The story of the nursing student who was expelled for blogging got me thinking.
(If you haven’t heard the story, check out What Can Nursing Students Blog About? at Code Blog, with an update at Kevin, MD)
Just what can you write about on your blog?
Well, you can write on just about any topic.
It’s not a case of what you say, it’s how you say it. Read more »
*This blog post was originally published at Emergiblog*
Recently I had a moment to reflect on adrenaline and adrenaline inducing sports. It was a bloody moment. But I’m getting ahead of myself.
Bleeding peptic ulcers occasionally cross the path of general surgeons. Usually they stop bleeding with conservative treatment. But sometimes they don’t. Then you need to whip out the trusty knife. Even then usually the operation is little more than routine. This case, however was exceptional.
He was white as a sheet. He had been bleeding for three days but only decided to come to the hospital when he started falling over. It seemed he could at least recognise falling over as not normal. The initial gastroscopy showed a penetrating duodenal ulcer with no active bleeding. the body had managed to curtail the bleeding, partially because of vasoconstriction, but mainly due to a low blood pressure which in itself was due to loss of blood. Read more »
*This blog post was originally published at other things amanzi*
This is the third post based upon my presentation given at the Wilderness Medical Society Annual Meeting held in Snowmass, Colorado from July 24-29, 2009. The presentation was entitled “Just When You Thought It Was Safe to Go Back in the Water.”” The topic was an overview of hazardous marine animals and it was delivered by me. In the previous post, there was information about stingrays and scorpionfishes. In this post, there is information about injuries from sea urchins incurred in the marine environment.
Sea urchins are free-living echinoderms with egg-shaped, globular or flattened bodies. They are covered by tightly arranged spines and/or triple-jawed pedicellariae, which are seizing and envenoming organs. The spines can be brittle, hollow, sharp and venom-bearing or blunt and non venom-bearing (such as with Hawaiian pencil urchins). Most persons are envenomed when they step upon or brush against an urchin. Read more »
This post, What To Do If You Step On A Sea Urchin, was originally published on Healthine.com by Paul Auerbach, M.D..
When a patient comes in with an infection related diagnoses, efforts are often undertaken to keep that pathogen from spreading to other patient rooms. In British hospitals they’ve banned ties and long sleeves. At Happy’s hospital we place a dedicated stethoscope in the patient’s room which is then shared by all health care workers caring for the patient. And that stethoscope shall remain forever in that patient’s room.
At Happy’s hospital, the dedicated stethoscopes look like they were made in a Chinese toy factory. Read more »
*This blog post was originally published at A Happy Hospitalist*
Ultrasound is a neat toy, and I’m all about toys. I found two opportunities to play with enhance patient care with our ultrasound today on my shift. But it doesn’t have the bang for the buck that the enthusiasts think it does. It has very narrow, but real, utility, and does nothing to generate revenue. It does in some cases enhance patient turnaround, and it certainly enhances patient satisfaction (they love cool toys as much as we do — and extra face time with the doctor to boot!). But that’s a small return on a machine costing tens of thousands of dollars. Read more »
*This blog post was originally published at Movin' Meat*
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