The Samurai Radiologist

6 posts · 4,352 views

Not Totally Rad
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  • October 6, 2008
  • 12:44 PM
  • 602 views

AED Lessons from Japan

by The Samurai Radiologist in Not Totally Rad

For some years now, automated external defibrillators (AED) have greatly increased the likelihood of surviving a cardiac arrest in the U.S. In Japan, however, lay usage of AEDs was not authorized until July 2004.Hideo Mitamura (2008). Public access defibrillation: advances from Japan. Nature Clinical Practice Cardiovascular Medicine DOI:10.1038/ncpcardio1330This recent article by Hideo Mitamura details some of the societal, legal and attitudinal changes in Japanese society since 2000 that led ........ Read more »

Hideo Mitamura. (2008) Public access defibrillation: advances from Japan. Nature Clinical Practice Cardiovascular Medicine. DOI: 10.1038/ncpcardio1330  

  • September 29, 2008
  • 12:00 AM
  • 665 views

Surviving Cardiac Arrest: Location, Location, Location

by The Samurai Radiologist in Not Totally Rad

Some places are just safer to live than others.A study by Nichol et al in the latest issue of the Journal of the American Medical Association estimates one's chances of surviving a cardiac arrest in 10 different sites in North America: Regional Variation in Out-of-Hospital Cardiac Arrest Incidence and Outcome.Nichol G, Thomas E, Callaway CW, Hedges J, Powell JL, Aufderheide TP, Rea T, Lowe R, Brown T, Dreyer J, Davis D, Idris A, Stiell I. (2008). JAMA, 300 (12), 1423-1431Their study populatio........ Read more »

  • August 10, 2008
  • 05:53 AM
  • 772 views

A Call for Randomized Clinical Trials of Parachutes

by The Samurai Radiologist in Not Totally Rad

In the tight-sphinctered world of academic medicine, it's always delightful to find a journal that still has a sense of humor. The following satirical paper from the British Journal of Medicine made me laugh and laugh.Smith GCS, Pell JP. (2003). Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ, 327(7429), 1459-1461. DOI: 10.1136/bmj.327.7429.1459In a nutshell, this paper rightfully points out that no ........ Read more »

  • June 12, 2008
  • 08:03 PM
  • 723 views

Radiology of Competitive Speed Eating

by The Samurai Radiologist in Not Totally Rad

We all eat to live. Most of us also eat for enjoyment. Many of us overeat for various reasons. A very few of us overeat as a competitive sport.What's in it for the winners? For the eliter eaters, one can earn an annual 5-figure income. Plus, if you don't mind eating on the Anaconda Plan (Eat the Whole Pig. Â Right Now.), there's all that free food at the contests.What does it take to choke down chow at a world-class pace? There seem to be many ninja tricks to help one ........ Read more »

M Levine, G Spencer, A Alavi, & D C Metz. (2007) Competitive Speed Eating: Truth and Consequences. American Journal of Roentgenology, 189(3), 681-686. DOI: 10.2214/AJR.07.2342  

  • March 16, 2008
  • 06:06 PM
  • 721 views

Is a Radiologist Doing CPR Like a Pig with a Wristwatch?

by The Samurai Radiologist in Not Totally Rad

I've been taking cardiopulmonary resuscitation (CPR) classes periodically since medical school many years ago. For me, one of the hardest part of these classes has been keeping track of the ever-changing Official Ratio™ of chest compressions to breaths. Is it 5:1? 15:2? That's one reason why the following recent study in the Journal of the American Medical Association (JAMA) caught my eye:Bobrow, B.J. (2008). Minimally Interrupted Cardiac Resuscitation by Emergency Medical S........ Read more »

Bentley Bobrow. (2008) Minimally Interrupted Cardiac Resuscitation by Emergency Medical Ser vices for Out-of-Hospital Cardiac Arrest. JAMA, 299(10), 1158-1165. info:PMID/18334691

  • February 7, 2008
  • 10:06 PM
  • 869 views

Image Gently

by The Samurai Radiologist in Not Totally Rad

If Google led you here thinking this was a post about a lost sequel to Douglas Adams' holistic detective, turn back! Instead, it concerns a widespread movement to reduce radiation dosage in children.A recent article by Brenner and Hall raised important concerns about safety in patients undergoing computed tomography (CT).Brenner, D.J., Hall, E.J. (2007). Computed Tomography -- An Increasing Source of Radiation Exposure. New England Journal of Medicine, 357(22), 2277-2284. DOI: 10.1056/NEJM........ Read more »

M Goske, K E Applegate, J Boylan, P F Butler, M J Callahan, B D Coley, S Farley, D P Frush, M Hernanz-Schulman, D Jaramillo.... (2008) The Image Gently Campaign: Working Together to Change Practice. American Journal of Roentgenology, 190(2), 273-274. DOI: 10.2214/AJR.07.3526  

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