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"Without change there is no innovation, creativity, or incentive for improvement."
William Pollard


New innovations in medical apps

  • The Antidote app is a succinct resource designed for quick access to dosing regimens for a variety of medications and antidotes used for common poisonings encountered in emergency medicine.The app was created by the Toxicology Section of the American College of Emergency Physicians (ACEP).
  • The Heartpedia app provides interactive 3D models of 10 congenital heart defects and includes a detailed description explaining the defect, associated problems, symptoms, diagnosis, repair and outcomes.
  • Care Assessment Platform is a home-based cardiac rehabilitation program. A clinical trial indicated patients recovering from myocardial infarctions were almost 30% more likely to take part in rehabilitation at home using the smartphone app, compared with those who had to travel to an outpatient clinic. Developed by the CSIRO and Queensland Health, the app will soon be offered in several Queensland hospitals. Source: MJA  2015; 202 (8):404
  • Read by QxMD is an app that creates your own personalised digital medical journal.Once installed you can follow particular journals, collections of journals, or keywords in your subject area of interest. Within the app settings select Austin Health then enter your Library barcode and PIN to have access to full text articles.
Medical apps

Top 10 new health technologies for 2015

Created by the Canadian Network for Environmental Scanning in Health (CNESH), this list identifies new health technologies with the potential to transform the delivery of health care through their impact on clinical effectiveness, patient survival, quality of life, patient safety, or costs to the health care system. The list includes drugs, diagnostics, devices, and procedures that are soon to be launched, are recently approved, or are in the early stages of diffusion.

Source: Canadian Agency for Drugs and Technologies in Health, 2015


BMI impact for renal transplantation outcomes

"As the incidence of overweight and obesity rises globally, so does the number of end stage renal disease (ESRD) patients with obesity. Renal transplantation (RT) is the preferred therapeutic option for ESRD, however, whether obese patients are suitable for RT is often debated due to the higher risk of complications." The authors make recommendations regarding conventional weight loss and bariatric surgery prior to RT, noting that ESRD patients with morbid obesity cannot be compared to ‘regular' morbid obese individuals.

Source: BMC Medicine 2015; 13:111


Patient safety & end-of-life care

"The current state of the science in the fields of patient safety and palliative and end-of-life care have many issues in common. This article synthesizes recent systematic reviews and additional research on improving patient safety and end-of-life care, and compares each field's perspective on common issues, both in traditional patient safety frameworks and in other areas, and how current approaches in each field can inform the other."

Source: American journal of hospice and palliative medicine. 2015; April 15
(Full text available for Austin staff via document delivery)

Further information from ACSQHC: End-of-Life Care in Acute Hospitals


Sudden cardiac death & post-arrest care

With new international guidelines on CPR due for publication in October 2015, the latest issue of Current Opinion in Critical Care is focussed on sudden cardiac death (SCD), CPR and postcardiac arrest care. "We should pay strong attention to this most important field of public health...In Europe and in the United States, more than 700 000 patients are still dying from sudden cardiac death (SCD) annually despite CPR procedures."

Source: Current opinion in critical care, 2015; 21(3)

Cardiac event

Digoxin-associated mortality

This systematic review and meta-analysis of the current literature indicates that digoxin therapy is associated with increased mortality in patients treated for atrial fibrillation (AF) or for heart failure. The authors' analysis suggests negative effects of digoxin particularly in the AF population but somewhat less unfavourable effects in the congestive heart failure population.

Source: European Heart Journal, online 4 May 2015


New book spotlight


Endocrinology : adult & pediatric / edited by J. Larry Jameson et al. Seventh edition, 2016.
This landmark reference contains clinical guidance on all aspects of diagnosis and treatment for the full range of endocrine and metabolism disorders, including new information on diabetes, obesity, MEN I and II, disorders of sex determination, and pituitary tumors. This edition contains new chapters on lipodystrophy syndromes, lipoprotein metabolism and genetic disorders of phosphate homeostasis.

Atlas of human anatomy / Frank H. Netter. Sixth edition, 2014.
This text offers unsurpassed depictions of the human body in clear detail from a clinician's perspective. With its emphasis on anatomic relationships and clinically relevant views, Dr. Netter's work provides a coherent, lasting visual vocabulary for understanding anatomy and how it applies to medicine today.


New books on display

2014-2015 ACORN standards for perioperative nursing : including nurses roles, guidelines, position statements, competency standards / Australian College of Operating Room Nurses

The emergency medicine manual /  Robert J. Dunn, Meredith Borland, Deborah O'Brien. Sixth edition, Venom publishing, 2015.

Therapeutic guidelines, Antibiotic / Antibiotic Expert Group. Therapeutic Guidelines, 2014.
(Also available electronically)


Journals spotlight

These links provide access to the current table of contents:

Annals of internal medicine
BMJ quality and safety
British journal of psychiatry
Clinical cardiology
Emergency medicine Australasia
Journal of perinatal medicine
Physical therapy
Radiotherapy and oncology
Renal failure

Looking for the latest journal issues?
All our journal titles with electronic access are available via the A-Z Journal List
(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not in the A-Z Journal List, please use our online document delivery form.

Journals received in print-only format this week:

Anaesthesia and intensive care.  Vol. 31, no. 3, May 2015
Journal of reproductive medicine.  Vol. 60, no. 3-4, March-April, 2015


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