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All posts; Tags Include "Medical Ethics"

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  • May 23, 2011
  • 07:30 AM

Utilization of warning lights and siren based on hospital time-critical interventions

by Rogue Medic in Rogue Medic

We have too many treatments/procedures that are based on nothing more than superstition, tradition, and/or wishful thinking. We need to evaluate what we do in as unbiased a way as possible to find out if there is any benefit to any patient, rather than just blindly continue with each myth-based intervention.... Read more »

Marques-Baptista A, Ohman-Strickland P, Baldino KT, Prasto M, & Merlin MA. (2010) Utilization of warning lights and siren based on hospital time-critical interventions. Prehospital and disaster medicine : the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation, 25(4), 335-9. PMID: 20845321  

  • May 21, 2011
  • 11:13 PM

Life, Death, and Silver Bullets

by Paige Brown in From The Lab Bench

A Science Fiction story about the Age of the Superbug

There was something about her... a pale, reddish complexion, so rare these days... all the other desks in the dull classroom where occupied by students who faded together in their blue and gray hues... who snuck furtive glances at the ruddy newcomer, in her bright blue overalls and frizzy, untamed hair.
... Read more »

Patterson, J. (2010) Rising plague. Journal of Clinical Investigation, 120(3), 649-649. DOI: 10.1172/JCI42104  

  • May 13, 2011
  • 07:30 AM

Is Friday the 13th bad for your health

by Rogue Medic in Rogue Medic

This is reminiscent of some of the old medics' tales in EMS that are cited as the basis for otherwise baseless nonsense, such as - "If you don't give anti-nausea medication with morphine, then the patient will vomit." A small percentage of patients receiving morphine will develop nausea. Only some of that small percentage of patients will end up vomiting. ... Read more »

Scanlon TJ, Luben RN, Scanlon FL, & Singleton N. (1993) Is Friday the 13th bad for your health?. BMJ (Clinical research ed.), 307(6919), 1584-6. PMID: 8292946  

  • May 9, 2011
  • 08:57 AM

ASHA Watch disorts research in the name of discrimination

by Adam in slowdog

A look at an article exploring barriers to speech pathology and audiology services for the LGBT community, and how this article is used by another blogger to deride both the LGBT community and the professional organization of speech pathologists and audiologists. ... Read more »

  • May 7, 2011
  • 05:14 PM

Rise of the Rat Brained Robots

by Neurobonkers in Neurobonkers

Kevin Warwick and his team at Reading University have successfully created a robot controlled directly by a rat's brain.... Read more »

Warwick, K., Xydas, D., Nasuto, S. J., Becerra, V. M., Hammond, M. W., Downes, J., Marshall, S., & Whalley, B . Defence Science, 60. (2010) Controlling a mobile robot with a biological brain. Defence Science, 60(1), 5-14. info:/

  • May 5, 2011
  • 09:52 AM

Neuroethics: The Brain and Religious Beliefs

by William Yates, M.D. in Brain Posts

This is the second in a series of three posts looking at how the brain processes complex beliefs in the domains of morality, religion and politics.  Jordan Grafman, Ph.D. presented at the May 3, 2011 Warren Frontiers of Neuroscience lecture series in Tulsa, Oklahoma.  Grafman summarized research he had conducted in these three domains.  An fMRI study published in PNAS in 2009 outlined some of Grafman’s research team efforts related to brain processes and religion.  In the i........ Read more »

Kapogiannis, D., Barbey, A., Su, M., Zamboni, G., Krueger, F., & Grafman, J. (2009) Cognitive and neural foundations of religious belief. Proceedings of the National Academy of Sciences, 106(12), 4876-4881. DOI: 10.1073/pnas.0811717106  

  • May 4, 2011
  • 12:19 PM

Neuroethics: The Brain and Moral Beliefs

by William Yates, M.D. in Brain Posts

Jerome Grafman, Ph.D. presented the May 2011 Warren Frontiers in Neuroscience lecture “Brain Regions Supporting the Establishment of Human Beliefs” in Tulsa, Oklahoma.  I have typically summarized these lectures in a single Brain Posts blog posting.  But given the broad character of this presentation, I will break my summary into three parts based on the sections in the presentation: moral beliefs, religious beliefs and political beliefs.  Along with the lecture highlights, I ........ Read more »

  • May 4, 2011
  • 07:30 AM

Dextrose 10% or 50% in the treatment of hypoglycaemia out of hospital? A randomised controlled trial.

by Rogue Medic in Rogue Medic

"This randomised controlled trial aimed to compare the efficacy and safety of 5 g aliquots of 10% and 50% dextrose in the out of hospital treatment of adult hypoglycaemic patients."

