POCUS as good as X-ray in IAH management | Cognitive outcomes have worsened among extremely preterm, ELBW infants | San Antonio hospital's NICU offers advanced care
December 1, 2017
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POCUS as good as X-ray in IAH management
Point-of-care ultrasound was comparable to abdominal X-ray for nasogastric tube placement and confirmation of positioning, and superior to X-ray for determination of gastrointestinal tract contents, in patients with suspected intra-abdominal hypertension, abdominal compartment syndrome or both. The study, published in Anaesthesiology Intensive Therapy, also found ultrasound useful in diagnosing moderate to large amounts of free intra-abdominal fluid and to identify patients who would benefit from bowel evacuation.
Health Imaging online (11/30) 
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Cognitive outcomes have worsened among extremely preterm, ELBW infants
Researchers found that babies born extremely premature or with extremely low birth weight in the early 2000s had increased rates of executive functioning deficits, particularly in working memory and planning and organizing skills, at ages 7 to 8 than those born in the early and late 1990s, when compared with controls born at term. The findings were published in Pediatrics.
2 Minute Medicine (12/1) 
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San Antonio hospital's NICU offers advanced care
University Hospital in San Antonio was designated a Level IV neonatal intensive care unit by the Texas Department of State Health Services and verified by the American Academy of Pediatrics. It offers interdisciplinary teams including neonatologists, respiratory therapists, a pharmacist and specially trained staff and offers post-discharge programs such as the NICU Graduate Clinic and the PREMIEre program.
KSAT-TV (San Antonio) (11/29) 
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Medicine in the News
Researchers: OpenEMR vulnerability could put over 90M patient records at risk
OpenEMR, an open-source EHR management application, has a vulnerability in its configuration that has the potential to expose more than 90 million patients' records, according to a blog post by researchers at Risk Based Security. The official OpenEMR documentation recommends blocking or removing access to the original setup script, but the instruction "is far too vague" and "fails to properly warn about the risks of not doing so," said Sven Krewitt of RBS.
Becker's Hospital Review (11/29) 
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Trends and Technology
Scientists develop non-contact system for monitoring vital signs
A small, lightweight system comprising an RFID chip and an embroidered antenna can detect and track heart and respiratory rates, chest movements and blood pressure for multiple patients simultaneously, two scientists at Cornell University reported in Nature Electronics. The sensors transmit radio waves into the body and detect them as they bounce back.
Discover magazine online (11/27) 
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Be ashamed to die until you have won some victory for humanity.
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