acute

Thousands of Australians see a chiropractor for relief from back pain, headaches or stiffness.

There has been a level of controversy surrounding the profession since its inception in the 19th century.

But looking beyond the field's storied history, where does the evidence stand now on chiropractic?

Got a health question? Shoot us a line @ABCHealth on Instagram, or send a voice memo to thatrash@abc.net.au. We'd love to hear from you!

Looking for COVID-19 updates? Don't panic, they've moved over to The Health Report

References: 

• Evidence-Based Practice and Chiropractic Care
• Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials
• Anatomical Sciences in Chiropractic Education: A Survey of Chiropractic Programs in Australia
• A Phase 3 Randomised Trial of Nicotinamide for Skin-Cancer Chemoprevention

Thousands of Australians see a chiropractor for relief from back pain, headaches or stiffness.

There has been a level of controversy surrounding the profession since its inception in the 19th century.

But looking beyond the field's storied history, where does the evidence stand now on chiropractic?

Got a health question? Shoot us a line @ABCHealth on Instagram, or send a voice memo to thatrash@abc.net.au. We'd love to hear from you!

Looking for COVID-19 updates? Don't panic, they've moved over to The Health Report

References: 

• Evidence-Based Practice and Chiropractic Care
• Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials
• Anatomical Sciences in Chiropractic Education: A Survey of Chiropractic Programs in Australia
• A Phase 3 Randomised Trial of Nicotinamide for Skin-Cancer Chemoprevention

Managing Conflict With Patients, Colleagues, and Staff by Ronald Eptein, MD

Flourishing in Medicine is a 7-hour online skills-building course for enhancing well-being and addressing clinician burnout.

Learn more and purchase at https://courses.ccme.org/course/flour....

Address and improve your relationships with patients and colleagues to advance the quality of the medical care you provide.

⬇️ Learn the Tools to Help You Enjoy Your Practice Again ⬇️

✓ Our Flourishing in Medicine course offers a means to enhance your self-awareness, wellness, and resilience in your practice.

✓Address and improve your relationships with patients and colleagues to advance the quality of the medical care you provide.

✓ Learn proven techniques to reduce stress, anxiety, burnout, and compassion fatigue.

✓ Through honing self-awareness, deep listening skills, compassion, and community, our online course will help you to flourish at work and navigate the stressful and demanding situations you face daily.

#emergencymedicine #burnout #compassionfatigue

Dental Disorders by Drs. Diane Birnbaumer and Andrea Wu, MD.

EMCert Module Mastery - Everything you need to prepare for your ABEM MyEMCert exams.
Learn more and purchase at https://courses.ccme.org/course/emcer....

- Produced by the creators of the National Emergency Medicine Board Review Course
- In-depth audio and videos with slides to help reinforce key points
- Pass your exams & receive a short intensive clinical review
- Prepare for each module in just one day
- Receive access to the EM QuickSearch™ search engine - find answers fast while you take the exam
- Earn AMA PRA Category 1 Credit™


#myemcert #emcertmodulemastery #emergencymedicine

Have you ever found yourself feeling burnt out, reactive instead of proactive, or losing the joy of parenting?

It is nothing to feel ashamed of.

In fact, shame will only prevent you from seeking the help you may need.

In my professional development days as a social worker, I learned that there was a name for this.

It’s called ‘blocked care’. It’s when your ability to sustain care for your child in the most ideal, loving way, is blocked, due to your own needs for connection and care being unmet.

But if you understand what is happening and why, you can also learn what you can do about it.

And that’s the good news.

There ARE things you can do.

That’s what this podcast today is about. It’s taken from training from inside my group membership called, ‘The Village’. Of course, it has been edited to protect people’s privacy.

If you’re curious about my group coaching membership- there’s a link below

In this episode, we discuss:

• the types of blocked care: chronic, acute, child-specific, and stage-specific.
• Dan Hughes and Glennon Doyle and the helpful perspectives they share
• How to identify if you are experiencing blocked care
• The brain neurology involved
• How we can rewire our brain and nervous system, reducing the size of the amygdala and helping that “guard dog” learn that it doesn't need to be so sensitive.

