Podcast Oktober 2020 – Folge 21
Viel Spaß mit unser neuen Folge! Inklusive Update der neuen Reanimationsleitlinien! Dazu Journal Club, Serotonin-Syndrom, therapeutische Antikoagulation und vieles mehr. Genießt es und gebt uns Feedback!
Reanimationsleitlinien Update ILCOR/AHA 2020
Nerdfallmedizin war auch schon fleißig !
News-Papers hat natürlich auch schon was veröffentlicht!
Deutsche Übersicht der AHA zum Download
Vermischtes
LLS Score
R.O.P.E.-Score
For ICU prognostiaction, I favour the R.O.P.E. score – Ratio of Optimism to Pumps and Equipment.
Eyeball score out of ten, divided by total number of pumps and equipment at the bed space.
Mortality increases as score approached zero
Die Pathophysiologie von „Hirnfrost“
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. PMID: 29368949.
Kraya T, Schulz-Ehlbeck M, Burow P, Watzke S, Zierz S. Prevalence and characteristics of headache attributed to ingestion or inhalation of a cold stimulus (HICS): A cross-sectional study. Cephalalgia. 2020 Mar;40(3):299-306. doi: 10.1177/0333102419884938. Epub 2019 Oct 24. PMID: 31645112.
Mages S, Hensel O, Zierz AM, Kraya T, Zierz S. Experimental provocation of ‚ice-cream headache‘ by ice cubes and ice water. Cephalalgia. 2017 Apr;37(5):464-469. doi: 10.1177/0333102416650704. Epub 2016 May 19. PMID: 27206961.
Binfalah M, Alghawi E, Shosha E, Alhilly A, Bakhiet M. Sphenopalatine Ganglion Block for the Treatment of Acute Migraine Headache. Pain Res Treat. 2018;2018:2516953. Published 2018 May 7. doi:10.1155/2018/2516953
Hensel O, Burow P, Mages S, Wienke A, Kraya T, Zierz S. Increased Blood Flow Velocity in Middle Cerebral Artery and Headache Upon Ingestion of Ice Water. Front Neurol. 2019 Jun 28;10:677. doi: 10.3389/fneur.2019.00677. PMID: 31316454; PMCID: PMC6611440.
Hensel O, Burow P, Mages S, Wienke A, Kraya T, Zierz S. Increased Blood Flow Velocity in Middle Cerebral Artery and Headache Upon Ingestion of Ice Water. Front Neurol. 2019 Jun 28;10:677. doi: 10.3389/fneur.2019.00677. PMID: 31316454; PMCID: PMC6611440.
Fuh JL, Wang SJ, Lu SR, Juang KD. Ice-cream headache–a large survey of 8359 adolescents. Cephalalgia. 2003 Dec;23(10):977-81. doi: 10.1046/j.1468-2982.2003.00620.x. Erratum in: Cephalalgia. 2007 Mar;27(3):286. PMID: 14984231.
Fuh JL, Wang SJ, Lu SR, Juang KD. Ice-cream headache–a large survey of 8359 adolescents. Cephalalgia. 2003 Dec;23(10):977-81. doi: 10.1046/j.1468-2982.2003.00620.x. Erratum in: Cephalalgia. 2007 Mar;27(3):286. PMID: 14984231.
Noseda R, Burstein R. Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated neurological symptoms, CSD, sensitization and modulation of pain. Pain. 2013;154 Suppl 1:10.1016/j.pain.2013.07.021. doi:10.1016/j.pain.2013.07.021
Kaczorowski M, Kaczorowski J; Ice cream evoked headaches. Ice cream evoked headaches (ICE-H) study: randomised trial of accelerated versus cautious ice cream eating regimen. BMJ. 2002;325(7378):1445-1446. doi:10.1136/bmj.325.7378.1445
NEJM gibt Wahlempfehlung
Janice Hopkins Tanne. (2020) Covid 19: NEJM and former CDC director launch stinging attacks on US response. BMJ, m3925.
IG Nobel Preis
Medizin
Nienke Vulink, Damiaan Denys, and Arnoud van Loon, for diagnosing a long-unrecognized medical condition: Misophonia, the distress at hearing other people make chewing sounds.
REFERENCE: “Misophonia: Diagnostic Criteria for a New Psychiatric Disorder,” Arjan Schroder, Nienke Vulink, and Damiaan Denys, PLoS ONE, vol. 8, no. 1, 2013, e54706.
REFERENCE: “Cognitive Behavioral Therapy is Effective in Misophonia: An Open Trial,” Arjan E., Schröder, Nienke C. Vulink, Arnoud J. van Loon, and Damiaan A. Denys, Journal of Affective Disorders, vol. 217, 2017, pp. 289-294.
Die Autoren haben Diagnosekriterien für Misophonie veröffentlicht
Misophonie ist der Hass auf bestimmt Geräusche, die Wut, Ekel und Aggressionen bei den Patienten auslösen. Besonders häufig sind dies Essgeräusche.
Die Therapie ist Verhaltenstherapeutisch.
Medizinische Bildung
[BRAZIL, UK, INDIA, MEXICO, BELARUS, USA, TURKEY, RUSSIA, TURKMENISTAN]
Jair Bolsonaro of Brazil, Boris Johnson of the United Kingdom, Narendra Modi of India, Andrés Manuel López Obrador of Mexico, Alexander Lukashenko of Belarus, Donald Trump of the USA, Recep Tayyip Erdogan of Turkey, Vladimir Putin of Russia, and Gurbanguly Berdimuhamedow of Turkmenistan, for using the Covid-19 viral pandemic to teach the world that politicians can have a more immediate effect on life and death than scientists and doctors can.
REFERENCE: Numerous news reports.
Anekdote: Alexander Lukaschenko erhält den Preis zum zweiten mal! 2013 hat er ihn ebenfalls erhalten, als er öffentliches Applaudieren für illegal erklärte. In diesem Zusammenhand gab es die Meldung, dass die weißrussische Polizei einen einarmigen für öffentliches Applaudieren verhaftet hat.
Journal Club
Karahan, O. I., Kurt, A., Yikilmaz, A., & Kahriman, G. (2004). New method for the detection of intraperitoneal free air by sonography:Scissors maneuver. Journal of Clinical Ultrasound, 32(8), 381–385. doi:10.1002/jcu.20055
Kumar A, Mehta D. Chilaiditi Syndrome. 2020 Apr 27. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 32119452.
Adler et al, Emergency Med Journal, September 2020 „Can Hands-on defibrillation be Performed safely?„
Eddy et al – J. Thrombosis Haemostasis, August 2020 „External validation of the YEARS Diagnostik Algorithm for suspected pulmonary embolism“
WHO REACT Group et al, JAMA, September 2020 „Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis“
Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA.2020;324(11):1058–1067. doi:10.1001/jama.2020.14185
Improved survival to hospital discharge in pediatric in-hospital cardiac arrest using 2 Joules/kilogram as first defibrillation dose for initial pulseless ventricular arrhythmia.Resuscitation. 2020 Aug;153:88-96. doi: 10.1016/j.resuscitation.2020.05.048. Epub 2020 Jun 6.
Association of Fluoroquinolones With the Risk of Aortic Aneurysm or Aortic Dissection. JAMA Intern Med. 2020 Sep 8. doi: 10.1001/jamainternmed.2020.4199. Online ahead of print.
Dong YH, Chang CH, Wang JL, Wu LC, Lin JW, Toh S. Association of Infections and Use of Fluoroquinolones With the Risk of Aortic Aneurysm or Aortic Dissection. JAMA Intern Med. 2020 Sep 8:e204192. doi: 10.1001/jamainternmed.2020.4192. Epub ahead of print. PMID: 32897358; PMCID: PMC7489369.
Cole, Keegan P. MD; Uhl, Richard L. MD; Rosenbaum, Andrew J. MD Comprehensive Review of Rock Climbing Injuries, Journal of the American Academy of Orthopaedic Surgeons: June 15, 2020 – Volume 28 – Issue 12 – p e501-e509 doi: 10.5435/JAAOS-D-19-00575
Serotonin-Syndrom
Arzneimitteltherapie des Monats
Internationale Einheiten
https://de.wikipedia.org/wiki/Internationale_Einheit
https://www.ptboguardian.com/single-post/2017/04/28/Why-is-Insulin-Measured-in-Units
https://de.wikipedia.org/wiki/Heparin
https://de.wikipedia.org/wiki/Vitamin_D
Kochrezept – Nichtinvasives CO2-Monitoring:
therapeutische Antikoagulation
Der Beitrag Podcast Oktober 2020 – Folge 21 erschien zuerst auf pin-up-docs - don't panic.