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AuntMinnie 2015: CMS issues final CT lung cancer screening approval

AuntMinnie

Our top article in 2015 reported on the momentous CMS decision on CT lung cancer screening reimbursement. healthcare owing to the vast scope of the disease. New articles will be published each Monday until our official anniversary at RSNA 2024. In a major victory for individuals at high risk for lung cancer, the U.S.

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Weekend admission for TIPS procedure tied to higher mortality risk

AuntMinnie

found that cirrhosis patients admitted over the weekend for TIPS procedures exhibited higher incidences of mortality, hepatic encephalopathy, acute kidney injury, and transfers to alternate hospital facilities. They also experienced longer times from admission to surgery, extended hospital stays, and higher overall hospital costs.

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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure.

Hospital 105
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CT Test Simulates Blood Flow to Assess Risk in Patients with Angina

Imaging Technology

“CT angiography is the first step in identifying the presence of coronary artery disease, but it doesn’t show the impact on blood flow in the arteries,” said lead researcher Kristian T. candidate in the Department of Cardiology at the University Hospital of Southern Denmark in Esbjerg. Madsen, M.D.,

Disease 105
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The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

REBEL EM

Background: The REVERT Randomized Controlled Trial demonstrated the superiority of the modified valsalva maneuver (MVM) over the standard valsalva maneuver (VM) in re-establishing normal sinus rhythm (NSR) in patients with PSVT (Appelboam 2015). Most secondary outcomes were disease-oriented with an unclear clinical significance.

Clinic 137
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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

REBEL EM

JACCC Cardiovasc Interv 2015. in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 selection bias) Unclear therapies prior to lytics (i.e. to 4.0mg/hr typically given in EKOS therapy (See Below). PMID: 26315743 Tapson VF et al.

Hospital 136
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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

Clinic 99