Britt Fera

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Head injury in pediatric patients: To CT or not to CT?

Intracranial injury is the leading cause of death and disability in children. It can arise after severe, moderate, or minor head injury. Children …

Pediatrics

Methylene blue and poison-induced hypotension

<b>Methylene blue used in the treatment of refractory shock resulting from drug poisoning. Fisher J et al. Clin Toxicol 2014 Jan;52:63-65</b><p>Refractory …

Biomedicine

Fracture Fridays: Olecranon fracture in a pitcher

The elbow X-Ray, with something that looks weird right where your patient hurts<p>The Diagnosis<p>This X-Ray shows a fracture of the olecranon. It is not …

Pediatrics

high troponin acute myocardial infarction false positive

Can you remember the time when it took several days to rule out a myocardial infarction? Do you remember running serial CK, LDH and ALT? Did you run …

Nation's Emergency Physicians Announce List of Tests and Procedures To Question As Part of Choosing Wisely Campaign

SEATTLE, Oct. 14, 2013 /PRNewswire-USNewswire/ -- Dedicated to reducing health care costs and improving patient care, the American College of …

hyperpronation for Nursemaid’s elbow

nice quick overview in a recent EP Monthly mag. Some quick pearls below:<p><b>TECHNIQUE:</b><p><b>one hand holding elbow at 90 degrees</b>• <b><br>other hand holds</b> …

NSAID vs. antibiotic for acute bronchitis?

interesting study from some primary care centers in Spain:<p>QUICK HITS:<p>416 adults, randomized to <b>3 groups (with 10-day courses of meds)</b>:<p><b>ibuprofen 600mg</b> …

Viral

A Male in his 60s with Chest pain. What is the ECG Diagnosis?

Here is the ECG of a man with 2 hours of chest pain. He had a history of MI with LAD stent. I cannot find his prehospital ECG, but the medics did not …

Hyphema (quick review)

<b>Hyphema</b> = Blood in the anterior chamber<p><b>What causes this?</b> Stretching of the ciliary body or iris during trauma, causing vessels to leak in to the …

31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!

<b>This was submitted by a fantastic medical student who wished to remain anonymous:</b><p>A 31 year old male with a history of viral pericarditis one year ago …

The Ketamine Brain Continuum

You’re cardioverting an otherwise healthy 100 kg 48 year old man with lone afib. Since cardioversion is a brief procedure, you decide on a smaller …

Cyanide Poisoning and Antidotes

I really enjoyed drawing the Cyanide Poisoning Antidotes flashcard. I really put Travis to the test by drawing out biochemistry pathways…The original …

Tramadol: When to avoid it

Tramadol is a popular agent for the treatment of pain and offers an alternative to opioid therapy. Tramadol exerts its analgesic effects through weak …

Emergency Medicine

Another STEMI in a Young Person with no CP or SOB: Why We Should Record an ECG for Unexplained Nonspecific Symptoms

<b>There are many interesting facets to this case. I have highlighted the clinical factors over the ECGs, but the ECGs are very instructive as well:</b> …

University of Maryland School of Medicine, Department of Emergency Medicine

<b>Normal lung sliding</b> creates an artifact at the pleural line, as the <b>visceral and parietal pleura slide</b> against one another; this is seen in the M-mode …

Medicine

No Change In Fed Policy, Yellen Signals

Since every word that the head of the Federal Reserve utters is closely watched by those in the financial markets, it's worth noting that in her first appearance before Congress since being confirmed Fed Chair Janet Yellen plans to say Tuesday that:<p>"I expect a great deal of continuity in the FOMC's …

Economy

Here Is How You Walk Away From Him

I’m a chaser. I chase people. Some people call it endearing, because I always see the best in people, I always want them to be their better selves, …

I Will Not Forget You

Time often passes by us in what feels like bursts of wind. It sweeps up everything around us in a kind of blind rush, moving and eroding patterns …

How to Get Flat Abs, Have Amazing Sex and Rule the World in 8 Easy Steps

The covers of most men's and women's magazines have similar headlines: "Get Great Abs" and "Have Amazing Sex."<p>From the looks of it, these two issues have been recycled over and over (with some other stereotypically gender-relevant articles thrown in) on every <i>Men's Health</i>, <i>Maxim</i>, <i>Cosmopolitan</i> and</i> …

The Scientific Way to Mend a Broken Heart

Most of us have experienced heartbreak, and when you think about how it made you feel, it's very similar to physical pain and suffering. That's no …

Breakups

No lotus position needed: Neuroscience pushes meditation into the mainstream

When the Rev. Ron Moor began meditating 30 years ago, he did so in secret.<p>“When I started, meditation was a dirty word,” said Moor, pastor of Spirit …

The Psychopath’s Relationship Cycle: Idealize, Devalue and Discard

article<p>https://psychopathyawareness.wordpress.com/2010/12/22/the-psychopaths-relationship-cycle-idealize-devalue-and-discard/<p>Because they suffer from …

Discovery of quantum vibrations in microtubules inside brain neurons corroborates controversial 20-year-old theory of consciousness

Structure of a microtubule. The ring shape depicts a microtubule in cross-section, showing the 13 protofilaments surrounding a hollow center. …

Neuroscience

Why Physicists Are Saying Consciousness Is A State Of Matter, Like a Solid, A Liquid Or A Gas

A new way of thinking about consciousness is sweeping through science like wildfire. Now physicists are using it to formulate the problem of …

Why walking through a doorway makes you forget

New scientific research helps offer an explanation for one of life’s most frustrating day-to-day to phenomena<p>The French poet Paul Valéry once said, “The purpose of psychology is to give us a completely different idea of the things we know best.” In that spirit, consider a situation many of us will …

Scientists film how the brain makes memories for the first time ever

For the first time in history, scientists at Albert Einstein College of Medicine of Yeshiva University have captured how our brain makes memories in …

Neuroscience

Merck Misses Estimates in 4Q; Plans Increased Focus on Cancer

Merck (MRK) reported a worse-than-expected 14% decline in fourth-quarter profit on Wednesday but confirmed plans to increase its focus on investigational cancer treatments.<p>The No. 2 largest U.S. drug maker said it entered three separate collaboration agreements with competitors Pfizer (PFE), Amgen …

Changes in Modern Medicine: What Can We Expect?

It is always interesting when established medical practices shift from standard to refuted, or even obsolete. As a women's health care practitioner, I continually strive to improve standards of care for my patients, and that is usually an expectation of medical providers in general. But when an …

JPMorgan hires new co-head for healthcare in EMEA

LONDON (Reuters) - JPMorgan Chase & Co has hired private equity industry veteran Cathrin Petty to co-head its healthcare group in Europe, the Middle East and Africa (EMEA), anticipating a pick up in activity in the sector.<p>Petty, who joins from British private equity firm Vitruvian Partners where …

Mindful At Work Challenge, Day 5: Making Every Day Mindful

<i>This post is part of an ongoing partnership between the Institute for Mindful Leadership and HuffPost as we work together to bring mindfulness to the workplace. The Institute has just opened enrollment for a number of retreats in NY and MN. More info can be found at</i> …