CVA is a neurological event as described below:
Pathophysiology of CVA
1) necrosis of brain cells caused by a vascular event – usually classified as ischemic (embolus, thrombus, low flow state secondary to shock or cardiac event) or hemorrhagic (aneurysm, hypertension)
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 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 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, 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.
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.
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 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, a pediatrician in Utah, has been arrested in the murder of his ex-wife Uta Von Schwedler.
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">
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