Jeremy Jaramillo's Tumblr Blog! @rjjaramillo - Tumblr Blog

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"But doctor, he's vomiting blood!!!" - The NEJM GI Bleed article by Villanueva: Yup, time to reassess transfusion in GI bleed! @FOAMed, @FOAMcc

Reblogged from thinking critical care:

Last january a highly anticipated paper came out in the NEJM (http://www.nejm.org/doi/pdf/10.1056/NEJMoa1211801), which should be a game changer, given a few provisos. Villanueva et al reported on their large…

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engadget

Corning’s new Gorilla Glass will actively kill germs on your smartphone

joshherigon

If we are going to decrease the length of time students are in medical school, it makes much more sense to reduce the amount of time spent in learning basic science factoids that most will forget after USMLE 1 (reasonable enough, since they will never need most of that information again) and focus on adult learning by teaching that information that all physicians do need to know…Why this is unlikely to happen, of course, has nothing to do with educational theory or the quality of physicians produced and everything to do with medical school politics. There is no constituency on the faculty for the fourth year, and a strong basic science faculty constituency for the first two.

Josh Freeman MD in his post entitled, "Should medical school last 3 years? If so, which 3?"

I have never thought about the preclinical (first 2 years of basic science) curriculum as having a constituency of basic scientists vested in teaching it. A minority of the basic science professors (almost all of whom are PhDs) seemed genuinely interested and passionate about teaching medical students; the majority seemed committed but indifferent. It would be fascinating to know if Dr Freeman’s theory is true in most medical schools or even at a national level in the AAMC.

(via numberneededtotreat)

immense-immunology-insight

Thought of introducing the types of T helper cells before we get into the details.

Hope you are having fun immu-know-ing the cells :)

Think orthostatic vitals are helpful? @EMSwami gives evidence to “squash” that myth bit.ly/1foFAe5

#nursing #fluidstatus #medical education

Hash Tags

A Hashtag is a word or a phrase prefixed with the symbol #. It is a form of metadata tag. Short messages on microblogging and social networking services such as Twitter, Tout, identi.ca,Tumblr, Instagram, Flickr, Google+ or Facebookmay be tagged…

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#Education #FOAM #Hashtags #Health #Health Care #Legislation #medical #nursing #Social Media #Tech

mynotes4usmle

Cyp450: Inducers & Inhibitors Mnemonic

INDUCERS: BullShit CRAP GPS INDUCES my rage!

Barbituates St. John’s wort Carbamazepine Rifampin Alcohol (chronic) Phenytoin Griseofulvin Phenobarbital Sulfonylureas

INHIBITORS: VICK’S FACE All Over GQ STOPS ladies in their tracks.

Valproate Isoniazid Cimetidine Ketoconazole Sulfonamides Fluconazole Alcohol (acute) Chloramphenicol Erythromycin (macrolides) Amiodarone Omeprazole Grapefruit juice Quinidine

(btw, I have no freakin clue who Michael Vick is, but works for this mnemonic)

educationjourney

Acute Alcohol Intake= Saves u from the Toxic Effects of Acteominophen Toxic Metabolite cos the Alcohol and Acetominophen share the Same Cytochrome P450 CYP2E1. When large Amounts of Acetominophen r ingested the normal Conjugation pathway Becomes concerntrated resulting...

algietheminer

Black History Month: Vivien Thomas (1910-1985)

Thomas dreamed of becoming a physician, and saved his money from carpentry for seven years to attend medical school. But he lost his savings in the Great Depression, and instead began working as a laboratory assistant at John Hopkins University to Alfred Blalock, whose name is well known as a pioneer in cardiac surgery. When Dr. Helen Taussig approached Blalock about how they could solve a congenital heart defect causing blue baby syndrome among her young patients—a condition called Tetralogy of Fallot (TOF)—Blalock approached his technician Vivien Thomas with the problem. Thomas had the idea to connect the aorta to the pulmonary trunk, thus allowing blood to circulate through the pulmonary tract. Blalock asked Thomas—who was not allowed to perform surgery on white patients—to attempt to recreate the conditions of the defect on a dog and then rectify them. Thomas was only able to reproduce 2 of the 4 features of TOF, but the procedure was successful and harmless nonetheless. Thomas performed similar operations numerous times; Blalock only once. Blalock then executed the operations on the children from Taussig’s ward—with Thomas standing on a stool behind him, explaining the proper procedural methods along the way. The operations were largely successful and the “blue babies” were cured. So what is the procedure called? The Blalock-Taussig Shunt. Thomas received no credit or mention in the development of this life-preserving method. News of the surgery spread far and wide, and confirmed Blalock’s success as a physician. Thomas still received no acknowledgement for his achievements, from the public, from Blalock, or from the university. After Blalock’s death, Vivien Thomas stayed at John Hopkins mentoring and educating young black technicians. Though he had never received a medical degree, he was presented an honorary doctorate by the university in 1976 (but it was a doctorate of Law, presented so that his students may finally call him “doctor”). He died in 1985, just days before the publication of his autobiography.

So why is Black History Month important? Because names like Vivien Thomas need to be known, and the naming of procedure’s like the Blalock-Taussig shunt give a false impression of history. I don’t know about you, but I think Vivien Thomas shunt is a better name for the procedure.

Note: much of this I got from my class on embryology; further information was gleaned from the following sources: http://en.wikipedia.org/wiki/Vivien_Thomas http://www.blackpast.org/?q=aah/thomas-vivien-1910-1985 http://en.wikipedia.org/wiki/Blalock%E2%80%93Taussig_shunt http://www.pbs.org/wgbh/amex/partners/legacy/l_colleagues_thomas.html

Ventilation and Perfusion

Definitions

Oxygen delivery (DO2)

The amount of oxygen pumped to the tissues by the heart

Oxygen…

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#Perfusion #Respiration #Respiratory #Ventilation

nurse-on-duty

Types of Vacuumized Tubes for Blood Tests

snnotes-blog

Calcium Channel Blockers

2020

medicalschool

3D-printed ‘Cortex’ cast concept puts a modern spin on bone fracture treatment

To anyone that’s ever broken a bone, the negatives of traditional plaster casts are familiar: they’re cumbersome, heavy, and can get rather smelly. Victoria University of Wellington graduate Jake Evill is looking to change all that with his Cortex cast. A mere concept for now, Evill says the cast — which is specifically fitted to each wearer based on X-rays of the fractured bone and a 3D scan of its surrounding limb — introduces many benefits. First and foremost, you’d be able to wear a longsleeve shirt over the lightweight, ventilated nylon cast. The open design is also shower-friendly, unlike bulky plaster casts.

The Cortex would be 3D printed on site, according to Evill, and each cast would be most dense near the location of a wearer’s fracture. “After many centuries of splints and cumbersome plaster casts that have been the itchy and smelly bane of millions of children, adults and the aged alike, the world over, we at last bring fracture support into the twenty-first century," says Evill. His Cortex cast may still be awkward from a fashion perspective, but it’s a marked improvement over where things stand today.