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Morning MedTalks with Dr KK Aggarwal 5th October 2018
Here are two links for videos to watch. Share them with your colleagues and friends.
- Vedic Health - A Dialogue with Shri Ashwini Kumar Choubey
- TEDx Video: Doctor-patient relationship
More than 300 crore compensation: A jury has awarded a paralyzed boy and his family $44.5 million in their medical negligence lawsuit against an Ohio laboratory. The Franklin County jurys verdict against Athens Medical Laboratory Inc. was announced recently in the lawsuit filed by Bradley Metts and his parents, Danny Metts II, of Athens, and Nikki Metts, of Albany. The family sued in 2014 over an ear infection they contend was not properly diagnosed or treated, resulting in a brain infection and paralysis for the then-9-year-old Bradley.
Cyber threats top the list of ECRI Institute’s 2019 Health Technology Hazards
- Cybersecurity is clearly a growing concern, says the ECRI Institute. In the past 18 months, the ECRI published 50 cybersecurity-related alerts and problem reports, a major increase over the prior period.
- Mattresses and mattress covers that remain contaminated with blood and other bodily fluids after cleaning, posing an infection risk. Healthcare facilities must take care to use appropriate products and procedures for cleaning and disinfecting mattress covers, and they should regularly inspect mattresses and covers for signs of damage or contamination
- Surgical sponges unintentionally left inside the patient after the surgical site is closed, which can lead to infection and other serious complications, including the need for another surgery. Manual counts, in which the surgical team verifies that all sponges are accounted for before concluding the procedure, are standard practice, but errors in counting can occur. Technologies that supplement the manual counting process are available and have been found to be effective when used correctly.
- Improperly set alarms on ventilators, which put patients at risk for hypoxic brain injury and death. Properly set alarms can prevent such consequences. Deaths result from breathing circuit disconnections during which no alarm activated. Healthcare facilities need policies on setting user-adjustable ventilator alarms and protocols for verifying that the policies are being followed and that component connections are secure.
- Mishandling flexible endoscopes after disinfection, which can cause infections in patients. Cleaning and disinfecting flexible endoscopes between uses can be challenging, and failure to adhere to a strict reprocessing protocol can lead to infections. Improper handling and storage practices can recontaminate previously disinfected scopes, heightening the risk of patient infections.
- Confusing dose rate with flow rate, which can lead to infusion pump medication errors.
- Improper customization of physiologic monitor alarm settings, which may result in missed alarms.
- Injury risk from overhead patient lift systems.
- Cleaning fluid seeping into electrical components, which can lead to equipment damage and fires.
- Flawed battery charging systems and practices that can affect device operation.
The FDA has alerted pet owners and veterinarians to the potential risk for seizures for some dogs, cats with products like Bravecto, NexGard, Simparica containing a form of the pesticide isoxazoline. It said such FDA-approved products continue to be "safe and effective for the majority of animals."
People with prediabetes or new-onset type 2 diabetes who had gastric banding, had similar stabilization of their disease to those who took metformin alone, according to a NIH study published on October 3 in Diabetes Care.
Diet is a major contributor for the increased risk of hypertension in black compared to white Americans. The results, published in the Journal of the American Medical Association, are part of the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, which looks at the incidence of stroke in approximately 30,000 individuals. The study is funded by the National Institute of Neurological Disorders and Stroke (NINDS), a part of the National Institutes of Health.
Traumatic head injury can have widespread effects in the brain, but now scientists can look in real time at how head injury affects thousands of individual cells and genes simultaneously in mice. This approach could lead to precise treatments for traumatic brain injury as per an NIH supported study
Approximately 36% of all US adults ate fast food on any given day during 2013 to 2016, according to data just released from the CDC.
Yemen’s cholera outbreak - the worst in the world - is accelerating again, with roughly 10,000 suspected cases now reported per week, the latest data from the World Health Organization (WHO) showed on Tuesday.
The WHO, UNICEF and the Government of Kazakhstan will co-host the Global Conference on Primary Health Care on 25-26 October at the Palace of Independence in Astana, Kazakhstan. The conference will mark the 40th anniversary of the historic 1978 Alma-Ata Declaration on primary health care, and will unite world leaders to affirm that strong primary health care is essential to achieve universal health coverage
Reusable thermometers may be the cause of outbreak of Candida auris infection in a neuroscience ICU in Englands Oxford University Hospitals, despite efforts to sanitize them between uses. Seventy patients were found to harbor C. auris from early February 2015 to late August 2017, with seven patients developing invasive infections. C. auris is an emerging multidrug-resistant fungus that has recently been linked to outbreaks, often in ICUs (New England Journal of Medicine, October 4, 2018).
Dr KK Aggarwal
Padma Shri Awardee
President Elect CMAAO
President Heart Care Foundation of India