Blogspot - doctorrw.blogspot.com - Notes from Dr. RW
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Problems with EHR templates and other documentation tools 27 Aug 2013 | 04:00 pm
EHRs were touted early on as time savers while facilitating documentation in support of better reimbursement. The real world truth, as has since been discovered, is that it doesn't work that way if yo...
What to do with troponin elevations when the clinical picture is uncertain 26 Aug 2013 | 04:00 pm
The ACCF 2012 Expert Consensus Document is helpful.Points of interest:MI type designations 1-5, respectively, denote unstable coronary artery obstruction, demand ischemia (supply/demand imbalance), su...
Stroke after cardiac catheterization 25 Aug 2013 | 05:09 pm
It doesn't happen very often but it happens. Nowadays regional thrombolysis or clot retrieval may be options.
Octreotide for non-variceal UGI bleeds: state of the controversy 24 Aug 2013 | 04:00 pm
An update at the Emergency Medicine PharmD blog.
Mesenteric vein thrombosis 23 Aug 2013 | 04:00 pm
A free full text review is available from Mayo Clinic Proceedings. Just a few points of interest:Think of it when the patient's pain “seems real” and is out of proportion to physical findings.Pain rea...
Whither sedation interruption? 22 Aug 2013 | 04:00 pm
A lot of folks are no doubt rethinking the notion of daily sedation interruption in view of last November's JAMA paper which at first glance goes against the teaching of the past few years: Intervent...
Don't forget procainamide---it's still around 21 Aug 2013 | 04:00 pm
Though all but forgotten among emergency medicine and hospitalist types it has a prominent place in several guideline recommendations. These are summarized in a recent post at Emergency Medicine Pharm...
Post-marketing experience with dabigatran 21 Aug 2013 | 06:38 am
---is reassuring according to a recent JACC paper: Conclusions In this ‘everyday clinical practice’ post-approval nationwide clinical cohort, there were similar stroke/systemic embolism, and major bl...
Mayo Clinic review of new oral anticoagulants 19 Aug 2013 | 04:00 pm
I've blogged a lot on the novel anticoagulants already but this review is important to bookmark because it's free full text and brings everything together including hard to find information on questio...
Your patient on Plavix breaks a hip. Now what? 18 Aug 2013 | 04:00 pm
According to this small study from Mayo you don't have to wait to get it fixed.
