A new coronavirus has caused serious illness in two healthcare workers in Saudi Arabia who were exposed to patients carry the virus. A man is is critical condition and a 43 year old woman is in stable but serious condition after suffering respiratory distress from the SARS-like illness.
Thomas Jefferson University Residents Play Jeopardy To Improve Care
Thomas Jefferson University Residents in the Department of Emergency are developing their medical knowledge and skills during routine games of Jeopardy testing their professional proficiency.
Using actual buzzers and a moderator, the competition is organized in an elimination format over the course of the academic year, with a final grand prize round to be played amongst the winners.
Disclosure – this author is a former resident and staff member at Thomas Jefferson University and collaborated with members of the Emergency Department on the medical textbooks Avoiding Common Errors in the Emergency Department and Avoiding Common Prehospital Errors.
Dental Trauma – Diagnosis and Treatment
Dental trauma is the most common injury to occur to the face during blunt trauma. To avoid the common pitfalls in the management of dental injuries, several steps must be taken. These begin with:
1. proper classification of the injury sustained to the tooth (e.g, whether the dentin, pulp, and/or enamel is involved)
2. recognition of the age-related stage of tooth development
Fecal Transplant Donor Dr. Hunter Johnson Happy To Go err … Give
Fecal transplant donor Dr. Hunter Johnson, a Pathology resident, has supplied stool that aided in the resolution of four serious courses of C. difficile infection at Emory University.
It should be noted that while showing a cure a rate of up to 90% epidemiologists and infectious disease physicians are hoping that more widespread use of prophylactic probiotics will eliminate the need for the transplant, which does carry a risk of disease transmission.
Chris Christie Lap Band Surgery
We are following with interest the news reports today of the Chris Christie lap band surgery. Although we are not participating in his care, some general information on what lap band or laparoscopic gastric banding and typical clinical issues to be considered is detailed below.
Gonorrhea Superbug Said To Be More Dangerous Than AIDS
Health officials around the world are becoming increasingly concerned about the emergent of a strain of gonorrhea that is resistant to all antibiotics. Physicians are concerned that contracting the infection could result in a gram negative sepsis and mortality within 24 hours.
To date, the superbug gonorrhea has been found in Japanese sex workers, California, and Norway.
Civil War Amputation Surgery Mortality Rates
Civil War amputation surgery was distressingly common and carried a high mortality rate. Contrary to common thinking, almost all amputation surgery was carried out under ether or chloroform anesthesia and morphine was readily available for post-operative care.
The main problem in amputation that caused a high mortality was wound infection. The following is the mortality rate suffered by Union soldiers with the described level of amputation
toes – 6%
below the knee – 33%
at the knee – 58%
thigh – 54%
hip joint – 83%
fingers – 3%
forearm – 14%
upper arm – 24 %
John Brickman Wall, MD, Charged in Murder of Ex-Wife
John Brickman Wall, MD, a pediatrician in Utah, has been arrested in the murder of his ex-wife Uta Von Schwedler.
Tourniquet – How to Make One in An Emergency
Like many Americans, we have followed the events in Boston bombing over the last week closely. While many aspects of the bombing were horrible, one uplifting aspect was the brave and heroic response of untrained bystanders who rushed to aid the injured, many of whom received complex lower extremity wounds.
Continue reading "Tourniquet – How to Make One in An Emergency">
Boston Bombing Suspect – Is He Competent for Legal Proceeding in ICU?
In the continuing case of the Boston bombing suspect Tsarnaev, news organizations today report that a legal proceeding was held in his ICU room with a magistrate, federal prosecutors, and defense attorneys. The patient was read his rights by the magistrate in Beth Israel Deaconess Hospital and was given the charges against him.
Continue reading "Boston Bombing Suspect – Is He Competent for Legal Proceeding in ICU?">
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InsideSurgery RSS Feed- New Coronavirus Sickens Healthcare Workers May 15, 2013
- Thomas Jefferson University Residents Play Jeopardy To Improve Care May 13, 2013
- Dental Trauma – Diagnosis and Treatment May 13, 2013
- Fecal Transplant Donor Dr. Hunter Johnson Happy To Go err … Give May 11, 2013
- Chris Christie Lap Band Surgery May 7, 2013