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Mobile Phone Short Messages for Health Professionals
Full text linkInformation communication technology has made great progress in past decades, whereas how much could the health professionals benefit from these techniques? Some reports concerned that mobile phone short messages can help health caregivers more focused on their work through reminding them what need do next, and positive results were presented showing that such “beep message” improves patients overall outcomes and satisfaction. Regarding this usage, several drawbacks need mentioned before it was recommended as routine reminder. Detraction from normal work, over-weighed dependence on this kind of remind, and uniform and non-individualized messages all will make the healthcare system lose flexibility and true efficacy
Albumin versus Saline in Mortality in Critically Ill Children
Full text linkHigh mortality in critically ill patients is a challenge for the intensive care medicine. While different reasons were figured out and corresponding therapeutic protocols were recommended, the actual mortality is still high and it is hard to conquer it and make a big improvement of the overall outcomes. Albumin, the most abundant protein in human blood plasma, plays an essential role in maintaining oncotic pressure, in participating in as an important protein transporter, and in possessing many physiological functions. In the context of critical care medicine, administration of albumin was found benefit patients in increasing their survival rate. However, a more recent study reported that bolus injection of albumin in critically ill pediatric patients increased the mortality. Of this report, we analyzed carefully and commented their methodology in performing the study. Some issues were not that clear, and it is difficult to determine the real effect of albumin administration on the mortality in children. It is a challenge to answer one question precisely and in overall, and we herein raise our concerns on this topic to discuss them with other researchers
Accuracy of Palpation for Cricothyroidotomy
Full text linkCricothyroidotomy is a practical procedure that is critical for patients in the context of emergency. Accurately identify the cricothyroid membrane takes a crucial part in determining the success of cricothyroidotomy. However, it is not that easy for clinicians when facing patients with different conditions that limit the palpation accuracy. Obesity is a risk factor for the failure of cricothyroidotomy. Special care is needed for obese patients. We herein build a mathematic model to explain why it is hard for obese patients to be palpated, and we also give recommendations based on the model on how to increase the rate of the palpation accuracy