Comments for The ACUTE CARE Blog: Non-Urban Emergency Medicine

Comment on Older parents taking more drugs linked to more child poisoning by Healthcare Headlines Week of June 3 2013 | The Kindred Continuum

Healthcare Headlines Week of June 3 2013 | The Kindred Continuum — Fri, 07 Jun 2013 19:58:34 +0000

[…] A study published in the journal Pediatrics showed a link between adult prescriptions for medications like opioids and beta blockers and poisoning incidents in children under the age of 19. The study was prompted by changing medication use patterns among adults and speculation that it might be affecting rates of child poisoning. Read the story […]

Comment on Older parents taking more drugs linked to more child poisoning by Healthcare Headlines Week of June 3, 2013 | The Kindred Continuum

Healthcare Headlines Week of June 3, 2013 | The Kindred Continuum — Fri, 07 Jun 2013 14:01:22 +0000

Comment on Car Seat Efficacy by Armando

Armando — Sat, 01 Jun 2013 22:04:25 +0000

Cool post! I will definately book mark it for future reference.
Thank you so much!

Comment on Pediatric Febrile Seizure Guidelines Updated by Arlington Heights Dentist

Arlington Heights Dentist — Sun, 28 Apr 2013 12:59:14 +0000

I wanted to thank you for this wonderful read!
! I definitely loved every little bit of it. I have got you bookmarked to look
at new things you post…

Comment on Millions can’t afford to go to the doctor by Beadles az

Beadles az — Sat, 27 Apr 2013 19:00:16 +0000

How many of these people truly can’t afford to go to the doctor? My guess is that most of them just aren’t good at managing their money. These same people have all-inclusive cellphone services, expanded cable, go out lunch and dinner more often than not. Their car is less than three years old, they have multiple tattoos, they belong to a gym, have over-stuffed closets. Spare me the excuses. Bottom line is to learn the difference between wants and needs.

Comment on Swine Flu Deaths May Have Been 15 Times Higher Than Reported by Walter Sulik

Walter Sulik — Wed, 03 Apr 2013 20:43:45 +0000

In 2009, a new strain of the swine flu virus (N1H1) created a pandemic worldwide. The origins of this have been traced to South America. Prior to this, swine flu was not a virus which was easily spread from pigs to humans, and then from human-to-human thereafter.,

My favorite online site
<,http://www.healthmedicinecentral.com/heart-skipping-beats/

Comment on OTC Acetaminophen Meds OTS (off the shelf)? by Darcy Gronberg

Darcy Gronberg — Thu, 07 Feb 2013 15:58:45 +0000

Acetaminophen is the most popular painkiller in the US. It is best known by the brand name Tylenol but is sold under 97 different brand names. It is known as paracetamol in many parts of the world. It is also sold in combination with other drugs in more than 100 products.During cold and flu season, people who take acetaminophen for arthritis are at risk for acetaminophen poisoning. Taking just twice the recommended dose of acetaminophen can cause acute liver failure. Unfortunately, this has already happened to an alarming number of people because it isn’t hard to do. Two years ago, more than 56,000 people visited the emergency room due to accidental acetaminophen overdoses and 100 people died from unintentionally taking too much. Worse yet, the numbers appear to be growing.”

Latest post produced by our own blog site
<http://www.healthmedicinelab.com/what-do-bed-bug-bites-look-like/

Comment on CMS developing emergency department patient experience survey by nwhealthcare

nwhealthcare — Mon, 10 Dec 2012 14:32:26 +0000

Reblogged this on HEALTHCARE ADVANCEMENT INITIATIVE.

Comment on Video Shows Woman Ignored While Dying in New York Mental Hospital by Jared Cravens

Jared Cravens — Thu, 15 Nov 2012 19:07:22 +0000

You people act like this is 1940.C’mon people, this is 2012. You shouldn’t expect people to be kind like they used to, honest like they used to, and you shouldn’t act surprised that industry and the world is driven by greed and money. Grow up, and expect that every industry focuses on money first, because people focus on money first.

Comment on Accuracy of the Broselow Pediatric Emergency Tape at Predicting Weight by Robert Luten MD

Robert Luten MD — Wed, 14 Nov 2012 17:41:16 +0000

Yes, the study was done with the 2007 version of the tape. Utilizing the 2011 Broselow tape predictions of actual body weight with the revised zones reveals that approximately 65% of the time the patient’s measured length places them in the correct zone for actual weight. Of the remaining 35%, ~20% fall into the heavier Broselow-Luten zone above and 13% fall into the lighter zone below in other words >99% of the time the prediction is within one color zone.
If the healthcare provider incorporates a visual estimate of body habitus into the prediction (specifically the subjective appearance of being overweight), the accuracy of the estimate of actual patient weight is improved as confirmed in multiple studies. Specifically, for drug dosing the patient’s length-based dosing zone can be adjusted up one color zone.
Having said this, a few important points need to be kept in mind.
1- Although some medications are best dose by actual body weight (eg, succinylcholine), most resuscitation medications are distributed in lean body mass (e.g., epinephrine, sodium bicarbonate, calcium, magnesium, etc.) so that IBW, not the actual body weight, would appear preferable for dosing. The tape provides an accurate prediction of IBW. For most resuscitation medications, the optimal dose is not known and doses based on IBW or actual weight are likely equally effective.
2- Equipment selection is still best predicted utilizing length as per the tape.
3- In spite of the debate about accuracy in weight estimation and its relevance the tape is still the best tool for predicting actual body weight
(Meguerdician, M, Clapper, T Journal of Pediatric Nursing 2012(27) 416-420) and is currently recommended for medication dosingin the 2010 PALS guidelines.

Robert Luten MD
Co-desiner of the Broselow Tape