Mon Health’s Post

https://lnkd.in/dyu2ARcb Dr. Priyanka: In the ICU, assessment, resuscitation and stabilization must go on simultaneously and rapidly. Most of the patients that I treat are acutely ill and would have been already evaluated elsewhere. The assessment starts from obtaining a focused clinical history before proceeding to clinical examination with ongoing resuscitation. Decisions regarding organ supports such as, invasive mechanical ventilation, hemodynamic monitoring, emergency surgeries and haemodialysis must be made quickly as the patients in ICU are already decompensated. I use important adjuncts to clinical examination such as point of care ultrasound (POCUS) - be it lung and abdominal ultrasound, screening Echocardiography, Trans cranial Doppler (TCD) or FAST (Focused Assessment with Sonography in Trauma).

🌟Daily Dose of Health Insights January 8 🌟 Greetings from Terra Nova Medical Clinics! Every day, we aim to keep you informed and connected with the latest developments in the healthcare world. Our daily posts are curated to bring you the most relevant and impactful medical news from around BC and beyond.  Today's Highlight: New surgeons lead renewal of cardiac care at B.C. Children’s Hospital "Dr. Erik Skarsgard, surgeon in chief of the department of pediatric surgery at B.C. Children’s Hospital, said the surgical team has made major progress in reducing wait lists and improving family experiences. He recognized the ongoing need for additional nurses at the hospital but emphasized the institution's significant focus on a recruitment strategy. In June 2021, the cardiac surgery team at B.C. Children's Hospital was suspended due to human resource issues and shortage of available doctors." 🔎Why Stay Updated? In the rapidly evolving field of healthcare, staying informed is crucial. Whether it's groundbreaking research, policy changes, local health events, or wellness tips, these updates are designed to enhance your understanding and keep you at the forefront of medical knowledge. 👩⚕️ Our Commitment to Community Health: At Terra Nova Medical Clinics, we believe in empowering our community with information. Knowledge is not just power; it's health. By sharing these updates, we hope to foster a well-informed community that is proactive about health and wellness. 📲Join the Conversation: We encourage you to engage with our posts, share your thoughts, and spread awareness. Let's create a healthier, more informed community together. #TerraNovaMedical #HealthNews #MedicalUpdates #CommunityHealth #StayInformed #BCHealth https://lnkd.in/eSb7bt_w

What are appropriate treatment strategies for apical HCM? Watch the FREE online webinar which focuses on the recognition and treatment of apical hypertrophic cardiomyopathy (HCM) – a less studied subtype that poses management challenges. Click link to page: https://lnkd.in/evEubnxD See these skills applied in practice: https://lnkd.in/ea3Y4eVs #cardiology #hypertrophiccardiomyopathy #hearthealth

Thank you, Dr. Kenneth Rosenfield, for sharing your story and helping to raise awareness. Your personal journey has been instrumental in our mission. We are truly grateful for your support and for sharing your story! “Radiaction is another solution…and is US Food and Drug Administration approved as a Class II device. It promises to completely block the radiation/scatter at the source (the X-ray tube and the image intensifier), thereby protecting everyone in the room, including techs and nurses, in every case. This works not only for coronary cases, but also structural, peripheral, and EP cases, where some other technologies are challenged.” - Kenneth Rosenfield, MD Read the full article from TCTMD >> https://lnkd.in/eybt8Yaj #Radiaction #NowYouAreProtected #BlockRadiationAtTheSource #LightenTheLoad #medicaldevices #medtech #healthcare #radiationsafety #meded #physicians #nurses #nursesoflinkedin #hospitals #cardiology #cardiovascular #vascular

📣Today I will be presenting at the Nordic Pediatric Cardiology Meeting My presentation will focus on strategies we can use to enable patient empowerment. This presentation is partly based on our discussion paper published in the European Journal of Cardiovascular Nursing https://lnkd.in/egdr3myu #cardiology #patient #empowerment #personcentered #research

Tackling the differential diagnosis of hypertrophic cardiomyopathy: ruling out other causes of left ventricular hypertrophy. Available online/on-demand. Register for FREE and earn CE credit(s) https://lnkd.in/eE99Kwep #cardiomyopathy #cardiologist #cardiology #hospital #ondemand #online

What are appropriate treatment strategies for apical HCM? Watch the FREE online webinar which focuses on the recognition and treatment of apical hypertrophic cardiomyopathy (HCM) – a less studied subtype that poses management challenges. ❤️ Click link to page: https://lnkd.in/evEubnxD See these skills applied in practice: https://lnkd.in/ea3Y4eVs #cardiology #hypertrophiccardiomyopathy #hearthealth

