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All posts; Tags Include "Ethics"

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  • July 11, 2014
  • 01:15 AM
  • 1,090 views

Remote CPR Skills Testing Online - A Crazy Idea?

by Rogue Medic in Rogue Medic

On the MedicCast, Jamie Davis interviews Roy Shaw of SUMO about a method of remote CPR certification for health care providers.

"The Single Use Manikin Option, or SUMO™, is an AHA-compliant way of getting certified in CPR completely online.[1]"

What different ways of dealing with certification/recertification problems should we use?... Read more »

Sutton RM, Niles D, Meaney PA, Aplenc R, French B, Abella BS, Lengetti EL, Berg RA, Helfaer MA, Nadkarni V. (2011) Low-Dose, High-Frequency CPR Training Improves Skill Retention of In-Hospital Pediatric Providers. PEDIATRICS, 128(1). DOI: 10.1542/peds.2010-2105d  

  • June 30, 2014
  • 09:42 AM
  • 612 views

The Ethics of a Pre-Diabetic Living Kidney Donor

by in Living Donors Are People Too

Diabetes accounts for 44% of end-stage kidney disease in the US (per USRDS). Apparently, Mexico is no different. What is different is that three Mexican researchers penned an article, published in a Medical Ethics journal, that criticizes the use of pre-diabetic folks as living kidney donors. (emphasis mine)   In prediabetic persons there are well known …
Continue reading »
The post The Ethics of a Pre-Diabetic Living Kidney Donor appeared first on Living Donors Are People Too......... Read more »

  • June 30, 2014
  • 12:55 AM
  • 1,197 views

Safety of Intranasal Fentanyl in the Out-of-Hospital Setting - A Prospective Observational Study

by Rogue Medic in Rogue Medic

I have been very critical of plans to have first responders treat people they suspect of having a heroin (or other) opioid overdose with naloxone.

Would first responders be safer with fentanyl?

It is not really the same question, but it does highlight the differences and why I think fentanyl is safer. The patient will be seen by someone more likely to recognize when the treatment is inappropriate. This study looked at IN (IntraNasal) fentanyl given by basic EMTs prior to transport to the E........ Read more »

  • June 18, 2014
  • 12:00 PM
  • 901 views

Elsevier et al’s pricing douchebaggery exposed

by Juan Nunez-Iglesias in I Love Symposia!

Ted Bergstrom and a few colleagues have just come out with an epic paper in which they reveal how much for-profit academic publishing companies charge university libraries, numbers that had previously been kept secret. The paper is ostensibly in the field of economics, but it could be more accurately described as “sticking-it-to-the-man-ology”.... Read more »

Bergstrom, T., Courant, P., McAfee, R., & Williams, M. (2014) Evaluating big deal journal bundles. Proceedings of the National Academy of Sciences. DOI: 10.1073/pnas.1403006111  

  • May 30, 2014
  • 06:40 PM
  • 1,163 views

Should Doctors ‘Google’ Their Patients?

by Jalees Rehman in Fragments of Truth

Beware of what you share. Employers now routinely utilize internet search engines or social network searches to obtain information about job applicants. A survey of 2,184 hiring managers and human resource professionals conducted by the online employment website CareerBuilder.com revealed that 39% use social networking sites to research job candidates. Of the group who used social networks to evaluate job applicants, 43% found content on a social networking site that caused them to not hire a ca........ Read more »

  • May 25, 2014
  • 07:00 PM
  • 1,235 views

Does Faster Epinephrine Administration Produce Better Outcomes from PEA-Asystole?

by Rogue Medic in Rogue Medic

If we are going to give epinephrine to patients with rhythms that are not shockable (PEA [Pulseless Electrical Activity] or Asystole), it appears that patients receiving epinephrine earlier have better outcomes than patients who receive epinephrine later in the hospital in the less acute care settings.

Does this mean that patients who receive epinephrine have better outcomes than patients who do not receive epinephrine?

We remain willfully ignorant of the answer to that question.
... Read more »

Bigham BL, Koprowicz K, Aufderheide TP, Davis DP, Donn S, Powell J, Suffoletto B, Nafziger S, Stouffer J, Idris A.... (2010) Delayed prehospital implementation of the 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiac care. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 14(3), 355-60. PMID: 20388032  

  • May 21, 2014
  • 09:25 AM
  • 1,290 views

To Err Is Human, To Study Errors Is Science

by Jalees Rehman in The Next Regeneration

The family of cholesterol lowering drugs known as 'statins' are among the most widely prescribed medications for patients with cardiovascular disease. Large-scale clinical studies have repeatedly shown that statins can significantly lower cholesterol levels and the risk of future heart attacks, especially in patients who have already been diagnosed with cardiovascular disease. A more contentious issue is the use of statins in individuals who have no history of heart attacks, strokes or........ Read more »

