Physicians

With approximately 600,000 cases and 50,000 deaths per year, this condition challenges emergency physicians to be diligent in their patient evaluation and knowledgeable in their interpretation of nonspecific tests.  

Terry OConnor talks with ercast about climbing Mt Everest and being an expedition physician<br><br>An experience with delayed sequence intubation<br><br>Rob is interviewed on <a href="http://www.skepreview.com/2010/06/interview-with-dogma-free-americas-dr.html">The Skeptical Review</a> website<br><br>A letter from Dr. Ken Walker about the international emergency medicine and the&nbsp;<a href="http://www.pfid.net/">Partners for International Development</a>  

<p>Early surgical excision is likely to be the most significant individual variable to imporve the outcome of a patient (adult or child) with a critical burn.&nbsp; Nevertheless, many nonburn physicians still want to apply to 1970 treatment paradigms to this population of injured patients.&nbsp;&nbsp; This episode will hopefull replace these falsehoods with fact supported in the literature.&nbsp; </p>  

<p>Lightning injuries are rare, but when you do treat a patient they can have facinating presentations.&nbsp;&nbsp; This lecture follows a patient we treated at Vanderbilt.&nbsp;&nbsp;&nbsp;The patient present to a local ED with stroke like symptoms following the lightning strike.&nbsp;&nbsp; Initially, physicians were confused by the presentation, but in this lecture you will learn that his presentation was near textbook. <a href="http://www.burndoc.com/">www.burndoc.com</a></p <p>&nbsp;</p>  

This podcast deals with the child sexual abuse.This podcast outlines the physicians’ role and management in acute and historic child sexual assault cases. In addition, the physical findings associated with sexual assault are described. In general, very few physicians are comfortable managing child sexual assaults. This podcast was written by Dr. Melanie Lewis. Dr. Lewis is a general pediatrician at the Stollery Children’s Hospital in Edmonton. She is also the Program Director of the Pediatric Forensics fellowship program and the Year 3 Clerkship Director for Pediatrics at the University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content on www.pedscases.com.  

In a world undergoing constant change, in the era of globalisation, the training of medical professionals should be under constant review so that it can be tailored to meet the needs of this society in transition. This is all the more true at times of economic uncertainty, such as the current conditions, which have a direct impact on health services. Professionals need new Competencies for new times. Over the last decade initiatives have emerged in various Anglo- Saxon countries which have defined a framework of basic Competencies that all medical specialists should demonstrate in their professional practice. In addition to this, we must respond to the creation of the European Higher Education Area which has implications for specialised training. In Spain, training for medical specialists was in need of an overhaul and the recently passed law (Real Decreto 183/2008) will allow us to move forward and implement, in medical education, initiatives and innovations required in our medical centres, to respond to the new society and bring us in line with international professional education and practice. The way forward is a Competencybased model for medical education with assessment of these Competencies using simple instruments, validated and accepted by all the stakeholders. The institutions involved (hospitals, medical centres and other health care services) should trial different approaches within the general framework established by the current legislation and be conscious of the duty they have to society as accredited training organisations. Accordingly, they should consolidate their teaching and learning structures and the various different educational roles (Director of Studies, Tutors, and other teaching positions), showing the leadership necessary to allow proper implementation of their training programmes. For this, the Spanish Autonomous Regions must develop their own legislation regulating Medical Specialty Training. So, medical professionals should receive training, based on ethical values, behaviours and attitudes that considers humanistic, scientific and technical factors, developing an understanding of the scientific method; ability to put it into practice; skills to manage complexity and uncertainty; a command of scientific, technical and IT terminology to facilitate independent learning; and a capacity for initiative and teamwork, as well as skills for dealing with people and for making an effective, democratic contribution both within health organisations and in the wider society. Key words: Postgraduate Medical Education. Competencybased Medical Education.  

Support or join Dr. Mike's Movember team! http://moteam.co/docmikeevans http://twitter.com/Movember http://twitter.com/docmikeevans Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael's Hospital. Written, Narrated, and Produced by Dr. Mike Evans Illustrations by Liisa Sorsa Directed, Photographed, and Produced, by Nick De Pencier Editor, David Schmidt Story/ Graphic Facilitator, Disa Kauk Production Assistant, Chris Niesing Director of Business Development, Mike Heinrich ©2013 Reframe Health Films Inc.  