Download your FREE guide, ‘Six Steps to Safer Sleepovers’  here

Got any questions? Get in touch and connect with Caroline Ellen:

Website

Facebook Profile

Instagram Profile

Podcast Produced by LIvvi Music Media

Doctor Jesse Pines is the National Director of Clinical Innovation at US Acute Care Solutions. Dr Pines most recently served as Director of the Center for Healthcare Innovation and Policy Research and a Professor of Emergency Medicine at the George Washington University School of Medicine and Health Sciences.  He has been a Professor of Health Policy and Management at the GW Milken Institute School of Public Health and also was the principal investigator for Urgent Matters, a program that disseminates information on best practices in emergency care for eight years.

The Problem:
On December 15, the New York Times published an article entitled "E. R.  Doctors Misdiagnosed Patients with Unusual Symptoms."  The article was based on a study published by the Agency for Healthcare Research and Quality that was entitled "Diagnostic Errors in the Emergency Department: A Systematic Review."

The study has 15 authors with the lead author being David E. Newman-Toker, MD, PhD. In addition to the 15 authors there are seven Key Informants whose job was to provide input on the priority areas for research and synthesis. In addition, there was a panel of six Technical Experts whose job was to design the studies questions and methodology. Finally, there were four Peer Reviewers - Dr Pines was both a Technical Expert and Peer Reviewer of the paper. The paper is 744 pages long with 222 references.  The study found 279 citations related to the topic. 

One prominent source of concern of emergency physicians was the fact that it was assumed that emergency care provided in some countries was comparable to that in the United States.  The authors included studies if they were conducted in the United States, Canada, United Kingdom, Western Europe, Australia, or New Zealand because the advisors to the study felt these countries and regions had roughly comparable systems of ED care to those found in the United States.  U.S. emergency physicians, most Board Certified in EM, refute that assertion and push back immediately.

 "In addition to making misleading, incomplete and erroneous conclusions from the literature reviewed, the report conveys a tone that inaccurately characterizes and unnecessarily disparages the practice of emergency medicine in the United States," Dr. Christopher S. Kang, the president of the American College of Emergency Physicians, said in a statement."As with all medical specialties, there is room for improvement in the diagnostic accuracy of emergency care," Dr. Kang added. "All of us who practice emergency medicine are committed to improving care and reducing diagnostic error.""While most medical specialties have similar training in Western nations, emergency medicine does not," he said.

The Study Sought the Answers to Three Key Questions

1. What clinical conditions are associated with the greatest number and highest risk of ED diagnostic errors and associated harms?
2. Overall and for the clinical conditions of interest, how frequent are ED diagnostic errors and associated harms? 
3. Overall and for the clinical conditions of interest, what are the major causal factors associated with ED diagnostic errors and associated harms?

Visit us at ccme.org and watch this episode on Youtube at:

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

Join Casey Collins, MD in his lecture of the overview of 2023 changes coming to charting.  In this episode, Dr. Collins gives a brief history as to how we got here, Physical Exams, MDM changes, Time Based Documentation, E&M CPT Code Changes, as well as a summary of everything pertinent to these updates. 

This episode comes from our High Risk Emergency Medicine Course.  Learn more at
https://courses.ccme.org/course/macc

Join John Bedolla, MD & Dusty Otwell, Esq. in their discussion of the 10 Most Important Legal Questions Asked.

This episode comes from our High Risk Emergency Medicine Course.  Learn more at
https://courses.ccme.org/course/hrem

Dr. Shari Welch discusses various methods to improve ED performance.  From engaging leadership to metrics, Shari gives helpful tips to implement which help with emergency department  efficiency. 

This episode comes from our Innovations in ED Management  Course.

