Dr Rahul Srivastava’s Post

A4medicine https://lnkd.in/duxtggqd Diamorphine, also known as medical heroin, plays a pivotal role in pain management, especially in palliative care settings. Despite its notorious reputation outside of medical contexts, when used under strict medical supervision, diamorphine can be a crucial component of end-of-life care, providing relief and comfort to patients in severe pain. Our latest section delves into the pharmacology, clinical applications, and ethical considerations surrounding diamorphine. Designed for healthcare professionals in primary care, this resource aims to demystify misconceptions and highlight the controlled, compassionate use of this potent analgesic. 👉 Key Highlights: Understanding Diamorphine's Mechanism of Action Clinical Indications and Dosage Guidelines Navigating Ethical and Legal Frameworks At A4 Medicine, we're committed to providing primary care clinicians with concise, evidence-based information. Whether you're a GP, nurse practitioner, or healthcare provider, our visual guides and charts are crafted to support your daily practice and decision-making processes. Explore the full article and enhance your knowledge on the responsible use of diamorphine in medical settings. Together, let's continue to improve patient care with informed, compassionate practices. 🌐 Discover more at A4 Medicine - Diamorphine Section #A4Medicine #Diamorphine #PalliativeCare #MedicalEducation #PainManagement #HealthcareProfessionals

🌟 Commitment to Integrity in Therapy In the evolving field of infusion therapy, the stakes are high, and so is the potential for misunderstanding. As the founder and medical director of an infusion therapy clinic, I stress the critical importance of administering k e t a m i n e with the highest level of integrity. This isn't just about meeting standards—it's about setting them. 🔍 What You Need to Know: • Integrity and Precision: Every procedure at our clinic follows a gold standard of care, ensuring every "I" is dotted and every "T" crossed. • Combating Stigma: Despite the challenges, it’s crucial to distinguish the professional administration of k e t a m i n e in medical settings from its informal use. • Educating Patients: We have a duty to inform our patients and the public about the safe and controlled use of this medication, contrasting sharply with unsupervised settings. 📚 Tune into this episode of my podcast for more insights and the latest in the psychedelic therapy world: https://bit.ly/3T4NQr3 If you're new to my page, I'm Sam Ko, founder and medical director of Reset Ketamine. Since 2018, I've provided ketamine infusion therapy. I'm also the co-creator of Ketamine StartUp, assisting in the launch of more than 16 ketamine clinics nationwide. I trained as an emergency physician at Loma Linda University, where the landmark study on ketamine use in the ER was conducted. Additionally, I serve as expert faculty for the American Society of Ketamine Physicians, Psychotherapists, and Practitioners. #KetamineTherapy #MedicalEthics #InfusionTherapy #KetamineStartUpPodcast

I vividly remember a night shift during my residency when a middle-aged male patient was rushed into the emergency department with severe abdominal pain. The initial assessment suggested a straightforward case of acute appendicitis, a common diagnosis given the symptoms. With a high index of suspicion for appendicitis, I began the standard workup, focusing heavily on confirming this diagnosis. Despite some atypical findings that didn't fully align with appendicitis, my initial diagnosis had anchored my clinical reasoning. A thorough re-evaluation, prompted by a senior colleague, led to a different perspective. A detailed history and further investigations revealed a perforated peptic ulcer, a condition requiring a completely different management approach. Lesson Learned: This case was a stark reminder of the dangers of anchoring bias—focusing too narrowly on an initial diagnosis and overlooking other potential conditions. As emergency medicine practitioners, it is crucial to remain open to all possibilities, continually reassess our findings, and seek input from colleagues to mitigate the risk of anchoring bias. Conclusion: Anchoring bias can significantly impact patient outcomes in emergency medicine. By fostering a culture of critical thinking and open dialogue, we can improve our diagnostic accuracy and provide better patient care. Let's use this platform to share our experiences and strategies to combat cognitive biases in clinical practice. How do you stay vigilant against anchoring bias in your medical practice? #EmergencyMedicine #ClinicalPractice #AnchoringBias #MedicalEducation #PatientCare #Residency #emdiary

