2009 Sep - Critical Appraisal of the CESAR Study on ECMO

Submitted by Dr Arthur CW Lau, ICU, Pamela Youde Nethersole Eastern Hospital, Hong Kong; on 19 Sep 2009
CRITICAL APPRAISAL: Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. (HKSCCM link here)
Authors: Giles J Peek MD a b , Prof Miranda Mugford DPhil c, Ravindranath Tiruvoipati FRCSEd b, Prof Andrew Wilson MD d, Elizabeth Allen PhD e, Mariamma M Thalanany MSc c, Clare L Hibbert PhD f, Ann Truesdale BSc e, Felicity Clemens MSc e, Nicola Cooper PhD d, Richard K Firmin MBBS a b, Prof Diana Elbourne PhD e, for the CESAR trial collaboration. The Lancet, Early Online Publication, 16 September 2009

2009 Sep - 首席医学网

Recommended by Dr LAU Chun Wing Arthur, ICU, PYNEH, Hong Kong, on 15 Sep 2009

Shouxi is a gateway to many useful medical news and information of China.

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2009 Sep - MEDI-SMART: Nursing Education Resources

Recommended by Dr LAU Chun Wing Arthur on 15 Sep 2009

This site contains many useful resources and links about nursing education, including critical care nursing.

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2009 md+calc

Recommended by Dr Arthur CW Lau, ICU, PYNEH, Hong Kong, on 1 September 2009

This site contains most of the common calculators for daily use. The good point is that both US and SI units entries are allowed.

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2009 Common Critical Care Scoring System Calculators

Recommended by Dr Arthur CW Lau, ICU, PYNEH, Hong Kong, on 25 August 2009

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2009 Radiology Wiki

Recommended by Dr Arthur CW Lau, ICU, PYNEH, Hong Kong, on 23 August 2009

The free medical imaging resource created by the radiology community.

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2009 Anion and Osmolal Gaps After Alcohol Intoxication

Elaine Ku, Eric L. Cheung, Amer Khan, Alan S.L. Yu; AJKD Volume 54, Issue 2, Pages 385-388 (August 2009)

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2009 Evidence-Based Decision Making

Recommended by Dr LAU Chun Wing, Arthur, ICU, PYNEH, Hong Kong, on 11 July 2009

Information from the website: "The purpose of this page is to provide the reader with access to a series of critically appraised articles tailored towards the healthcare decision maker. The appraisals that will appear in this section use the format of the JAMA series Critical Appraisal Guides, which can be found on-line at the Canadian Centres for Health Evidence web site. If you would like to post one of your own reviews, please feel free to do so. .....)" 

Editor's notes: This site contains many critically appraised articles on critical care medicine, using the standard JAMA series Critical Appraisal Guides (recommended at our site
here). Readers, while reading other people's appraisal, can at the same time learn this standard critical appraisal method. 

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2009 Cleveland Clinic Center for Continuing Education

This site contains useful CME activities and updates of various specialties, including critical care.

Click Read More to go to the site.

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2009 Clinical Cases and Images Website

Recommended by Dr LAU Chun Wing Arthur, ICU, PYNEH, on 19 June 2009

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2009 radRounds Radiology Network

Recommended by Dr LAU Chun Wing Arthur, ICU, PYNEH, Hong Kong, on 25 June 2009

Lots of interesting images. From the website, "Radiology and medical imaging professional network for building relationships in clinical practice, education, career, research, industry".

Click Read More to go to the site.

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2009 Scribd - A Site with Lots of Slides to Share

Recommended by Dr LAU Chun Wing, ICU, PYNEH, Hong Kong, on 18 June 2009

Lot of slides to share and also for you to upload. Information from the site, "60 million readers, Millions of documents, 35 billion words". Simply search.

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2009 Smart Patient Website

Recommended by the Editor-in-Chief on 5 June 2009
Organiser: Patient Empowerment & Community Engagement Team, Strategy & Planning Division, Hospital Authority Head Office

Editor's notes: Download useful information for your patients and their relatives about their illness.

The following information is from the organiser.
Dear Colleagues,

You may have aware that the Smart Patient Website, which is a one-stop electronic platform targeting patients and carers to equip them with necessary knowledge for self care in their disease management process has been launched in May 2009.

With the aim to complement health advice and education of frontline healthcare professionals, the website adopts a disease-based and user-friendly approach in terms of its content coverage, navigation flow, visual and features design.

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2009 Journal of Medical Case Reports

Recommended by Dr LAU Chun Wing Arthur on 30 May 2009

The Journal of Medical Case Reports (JMCR) is part of Cases Network - along with Cases Journal and our forthcoming Cases Database - which allows all physicians to share and discuss clinical cases. OPEN ACCESS!

Information from the site, "A peer-reviewed, open access journal publishing case reports that expand medical knowledge. Professor Michael Kidd is the Editor-in-Chief, and all case reports are archived in PubMed Central and our forthcoming database of case reports."

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2009 HA COC Guidelines for Specialty Nursing Services on Intensive Care

Co-ordinating Committee (COC) in Nursing. Guidelines for specialty nursing services. Intensive care. Hong Kong: Hospital Authority; revised 2009 Feb.

HA COC in Nursing has revised its guidelines for specialty nursing services on intensive care.

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2009 Critical Care a Day

Recommended by Dr YW LEUNG on 15 April 2009
ICU, Pamela Youde Nethersole Eastern Hospital, Hong Kong

Lots of critical care pearls, good for self-study and exam.

Click Read more to go to the site.

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2009 Health Map

Recommended by Dr LAU Chun Wing on 11 May 2009; ICU, PYNEH, Hong Kong

Information from the HealthMap website, "About HealthMap: HealthMap brings together disparate data sources to achieve a unified and comprehensive view of the current global state of infectious diseases and their effect on human and animal health. This freely available Web site integrates outbreak data of varying reliability, ranging from news sources (such as Google News) to curated personal accounts (such as ProMED) to validated official alerts (such as World Health Organization). Through an automated text processing system, the data is aggregated by disease and displayed by location for user-friendly access to the original alert. HealthMap provides a jumping-off point for real-time information on emerging infectious diseases and has particular interest for public health officials and international travelers."

Click to see more information and go to the site.

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2009 USG Guide for Emergency Physicians

Recommended by Dr LEI Choi Chu Asta; Seconded to Accident and Emergency Department, Pamela Youde Nethersole Eastern Hospital, Hong Kong, from Centro Hospitalar Conde de São Januário, Macau (澳門仁伯爵綜合醫院(山頂醫院)), on 9 May 2009

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2000 Review: Bowel Wall Thickening on Transabdominal Sonography

Recommended by Dr LEI Choi Chu Asta; Seconded to Accident and Emergency Department, Pamela Youde Nethersole Eastern Hospital, Hong Kong, from Centro Hospitalar Conde de São Januário, Macau (澳門仁伯爵綜合醫院(山頂醫院)), on 9 May 2009 

Hans Peter Ledermann1, Norbert Börner2, Holger Strunk3, Georg Bongartz1, Christoph Zollikofer4 and Gerd Stuckmann4; AJR 2000; 174:107-115

The potential value of transabdominal sonography in the diagnosis of bowel diseases is often not sufficiently appreciated and is even underestimated. Bowel gas artifacts and the somewhat confusing sonographic appearance of the gastrointestinal tract may render orientation and interpretation of sonographic structures difficult. Bowel wall thickening, the main sonographic correlate of bowel disorders, seems at first glance a very nonspecific sign, which may explain why inexperienced investigators do not feel confident in the sonographic evaluation of the gastrointestinal tract. However, it has been shown that transabdominal sonography achieves good to excellent results as a directed tool for evaluating potential bowel disorders: appendicitis can be diagnosed with a sensitivity ranging from 80% to 93% and a specificity between 94% and 100% [1, 2].

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2002 Sonography of the Medial and Lateral Tendons and Ligaments of the Knee: The Use of Bony Landmarks as an Easy Method for Identification

Recommended by Dr LEI Choi Chu Asta on 9 May 2009; Seconded to Accident and Emergency Department, Pamela Youde Nethersole Eastern Hospital, Hong Kong, from Centro Hospitalar Conde de São Januário, Macau (澳門仁伯爵綜合醫院(山頂醫院)), on 9 May 2009

Michel De Maeseneer1, Kurt Vanderdood1, Stefaan Marcelis2, Wael Shabana1 and Michel Osteaux1; AJR 2002; 178:1437-1444

OBJECTIVE. Our purpose was to describe the use of bony landmarks in the evaluation of the medial and lateral ligaments and tendons of the knee on sonography and to evaluate the value of this approach in healthy volunteers.

MATERIALS AND METHODS. Anatomic slices obtained in cadaveric specimens were inspected for the presence of bony landmarks on the medial and lateral aspects of the knee. Then sonography was performed on 40 knees of 20 healthy volunteers by two musculoskeletal radiologists who independently rated the visualization of bony landmarks and adjacent ligaments and tendons on a 5-point grading scale.

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