Post-Call Rounds

Learning safe prescribing during post-take ward rounds.

BACKGROUND As the main tool through which doctors treat the medically unwell, prescribing is a practice that is undervalued and under-taught within modern medicine. Paradoxically prescribing not only has the potential to cure, it also has the potential to cause great harm if carried out incorrectly and unsafely. CONTEXT Prescribing errors have remained an issue in patient safety for many year...

Post extubation stridor the call for objectivity.

In this issue of Indian Pediatrics, Sinha, et al.(1) have reported the results of a single center randomized controlled trial evaluating aerosolized L-epinephrine vs budesonide for the treatment of post-extubation stridor. While the benefits of intravenous corticosteroids on postextubation stridor are still unclear(2), the authors propose inhaled steroids may provide similar action to intraveno...

Grand rounds.

Equine Rounds

Send comments/questions via email [email protected], fax 800-556-3288, or web CompendiumVet.com HISTORY A 12-year-old quarter horse broodmare was admitted to the University of Minnesota Veterinary Teaching Hospital for evaluation of a uterine mass. The mare had delivered a healthy filly 45 days previously with no apparent difficulty. Ultrasonographic examination of the mare’s uterus at h...

Ward Rounds

to right heart failure, and is therefore a sign of impending disaster for many patients with common heart and lung diseases. We have known for a long time that hypoxia constricts lung vessels and causes pulmonary hypertension in acute experiments; this response may be important in disease as well. There are many theories about the mechanism of this hypoxic response, none of them generally accep...