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Sunshine Heart can resume trial after FDA OKs 'minor' changes – MassDevice

Sunshine Heart (NSDQ:SSH) said last week that the FDA will let it resume a clinical trial of its C-Pulse heart failure device once the safety watchdog approves "minor protocol changes."  
massdevice.com
about 5 years ago
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Open cardiac massage in asthmatic arrests? |

This idea was provoked by a colleague some years ago who could not achieve a palpable pulse during CPR of an arrested asthmatic child. He wondered whether the severe hyperinflation was rendering external cardiac compressions ineffective and whether he should have done a (prehospital) thoracotomy.  
resus.me
about 5 years ago
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I’ve got a pulse...now what? - Post-Arrest Care in the Acute Setting - emdocs

It is up to you to determine why the patient died and determine which crucial steps need to be initiated to increase your patient’s chance of survival  
emdocs.net
about 5 years ago
Sinaiem dark
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3820

You have just intubated a 65 year old woman with sudden respiratory failure. On arrival, she had a pulse but cool extremities. She was obtunded and agonal with SpO2 was in the high 70’s. After pre-oxygenating with BVM to 100%, the intubation went smoothly. You had a clear view of the cords and passed a cuffed 8-0 through easily with qualitative capnography and bilateral breath sounds. Now, post-intubation, her SpO2 is 86% and steadily dropping.  
sinaiem.org
about 5 years ago
Sinaiem dark
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3839

5 y/o F presents to the ED feeling “uneasy.” She is noted to have a pulse of 140 and BP of 180/110 and is profusely sweating. She is on imipramine for bedwetting, no other PMH. Pupils are PERRL. Exam is otherwise unremarkable. CBC, BMP, UA are negative. When considering a toxidrome, what is your differential?  
sinaiem.org
about 5 years ago
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Fracture Fridays: Getting a leg up on the competition (Re-post)

An 80 pound 12 year old soccer star tripped in a hole while challenging for the ball. Another player on the pitch stumbled in the same (big) hole and landed awkwardly on the first player’s leg. Even the fans on the next field over heard the snap. EMS was called and an obviously uncomfortable 12 year old male with intact distal foot pulses and sensation presents to your ED. You do what you normally do and get an X-Ray.  
pemcincinnati.com
about 5 years ago
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9

Routine compared with selective ultrasound in early pregnancy | Cochrane

Ultrasound is an electronic technology that uses the reflection of pulses of high-frequency sound to produce an image. Ultrasound may be used in a variety of circumstances during pregnancy. It has been assumed that the routine use of ultrasound in early pregnancy will result in the earlier detection of problems and improved management of pregnancy complications when compared with selective use for specific indications such as after clinical complications (e.g. bleeding in early pregnancy), or where there are concerns about fetal growth.  
cochrane.org
almost 5 years ago
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Critical Care

Pulse oximetry is universally used for monitoring patients in the critical care setting. This article updates the review on pulse oximetry that was published in 1999 in Critical Care. A summary of the recently developed multiwavelength pulse oximeters and their ability in detecting dyshemoglobins is provided. The impact of the latest signal processing techniques and reflectance technology on improving the performance of pulse oximeters during motion artifact and low perfusion conditions is critically examined. Finally, data regarding the effect of pulse oximetry on patient outcome are discussed.  
ccforum.com
almost 5 years ago
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8

