AIRWAY MANAGEMENT DURING ACLS

AIRWAY MANAGEMENT DURING ACLS — Ventilation is performed during CPR to maintain adequate oxygenation. The elimination of carbon dioxide is less important, while normalization of pH through hyperventilation is both dangerous and unattainable until there is return of spontaneous circulation (ROSC). However, during the first few minutes following sudden cardiac arrest (SCA), oxygen delivery to the brain… [more]

Resuscitation team management

Resuscitation team management — The resuscitation of a sudden cardiac arrest (SCA), by its nature a low frequency, high acuity event, is often chaotic. A growing body of literature demonstrates that by employing the principles of Crisis Resource Management (CRM), adapted from the aviation industry and introduced into medical care by anesthesiologists, disorganization during resuscitation decreases and… [more]

Ablation System May Double Survival in Stage 3 Pancreatic Cancer

Ablation System May Double Survival in Stage 3 Pancreatic Cancer Treating pancreatic cancer remains of the most frustrating diseases to treat for many healthcare providers. Rates of cure remain abysmal and we can be left feeling as though we have very little to offer our patients.   Ablation System May Double Survival in Stage 3… [more]

Penile Block for Circumcision

Penile Block for Circumcision For Anesthesiologist CRNAs and Urologist we provide a comprehensive review of the penile block for circumcision. This is an easy procedure and will provide much needed pain relief for our circumcision patients! Penile Block for Circumcision   Ultrasound-Guided Penile Nerve Block for Circumcision: A New, Modified Technique M-Irfan Suleman, MD All… [more]

What is better Spinal or General for hip surgery?

What is better Spinal or General for hip surgery? It’s Friday afternoon and you receive a call from the OR desk. 89 year old with a broken hip is in the ED and Dr Ortho would to fix it ASAP. The patient has multiple medical problems. One Anesthesia provider would like to give general but… [more]

Patient satisfaction linked to higher healthcare costs mortality

Patient satisfaction linked to higher healthcare costs The affordable care act AKA Obamacare dictates that patient satisfaction is a determining factor in government reimbursement. But like many things “the road to hell is paved with good intentions” as a new study reveals. Our online ACLS online PALS and online BLS providers have raised this concern… [more]

Shift in Understanding of Sepsis

Sepsis remains an incredibly difficult and challenging disease process to treat for many of our ACLS PALS and BLS providers. Though some gains have been made in the initial setting as reported on last year many challenges still remain. The article below delves deeper into this important discussion. Shift in Understanding of Sepsis.   General Surgery… [more]

Doing the Math: Can the Robot Be Cost-Effective for Surgery?

Can the Robot Be Cost-Effective for Surgery? Many of our ACLS PALS and BLS providers work in the operating room and controversy abounds as surgeons are applying the DaVinci robot to an ever increasing array of surgeries. Is it cost effective? Is it safe? Will insurance companies continue to reimburse?  Can the Robot Be Cost-Effective… [more]

Unnecessary Medical Testing

Unnecessary Medical Testing A lot of our online ACLS PALS and BLS providers work on the front lines of medicine and can tell stories similar to Dr Atwal Gwande. In his latest article he describes a problem that we all know exists but rarely talk about Unnecessary Medical Testing. This practice greatly increases the cost of… [more]

IV Tylenol Reduces PONV

IV Tylenol Reduces PONV A number of our hospital based online ACLS PALS and BLS providers have been raving about the great results they are getting from Ofirmev or IV Tylenol with respect to non-narcotic pain relief. But did you know that a recent meta-analysis point to a significant decrease in post-operative nausea and vomiting… [more]