Bleeding in general is bad. Bleeding while on anticoagulants is VERY bad. Dr. Rahul Patwari reviews the pathophysiology of coagulation, the various reversal agents, and treatment approaches we can use. In this five-part series where all videos are less than 10 minutes, Rahul goes from the basic physiology of coagulation all the way to the complex reasoning and approaches to reversing anticoagulants. These are worth a quick look and review.
Just like scores of other premedical students all striving to get acceptance to medical school, I volunteered and did research during college. I elected to work in the Virology department because I wanted to study viruses like HIV, RSV, and SARS that were causing havoc on our society. I do recall that we used HeLa cells frequently in our research. In fact, most scientists in that department used HeLa cells on a regular basis regardless of the focus of their projects. I didn’t think much of the cells and I definitely never thought of where or from whom those cells may have come from. They were simply a day to day part of my research, just like assays used for western blots. It wasn’t until I learned of the publication of the book, The Immortal Life of Henrietta Lacks [Amazon link], that I came to learn about the incredible back story of these amazing HeLa cells. I believe that this book has valuable lessons to teach us clinicians about our patients, how we relate to our patients, and the significant roles we inadvertently play in their lives.
Myriad techniques exist to reduce shoulder dislocations, which includes scapular rotation, Hennepin, Snowbird, Cunningham, and Legg maneuvers. They are nicely reviewed at ShoulderDoc.co.uk. You can also supplement any technique with ultrasound-guided intraarticular lidocaine for improved pain control.
Recently, Dr. Jay Park (Beth Israel Medical Center in New York) contacted me about his novel approach to shoulder reduction which anatomically makes sense. If his animation video doesn’t convince you, check out the video of an actual reduction.
Torsades de pointes is a polymorphic form of ventricular tachycardia. Why does this occur? What does it characteristically look like? Why is this an important form of ventricular tachycardia to differentiate from the more classic monomorphic ventricular tachycardia? View this short 9 minute video on QT intervals and Torsades de Pointes.
According to Wikipedia a Knowledge Worker is someone whose main job is to employ creative, divergent, convergent thinking to solve problems with the help of searching new information. In the 21st century these Knowledge Workers may use Internet tools, such as social media, to form a collaborative network of expertise. These networks might be open or not. There are plenty of companies using knowledge management in order to optimize their performance.
The video lecture below is from Rhona Sharpe (@rjsharpe), the Head of the Oxford Center and Learning Development and Deputy Director of the Directorate of Human Resources at Oxford Brooks University. It is taken from First Step into Learning and Teaching in Higher Education (#fslt12) — a MOOC which took place last year.
What are common injury patterns seen in children who are abused? Non-accidental trauma should always be considered in pediatric patients who present with traumatic injuries. Watch this great 8 minute video on child abuse injury patterns by Dr. Rahul Patwari.