An important point is that the participating EMS agencies realize that supplementing the patient's dietary dextrose with intravenous dextrose means we are giving a drug and that drug should be titrated to effect.[2] The same is true of supplemental oxygen. We need to recognize that these are drugs t........ Read more »

  • May 1, 2011
  • 03:49 AM

A Call to Arms: Lab Safety

by Paige Brown in From The Lab Bench

I don my lab coat, ready for an afternoon of experiments. After some rummaging, I finally find a pair of safety glasses, a rare commodity in a lab of 30 students where monies appear to be scant when it comes to procuring new personal protective equipment. I'll be hiding this pair in my office.

"I need 5 milliliters a 1molar solution."

A senior postdoc hands me a bottle of some white powdery substance, and waves me toward the dry chemical balance on the lab bench. I glance ........ Read more »

Editorial. (2011) Accidents in waiting. Nature, 472(7343), 259. PMID: 21512528  

Van Noorden R. (2011) A death in the lab. Nature, 472(7343), 270-1. PMID: 21512544  

  • April 29, 2011
  • 08:35 AM

Comic Journal Club: Was Hahnemann a Nostrum Vendor ?

by db in Defectivebrain @ FOS

Whilst combing the old literature, I found this gem of a paper from 1859. Aa normal blog post would not do the job for this paper, so I made a mad decision.  I decided to tell the story through the use of comic.

I fully recommend reading the original paper, as I have left out a lot of Gairdners more choice insults against Homeopathy.

Full size images can be found here:
Page 1
Page 2
Page 3
Page 4

Gairdner, W. (1859). Was Hahnemann a Nostrum-Vendor? A Question of Fact BMJ, s4-1 (110........ Read more »

  • April 25, 2011
  • 04:55 AM

Comic Journal Club: Was Hahnemann a Nostrum Vendor ?

by defectivebrayne in The Defective Brain

Whilst combing the old literature, I found this gem of a paper from 1859. Aa normal blog post would not do the job for this paper, so I made a mad decision. I decided to tell the story through the use of comic.... Read more »

  • April 5, 2011
  • 07:30 AM

Motor Vehicle Intrusion – EMS Research Episode 7

by Rogue Medic in Rogue Medic

Why let reality get in the way of a protocol for trauma triage?

After all, we have never let reality interfere with trauma treatment before.

What about cardiology has led us to focus exclusively on specificity, but ignore sensitivity?

What about trauma has led us to focus exclusively on sensitivity, but ignore specificity?
... Read more »

Isenberg D, Cone DC, & Vaca FE. (2011) Motor vehicle intrusion alone does not predict trauma center admission or use of trauma center resources. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 15(2), 203-7. PMID: 21226551  

  • March 29, 2011
  • 11:00 AM

Human Chorionic Gonadotropin – Won’t Help You Lose Weight, May Give You Mad Cow Disease

by Travis Saunders, MSc, CEP in Obesity Panacea

Photo by cupcakes2
Human Chorionic Gonadotropin (hCG) is the most thoroughly debunked weight loss gimmick in medical history.  We have known since the mid-1970′s that hCG has no impact on body weight whatsoever.  I’ve discussed it a number of times, and it always amazes me just how much evidence there is that hCG is no better than a placebo.  My favourite hCG-related quote comes from this systematic review, which sums things up pretty nicely:
“there is no scientific evidence tha........ Read more »

Van Dorsselaer, A., Carapito, C., Delalande, F., Schaeffer-Reiss, C., Thierse, D., Diemer, H., McNair, D., Krewski, D., & Cashman, N. (2011) Detection of Prion Protein in Urine-Derived Injectable Fertility Products by a Targeted Proteomic Approach. PLoS ONE, 6(3). DOI: 10.1371/journal.pone.0017815  

  • March 24, 2011
  • 07:30 AM

Killing Poison Control Centers to Pretend to Save Money

by Rogue Medic in Rogue Medic

So, to celebrate "National Poison Prevention Week" (March 20 - March 26), politicians decided to kill the Poison Control Centers.