 Learn more at https://courses.ccme.org/course/innovationsined

Today joining us on the Healthcare Corner are Franklin Moses and Sean Chapman, representatives of Virtare Health. We dive into the steps of hospital discharge and its challenges. Hospital discharge does have failures, and usually it is the patients who suffer. Have you had a friend or a loved one readmitted to the hospital experiencing the same condition? Hospitals are the best but are one of the most expensive care providers in our health system. Virtare Health specializes in a whole-person care approach for post-acute concerns. Listen today to discover how Virtare Health can help you personally or facilitate improvement in your patient journey regarding transition for both mental and physical care.

Franklin Moses, CEO Virtare Health
Franklin Moses started his career in the healthcare industry at a very early age working in the back office of a medical practice. During this time he learned the ins and outs of the operations of the practice, which helped him gain a full understanding of what it took to operate a successful medical practice. There was not one part of the practice that he was not involved with. From finance, operational management, marketing, HR, and business development. After his time understanding the business side of medicine he took the next step of practicing medicine. Franklin obtained his MBBS degree from Kasturba Medical College, and upon graduating returned to the United States to find the healthcare industry significantly changed from the time that he entered medical school. Because of this change the decision was made to go into the practice of the business side of healthcare instead of the practice and delivery of it.

His unique perspective of being a trained physician, as well as having vast experience in the practice of medicine allowed him to have a unique perspective on how to approach the needs of a modern medical practice as well as providing solutions for the healthcare industry. Through this knowledge the decision was made to start a company that will uniquely provide complete solutions to the modern provider that will support their business, and be a true partner in their business goals. It is Franklin’s endeavor to provide solutions that allow the provider to do what they do best…. the practice of medicine.

Sean Chapman, President Virtare Health
Extensive experience in contract negotiation and executive level communication. High priority on long term relationships and timely delivery of goods and services. ​Co-founded a national real estate training company in 2006 that trained over 30,000 professionals during a 9 year period. Grew company to $5 million in sales within 16 months. Developed virtual training program and multi-level training and education platform to service national clientele. Negotiated $300,000,000 in contracts over a 5 year period. After exiting he invested in and  Co-Founded Alert Ease in 2019, a RPM software solution that was merged into Virtare Health in 2022. Sean is married to Allison McEwen and together they have 6 children. Sean enjoys traveling with his family, sports, especially basketball, the ocean, annual hiking and camping adventures, architecture/design and research. 

In this episode, Daniel Kang meets with Dr. David Hanscom to discuss pain. Why do so many people suffer from chronic pain, and what is the real underlying problem? What is the purpose of anxiety, and how does it affect the way we experience pain? How does the dynamic healing process (or multi-modal approach) address these problems and questions?

Dr. David Hanscom is an orthopedic spine surgeon whose practice focused on patients with failed back surgeries. He quit his practice in Seattle, WA to present his insights into solving chronic pain, which evolved from with his own battle with it. David is the author of Back in Control: A Surgeon’s Roadmap Out of Chronic Pain and Do You Really Need Spine Surgery?: Take Control With a Surgeon’s Advice.

Find out more about David on his website.

The host for this episode, Dr. Daniel Kang, joined George Fox’s Department of Physical Therapy as an assistant professor of physical therapy in 2013. Previously, he worked for nine years as owner and lead physical therapist of Kang Physical Therapy Inc. of Ventura, California. His teaching experience includes stints as an instructor of kinesiology at California State University of Channel Islands and as a teaching assistant of anatomy and physiology at Loma Linda University. He is in the process of earning a graduate certification of medical physiology with a specialization in cardiovascular/renal physiology and pathophysiology from the University of Florida. He holds a doctor of physical therapy degree (2004), a master’s degree in physical therapy (2002) and a bachelor’s degree in health science (2002), all from Loma Linda University.

These podcasts are also all video recorded and on our YouTube channel! You can also visit our website at https://georgefox.edu/talks for more content like this. 

Depression can be as much as 40% genetic and the rest is environmental in nature. Although it existed in paleolithic times, the way it manifested and how our ancestors dealt with it it must have been much more different from how we experience it today. 
Depression became a separate illness in the twentieth century, and by the 1980's it became an epidemic that just keeps growing into this century. What is happening? Why are our children and young adults affected the most?
Let's look for answers.

Nursing care of patients in pain. 

