Fraud Blocker

Euglycemic Diabetic Ketoacidosis: A Case Study

Kevin Freels, MD DKA and SGLT-2 inhibitors One of the greatest aspects of medicine that I enjoy is a continual process of learning. We must continue to grow in our profession, seeking knowledge and experience as much as possible. One such incident occurred recently while on shift… and talk about being a little late to …

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What’s your mission?

Bunnany Pekar, CRNA, ARNP In honor of the Reverend Dr. Martin Luther King, Jr An Immigrants Story Please allow me to share my perspective on why I chose to travel across the world to provide medical care to people I do not know. But first, I am going to provide you with a little background …

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What does it mean to have privileges to practice?

privilege to practice

Your Credentials

The process of credentialing can be quite a daunting one, especially if you are new to the healthcare or hospital medical staff approval process. In essence, your credentials are a verification of who you are – both academically and clinically. In addition, your credentials include your medical malpractice history, board certifications, training certificates, disciplinary actions, and other state-specific requirements that the state licensing board determines make you safe to practice. Think of your credentials as a portfolio allowing anyone who wants to know about you read a file and see what you bring to the table, and how well trained you are.

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What’s Your Endgame? The Future of Healthcare

Residency

Several years ago, physician graduate medical education, also known as residency, went through a revolutionary change and restrictions were placed on the number of work hours residents could work in a week. In a profession traditionally programmed to work in excess of 110-130 hours per week to gain the exposure necessary to adequately practice medicine, capping hours at 80 hours per week was a controversial change, and brought into question the validity of shortened education. While the verdict is still out regarding the current generation of residency graduates – related to knowledge base, work ethic, professional expectations, and patient relevance – there is no change in sight for resident work hours.

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Needle Decompression: Size Matters

Needle decompression

What Size Needle Should You Use?

At a recent course this past weekend, we were asked which size needle should you use while performing a needle decompression procedure. The automatic response was large bore needle…typically 14-gauge angiocatheter. But that is only half the answer! What about catheter length? The standard 14-g angiocath is 5cm long and its catheter is only 4.5cm long. This was causing concern about a high failure rate. With the primary source of procedure failure being a failure of the needle to reach the pleural space, the standard angiocath would only reach the pleural space in 53% of the population.

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