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ECG Case: Pulmonary Embolism

ECG Case: Pulmonary Embolism

ECG findings in Pulmonary Embolism: -Sinus Tachycardia (only 30-50%) -SIQIII or SIQIIITIII , a.k.a. Rightward Axis (not sensitive or specific) -New RBBB or incomplete RBBB -Superventricular tachydysrhythmias -Ventricular dysrhythmias -ST-segment elevations or depressions -T-wave inversions

Operating Room Teaching

Operating Room Teaching

Rocky Vista University College of Osteopathic Medicine (RVU) in Parker, Colorado conducted its annual Intensive Surgical Skills Course (ISSC) at Strategic Operations' U.S. Navy designated Simulated Ambulant Lab the week of 4-9 May 2014. Overhead catwalks and video camera systems enabled live viewing and after action review. Thirty-nine live-action, Hyper-Realistic™ simulations of both medical and surgical problems were created, immersing the participants from point-of-injury all the way through the ER and OR. Trauma scenarios included overturned cars, active shooters, improvised explosive devices, industrial accidents, and fires. All occurred at Strategic Operations on the back lot of Stu Segall Productions TV/film studio and the emergency and operating rooms were simulation labs where surgeries were performed on live humans – wearing Strategic Operations simulators called “Cut Suits.” The following video, one of twenty-one surgeries simulating various pathologies and trauma, is titled: “Teaching Open Damage Control Surgery through Simulated Hyper-Realistic Laparotomy, Thoracotomy, and External Pelvic Fixation.” Twenty-one RVU second-year medical students, many teaching faculty and visiting surgeons and physicians, as well as surgical and ER residents and staff from Balboa Naval Hospital participated. Since the end of the "see one, do one, teach one" era, physicians in training have had significantly less hands-on experience in which they have been allowed to make decisions and be responsible for the consequences of those decisions. Success is often born of failure. But being allowed to make mistakes - to fail - is no longer permissible in surgical education, for obvious and good reasons: patient safety. This is surgical simulation as you have never seen it before. It is truly a return to the "see one, do one, teach one" method. Participating Surgeons, Medical Students, and Physicians: Mark Lee MD FACS; Anthony J. LaPorta MD FACS; Tuan Hoang CDR MC USN, MD FACS; Reggie Francoise MD FACS; Jonathan R. Gower MD, LT MC USN; Chelsea Zahler MS3; Ryan Slattery MS3; Douglas Robinson MS3

Traumatic Hyphema - Anterior Chamber Washout

Traumatic Hyphema - Anterior Chamber Washout

This video demonstrates anterior chamber washout for traumatic hyphema. Video by Bradford J. Shingleton, MD.

Retracted Eardrum

Retracted Eardrum

Ear congestion is a common complaint. Often it's from an upper respiratory infection. This may result in middle ear fluid and a change in position of the eardrum. If this persists, diagnostic nasal endoscopy should be performed to rule out obstruction of the eustachian tube. Treatment includes decongestants, antibiotics and sometimes surgical drainage.

Extraperitoneal Laparoscopic Radical Prostatectomy Part 2

Extraperitoneal Laparoscopic Radical Prostatectomy...

Video presents extraperitoneal laparoscopic radical prostatectomy by Christopher Eden.

GIT Physiology@ Swallowing Reflex

GIT Physiology@ Swallowing Reflex

Swallowing phases as a part of git physiology. I hope you will enjoy learning.

Periodontal-Endodontic Considerations

Periodontal-Endodontic Considerations

The video shows a case of an endo-perio lesion of endodontic origin. Proper root canal therapy was sufficient for the symptoms to resolve. Video by Dr. Antonis Chaniotis.

Total Arch Repair in Type A Aortic Dissection

Total Arch Repair in Type A Aortic Dissection

Dr. Jeng Wei, director of Heart Center of Cheng-Hsin General Hospital, Taipei, Taiwan presented total arch repair (ascending aorta, aortic arch, and upper portion of the descending aorta with Dacron grafts) with four vascular ring connectors in type A aortic dissection.

Dealing with Extreme Root Canal Anatomy

Dealing with Extreme Root Canal Anatomy

The video shows the way of dealing with extreme root canal anatomy. The video presents diagnostics, shaping and obturation of the root canals. Video by Dr. Antonis Chaniotis.

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I have devoted my long professional career to technology harvesting of innovation in medicine and new technologies in surgery. One of the most difficult barriers to innovation has been the real-time access to information about the rapidly emerging new technologies. It is this inefficiency in the timely availability of announcements of new discoveries that has slowed the diffusion of new technologies and impaired their early adoption.. MEDtube is a powerful new platform that provides healthcare professionals a much more immediate exposure to such new technologies. MEDtube is a welcome addition of rapid access to trusted healthcare knowledge and early discovery which is as much of a game-changers as the innovations which they report.

Richard Satava,
MD, PhD

Department of Surgery, University of Washington

MEDtube is empowering professionals from all over the world and providing them secure environment to communicate. Different techniques can be discussed and evaluated, like mesh or no-mesh approach in hernia treatment. This platform plays an important role in innovation in medicine and I look forward to your great success . All the best to the MEDtube team!

Mohan Desarda,
MD, PhD

Chief of Hernia Center, Poona Hospital & Research Center

I was excited to discover MEDtube during my online research for video content in ortopedics. Such project was missing. Professional medical education requires more open and innovative approach. I will use the platform in my teaching activities and publish own content. I look forward to joint projects with MEDtube and promise my personal support in Hong Kong and continental China. Good luck!

Shekhar Kumta,
MD, PhD

Orthopaedic Surgeon, Dir. of the Teaching & Learning Resource Centre, The Chinese University of Hong Kong, China