For full show notes go to https://marandabower.com/the-effects-of-inflammation-in-postpartum-podcast-ep14/

The topic of inflammation is one that I am incredibly passionate about. It is a work of science that is continually growing at really fast rates. What I'm going to be sharing with you about inflammation is very applicable not just to postpartum, but to women and men and people everywhere. 

Inflammation is the cause of disease, dysfunction, and so many other critical body function mishaps, both minute and ginormous. That being said, not all inflammation is bad! There are two main types of inflammation, acute inflammation, and chronic inflammation. Both serve important purposes in our bodies that are very different and we are about to deep dive into all of this information and the effects of different inflammation in your bodies, especially during postpartum, in this episode!

In this episode, I’m sharing with you:

• Inflammation
• Acute inflammation vs. chronic inflammation
• Acute Inflammation is meant to protect us
• Chronic Inflammation can become toxic to our bodies
• Why Chronic Inflammation occurs
• Ways chronic inflammation presents itself in postpartum frequently
• Without proper support in postpartum, natural acute inflammation can quickly turn chronic
• Gut Health & Inflammation - Back to some anatomy basics
• The food we are using to fuel our bodies contributes to our gut health
• Gut-Inflammation Connection is KEY 
• Without gut inflammation, most would NOT have brain inflammation
• The relationship between gut health, inflammation, & mental health
• Inflammation is a trigger to depression, not the other way around
• This common occurrence in Mom’s
• Postpartum depression, and why therapy only seems to do so much
• Another side to depression that isn’t being addressed
• The need for a whole-body approach to wellness and healing
• Inflammation in infants brain development due to Mother’s inflammation
• The myth of your baby not being affected by inflammation & depression
• The potential link between ADHD in children and depression during pregnancy
• Effects this has on communities
• When Mother’s aren’t well, they aren’t able to contribute like they want to
• Caring for the

• Grab your FREE Provider's Postpartum Nutrition Toolkit
  18 pages of PDF handouts that serve as your comprehensive resource for delivering whole-body nutrition care and achieving better health outcomes for the families you support.
• Learn what your symptoms really mean with our Postpartum Health Assessment
  Postpartum depression, anxiety, depletion, and autoimmune issues have become a new normal.
  Take the most comprehensive postpartum assessment to discover what your symptoms are telling you and even more importantly, what you can do to fix it for good.
• Get started on the path to holistic recovery with the Postpartum Nutrition Repletion Plan
• Come hang out with us on Instagram!

Feeling inspired and ready to learn more about how you can actively revolutionize postpartum care?

• Learn about the Postpartum University Professional Membership
• Stay in the loop about the Postpartum Nutrition Certification Program
• Check out our courses in Postpartum Mental Health, Postpartum Nutrition, and Herbal Care...

Emergency care providers regularly encounter urologic disease in the ED, often without the availability or assistance of a board-certified urologist. Common urologic clinical dilemmas in the emergency department include the management of acute urinary retention, nephrolithiasis, testicular (and ovarian) torsion. In this episode, we will review clinical conundrums related to each of the aforementioned urologic pathologies.

Watch Dr. Tabatabai's presentation @ https://www.youtube.com/watch?v=1uFEhKU-Thc

I discuss recent literature focused on ED operations. Does it pay to advertise?  Do freestanding EDs increase Medicare spending?  We also look at converting Urgent Care centers to freestanding EDs, "surprise" medical bills, the high cost of sending an emergency department bill, and ED utilization of APCs.

The focus of the Innovations in Emergency Department Management Course is on leadership, management, operations, logistics, strategic planning and healthcare reform. Hear from “been there, done that” experts who have created successful practices in the ever-changing world of emergency medicine. Although we weren't able to present our live Innovations in ED Management Course in 2020 due to Covid, check out the virtual livestream from December with some of our experts. 

https://www.youtube.com/watch?v=99e5bJNcDyM

Season 6, Episode 5! 🔊🔊🔊 If you're looking at working within Acute Medicine within the NHS, then this is the Podcast for you!

