April 30, 2021
Two new studies document the progress that’s been made in creating a consistent approach to cardiogenic shock care, and point to new directions as the field evolves. Both were released this week in a late-breaking session of the Society for Cardiovascular Angiography and Interventions (SCAI) 2021 virtual meeting.
Jacob Jentzer, MD (Mayo Clinic, Rochester, MN), presented pooled data confirming that SCAI’s classification system for shock severity tracks closely with mortality risk. Babar Basir, DO (Henry Ford Health System, Detroit, MI), shared final results from the National Cardiogenic Shock Initiative (NCSI) showing that an algorithm emphasizing early use of mechanical circulatory support can offer better survival for patients with acute MI complicated by cardiogenic shock (AMICS).
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Hospitals participating in the National Cardiogenic Shock Initiative (NCSI) produced favorable survival rates for the challenging population of acute MI patients with cardiogenic shock, investigators announced.
Adoption of a standardized treatment protocol featuring early use of Impella mechanical circulatory support (MCS), percutaneous coronary intervention (PCI), and right heart catheterization to assess left and right ventricular function resulted in most people surviving in the short term, the odds particularly good for those in stage C and D shock:
71% survival to discharge (79% for stage C/D vs 54% for stage E,
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MedStar Georgetown’s School Health Center at Anacostia High
Michelle Francis walked past a student one morning at Anacostia High School where she works at a clinic run by MedStar Georgetown University Medical Center then looked back to see him stuff a sleeping bag and duffel into the bushes. Suspecting that the student was homeless, she worked with clinic and school staff to connect him and his family to housing.
“As a nurse, we are trained to be observant,” says Francis, 55, who has been an LPN for 11 years. “I might take a blood pressure and notice cutting on the arm. We had another student, her clothes were dirty. She said her parents didn’t have money for detergent.”
Kerecis Introduces Omega3 GraftGuide Fish Skin to Help Burn Victims Heal
Kerecis
, the company that is pioneering the use of fish skin in tissue regeneration and wound care, today announced its new product, Kerecis Omega3 GraftGuide
, at the 43rd Annual John A. Boswick Burn Wound Care Symposium.
Kerecis Omega3 GraftGuide is intact fish skin that uniquely addresses the challenges of burn healing. Because no disease-transfer risk exists between cold-water fish and humans, the Kerecis fish skin is only gently processed and retains its similarity to human skin. The gentle processing preserves the skin s original three-dimensional structure, with its inherent natural strength, complexity and molecules (such as Omega3 and other fatty acids) maintained.
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Experts contacted by Reuters agreed that applying egg white to burns can cause serious infection and is not recommended as a treatment, contrary to advice in old posts resurfacing online.
Shared over 400,000 times, the posts (here , here) describe two anecdotes of how egg whites were purportedly used to heal burns successfully, recommending people add egg whites to burns to form a protective layer, acting as a “collagen” or glue, that is full of vitamins. Some posts are originally from as far back as 2013, but they are being shared in April 2021, for example here , here and here with captions including, “Good to know!” and “Worth repeating.”