No, they're just cutting the funding a little bit.

From $29.3 million down to $2 million.

Assume that you make $29.3 thousand dollars per year. Now assume that your pay is cut to $2 thousand per year. How is that going to work?... Read more »

LoVecchio, F., Curry, S., Waszolek, K., Klemens, J., Hovseth, K., & Glogan, D. (2008) Poison control centers decrease emergency healthcare utilization costs. Journal of Medical Toxicology, 4(4), 221-224. DOI: 10.1007/BF03161204  

  • March 17, 2011
  • 03:48 PM

The lived experience of ostracism

by perishedcore in Changing Heart and Mind

I first discovered C. Fred Alford’s work about the experiences of whistle blowers. In it, he describes what constitutes “knowledge as disaster”, and my experiences jibes almost perfectly with this list: “What must the whistle-blower forsake in order to hear his own story? * That the individual matters. * That law and justice can be [...]... Read more »

Alford C. Fred. (2007) Whistle-blower Narratives: the experience of choiceless choice. Social Science, Volume 74 (1), 223-248. info:other/

Stillman, T., Baumeister, R., Lambert, N., Crescioni, A., DeWall, C., & Fincham, F. (2009) Alone and without purpose: Life loses meaning following social exclusion. Journal of Experimental Social Psychology, 45(4), 686-694. DOI: 10.1016/j.jesp.2009.03.007  

Williams, Kipling D. (2001) Ostracism: The Power of Silence. 2001. info:other/1572306890

  • March 15, 2011
  • 07:30 AM

Correction to Spine Immobilization in Penetrating Trauma: More Harm Than Good

by Rogue Medic in Rogue Medic

I let my biases get the better of me when I wrote about this in "Spine Immobilization in Penetrating Trauma: More Harm Than Good?"

While I spent a significant portion of that review explaining why evidence of benefit was not present in this study, I ignored the problems with the data when the authors concluded that there was harm.

That was a mistake on my part. While I do believe that harm is likely, this study does not provide evidence to support that belief. ... Read more »

Haut, E., Kalish, B., Efron, D., Haider, A., Stevens, K., Kieninger, A., Cornwell, E., & Chang, D. (2010) Spine Immobilization in Penetrating Trauma: More Harm Than Good?. The Journal of Trauma: Injury, Infection, and Critical Care, 68(1), 115-121. DOI: 10.1097/TA.0b013e3181c9ee58  

  • March 14, 2011
  • 10:58 AM

Open letter to ANA on genetic testing

by CxLxMx in cxlxmxrx

In reporting on the recent March 8-9 meeting of the MCG Panel of the FDA's advisory committee, I find it problematic that I have no recording or minutes of the meeting. Of the five W's of reporting, I am missing the vital Who and hoW components. So, I was taken by surprise yesterday as I was working on my call to nursing organizations to submit comments to federal docket FDA-2011-N-006 in support of patients' rights to view their own genetic information. It turns out the American Nurses' Assoc........ Read more »

  • March 8, 2011
  • 07:30 AM

Misplaced endotracheal tubes by paramedics in an urban emergency medical service system

by Rogue Medic in Rogue Medic

Here is a study that sets out to determine if one part of my statement is correct. Were we correctly placing endotracheal tubes before we even had the fancy technology of waveform capnography?... Read more »

  • March 1, 2011
  • 07:30 AM

Prehospital Intravenous Fluid Administration is Associated With Higher Mortality in Trauma Patients – Part III

by Rogue Medic in Rogue Medic

In Part II, I explained the problems with the NTDB claiming that only 49.3% of trauma patients had IV starts documented. While that is a problem, looking at the data on the rest of the "top 5 procedures" makes the documentation failure even more obvious.... Read more »

  • February 22, 2011
  • 07:30 AM

Prehospital Intravenous Fluid Administration is Associated With Higher Mortality in Trauma Patients – Part II

by Rogue Medic in Rogue Medic

Even the "no fluids group" in that study did have "two 14 gauge IVs started." If we evaluated that study according to the criteria of the current study, both groups received IV fluids, since both had IVs started.

We know that is not true.

In the Bickell study, we know which of the patients who had IVs started received fluids and we know how much fluid patients received.... Read more »

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