In today's episode, Tom Calver and Ryan Halliday explain what Acute Medicine looks like within the NHS! 

BDI Resourcing are actively working on lots of Acute Medicine positions, ranging from ST2 - Consultant level. If you're interested please contact us at: apply@bdiresourcing.com 

Join our Facebook Group IMG Advisor! We post three blog posts a week and two vlogs. 

Reach. Recruit. Relocate.

BDI Resourcing are experts in international and domestic medical recruitment for the NHS. We have helped thousands of international doctors in to roles with more than 100 Hospital Trusts.

We are always delighted to hear from international doctors who are considering a move to the UK and encourage you to contact us through any of our channels:

• Email
• Website - IMG Media
• YouTube
• Facebook
• Instagram
• LinkedIn

Dr. Diane Birnbaumer breaks down ED cases in which patients present common complaints, initially appearing benign, which mask serious illnesses. 

This episode comes from our Advanced EM Boot Camp Course which focuses on in-depth topics that will help you become a master practitioner.   

Take the Advanced EM Boot Camp course online or live in Las Vegas — both versions are fully CME accredited and are guaranteed to help you provide the best care for your patients.   Learn more at https://courses.ccme.org/course/advancedbootcamp

Today’s show is Sponsored by “Restorative Therapies”. On this Episode of “Evidence to Excellence: News In Neuroplasticity and Rehab”, Host Polly Swingle, CEO, Physiatrist Gianna M. Rodriguez, MD.,  Physical Therapist TJ Hosa and Co-Owner of the Recovery Project Charlie Parkhill talk “Chronic Spinal Cord Injury". 

The Evidence to Excellence Podcast is all about the Evidence-Based Research and today is no different.  Powered by The Recovery Project, the largest non-hospital based Neurological Rehabilitation facility In Michigan seeing upward of 10,000 patients past and present. This episode speaks to the evidence and different approaches that have been effective for Chronic Spinal Cord Injury.

Charlie Parkhill, co-founder and co-owner of The Recovery Project was injured in an ocean wave accident while vacationing with his wife in 1998, suffering an incomplete SCI at C -4/5.  In 2015 Charlie’s team started a case study to monitor his recovery. During the study it has been reported that Charlie has regained good strength and stamina, says Dr. Rodriguez. The case study results show that Charlie’s gait speed, overall aerobic endurance, functional strength and balance have increased significantly.

This show is packed with statistical evidence that proves improvement of Chronic Spinal Cord Injury with innovative and progressive therapeutic Rehabilitation.

Host:

POLLY A. SWINGLE , CEO & Co-Owner

Polly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. She loves to do yoga in her free time.

Guests:

Gianna M. Rodriguez, MD

Dr. Rodriguez is Medical Director of the Wheelchair Seating Clinic and PM&R Administrator in the Michigan Bowel Control Clinic and the Wound Care Clinic. She has been actively involved in research with the Spinal Cord Injury Model System. She has written and collaborated on several research publications and written chapters on SCI sequelae in premier journals and textbooks in PM&R.  Dr. Rodriguez has been recognized for her teaching of trainees with the Silver Crutch award. 

TJ HOSA, PT

Physical Therapist at The Recovery Project since 2015 received his Doctorate in Physical Therapy from Ohio University, Athens, OH with a Bachelor in Exercise Science. TJ specializes in TBI/SCI, vestibular, and FES.

CHARLIE PARKHILL, The Recovery Project Co-Owner

Charlie Parkhill is the co-founder and co-CEO of The Recovery Project since 2003. Charlie was injured in an ocean wave accident while vacationing with his wife in 1998, suffering an incomplete SCI at C -4/5. Given the typical prognosis of “you will never walk” and “will probably be fed through a feeding tube” he decided to put everything aside and vowed to beat “this thing”. 

Evidence to Excellence: News In Neuroplasticity and Rehab powered By The Recovery Project

Learn more about The Recovery Project!

• View our website at www.therecoveryproject.net
• Call us 855-877-1944 to become a patient
• Follow us on Instagram
• Like us on Facebook

Thanks for listening!