The Surge: Trauma. Surgery. Critical Care.

Overview of the actual evidence for AMA discharges. How to do it? Is it legally protective? Is it ok for patients to do it?

Sources

https://www.jem-journal.com/article/S0736-4679(11)00540-3/abstract https://pubmed.ncbi.nlm.nih.gov/27623726/ https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.51.7.899

 

PLEASE LIKE COMMENT AND SUBSCRIBE !!!! on the following media

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https://podcasts.apple.com/us/podcast/the-surge-surgery-trauma-critical-care/id1211210327

direct podcast link https://thesurge.podbean.com/feed.xml

temporary website https://thesurge.podbean.com/

instagram TV https://www.instagram.com/saudn/channel/

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and soon google play as well.

They are free and although the quality is still sketch, I'm hoping to imporve with your input. Fell free to suggest other topics.

This episode is a quick rundown of some pitfalls and some tips on how to deal with an extremely challenging aspect of trauma/obstetric/ED and Critical care without hitting that panic button. 

I was genuinely disturbed and intrigued by the Vastaamo breach where a hacker managed to obtain 40000 patient records, send out emails threatening to release their data. Imagine if your most intimate thoughts and fears where out there. Full transcripts from the computer system of a mental health facility. 

How do you prevent something like this? We owe it to our patients to be better at cyber security Medsec/ Healthcare Sec. 

Useful links:

https://haveibeenpwned.com/

https://darknetdiaries.com/

https://www.youtube.com/watch?v=bsZq-BiKqfY

 

sources:

https://twitter.com/mikko/status/1320061214647439360?lang=en

https://therecord.media/hacker-directly-targets-patients-following-a-data-breach-at-a-finnish-mental-health-provider/ 2/4 

https://www.politico.eu/article/cybercriminal-extorts-finnish-therapy-patients-in-shocking-attack-ransomware-blackmail-vastaamo/

https://hotforsecurity.bitdefender.com/blog/vastamo-hacker-says-he-doesnt-care-if-therapy-leaks-drive-patients-to-suicide-24408.html 

https://www.avesnetsec.com/psychotherapy-ransom

https://twitter.com/nulllzero?lang=en

 

After a little Hiatus we are back! 

 

Just a recap on central line complications when it comes to guidewire mishaps and cannulation issues. 

 

Stay tuned for better content soon! 

 

#trauma #centrallines #angio #criticalcare #icu #foamed #cath #angio

 

Please rate comment and subscribe! 

 

Saud

How to optimise your CPR for the best outcomes possible with minimal stress. 

 

 

In this episode I wanted to talk about skill decay. The notion that taking a research year off, medical leave or something of that nature makes you worse at your job, and whether there is any evidence for it in the medical field. 

Just some thoughts on the article published in Journal of Vascular Surgery

 

https://www.jvascsurg.org/article/S0741-5214(19)32587-X/fulltext

 

and what it means to be a professional really. 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1769526/

https://pubmed.ncbi.nlm.nih.gov/31255853/

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-017-0997-x

 

Redaction Below

 

https://twitter.com/JVascSurg/status/1286831352520888320

 

 

I'll still use them but sometimes you get to wondering. 

How often do take the time to try and speak to families? 

 

How much of an impact does it have? 

 

Why aren't we good at it? 

 

What are the best strategies for a family meeting? 

 

Why is it important?

THIS IS NOT A PHARMACOLOGICAL DISCUSSION, THIS IS A STRATEGIC ONE. 

Some thoughts on how , when and why we use them.

 

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#vasopressors # ionotropes #icu #criticalcare # shocks