7-hair-care-tips-that-works

Hair care is an overall term for parts of hygiene and cosmetology involving the hair on the human head. Hair care will differ according to one's hair type and according to various processes that can be applied to hair. All hair is not the same; hair is a manifestation of human diversity. In this article, We Pulse Designer Fashion Team will share some tips, maintaining your hair is relatively easy with the right kind of steps. Hair is made of protein, so keeping a healthy diet and good hygiene is an essential part of maintaining luscious locks. These are some other tips about hair care, and what you can do at home to get unbelievably beautiful hair. 1. Washing hair properly - Wash hair sparingly and use a good-quality shampoo. Washing hair too often can leave hair dried out, leached of its natural oils, and may damage your hair. Aim to shampoo your hair at most every other day or even only twice a week. 2. Try shampoos that do not contain sulfates or parabens. Sulfates are the chemicals that make shampoos lather up.[1] Parabens are preservatives that cause irritation and eye problems after prolonged use[2]. Both of these chemicals aren't healthy for you or the environment so try to use shampoos with natural cleansers. Choose a shampoo that suits your hair type. Don't just go for any old shampoo; go for the shampoo that works for your hair type. Typical types include (but are not limited to): Curly or coarse hair probably wants frizz-minimizing and softening shampoo. Straight or oily hair probably wants a gentle shampoo designed for daily washing. Colored or treated hair probably needs a shampoo that's fortified with extracts or amino acids, because treating your hair is essentially damaging it. Dry hair probably needs shampoos with glycerin and collagen to help restore some moisture into the hair. 3. Use conditioner that matches your hair type, length, and treatment damage. A good rule of thumb is to condition every time you shampoo your hair, although very processed or dyed hair probably needs a little more love than natural hair. Deep condition once a week. Use a store-bought hair care product, or venture out on your own and try a homemade solution. Deep conditioning is very good for your hair. It keeps hair soft, healthy and moisturized. 4. Condition your hair properly based on hair type: For fine hair: If you have very limp hair, try a botanical oil treatment before you shampoo. Use lavender or tea tree oil, for example, and work it under your cuticles before shampooing. Wash shampoo away and apply conditioner from the mid-shaft down to the end. Leave in for a minute before washing. For medium to thick hair, use a moisturizer with natural hydrators. Keep your conditioner light. Apply conditioner all over your head and let stay for 2-3 minutes. 5. Be careful about using hair care products with too much protein. Too much protein can leave your hair feeling desiccated and brittle. While protein is the building block of healthy hair, use conditioners that come with balanced ingredients. Frizz-control serum can be used in small quantities to tame frizzies. Make sure you do not use too much and wash once a week with a deep-cleanse shampoo to avoid build-up, which will leave hair looking dull and flaky. 6. Rinse your hair with vinegar before shampooing, twice a year. Doing this helps to make your hair look shinier and cleaner; plus, it treats dandruff. Use 1 part vinegar (preferably organic apple cider vinegar) to 3 parts warm water, then rinse and wash your hair as normal. 7. Moisturize your hair. Use five oils: almond, castor, olive, coconut and lavender oils. Mix together equal proportions of each. Alternately, use egg oil. Apply to the hair and leave in for four hours prior to showering out. Repeat twice a week. Pulse Designer Fashion "HAIR CARE" Products  Wet-n-Wavy Frizz Free Curl & Wave Mousse 8oz $15.00 $8.00 Wet n Wavy Creme Moist Curl Creme 6.5 oz $6.00 Remy Silk Mist Leave-In Conditioner 8 oz $22.00 $10.00 BONFI NATURAL Oil Free Wig Shine 8 oz $8.50 Wet-n-Wavy Tangle Free Leave-In Conditioner 12oz $15.00 $8.00 Wet-n-Wavy Wet Gel Liquid Sculpting Gel 12oz $22.00 $10.00 Enjoy shopping!   
pulsedesignerfashion.com
almost 5 years ago
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Clinical Cases and Images: ClinicalCases.org: Prerenal Acute Renal Failure due to Volume Depletion

This is a good practical case and very useful for new clinicians. For any clinician:No foley catheter unless oliguric, anuric, obstructed since any catheter is a foreign body and increases infection risk.Rehydrate if U/A has high spec gavity, mucous membranes dry, or if BUN is >30 times the creatinine as in this case. Even CHF pts get dry if not in heart failure. If in doubt, do CXR, BNPT, listen for crackles.Start with 250cc IVF if BNPT not less than 150 or give carefully while checking lung bases posteriorly after each bolus along with pulse ox, etc as above. Half of pts in acute renal failure are septic. Look for and eliminate source such as pneumonia, foreign body, pyelonephritis, joint infections. May be afebrile/ low temp or low WBCs with sepsis. Do cultures, check lactate ASAP to detect sepsis BEFORE the BP drops. Lactic acid "the troponin of sepsis." If septic, give a lot of fluids (up to 10 liters often) since capillary leak syndrome will lead to severe hypotension. If septic expect edema to develop with IV boluses yet be aware pt is intravascularly depleted. No pressors without fluids "pressors are not your friend" as per lecturers on Surviving Sepsis campaign.  
clinicalcases.org
almost 5 years ago
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NoninConnect 3230 Bluetooth Smart Pulse Oximeter Pairs with iPhones, iPads |

Nonin is releasing its new NoninConnect Model 3230 Bluetooth Smart wireless finger pulse oximeter in markets outside the U.S. The device comes with a match  
medgadget.com
almost 5 years ago
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Transcranial magnetic stimulation (TMS) for the treatment of schizophrenia | Cochrane