Exercise Physiologists in the management of acute lower back pain... Exercise Physiologists can actively be involved in the management of acute lower back pain 👍 Our understanding of how to manage low back pain has drastically changed over the past few decades due to poor care and failing to meet recommendations. Addressing physical and psychosocial barriers to recovery, providing patient education and advice, and promoting self‐management and physical activity are now the core aspects of first line care for low back pain. Industry change is occurring right now (for example in NSW State Insurance Regulatory Authority /worker's injury) and GPs and specialists are becoming more proactive in recommending active care. To my General Practitioner connections... How many of you are adopting the 8 clinical care standards below? Let me know how many boxes you tick currently ✅ Quality statement 1: Initial clinical assessment Quality statement 2: Psychosocial assessment Quality statement 3: Reserve imaging for suspected serious pathology Quality statement 4: Patient education and advice Quality statement 5: Encourage self‐management and physical activity Quality statement 6: Physical and/or psychological interventions Quality statement 7: Judicious use of pain medicines Quality statement 8: Review and referral

Many, many medical conditions can result in dysphagia, yet SLPs don’t have the extensive medical knowledge to know that they can all be related. We may not even have published research on the correlation of some conditions and EXACTLY how they impact the swallow, but clinical expertise can tell us that there is a direct correlation. Sometimes knowing more about the condition will help us to uncover and provide an explanation for different physiological impairments that we may find. This can also help us to justify medical necessity for evaluation and treatment. Additionally, some medical conditions may not directly impact the swallow; however, the medications associated with them may be known to have side effects or can even cause drug-induced dysphagia. This list is by NO means exhaustive, but the point is to get us thinking about other medical conditions that we may not have ever realized can impact swallowing. Save this post and keep it handy when you are performing your chart review. If you see any of these conditions listed, then you know that they may have dysphagia as a result of one or more of these conditions. Additionally, knowing that they have one or more of these conditions can help to drive your plan of care. (i.e. Thickened liquids may not be best for End Stage Renal Disease) Look through the current and past medical history section of all medical charts, reports, or patient information that you have access to, remembering that some info may be in various places of the chart ✅ #medslp #slp #slpmentorship 

WATCH ON-DEMAND! Jade A. Etter, PA-C, MSPAS, B.S. has a background as a physician's assistant in gastroenterology and now a seasoned functional medicine practitioner, Jade brings a unique perspective to managing gut dysfunction. This webinar sheds light on her personal and professional experiences and addresses the questions practitioners face when navigating the complexities of managing cases where conventional and functional medicine merge. . #GIMAP #IBD #functionalmedicine #guthealth #functionalmedicinepractitioner

Learn more about the role of medications in #Obesity management. Don't miss May 23rd live virtual #CME from NEJM for practical tips on use in clinical practice, preview of new agents, and more. https://brnw.ch/21wK0ma

Polypharmacy and Legacy Prescribing are often ignored in primary care. Which is why deprescribing should be established at the beginning of a patient’s clinical journey. Once a medication has been prescribed, it’s essential to establish clear goals of medication therapy with the patient. It’s important to be specific when outlining our goals of therapy. The clinician should work closely with the patient to identify specific parameters and symptoms to target, the expected and desired effects brought on by the medicine, and the timeframe and duration of therapy. Our current models of care are static in nature. There needs to be a shift to a more dynamic clinical care model that emphasizes more follow-up and monitoring of progress. In my opinion, pharmacists need to step up to help facilitate this change. As stewards of medicine, we are in a unique position to initiate conversations with patients centred around deprescribing. When patients get refills for medicine, it’s typical for pharmacists to sign off without question. Imagine if instead, we took that opportunity to inquire further into the patient’s history with the medicine, map out and assess their progress and help establish and realign the patient’s goals with their clinical care plan. There’s tremendous potential for pharmacists to add value and improve care, it’s up to us to evolve our practices away from dispensing and simply pushing pills. Food for thought. #deprescribing #preventivemedicine

7 Strategies for Successfully Growing Your Functional Medicine Practice https://lnkd.in/ewpRKmZm #functionalmedicine #integrativemedicine

Clinical Scenario: A 34-year-old woman presents to the ED with back pain. After your history and physical, you conclude that the patient’s pain is muscular in origin. You contemplate analgesic options and decide that a NSAID makes sense.  Should you give her PO ibuprofen or IM ketorolac? #medicine #medicaleducation #medicalblog https://loom.ly/xPNtYb8