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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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Technology a vital piece of knee replacement surgery
The Examiner
If you need to get a partial or a total knee replacement, you might be interested to know that robotic technology is available that can increase the accuracy of a replacement procedure. A CT scan of your knee is used to build a computer model, which robotically guides the surgeon to precisely replace the joint, resulting in better alignment and reducing the risk of early wear. However, getting your insurance company to cover this cost is not easy.
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  Uncompromising Performance. Proven Outcomes.

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

Synthetic cannabinoid use becomes more prevalent in the United States
Orthopedics Today
Without proper knowledge of several strains of synthetic drugs, orthopedists may have a difficult time diagnosing its use among patients admitted to an emergency room or hospital. Russell R. Russo, M.D., an orthopedic surgeon at LSU Health New Orleans, told Orthopedics Today that synthetic drug use poses a unique challenge for orthopedists, especially those unaware of how synthetic cannabinoids can work.
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Following guidelines may prolong neonatal sepsis treatment
Medscape (free subscription)
Following clinical guidelines for infants who were exposed to chorioamnionitis (CAM) and who had sterile blood cultures led to prolonged antibiotic therapy, longer length of stay, and more interventions, according to a retrospective data analysis published online May 5 in Pediatrics. As noted in an accompanying commentary, the Committee on the Fetus and Newborn (COFN) has recently changed their guidelines on the basis of these findings, and now antibiotic therapy for neonates with abnormal laboratory findings and those born to mothers with CAM does not have to extend for longer than 72 hours.
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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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Is your operating room leaking money?
MedCity News
Organic growth of total joint replacement volume is growing at 3-4% per year as the number of physicians entering orthopedic residency programs is in decline. Cuts in Medicare reimbursement for total joints is forecast every year, producing stressors for the surgeon to perform more surgery just to tread water financially.

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Ohio surgeons hope chip in man's brain lets him control paralyzed hand with thoughts
The Washington Post
Doctors inserted a chip within Chad Bouton's brain. The chip would connect by wire to a port screwed into the man’s skull. A cable would link the port to a computer. The computer was programmed to decode messages from the brain and beam their instructions to strips of electrodes strapped around the man’s forearm. The electrodes were designed to pulse and stimulate muscle fibers so that the muscles could pull on tendons in his hand. If it all worked, a man who was paralyzed from the chest down would think about wiggling his finger, and in less than one-tenth of a second, his finger would move.
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Breast surgeons: RT for lymph nodes, freezing, mastectomy
MedPage Today
Breast cancer survivors had 50 percent lower incidence of lymphedema after 5 years if they received radiation therapy to axillary lymph nodes instead of undergoing lymph node dissection, data from a large prospective study showed. Immediately after treatment, patients treated with radiation therapy had a 15 percent incidence of lymphedema as compared with 25 percent of women whose nodes were surgically removed, a 40 percent difference. Women who had both surgical lymph node dissection and axillary radiation therapy had a lymphedema of about 60 percent after treatment and 5 years later.
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Diagnosis for brain cancer improved with MRI-guided biopsy
Neurosurgeons at UC San Diego Heath System have, for the first time, combined real-time magnetic resonance imaging (MRI) technology with novel non-invasive cellular mapping techniques to develop a new biopsy approach that increases the accuracy of diagnosis for patients with brain cancer. “There are many different types of brain cancer. Making an accurate diagnosis is paramount because the diagnosis dictates the subsequent course of treatment,” said Clark C. Chen, M.D., Ph.D., “For instance, the treatment of glioblastoma is fundamentally different than the treatment for oligodendroglioma, another type of brain tumor.”
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Ottawa Heart Institute at forefront of new non-surgical treatment for leaky mitral valves
Ottawa Citizen
The University of Ottawa Heart Institute is already using a new device officially approved this week by Health Canada that provides the first non-surgical alternative for some patients with life-threatening leaky mitral valves. The MitraClip device, developed by the global healthcare company Abbott, is the first of its kind. Delivered to the heart through the femoral vein, a blood vessel in the leg, it allows the heart to pump blood more efficiently, relieving symptoms such as shortness of breath.
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Facial transplantation: Almost a decade out, surgeons prepare for burgeoning demand
Science Codex
Plastic and reconstructive surgeons leading the first retrospective study of all known facial transplants worldwide conclude that the procedure is relatively safe, increasingly feasible, and a clear life-changer that can and should be offered to far more carefully selected patients. Reporting in The Lancet online April 27, NYU Langone plastic and reconstructive surgeon and senior author Eduardo Rodriguez, M.D., DDS, says results after nearly a decade of experience with what he calls the "Mount Everest" of medical-surgical treatments are "highly encouraging."
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Missed last week's issue? See which articles your colleagues read most.

    Antibiotics instead of surgery for appendicitis in children (The Washington Post)
Radical surgery for mesothelioma: Still controversial (Medscape (free subscription))
Doctor developing puncture-resistant medical gloves nets follow-on funding (MedCity News)
Improving outcomes for ruptured abdominal aortic aneurysm (Healthcare Professionals Network)
Robots and surgeons equally safe for prostatectomy (Medscape (free subscription))

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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Jessica Taylor, Senior Medical Editor, 469.420.2661   
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