  • May 9, 2014
  • 09:36 AM
  • 1,509 views

THE GAY GENE AND THE ETHICS OF GENETIC TESTING

by Robb Hollis in Antisense Science

Over 20 years ago, Dean Hamer – an American geneticist – and his colleagues published an investigation into the possible genetic basis of sexual orientation. The paper, which analysed genetic data from 114 families containing homosexual men, reported an association between genetic markers on the q arm of the X chromosome (chromosomal region Xq28) and male homosexuality: and so the ‘gay gene’ was born.... Read more »

  • April 16, 2014
  • 12:59 AM
  • 611 views

OYM 30: The Irreproducible Joe Rochford

by On Your Mind in On Your Mind

This week on the On Your Mind Neuroscience podcast we’re excited to share our microphones with Dr. Joe Rochford.  He’s the Associate Director (or as he prefers Ass. Director) of the Neuroscience program at McGill and the Director of Academic Affairs at the Douglas Hospital Research Center and he’s sharing his thoughts on the importance ...read more
The post OYM 30: The Irreproducible Joe Rochford appeared first on On Your Mind Podcast.
... Read more »

Collins FS, & Tabak LA. (2014) Policy: NIH plans to enhance reproducibility. Nature, 505(7485), 612-3. PMID: 24482835  

  • April 3, 2014
  • 07:30 PM
  • 1,175 views

In Defense of No Improvement by Medic Madness – Part IV

by Rogue Medic in Rogue Medic

Continuing from Part I, Part II, and Part III in response to what I wrote about the failure of the LUCAS,[1] Sean continues with -

"Another issue I have with this data, is that it doesn’t address the following variables:
Down time
Whether or not bystander CPR was performed
Medications used
Whether or not an advanced airway was placed
Length of resuscitation"... Read more »

  • March 27, 2014
  • 11:15 AM
  • 1,514 views

In Defense of No Improvement by Medic Madness - Part III

by Rogue Medic in Rogue Medic

Sean continues to explain how the machine that does not improve outcomes allows him to provide other 'treatments' that do not improve outcomes.

I continue to point out the problems with his excuses.

.... Read more »

Larabee TM, Liu KY, Campbell JA, & Little CM. (2012) Vasopressors in cardiac arrest: a systematic review. Resuscitation, 83(8), 932-9. PMID: 22425731  

Hagihara A, Hasegawa M, Abe T, Nagata T, Wakata Y, & Miyazaki S. (2012) Prehospital epinephrine use and survival among patients with out-of-hospital cardiac arrest. JAMA : the journal of the American Medical Association, 307(11), 1161-8. PMID: 22436956  

Hayashi Y, Iwami T, Kitamura T, Nishiuchi T, Kajino K, Sakai T, Nishiyama C, Nitta M, Hiraide A, & Kai T. (2012) Impact of early intravenous epinephrine administration on outcomes following out-of-hospital cardiac arrest. Circulation journal : official journal of the Japanese Circulation Society, 76(7), 1639-45. PMID: 22481099  

Allegra J, Lavery R, Cody R, Birnbaum G, Brennan J, Hartman A, Horowitz M, Nashed A, & Yablonski M. (2001) Magnesium sulfate in the treatment of refractory ventricular fibrillation in the prehospital setting. Resuscitation, 49(3), 245-9. PMID: 11719117  

Kudenchuk PJ, Cobb LA, Copass MK, Cummins RO, Doherty AM, Fahrenbruch CE, Hallstrom AP, Murray WA, Olsufka M, & Walsh T. (1999) Amiodarone for resuscitation after out-of-hospital cardiac arrest due to ventricular fibrillation. The New England journal of medicine, 341(12), 871-8. PMID: 10486418  

  • March 12, 2014
  • 12:55 AM
  • 1,206 views

Who Needs a 12 Lead ECG?

by Rogue Medic in Rogue Medic

Do we do too many 12 lead ECGs on patients who do not have chest pain?

This is something that some people worry about.

Save the electrodes!

Those poor little electrodes are being abused!

Are electrodes being abused?... Read more »

  • March 5, 2014
  • 04:00 PM
  • 1,296 views

The Failure of LUCAS to Improve Outcomes in the LINC Trial

by Rogue Medic in Rogue Medic

We love gadgets in EMS.

Dr. Bryan Bledsoe tells us that if we paint it orange and put a star of life on it, we can sell any product for a lot more money.

How much would you pay to not improve outcomes?

$10,000.00?

$20,000.00?

$30,000.00?

$40,000.00?

$50,000.00?... Read more »

  • February 22, 2014
  • 02:37 PM
  • 1,659 views

Pros and Cons of Online Doctor Consultations

by Imtiaz Ibne Alam in Medical-Reference - A Pioneer in Medical Blogging

In these days of Dr. Google, it's not surprising that scores of sites often invite you to ask unseen medical professionals a question, though little is known about what occurs on these sites.

