Welcome to Grand Rounds Vol. 5 No. 44. A Grand Rounds full of plot twists, drama, melodrama and yes, death (this is a medical blog roundup after all).
Just for fun, I am going to group the submissions under acts whose real names you’ll have to guess (pick from: The Hunt Is Afoot, The Law Gets Involved, Death Arrives, Clues Are Discovered, The Plot Thickens, and All Is Revealed).
Suggestions/nominations for the acts’ titles can go in the comments and the people who get the closest to the right answers can wear their imaginary Sherlock Holmes deerstalkers with pride. The rest of us can instead wear our Doctor Watson designation (also with pride).
Here are some posts on the "Patients First” meeting Dr Val put together at the National Press Club this past Friday. I hope I didn’t miss any.
- Washington Wrap-Up (by Dr Wes)
- Washing Tons for Boggers (by Dr Rob)
- Patients First: Twitter Transcript (by Robin)
- Reflections on health-care reform (by Dr Edwin Leap)
H/T to scanman who tweeted this: “RT @precordialthump Trick of the Trade: IO line for failed IV access http://bit.ly/4qfUl Awesome post & video. Hats off to the volunteers!!!” This link is to this article, Sneak Peak "Trick of the Trade": IO line for failed IV access, which has a very nice video showing IO (intraosseous access)
In the video below, 3 brave (a.k.a. crazy) volunteers get an IO drilled into their proximal tibia. Apparently, the insertion is only mildly painful and the infusion of fluids is actually the more painful part of the procedure. You might consider priming the IV tubing with 1% lidocaine to minimize pain in awake patients.
H/T to MedGadget for this: For Tender Feet, Shoes Simulate Barefoot Running Safely. I’d love to have a pair of these FiveFingers from Vibram (photo credit) Maybe I’ll ask for a pair for my upcoming birthday.