Systematic Reviews and Meta-Analyses

Systematic reviews sit atop the evidence-based medicine pyramid as the strongest form of evidence we have. This is so because it incorporates more data than individual studies. To avoid bias in making reviews, the authors need to follow a systematic process. In this video we look at this process the authors would follow and you should note when reading such reviews.

The Patient Protection and Affordable Care Act

The Patient Protection and Affordable Care Act, also known as the Affordable Care Act or ObamaCare, is the biggest change in health care policy since Medicare in 1965. Despite its importance, very few understand it. This is not surprising given its complexity. Popular news outlets and politicians (on both sides) capitalize on our ignorance by exaggerating, distorting or misrepresenting pieces of it. As health care providers and citizens, love it or hate it, we have a duty to understand it.
Continue reading “The Patient Protection and Affordable Care Act”

Hyperglycemic Emergencies

Diabetics often present to the Emergency Room with high blood sugar. Sometimes it’s just high and nothing else is wrong. Lower the sugar and send them on their way. Sometimes this represents something more ominous. In the next two videos we review the hyperglycemic emergencies of diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome.

Penetrating Neck Trauma

Here is an application of the method we use to approach trauma, namely penetrating trauma to the neck. Here are some important questions to ask yourself while watching these videos:

  • What are the boundaries of the zones of the neck and why do they matter?
  • Do all patients need to be intubated?
  • Do all patients need to be put in a cervical collar?
  • What are the “hard signs” of neck trauma and why do they matter?

Anatomy

Management

Left Ventricular Assist Devices

lvad

Left Ventricular Assist Devices confused the heck out of me, so I thought I’d go through some of the anatomy and physiology of these things. Then everything seemed to make a bit more sense.

Anatomy and Physiology of the Heart… with an LVAD

I misspoke in this video. Dick Cheney did not have ‘destination therapy’ but ‘bridge-to-treatment’ therapy. He eventually got a heart transplant.

Pathophysiology of the Heart… with an LVAD

Please let me know if things don’t make sense, if they’re flat out wrong, or whatever you’d like.