I don't know whether you've used these services yet or not, but today many patients are seeking advice online from doctors they have never met. However, many are still out there who strongly believe these services are jam-packed with scam activities. So, the questions you may ask:
Are th........ Read more »

  • February 20, 2014
  • 11:17 PM
  • 1,036 views

Increasing Knowledge of HIV Transmission: An Important Ingredient in HIV Risk Reduction among Young African American Women Attending Community College

by JAID in JScholar Publishers

HIV/AIDS is currently the leading cause of death for African American women ages 25-34. As heterosexual behavior is the major mode of HIV transmission among this population, it is important to further understand the factors which may influence risky sexual behaviors and promote HIV testing behaviors. The target population for this study represents the convergence of two groups disproportionately at-risk for contracting HIV: African American women and college students. Specifically, the purpose o........ Read more »

Keisha Carr Paxton*, Brandilynn Villarreal, Oku OO, Naomi M Hall. (2013) Increasing Knowledge of HIV Transmission: An Important Ingredient in HIV Risk Reduction among Young African American Women Attending Community College. Journal of HIV/AIDS , 1(2), 1-7. info:/Vol 1: 201

  • January 3, 2014
  • 02:20 PM
  • 544 views

Stem cell research endorsed by patients

by beredim in Stem Cells Freak

Jeremy SurgarmanCreditA new study by bioethicists at Johns Hopkins University reveals that despite some ethical concerns, patients give induced pluripotent stem cell (iPSCs) research “broad endorsement”.During focus group discussions patients were largely in favor of participating in iPSC research even if personal benefit was unlikely, though they raised concerns about consent, privacy and transparency when considering donating tissue for this research."Bioethicists, as well as stem cel........ Read more »

Ishan Dasgupta, Juli Bollinger, Debra J.H. Mathews, Neil M. Neumann, Abbas Rattani, Jeremy Sugarman. (2013) Patients’ Attitudes toward the Donation of Biological Materials for the Derivation of Induced Pluripotent Stem Cells. Cell Stem Cell. info:/10.1016/j.stem.2013.12.006

  • December 10, 2013
  • 11:14 PM
  • 1,049 views

JUST PUBLISHED: Personal Qualities Assessment Across Cultures

by Mark Rubin in The University of Newcastle's School of Psychology Newsline

Myself (Miles Bore), Don Munro and David Powis have spent the last 15 years developing and testing personality questionnaires and ability tests for use in the selection of medical students. While much of the focus of our research has been the use of these tests in Australia and the UK, we have also had opportunities to trial the tests in countries where English is not the first language such as Sweden, Israel, Japan, Taiwan, Nepal and Fiji. Recently we were approached by Saharnaz Nedjat from Teh........ Read more »

  • November 26, 2013
  • 06:30 PM
  • 1,917 views

If We Are Not Competent With Direct Laryngoscopy, We Should Just Say So - Part II

by Rogue Medic in Rogue Medic

Continuing from Part I of a paper that could, at best, be described as a convenience sample, since a quarter of patients were excluded from randomization because of attending physician bias.

What were the authors assuming when comparing GVL (GlideScope Video Laryngoscope) with DL (Direct Laryngoscopy) for intubation?... Read more »

Yeatts DJ, Dutton RP, Hu PF, Chang YW, Brown CH, Chen H, Grissom TE, Kufera JA, & Scalea TM. (2013) Effect of video laryngoscopy on trauma patient survival: a randomized controlled trial. The journal of trauma and acute care surgery, 75(2), 212-9. PMID: 23823612  

Lundstrøm LH, Vester-Andersen M, Møller AM, Charuluxananan S, L'hermite J, Wetterslev J, & Danish Anaesthesia Database. (2011) Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients. British journal of anaesthesia, 107(5), 659-67. PMID: 21948956  

  • November 20, 2013
  • 07:00 PM
  • 1,328 views

Is Earlier Better for Therapeutic Hypothermia? Part I

by Rogue Medic in Rogue Medic

When is the right time to begin TH (Therapeutic Hypothermia) to produce the best outcomes?

In the ICU (Intensive Care Unit)?

In the ED (Emergency Department)?

In the ambulance?

While the patient is still pulseless?

This question was asked in 2010.... Read more »

  • November 15, 2013
  • 09:30 AM
  • 2,318 views

Advancing Science Through the Use of “New Statistics”

by amikulak in Daily Observations

There are several steps that researchers can take to bolster the integrity of their work, but embracing the use of the “new statistics” of effect sizes, estimation, and meta-analysis is a particularly important one, argues psychological scientist Geoff Cumming of La Trobe University in Australia.... Read more »

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