Transcranial magnetic stimulation is a relatively new and sophisticated device-based therapy. TMS involves the skilful application of a strong magnetic field close to the surface of the scalp. The TMS device delivers strong and very brief magnetic pulses that stimulate the brain and its network of neurons. TMS is a relatively painless and non-invasive technique that stimulates parts of the brain (the cerebral cortex). Brain activity has been shown to differ in people with schizophrenia compared to other people.  
cochrane.org
almost 5 years ago
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Interventions for renal vasculitis in adults | Cochrane

Renal vasculitis presents as rapidly progressive glomerulonephritis which is a form of kidney disease that causes damage to the small structures (glomeruli) inside the kidneys that help filter waste and fluids from blood to form urine. The disease leads to a rapid loss of kidney function. Standard suppression of the immune system with steroids and cyclophosphamide is recommended. The aim of this review was to evaluate the benefits and harms of any intervention for the treatment of renal vasculitis. Thirty one studies (2217 patients) were identified. Plasma exchange reduces the risk of end-stage kidney disease in patients presenting with severe acute kidney failure. The use of pulse cyclophosphamide results in good remission rates but there was an increased risk of relapse. Azathioprine is effective as maintenance therapy once remission has been achieved. Mycophenolate mofetil is equivalent for remission induction than cyclophosphamide. Mycophenolate mofetil has also been tested in maintenance treatment and was found to result in a higher rate of disease relapse. Initial data on rituximab showed equivalent effectiveness to cyclophosphamide. Methotrexate and leflunomide are useful in maintenance therapy but their relative effectiveness are not clearly defined. Treatment with co-trimoxazole may prevent respiratory infections and relapses but are unlikely to have a major impact on systemic relapses of vasculitis.  
cochrane.org
over 4 years ago
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waynes-ekg-series-numero-ocho

Case Presentation A female patient in her 70s presents with 2 episodes of syncope while seated. The patient denies head injury or trauma, and is currently asymptomatic, without chest pain, sob, or palpitations. BP 143/73 HR 63 RR 18 O2 Sat on RA 98% Temp 97.3F Palpable Pulse: 30s well appearing; nad, aaox3 remainder of…  
tjuhem.wordpress.com
over 4 years ago
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Pulse oximeters used to self monitor oxygen saturation levels as part of a personalised asthma action plan for people with asthma | Cochrane

We became aware through talking with people with asthma that some are using pulse oximeters to monitor their own blood oxygen levels during an asthma attack. Pulse oximeters are marketed by some suppliers as essential equipment for the home medicine cabinet. We wanted to find out if reliable evidence is available on use of pulse oximeters to self monitor asthma exacerbations at home. We decided to include only trials that used pulse oximeters as part of a personalised asthma action plan because it is important that decisions are made on the basis of symptoms as well as oxygen saturation, and that patients have a clear protocol to follow when their asthma worsens.  
cochrane.org
over 4 years ago
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Rescue high-frequency jet ventilation versus conventional ventilation for severe pulmonary dysfunction in preterm infants | Cochrane

Background: In very low birth weight infants who require support on breathing machines (ventilators), ventilator-associated lung injury and toxic effects of oxygen may be important factors in creating a chronic disturbance in lung function. Compared with routine conventional ventilators, high-frequency jet ventilators (breathing machines that introduce short-duration pulses of gas under pressure into the airway at a very fast rate) may reduce the severity of lung injury associated with mechanical ventilation.  
cochrane.org
over 4 years ago
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Ultrasound and Pulse Ox vs CXR and ABGs for ARDS Diagnosis

Which tools are most useful to detect lung abnormalities consistent with ARDS in under-resourced settings?  
medscape.com
over 4 years ago
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FDA Clears Masimo MightySat Personal Pulse Oximeter with SET Measure-through Motion and Low Perfusion |

Masimo is releasing its MightySat pulse oximeter in the U.S. following FDA clearance of the device. It is designed for personal use but features Masimo's S  
medgadget.com
over 4 years ago
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Dr. Smith's ECG Blog: Briefly without pulse, has pulmonary edema and LBBB with 10 mm of ST Elevation

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.  
hqmeded-ecg.blogspot.com
over 4 years ago
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Lab Case 88

A 70 year old woman presents to the Emergency Department with an altered mental state after a collapse at home. Her GCS is 3 with agonal breathing and a palpable pulse.  
emergucate.com
over 4 years ago