🌟Certainly! Here are some research references supporting the benefits of patient education in physiotherapy treatment ✅Empowerment and Adherence: 🗣️Reference: Street, R. L. (2009). How clinician–patient communication contributes to health improvement: Modeling pathways from talk to outcome. Patient Education and Counseling, 74(3), 295-301. Summary: This study highlights how effective communication, including patient education, contributes to improved health outcomes by empowering patients to actively participate in their care and adhere to treatment recommendations. ✅Improved Understanding and Compliance: 🗣️Reference: Gignac, M. A., & Davis, A. M. (2009). Moving from knowledge to action: Evaluating the impact of an educational intervention on patient readiness for total joint replacement surgery. Patient Education and Counseling, 75(2), 244-251. Summary: The study assesses the impact of an educational intervention on patients' readiness for total joint replacement surgery, emphasizing the importance of patient education in improving understanding and readiness for medical interventions. ✅Enhanced Self-Management: 🗣️Reference: Warsi, A., LaValley, M. P., Wang, P. S., Avorn, J., & Solomon, D. H. (2004). Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Archives of Internal Medicine, 164(15), 1641-1649. Summary: This systematic review evaluates self-management education programs across various chronic diseases and underscores their effectiveness in improving patient outcomes, including enhanced self-management skills and better disease control. ✅Prevention of Recurrence: 🗣️Daley, A. J., Grimmett, C., Roberts, L., Wilson, S., Fatek, M., Roalfe, A., ... & Singh, S. (2014). The effectiveness of exercise as a treatment for postnatal depression: study protocol. BMC Pregnancy and Childbirth, 14(1), 1-8. Summary: While this study focuses on postnatal depression, it highlights the role of exercise and patient education in preventing recurrence of depressive symptoms, demonstrating the broader impact of patient education on preventive healthcare measures. #bhautika #physio

I am proud to share my first major collaboration in the area of cardiac emergencies, a long time area of research interest. In collaboration with fellow research rockstar Josh Kimbrell and a long-time idol in resuscitation science Tom Bouthillet: "False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case Series." It was published online yesterday in Prehospital Emergency Care. https://lnkd.in/diYwmtwT While EMS leaders have described the perils of electrical artifact masquerading as electrical capture for a decade, the peer-reviewed literature on the topic was largely focused on either the electrophysiological differences between TCP & transvenous pacing (TVP) or the use of POCUS. Even so, it was largely non-existent, with no one commenting on or fully defining false electrical capture. We wanted to change that, determining its incidence and attempting to start a conversation regarding its causes and ways to overcome it. Our paper looked at 23 patients with TCP and found that despite all patients having a reported palpable pulse, only 4/23 had sustained true electrical capture. This was confirmed with blood pressures obtained separate from the blinded determination of true electrical capture. Additionally, after combing through the literature, a small Stryker (formerly Physio-control) document describes false electrical capture and its root cause, electrical artifact. https://lnkd.in/eXmajgpw Ultimately we recommend, based on the literature and this analysis that: -Mechanical capture by pulse palpation is not reliable. -Electrical capture assessment via ECG is poorly taught and likely not helpful difficult -SPO2, ETCO2, and if available POCUS should be considered to confirm mechanical capture, the ultimate determinant of electrical capture. -More research needs to and should be done as TCP is now a ubiquitous therapy, present on nearly every defibrillator and taught at the ACLS level. I would like to add that further collaboration with cardiology is needed as we answer the critical questions surrounding TCP capture assessment. These patients are often post-cardiac arrest or peri-arrest, a finding recently confirmed via oral presentation at NAEMSP by rockstar Tanner Smida Thanks to Jamaica Hospital for the collaboration as well as Josh Kimbrell for handling my constant drive to beef up this design. I would especially like to thank my mentors, especially the ever-inspiring medical director Anjni Joiner who inspire me to dream big and yet still produce impactful output while here at Duke University School of Medicine. Please reach out if you have any questions or want access to the PDF.

Mastering arrhythmia management in complex HCM cases. This FREE webinar equips secondary care specialists with the knowledge to understand the pathophysiology of atrial fibrillation (AFib) and other arrhythmias in HCM patients. Learn how to determine the best management strategy for symptomatic AFib patients. Watch here to refine your approach: Watch here: https://bit.ly/3W9u3HA #HCM #Cardiology #AFib #Arrhythmias #Electrophysiology