Lung US for Pediatric PNA

Prospective Evaluation of Point-of-Care Ultrasonography for the Diagnosis of Pneumonia in Children and Young Adults

JAMA Pediatr. 2013;167(2):119-125. doi:10.1001/2013.jamapediatrics.107.

“A 2013 Update on the efficacy and technique on the usage of lung US to
diagnose pediatric PNA” – Paolo

 

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Journal Club Articles for 12/2/2015

Physician spending and subsequent risk of malpractice claims: observational study
BMJ 2015; 351
doi: http://dx.doi.org/10.1136/bmj.h5516 (Published 04 November 2015)
http://www.bmj.com/content/351/bmj.h5516-0
Trial of Continuous or Interrupted Chest Compressions during CPR
NEJM
November 9, 2015
DOI: 10.1056/NEJMoa1509139
http://www.nejm.org/doi/full/10.1056/NEJMoa1509139

 

Opiate induced hyperalgesia makes the NYT (G. Johnson)

How Doctors Helped Drive the Addiction Crisis
New York Times
11/7/2015

Gary Johnson: “Opioid painkillers are deadly, overprescribed and often ineffective.”

B. Kloss:

“Interesting article.  It fails to mention that the Department of Justice “arrested” Perdue, the company that makes Oxycontin, for aggressively marketing drug to family practice doctors.  And since you can not put a company in prison, they were simply fined $500,000,000.  I’d gladly pay half a billion dollars if I am allowed to keep the other 5.5 billion profit made.

The article fails to point out the involvement of the Joint Commission and their “Fifth Vital Sign” Campaign, designed mostly by pain management specialists, the majority of whom received heavy subsidies from the pharmaceutical companies.

And let us not forget Press-Ganey and their role in continuing to encourage customer satisfaction.  With the shift from patient to customer and Medicare now using customer satisfaction as a measurement of quality and physician reimbursement, we are ever encouraged to keep the end user happy.

The next trend will be to get everyone addicted to heroin and/or prescription narcotics into treatment with Suboxone, a long lasting opiate, used to prevent addicts from abusing opiates.

Just my 2 cents.

PS
Maybe it’s time to buy stock in Narcan (AKA: Amphastar AMPH)”

Journal Club Articles for 11/11/2015

An Observational Study of 2,248 Patients Presenting With Headache, Suggestive of Subarachnoid Hemorrhage, Who Received Lumbar Punctures Following Normal Computed Tomography of the Head.
Acad Emerg Med.
2015 Oct 19.
doi: 10.1111/acem.12811. [Epub ahead of print]
Sayer D, Bloom B, Fernando K, Jones S, Benton S, Dev S, Deverapalli S, Harris T.
http://www.ncbi.nlm.nih.gov/pubmed/26480290
Full text: http://onlinelibrary.wiley.com/doi/10.1111/acem.12811/pdf

High-sensitivity cardiac troponin I at presentation in patients with suspected acute coronary syndrome: a cohort study.
Lancet.
2015 Oct 7. pii: S0140-6736(15)00391-8.
doi: 10.1016/S0140-6736(15)00391-8. [Epub ahead of print]
Shah AS, Anand A, Sandoval Y, Lee KK, Smith SW, Adamson PD, Chapman AR, Langdon T, Sandeman D, Vaswani A, Strachan FE, Ferry A, Stirzaker AG, Reid A, Gray AJ, Collinson PO, McAllister DA, Apple FS, Newby DE, Mills NL; High-STEACS investigators.
http://www.ncbi.nlm.nih.gov/pubmed/26454362
Full text: http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736%2815%2900391-8.pdf