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Man Dies In An Attempt To Remove His Own Pacemaker

A 47-year-old Chicago man died after trying to remove his own pacemaker. He’s not the first to try self-surgery, as it turns out.

The Chicago Tribune described this most recent attempt at self-surgery:

“Chicago Fire Department paramedics were called after the man told a worker in the home that he was experiencing chest pains and asked them to call an ambulance.

“The man returned to his room, where he remained until paramedics arrived, police said. When they did, he complained to them about chest pains and was taken to the ambulance where he fell unconscious, police said.

“As paramedics were trying to revive him, they discovered Read more »

*This blog post was originally published at ACP Internist*

Lives Can Be Saved By CPR Bystanders

Bystander CPRNearly 450 people die each day of sudden cardiac arrest. Many times the bystanders who witness a person collapse don’t know what to do. They are afraid they will hurt the victim or they feel nervous about doing traditional cardiopulmonary resuscitation (CPR) with mouth-to-mouth breathing and chest compressions.

New information published in the New England Journal of Medicine (NEJM) shows that hands-only CPR is potentially a lifesaving option to be used and it can improve the chance of survival equally as well as traditional CPR. This study confirms other reports that bystanders can save lives by doing chest compressions in adults and children who are not breathing. Read more »

*This blog post was originally published at EverythingHealth*

Mourning The Death Of Strangers

I was about to leave work a few nights ago when EMS was dispatched to a 10-50, which is a motor vehicle accident.

Enough years in emergency care and that tone makes your radar, but doesn’t create much of a blip. Many of those crashes have EMS arrive, only to discover no injuries. Some have patients transported, with minor problems that lead to their speedy evaluation and discharge from our ER. A few have serious, life-threatening injuries. They take all our speed, skill and attention to save life and limb. And often, require transfer to other facilities.

But this last call was none of those. Around 1AM the radio traffic crackled back to dispatch (which we could hear in the emergency department): “Probable Signal Nine.” Signal Nine means the victim is dead at the scene. Not “Dead On Arrival” (DOA) at the hospital, but no hospital necessary.

I knew the paramedics were finished when they asked dispatch to call for the coroner. And my heart sank a little. For all that a multi-trauma is work, I’d rather do it anytime than have someone die, and someone learn of the death. Read more »

*This blog post was originally published at edwinleap.com*

Do Speeding Ambulances Save More Lives?

How fast should an ambulance go? The stereotypical speeding ambulance with lights flashing and sirens blaring is the image that most conjure up. But recent data suggests that transport speed may be overstated.

In a fascinating piece from Slate, emergency physicians Zachary F. Meisel and Jesse M. Pines examine that very question. They cite a recent study from the Annals of Emergency Medicine, which concluded that a fast transport speed didn’t necessarily save lives. Read more »

*This blog post was originally published at KevinMD.com*

Police-Escorted Paramedics?

This isn’t really my story, but in a sense it belongs to all South Africans. It’s our shame and may be part of our downfall.

We are a people at war. We war against ourselves and we war against peace. Each fights for himself and bugger the rest. But who heals the fallen? It seems in South Africa that quite soon it may be no one.

Recently a story made the news. It was shocking, but it actually gives an inclination of how morally decayed South African society has become. An ambulance was despatched to some informal settlement after a household fire burned a child. The caretakers of the child brought the child to an intersection that the ambulance would actually be able to find. quite soon the paramedics were hard at work stabilising the screaming child. At about this stage, two armed thugs turned up. They threatened the child’s caretakers with their lives and forced them to flee. Then, while the child continued to scream in pain, they raped the female paramedic. They were not caught. Read more »

*This blog post was originally published at other things amanzi*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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