Follow Dr. Mike for new videos! http://twitter.com/docmikeevans See my website for curated resources and information for a range of common conditions, http://www.myfavouritemedicine.com DocMikeEvans follows up his viral health video "23 and 1/2 Hours" with this informative and practical video on managing stress. Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael's Hospital. http://twitter.com/docmikeevans http://www.facebook.com/docmikeevans Written and narrated by Dr. Mike Evans Executive Producer, Dr. Mike Evans Illustrations by Liisa Sorsa Produced, directed, and photographed by Nick De Pencier Editor, David Schmidt Story/Graphic Facilitator, Disa Kauk Whiteboard construction by James Vanderkleyn Production assistant, Jesse Parnell ©2011 Michael Evans and Mercury Films Inc.  

A guide to aid the diagnosis of Progressive Supranuclear Palsy for medical practitioners. PSP is a terminal degenerative brain disease which robs those affected of their ability to walk, talk, eat and see. The PSP Association provides help and support for those living with PSP, whilst funding research into the causes, treatments and eventual cure for the disease. www.pspeur.org  

http://www.acadoodle.com Contraction of the atria and ventricles is tightly coordinated by a wave of depolarisation spreading through the muscular walls of these chambers. The depolarisation wave reflects movement of charge across cardiomyocyte membranes and is in effect an electrical current spreading through the heart. Following contraction, cardiac muscle returns to a resting state and this is associated with reversal of the movement of charge across the myocyte membranes, this second wave of electrical activity is termed cardiac repolarisation. The leads of the ECG machine are designed to detect and record these two waves of cardiac electrical activity. The depolarisation and repolarisation waves spread through the heart in a highly predictable pattern and to understand the ECG readout, the pattern of spread of cardiac electrical activity needs to be understood. Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.  

http://www.acadoodle.com Atrial depolarisation is transmitted to the ventricular myocardium by the AV node and intraventricular conducting system. The time between the onset of atrial depolarisation and the release of depolarisation into the ventricular myocardium from the terminal branches of the conducting system is represented by the PR interval on the ECG. Dysfunction of the AV node or diffuse damage to components of the ventricular conducting system can result in a delay or even failure of transmission of atrial depolarisation into the ventricular muscle mass. This situation is referred to as atrioventricular or AV block. Three degrees of AV block are recognised. First degree AV block is defined by transmission of all P waves to the ventricular myocardium but with prolongation of the PR interval beyond the upper limit of normal on the ECG. Second degree AV block is defined by failure of conduction of some P waves into the ventricles. In third degree or 'complete' AV block, no P waves are transmitted to the ventricular myocardium. Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.  

http://www.acadoodle.com Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.  

http://www.acadoodle.com Atrial fibrillation is the commonest cardiac arrhythmia encountered in clinical practice. In this condition, chaotic electrical impulses, generated from multiple sites within the atria and pulmonary veins, result in irregular depolarisation of the ventricles with a resulting irregularly irregular heartbeat. Recognition of atrial fibrillation on the ECG is a crucial skill as the arrhythmia increases the risk of stroke and heart failure. These complications are preventable with appropriate treatment. Atrial flutter is a common arrhythmia which arises by a very specific mechanism. This arrhythmia is easily missed on the ECG. Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.  

http://www.acadoodle.com The combination of an unfortunately timed atrial ectopic and the existence of two strands of conducting tissue with opposite electrical properties in the junctional region of the heart can establish a rapidly discharging, self sustaining, re-entrant loop of depolarising current. This current will be discharged distally into the ventricles and also in a retrograde fashion into the atria. This is the mechanism underlying a common paroxysmal supraventricular tachycardia (SVT); AVNRT. We will explain the mechanism underlying AVNRT in this video. Understanding the underlying mechanism generating this tachycardia will help you identify this common arrhythmia on the ECG. Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.  

http://www.acadoodle.com Isolated dysfunction or damage of either of the main branches of the bundle of His is commonly observed in clinical practice. The pattern of ECG changes associated with right and left bundle branch block are predictable and you must be able to recognise them on the ECG. Complete right bundle branch block (RBBB) and complete left bundle branch block (LBBB) produce prolongation of the qrs complex and predictable morphological changes on the ECG. Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.  

http://www.acadoodle.com Acadoodle.com is a web resource that provides Videos and Interactive Games to teach the complex nature of ECG / EKG. 3D reconstructions and informative 2D animations provide the ideal learning environment for this field. For more videos and interactive games, visit Acadoodle.com Information provided by Acadoodle.com and associated videos is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information provided by Acadoodle.com and associated videos is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs.