Tactical Medicine News Blog

This episode, is all about "Versed." We've got Kevin and Paul here, chatting about patient positioning and the intricacies of using Versed, a benzodiazepine, for sedation. They touch on how different patients react to the drug, emphasizing the art of medicine over strict calculations, especially in challenging scenarios. The podcast delves into dosing strategies, dealing with hemodynamically unstable patients, and the complexities of maintaining sedation during procedures. Remember, every patient is unique, so adapt the approach accordingly.

Background: Bleeding complications are an uncommon but potentially a significant risk during central venous catheter (CVC) placement. Thrombocytopenia is associated with increased bleeding complications but there is no good-quality evidence showing that prophylactic platelet transfusions decrease that risk. Previous studies were retrospective and current society guidelines have differing thresholds (20,000 – 50,000 per cubic millimeter) for prophylactic transfusions. Despite being common practice, the necessity of routine prophylactic transfusions is now being called into question. CVC placement under ultrasound guidance has decreased overall complication rates and there is increased awareness of transfusion reactions, alloimmunization, acute lung injury, circulatory overload, as well as infection. Additionally, platelets are a scarce and expensive resource due to their short half-life and demand for platelets and other blood products is projected to further increase due to an aging population. No large, randomized study has yet determined the noninferiority of omitting prophylactic platelet transfusions in thrombocytopenic patients undergoing CVC placement.

  The muscles. In Atlas of human anatomy and physiology, Sir Wm. Turner and John Goodsir, Edinburgh, 1857. National Library of Medicine Digital Collections ¿Cuál es el músculo más fuerte en el cuerpo humano?posted by Dr. Ramon Reyes, MD ∞🧩Ir a articulo original en ingles RespuestaNo hay una respuesta única para esta pregunta ya que existen diferentes formas de medir la fuerza. Existe la fuerza...

Researchers at New York University have developed a new method to target many viruses that cause disease. For viruses with a lipid membrane, which includes many that commonly cause disease, this new technique could prove to be fatal. By targeting the lipid membrane, the approach may circumvent the treatment resistance that arises when viruses mutate […]

 Ronald I. Gross, MD, FACS completó sus estudios de medicina en 1976 en la Facultad de Medicina de la Universidad de Nueva York (NYU) en Nueva York, NY y su residencia en cirugía general en 1982 en el Centro Médico NYU/Bellevue en Nueva York. Después de completar su formación de residencia, fue director de UCI en el Norwalk Hospital en Norwalk, CT, donde lideró la verificación del Norwalk Hospital...