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2014 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 23-26, 2014 at the Hilton Union Square in San Francisco, CA, for our 14th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 14th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

This exciting, hands-on surgical meeting will be held at the fabulous Hilton Union Square in the heart of incredible San Francisco, CA.

If you are looking for a qualified surgical PA, this is the ideal venue to fill that position. For industry exhibitors looking for "high touch face time" with surgical PAs, this is the ideal meeting for you!

Click here to REGISTER NOW for best pricing!
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Register now for the 2014 FCCS — Fundamental Critical Care Support
Management principles for the first 24 hours of critical care. Two day course - 16 hours of CME and Certificate of Completion and card.

Course Purpose
  • To better prepare the non-intensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged.
  • To assist the non-intensivist in dealing with sudden deterioration of the critically ill patient.
  • To prepare house staff for ICU coverage.
  • To prepare critical care practitioners to deal with acute deterioration in the critically ill patient.
Course will be held before the 14th Annual AASPA CME Meeting at the Hilton Union Square, San Francisco, CA
Register today!
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Botulinum toxin for postop afib?
MedPage Today
Injecting botulinum toxin into the fat pads around the heart after bypass surgery might stave off postoperative atrial fibrillation, a pilot study showed. Patients who received injections of botulinum toxin instead of a normal saline placebo had a significantly lower rate of atrial tachyarrhythmias — including atrial fibrillation and atrial flutter/tachycardia — in the first 30 days, according to Evgeny Pokushalov, M.D., Ph.D., of the State Research Institute of Circulation Pathology in Novosibirsk, Russia.
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  Uncompromising Performance. Proven Outcomes.

To learn more about the latest news, events, and best practices in EVH, visit:

Hypoalbuminemia linked to increased surgical risks in obese patients
Clinical Endocrinology News
Hypoalbuminemia was identified as a significant risk factor for increased mortality and morbidity in obese patients undergoing elective general surgery, in a large study of patients from the ACS National Surgical Quality Improvement Program (NSQIP) database, Dr. Zachary C. Dietch reported at the annual meeting of the Surgical Infection Society. The results suggest that surgeons may need to be more careful in evaluating protein deficiency in obese patients before surgery, said Dr. Dietch, a surgical resident at the University of Virginia, Charlottesville.
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Surgeons try cold cutting for critically injured
Scientific American
On rare occasions, a swimmer can survive a near-drowning because cold water has protected their brains — even if they were submerged for up to an hour. Now a clinical trial is testing whether extreme cold can save critically injured gunshot and knife wound patients. It’s called the Emergency Preservation and Resuscitation for Cardiac Arrest from Trauma Study.
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Have cervical cancer rates been underestimated?
MedPage Today
The estimated rate of invasive cervical cancer increased by almost 60 percent after excluding women who had hysterectomies and were no longer at risk for the cancer, an analysis of a national database showed. The overall rate increased from 11.7 cases per 100,000 women to 18.6 after correcting for hysterectomy. The largest increase occurred in women 65 to 69, an age group with historically low rates of cervical cancer, reported Anne F. Rositch, Ph.D., of the University of Maryland in Baltimore, and colleagues.
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Trends in 3-D printing for the medical industry
Today's Medical Developments
Three-dimensional printing is shaping our future, especially in the medical industry. Although 3-D printing was invented more than 30 years ago, investment in the technology has soared in recent years as more and more companies see its potential to drive a new industrial revolution — one that enables businesses to get products to market faster than traditional manufacturing.

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New AHA/ASA stroke secondary prevention guidelines
Medscape (free subscription)
he American Heart Association/American Stroke Association (AHA/ASA) has issued new guidelines on the secondary prevention of stroke. Published online May 1 in Stroke, the new guidelines emphasize the importance of blood pressure, cholesterol, weight, and exercise but also include some important new recommendations.

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Surgical recording, viewing system debuts
Opthamology Times
Sony Electronics introduced its new recording and viewing system designed to capture and record full high-definition surgical video. Significant workflow gains are anticipated with the pairing of the Sony MCC-500MD medical video camera and the HVO-550MD medical recorder with DVD optical drive, according to the company.

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Suspended animation: Future of treating life-threatening injury
Epoch Times
Imagine it: you have been rushed into the emergency room and you are dying. Your injuries are too severe for the surgeons to repair in time. Your blood haemorrhages unseen from ruptured vessels. The loss of that blood is starving your organs of vital nutrients and oxygen. You are entering cardiac arrest. But this is not the end. A decision is made: tubes are connected, machines whir into life, pumps shuffle back and forth. Ice-cold fluid flows through your veins, chilling them. Eventually, your heart stops beating, your lungs no longer draw breath. Your frigid body remains there, balanced on the knife-edge of life and death, neither fully one nor the other, as if frozen in time.
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Study: Time away can hurt surgeons' job performance
Surgeons need rest days, weekends and vacations. But when they come back to work after a break, do they come back refreshed — or rusty? This next story begins with an old saying among musicians: "If I miss one day of practice, I notice it. If I miss two days, the critics notice it. If I miss three days of practice, the audience will notice." A study found evidence that saying applies to surgeons, and lives may be at stake.
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Surgeons 'light up' GI tract to safely remove gall bladder
Medical Xpress
University of Illinois health surgeons used near-infrared light to make the indocyanine green dye light up, allowing them to better see the biliary tract. Injury to the bile duct is rare — only 0.3 percent of the nearly 600,000 cholecystectomies performed in the U.S. annually — but it can cause severe complications to patients. Surgeons are increasingly performing the gall bladder surgery robotically — for better ergonomics, visualization and placement of surgical instruments.
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Study: Artificial hearts may help patients awaiting transplants
By Joy Burgess
Although experts still consider artificial hearts risky, recent research found that artificial hearts might prove helpful to patients with heart failure while they await heart transplants. Patients with severe heart failure — specifically those dealing with end-stage cardiomyopathy — may not live long enough to receive a heart transplant from an organ donor, but an artificial heart can help prolong life until a transplant becomes available.
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Sleeve gastrectomy's outpatient potential
Outpatient Surgery
Laparoscopic sleeve gastrectomy (LSG) involves removing the body of the stomach and reshaping the remaining area to a tube shape. It retains bowel continuity and lets food enter the stomach and pass into the small bowel normally. Some studies show increased gastric emptying. This procedure limits the amount of food the patient can eat but, more importantly, it changes the hormonal feedback mechanisms for satiety. Many believe that this is the primary mechanism for weight reduction. It provides similar weight loss results as gastric bypass procedures, but with shorter operative times, shorter post-op stays, lower costs and fewer complications. All these factors make performing the procedures in a freestanding ASC reasonable and safe.
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Missed last week's issue? See which articles your colleagues read most.

    Technology a vital piece of knee replacement surgery (The Examiner)
Synthetic cannabinoid use becomes more prevalent in the United States (Orthopedics Today)
Ottawa Heart Institute at forefront of new non-surgical treatment for leaky mitral valves (Ottawa Citizen)
Diagnosis for brain cancer improved with MRI-guided biopsy (redOrbit)

Don't be left behind. Click here to see what else you missed.


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Colby Horton, Vice President of Publishing, 469.420.2601
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