Use of Cuffed Tracheal Tubes in Neonates Requires Caution

Cuffed Tracheal Tubes in Neonates The use of cuffed tracheal tubes in neonates is an issue that many of our PALS providers encounter. Cuffed vs uncuffed? How long is it safe to leave a cuffed tube in? Investigators have found that there is a risk for increased trauma without proper diligence. Our PALS providers should… [more]

Patient Satisfaction and Opiods

Patient Satisfaction and Opiods As the model for reimbursement shifts under the affordable care act and patient satisfaction becomes a reimbursable entity many in the emergency room and primary care community’s have wondered aloud with the number of drug seeking patients soliciting them how will those patients rate their experience.  More importantly will that experience… [more]

Propofol Overdose During Colonoscopy : Are Some Patients Being Oversedated?

Propofol Overdose During Colonoscopy : Are Some Patients Being Oversedated? Many of our online ACLS PALS and BLS providers are frequent caregivers in the GI suite. As the boomers require more and more screening colonoscopy we are giving much more propofol than in years past. Question is are we giving too much? An interesting new… [more]

Stellate Ganglion Block for PTSD, Anxiety and Depression

Stellate Ganglion Block for PTSD, Anxiety and Depression A number of our ACLS PALS and BLS providers are pain physicians. As the recognition and importance of treatment for PTSD becomes more apparent we would like to pass along this interesting article about  Stellate Ganglion Block for PTSD, Anxiety and Depression.   Anesthesiology News ISSUE: APRIL… [more]

Aspirin Before Cardiac Surgery Benefits Chronic Kidney Patients

Aspirin Before Cardiac Surgery Benefits Chronic Kidney Patients Preoperative aspirin administration decreases postoperative acute kidney injury and mortality in patients with chronic kidney disease undergoing cardiac surgery, a study finds. As many of our ACLS PALS and BLS providers are involved in cardiac surgery we wanted to pass along the following.    Anesthesiology News ISSUE:… [more]

Goal Directed Fluid Therapy Reduces Costs and Morbidity

Goal Directed Fluid Therapy Reduces Costs and Morbidity Goal Directed Fluid Therapy Reduces Costs and Morbidity is a new paradigm for critical care physicians, surgeons and Anesthesiologists in caring for critically injured patients. It involves using strict parameters for the guidance of fluid resuscitation. All ACLS PALS and BLS providers should add this to their… [more]

Dangers of Fentanyl

Dangers of Fentanyl Fentanyl AKA Sublimaze, Actiq, Durogesic, Duragesic, Fentora, Matrifen, Haldid, Onsolis, Instanyl, Abstral, Lazanda is a potent, synthetic opioid analgesic with a rapid onset and short duration of action. Fentanyl is 80-100 more potent then morphine and 15-20 times more potent then street heroin. The Dangers of Fentanyl are the same as other potent narcotics but given it’s increased effectiveness the danger for… [more]

Closed Claims Airway Injury Analysis Highlights Problems

Closed Claims Airway Injury One of the most important jobs for the ACLS BLS and PALS provider is the management of the airway. Proper training is essential to provide safe and effective airway management. Closed Claims Airway Injury data reveals that airway injury remains a significant concern in regards to patient morbidity and mortality. An excellent… [more]

ABIM Fraud Lawsuit

Earlier this year  Newsweek uncovered some troubling issues going on in the medical community between physicians and the American Board of Internal Medicine or ABIM. Well now the heat has been turned up on the organization that grants physicians board certification with a follow up article that alleges creative accounting and deceptive lobbying practices that… [more]

Perioperative Surgical Home

The Perioperative Surgical Home is a relatively new concept that holds the potential for increased coordination and management of surgical patients with reduced complications, improved efficacy and cost effective perioperative care. Perioperative Surgical Home is by definition a physician-led and multidisciplinary. It’s a team-based system of coordinated care that guides patients through the entire surgical… [more]