Top
20
Doctor insights on: Pediatric Advanced Life Support Algorithm

Share
Dr. Austina Cho
36 doctors shared insights

Life Support (Definition)

Life Support is a broad type of healthcare intervention, encompassing measures used to ...Read more


2

2
What is basic cardiac life support vs advanced?

What is basic cardiac life support vs advanced?

See below: Basic life support basically refers to CPR and basic airway management. Advanced life support includes cpr, defibrillation, intubation as well as IV medications. ...Read more

3

3
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?

Can a md. Deny medicare-paid hospice end-stage dementia patient  physical therapy  if patient's family requests it to maintain movement with new law?

Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read more

See 1 more doctor answer
4

4
Comparing palliative care for adults with cancer in hospice?

Comparing palliative care for adults with cancer in hospice?

The time to: Shift from exclusive focus on cure, to acceptance that cure is not possible, time to focus on quality, comfort and care is difficult for many. Today, evidence is pointing toward integrating comfort measures for pain, nausea, fatigue and sleep early during "cure care". Amazingly, people treated this way live longer, and more comfortably. It's what i would want! ...Read more

See 2 more doctor answers
6

6
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more

7

7
Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?

Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?

FQHC : Seek out a fqhc near you. Federally qualified health centers are the best places for uninsured or underinsured patients to recieve their care. ...Read more

8

8
Advanced prostrate cancer spread to brain, spine and liver/what is life expectancy time?

Advanced prostrate cancer spread to brain, spine and liver/what is life expectancy time?

Not long...: ...I'm afraid, particularly if it's spread to the brain. It may vary depending on whether he gets treatment and how well it works but in general his prognosis is very poor. I would focus on helping him feel as good as possible for whatever time he is given rather than guessing how long he actually has. ...Read more

See 1 more doctor answer
9

9
Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Many: The top Cancer Centers are located in Houston(MD Anderson) and New York(Sloan Kettering Center. Tell us which state you live in, we might be able to help you find someone closer to your home ...Read more

11

11
Have advances in management affected CHF survival?

Have advances in management affected CHF survival?

Yes: Survival as a measure by itself and event-free, meaningful survival as a whole have improved through research and evidence-based practice of cardiology. Over the past 10 years or so, our better understanding of the disease, better medication regimen, and device therapy have made patient's survival longer and their quality of life better. ...Read more

See 1 more doctor answer
12

12
Critical aortic stenosis, TAVR denied by ins. Open heart not an option due to radiation damage, 3b nsclc. Tentative prognosis?

Critical aortic stenosis, TAVR denied by ins. Open heart not an option due to radiation damage, 3b nsclc. Tentative prognosis?

Sounds very serious.: Your cardiologist should appeal to your insurance company. Your case is very unusual because of previous chest wall radiation. Prognosis without procedure depends on aortic valve area, pressure gradient, native myocardium, and a lot of other factors. You need to ask your cardiologist. ...Read more

13

13
Will their be new treatments for intermediate risk MDS in 2016? Other than Vidaza and supportive care? I care abt newest treatment for 70 yr patient

Will their be new treatments for intermediate risk MDS  in 2016? Other than Vidaza and supportive care? I care abt newest treatment for 70 yr patient

Myelodysplastic Syndromes: Common drugs for MDS include:1.Azacitidine (Vidaza) 2.Cytarabine (Cytosar-U) 3.Daunorubicin (Cerubidine) 4. Decitabine (Dacogen) 5. Idarubicin (Idamycin) 6.Lenalidomide (Revlimid).Overall, 30 to 40% of patients may benefit. Gene manipulation of own stem cell has cured, patients with severe advanced leukemia, is the future. Pts.reported rapidly to iv infusion, was recently reported ...Read more

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
15

15
Cancer of unknown primary in the liver stage 4. Inoperable. Treatment for such? Life expectancy?

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
Cancer of unknown primary in the liver stage 4. Inoperable. Treatment for such? Life expectancy?

ACUP: Adenocarcinoma of unknown primary in the liver- could be originally from lung, colon, from the bile duct , prostate etc. It would be nice to be able to find the primary cancer.There are algorithm we use to try to find the primary." cancertype-id" can be done also to help finding the primary. It will tell you probablity of the primary cancer. If primary can'e be found- chemo-carbo/taxol can be used. ...Read more

16

16
Are their social development programs for graduates from neonatal intensive care unit?

Are their social development programs for graduates from neonatal intensive care unit?

Development: Many nicus have developmental follow up clinics to evaluate progress and needs after going home from the nicu and the children are prescribed physical, occupational, and speech therapy as is warranted. The therapy occurs on developmentally appropriate levels which is often through play therapy. ...Read more

See 1 more doctor answer
17

17
What support services are available newcastle upon tyne for parents of children with acquired brain injuries?

What support services are available newcastle upon tyne for parents of children with acquired brain injuries?

Great Ormond Street?: England has very good services available, but are very regional. The most famous center in england for such children is great ormond street in london. They would know what services are available in different regions. Newcastle upon tyne is a university city and should have access to good educational and therapy services. ...Read more

See 1 more doctor answer
18

18
Nutrition support for patient s/p Whipple.

Nutrition support for patient s/p Whipple.

Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed ...Read more

19

19
Does surgery improve life expectancy for patients with stage 3 lung cancer?

Does surgery improve life expectancy for patients with stage 3 lung cancer?

If so, not much: Albain et al tried to show that surgery improved survival in operable iiia, but there was no statistical benefit. The subset that got just a lobe removed possible benefited, but would need a larger study to prove. Those that had the entire lung removed actually faired worse. For most patients, it is not the thing that makes a difference, but response to chemo/rt signals benefit. ...Read more

See 1 more doctor answer
20

20
7yrboy with stage 4 NB that did not respond to frontline tx. Currently receiving Mibg therapy . Prognosis ? Friend's son.

7yrboy with stage 4 NB that did not respond to frontline tx.  Currently receiving Mibg therapy .  Prognosis ?  Friend's son.

High risk: Any child who is Stage 4 and older than 18 months is high risk. 5-year survival rate in children in the high-risk group is around 40% to 50%. I131 MIBG 5 year event free survival of stage IV patients was 48.2% and overall survival was 69%. ...Read more

Dr. Chad Rudnick
3,191 doctors shared insights

Pediatrics (Definition)

Pediatrics is the branch of medicine that concerns ...Read more