […]

It started with normal saline, ….now it is moving way past just simply isotonic fluids! check out the FDAs list of medicines on short supply at this site: