16 5 / 2012
Correction that Proves the Point
I made a mistake in my talk — which, I wish I could say was on purpose — but at least it quickly proves my points about the power of crowdsourcing and that you can’t lie on the internet.
6:57am: I post a tweet that my video is ready for viewing. 7:19am: Andy Neil corrects me — the first meme isn’t from Game of Thrones, it’s from Lord of the Rings. 3 hours later, and again 6 hours later, two other friends correct me on Facebook.
Amazing.
15 5 / 2012
How To Record Your Talk
@EMEducation asks how I captured my talk:
So I thought I’d give an overview, especially given the spirit of my talk.
The First Part
Due to a little tech snafu, the first few minutes of my talk didn’t get recorded. So instead, I did a simple Quicktime Screen Recording and re-presented it on my Macbook Air laptop.
- Open Quicktime Player.
- File → New Screen Recording
- Make sure you turn on your microphone using the small ▼ arrow:
- Click the Record Button.
- Open your Keynote (or Powerpoint) presentation.
- Start the presentation in Full Screen.
- Talk through your presentation.
- Close the presentation, click the Record Button again to stop recording.
- You can now edit this clip directly in Quicktime, or export it to iMovie to edit there.
The Actual Talk
Stanford gives you three video feeds of your talk. I think the way HQMedEd has their talks laid out is by far the best, but I settled on something that focuses primarily on the slides, with a little overlay/Picture-in-Picture of me walking around, talking, to make it seem a little less boring. (Did it work?)
Here’s what you get from Stanford:
A 960x540 HD H.264 screen capture of the slides:
A 960x540 HD H.264 video of you with your slides:
And a 1024x400, HD H.264 side-by-side video of your talk:
You can make a Picture-in-Picture version using iMovie.
Hope that helps! Any feedback appreciated.
09 5 / 2012
Stanford Grand Rounds, May 9, 2012
Hi Stanford Emergency Medicine!
I told you that I’d publish a list of all my references, so here we go:
Meta
I made my talk using Keynote. I controlled it using Apple’s Keynote Remote on my iPhone.
Disclosures
Tumblr
Uhm, you’re looking at my Tumblr blog right now.
Memes
A nice big list of Internet memes, from Wikipedia. Quickmeme is how I captioned my own memes for the talk.
Examples of The Old and the New
Caroline Hampton Halsted: the first to use rubber gloves in the operating room was a fascinating read, and provided me with the Aseptic technique history I used, and who knew — the BMJ reprinted Lister’s seminal work, Antiseptic Principle in the Practice of Surgery.
Here’s Scott Weingart’s post on DSI and his article (that took over a year to get published in print!) from JEM, Preoxygenation, Reoxygenation, and Delayed Sequence Intubation in the Emergency Department (PubMed).
Best Use for a Bougie started from our Twitter conversation and then also became Michelle Lin’s Trick of the Trade.
Seth Trueger (@mdaware), Scott Weingart (@emcrit), Chris Nickson (@precordialthump), high-quality medical education, emergency medicine (@HQMedEd), Michelle Lin (@M_Lin) and Ryan Radecki (@emlitofnote) all contributed to the Twitter conversation.
History of Medicine
The Becker Exhibits at Wash U provided me with images and information on the history of medical literature and journals. Stephen Abrahamson wrote a great article on CME: Research in Continuing Medical Education. An Historical Review.
Peer Review Concerns
There are a number of papers discussing and criticizing peer review; they include the papers I referenced in my talk: Quantitative analysis of sponsorship bias in economic studies of antidepressants and Classical peer review: an empty gun.
The Blogs
- Life in the Fast Lane
- EM Literature of Note
- Dr. Smith’s ECG Blog
- Academic Life in EM
- Trauma Professional’s Blog
- Broome Docs
- Emergency Medicine Ireland
The Podcasts
- EMCrit
- ERCast
- SMART-EM Podcast
- Ultrasound Podcast
- USC Grand Rounds Streaming (follow @melherbert)
The Apps (iTunes Store Links)
- Pedi-Stat
- EyeChart
- Nerve Whiz
- EyeHandbook
- iRadiology
- Radiology 2.0: One Night in the ED
- Toxicology
- 1 Minute Ultrasound
Video Resources
Social Media Guidelines
I used this great post from the Mayo Clinic’s Social Media blog.
Other Tools
- Google Reader
- Google Scholar
- Lane Library Bookmarklet and My Cheap-o Bookmarklet (pssst: I gave Lane the idea for a bookmarklet when I was a med student!)
- Pubget
- You can subscribe the University of Maryland’s Emergency Medicine pearl here.
In Your Daily Practice
- The Captain Morgan Hip Reduction Technique Videos
- TheNNT’s Minor Head Injury in Adults in the Emergency Department
- The UMEM Topic list
Final Thoughts
- Dissemination of health information through social networks: twitter and antibiotics.
- Submit a case to Scott Weingart and EMCrit
Note: I will be uploading my talk to the web ASAP and will post here when it’s live!
Permalink 2 notes
03 5 / 2012
Increased Newborn Narcotic Addicts
Frightening, depressing, but not all that surprising. JAMA article here. I can’t clearly tell from either article whether these women are:
- on chronic narcotics for chronic pain and then get pregnant
- in methadone programs and then get pregnant
- abusing narcotics and pregnant
Because I honestly can’t see a whole bunch of OBs or non-OBs prescribing narcotics to pregnant women. I think I have once, and it was a pregnant woman with a nasty ankle fracture.
I certainly now see an epidemic — depending on the shift, honestly up to 10% of my patients are young people with chronic complaints on chronic narcotics. I’d have the say the most common (and most frustrating) is chronic abdominal pain. It’s usually but not always young, child-bearing-aged women, who — no surprise here — probably get pregnant at some point.
And, in the “These Two Reporters Should Have Filed Their Stories Together” category comes this piece from the NYT: E.R. Doctors Face Quandary on Painkillers, which is again no surprise to any of us in the Emergency Medicine world, but kind of nice to at least get some public validation of our frustration (especially that no one seems to be interested in helping us solve it):
“You can be faulted for not treating a patient’s pain — it’s considered the ‘fifth vital sign,’ ” said Dr. Abhi Mehrotra, the assistant director of the emergency medicine department at the University of North Carolina Hospitals. “We have to ask a patient’s pain, on a scale of 0 to 10, as well as document a reassessment of their pain after treatment.” Dr. Benzoni, who is routinely rated on patient satisfaction and sometimes asked by management to explain a bad review, said that he feels at times as if he faces a no-win choice. “If you’re going to criticize me for not giving out narcotics, and you never praise me for correctly identifying a drug-seeker,” he said, “then I’m going to give out narcotics.”
Far be it from me to point fingers, but the whole JCAHO (sorry, “The Joint Commission”) “pain must be reassessed and is now a vital sign” bit probably got us in this mess. I’m all for treating people’s pain — easing suffering is part of why I went into medicine, and particularly Emergency Medicine — but it’s become a total quagmire.
