January 1st, 2012 by Medgadget in News
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The airline industry has long been a paradigm example of safety, but it was not always that way. The transition occurred over the second half of the 20th century and was marked by rigorous equipment testing and procedures, such as the strict incorporation of checklists. Healthcare is an industry that recently has become quite interested in the possibility of implementing airline industry standards to improve patient safety and care delivery (read the books The Checklist Manifesto and Why Hospitals Should Fly if you’d like a solid overview of this phenomenon)
This month Lockheed Martin and Johns Hopkins, two institutional leaders in the fields of aviation and healthcare, respectively, announced a partnership to bring cutting-edge systems integration to the intensive care unit (ICU). According to the press release: Read more »
*This blog post was originally published at Medgadget*
December 31st, 2011 by ChristopherChangMD in Opinion, Research
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I came across this article the other day regarding use of the daVinci robot to perform base of tongue surgery for obstructive sleep apnea.
For those who don’t know, the daVinci robot system made by Intuitive Surgical is a robotic system whereby the surgeon directs the arms of the robot to perform surgery in difficult-to-access areas of the body.
My feeling is that using a robot to perform sleep apnea surgery is way overkill akin to using a $50,000 sniper rifle to kill an ant on the wall.
Everything the daVinci robot can do can also be done without the robot with equivalent patient outcomes. In fact, Read more »
*This blog post was originally published at Fauquier ENT Blog*
December 30th, 2011 by Steve Novella, M.D. in Opinion, Quackery Exposed
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Labels are a cognitive double-edged sword. We need to categorize the world in order to mentally capture it – labels help us organize our mental maps of the overwhelming complexity of things and to communicate with each other. But labels can also be mental prisons, when they substitute for a thorough, nuanced, or individualized assessment – when categorization becomes pigeon-holing.
We use many labels in our writings here, out of necessity, and we try to be consistent and thoughtful in how we define the labels that we use, recognizing that any sufficiently complex category will be necessarily fuzzy around the edges. We have certainly used a great deal of electrons discussing what exactly is science-based medicine, and that the label of so-called alternative medicine is really a false category, used mainly for marketing and lobbying (hence the caveat of “so-called”).
We get accused of using some labels for propaganda purposes, particularly “antivaccinationist” (often shortened to “antivaxer”). Also “denier” or “denialist”, as in germ-theory denier. Even though we often apply labels to ourselves, no one likes having an unflattering label applied to them, and so we have frequent push-back against our use of the above terms.
As with many such terms, Read more »
*This blog post was originally published at Science-Based Medicine*
December 16th, 2011 by Paul Auerbach, M.D. in Uncategorized
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This is another post derived from a presentation given at the 2011 Annual Summer Meeting of the Wilderness Medical Society. Aaron Billin delivered an excellent lecture on search and rescue.
Search and rescue has been defined a few different ways. Two definitions are: “the use of available resources to assist persons or property in potential or actual distress” and “an operation to retrieve persons in distress, provide for their initial medical or other needs, and deliver them to a place of safety.” Search and rescue types are mountain rescue, combat search and rescue, air-sea rescue, urban search and rescue, and ground search and rescue.
Organized search and rescue is the responsibility of national arks, state parks, county sheriffs, state conservation officers, or state police. Most search and rescue missions are carried out by volunteer groups. Ninety percent of all rescues involve Read more »
This post, How Are Medical Personnel Involved In Search And Rescue Missions?, was originally published on
Healthine.com by Paul Auerbach, M.D..
December 16th, 2011 by Robert J. Geller, M.D. in Health Tips
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It’s a moment of sheer panic. You find your child chewing something and holding an open bottle of medicine. You don’t know how much, if any, medicine your child swallowed, or if it will make your child sick.
Unfortunately, as a pediatrician and poison center medical director, I’ve seen this happen all too often. In 2009, in fact, America’s 57 poison centers received more than 575,000 calls involving children younger than 6 and medicines – including prescription and over-the-counter drugs, herbal products, and vitamins.
When that moment of panic happens, it’s good to know that help is just a phone call away. Read more »
*This blog post was originally published at Safe Healthcare*
