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The following are textbooks of possible interest and are available either in print or online. To find more books of interest, use the search box below.
Evidence-Based Cardiology Consult
Publication Date: 2014-01-01
The first 2 chapters are extremely relevant for this case. Chap. 1 covers evaluation of chest pain (hx & sx, physical exam) plus information on chest pain evaluation units. Chap. 2 covers detailed descriptions of acute coronary syndromes along with diagnostic criteria and review of medical tx options.
Hurst's the heart
Call Number: WG 120 H966 2008
A key resource providing normal physiology and functional anatomy of the heart and many more topics. Find it in print or online. A great resource for the MVO2 consumption question.
Call Number: WG 39 J12a 2008
A overview of angina, its diagnosis, treatment & management, and other related topics.
Acute medicine : a practical guide to the management of medical emergencies
Call Number: WB 39 S769a 2001
Publication Date: 2001
Another print only text, but check out the chapter on acute chest pain
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George Roberts - Up in Smoke
Procedure Video Sources
Procedures Video Sources
With the growth of Youtube, you might think that is the only place to look for a video of the stent procedure, but there are other sources you could use.
Lab Tests Info
Looking up information about the results of lab tests are mostly background questions. The following resources are easy to use tools to find very reliable information about the normal values, reference ranges, and more.
Ferri's Clinical Advisor
Publication Date: 2014-06-16
Currently in print only. Alphabetical list of about 300 tests. It also has "see also" to map you to the correct clinical name. The normal range in adult patients is provided and common abnormalities along with causes of abnormal results. Where appropriate, has SI units listed as well.
Pocket Guide to Diagnostic Tests
Available from Access Medicine. This text includes most of the blood, urine, and cerebrospinal fluid tests - about 350 different tests. Browse the list to find a table on a specific items: range of normal values & how it is collected; physiologic basis; & interpretation. (Brief notes only)
Clinical Pharmacology: Lab Test Summaries
Navigate through the list of tests CP includes for a brief table of normal ranges by age group in both traditional units & SI units.
Lab Tests Online
A peer-reviewed, non-commercial, and patient-centered resource. It is a free resource from the American Association for Clinical Chemistry.
National & State Organizations
National organizations have funded a great deal of research and the results not only become journal articles, guidelines, and recommendations, but might include risk calculators based on the results of the research.
One of the questions you have this week might be about some of the drugs used in this case. What if you didn't already know what the problem is when giving nitroglycerin to a patient with a history of taking sildenafil - where would you look? You can aso run a drug interaction report to see the info with taking these 2 drugs. We have several drug resources you might think to check. The following two are the resources used by UCSD Medical Center.
Clinical Pharmacology : In this case, look for the "Reports" tab at the top to run report for drug interactions between these two drugs.
Micromedex : Look for the tab at the top to run the report for drug interactions. You can even search for try smoking cessation and look for the option Drugs that treat smoking cessation for a list of options by effective or evidence favors efficacy.
PubMed Searching - A Different Look
Which procedure gives a better outcome, stents or bypass? What's the evidence say on this topic? This clinical question lines up very well for the PICO way of searching (part of evidence-based practice).
PICO stands for:
P = Patient & problem
I = Interventions
C = Comparison
O = Outcome
Note: this is just an example and you could easily change it to ETT vs. with a completely different outcome.
Search terms are easy to highlight with this model and you can also identify filters to help refine the results -- such as, patient's age and possibly, gender. An English Language filter might be helpful to apply as well
59 year old male, chest pain - possible CAD
You want to treat with stents
What you might also use is the bypass procedure
What you want to see is an improvement in survival, but you might also use the term mortality.
What you want to see is an improvement in: survival, - that's the patient focus. If you thought of the term mortality that is not as patient focused.
Understanding what the highest level of research type you can expect for the question you ask is another way to narrow your results to very pertinent results. Because one of the highest level of evidence in this case is a randomized trial, I would look for those from the start.
Life-long Resources -- Smoking Cessation
Smoking Cessation Counseling Techniques and Patient Resources
The following resources are available to everyone without a subscription and for the most part have been developed with government funding. These tools will be available to you even when you graduate and move on from UCSD.
Motivational Interviewing - Techniques for Health Professionals
This approach to discussing health behavior changes with patients is a good way for doctors to know how to start the discussion in an effective way.
Tobacco Free CA
A great site for people thinking about quitting. Nice plans and suggestions available online. Help for more than just cigarette smokers. The helpline has counselors in multiple languages. They also have information for helping someone you love quit. A great tool from the California Department of Health.
San Diego Tobacco Control Resource Program
The web site encourages you to call for a referral - either the smoker or a family member who wants to help.
An online semi-interactive resource and offers guides and other publications for use online or download, sign up for reminder messages - including text messages, get referrals and talk with a live person. From the National Cancer Institute - smokefree.gov
SmokeFree's QuitPal Apps
Free interactive apps (for both teens & adults) to help support smokers working to be smoke free.
E-Cigarettes - Lit from PubMed
This search has the benefit of using smoking cessation as the main point of the articles.
CDC'S Tips from Former Smokers
Stories and tips from former smokers. Aimed at the smoker or family & friends of smokers.