Medical Training

Pelvic Organ Prolapse: Looking Beyond Mesh

One of the biggest pieces of news in the field of urogynecology has been the persistence of lawsuits related to transvaginal mesh. This type of medical device was first developed in the 1950s. It resembles fishing net, and was originally intended to act as a barrier for surgical patients. Transvaginal mesh treatments did not begin until sometime in the 1970s, when the netting material was deemed appropriate to support pelvic organs to stop prolapse, as well as stress urinary incontinence. At the height of use, it is estimated that more than 100,000 implantations were performed in the U.S. And then the problems began . . .
Fast Forward

Gynecologists, family physicians, and urogynecology specialists should be well aware of the problems attributed to the unremovable transvaginal mesh. To that end, we will fast forward in our discussion of alternatives to the controversial surgery.

If the issues at hand is stress urinary incontinence, science now has new ways to improve on old techniques for resolution. For years, women have been encouraged to strengthen the muscles of the pelvic floor using Kegel exercises. The problem with this approach has been largely overlooked. If not performed correctly, Kegel exercises may not achieve the desired outcome. For that reason, more physicians are obtaining training for biofeedback. Stress urinary incontinence may also be improved with the support of an appropriate sling, or even with innovative radiofrequency treatments that reinstate the proper laxity and elasticity to the vagina.

Women affected by pelvic organ prolapse also need an alternative to transvaginal mesh, and they are finding it with sacrocolpopexy. Many surgeons are now performing this gold-standard treatment using the Da Vinci robotic platform. The procedure restores the correct anatomical position to the vagina using […]

November 15th, 2016|Medical Training|0 Comments|

Breast Implant Trends: Saline or Silicone

The decision that a patient makes to have cosmetic plastic surgery is incredibly important. Breast augmentation has been contentious, at times, but has remained a leading procedure sought by women of all ages. One of the most crucial aspects of breast augmentation surgery is the decision between saline or silicone breast implants. As such, one of the most pivotal points in the consultation phase of care is to provide the fullest extent of information to each individual patient. Just the facts, Ma’am.
Every surgeon has personal preferences between the two types of implants. This includes innovative models such as the “gummy bear” implant and Ideal implants. What is the bottom line, though? What is the aspect of care that matters most for the patient? Here, we will discuss the potential differences in the appearance of saline versus silicone implants.

Silicone and Saline, Making the Comparison
Most physicians really do like silicone implants. The fact of the matter is that this material simply looks – and feels – more like natural breast tissue. This material is lighter; believe it or not, more durable in terms of longevity and it has a lower risk or rippling than saline. That being said, as a medical professional, any physician would do him or herself a disservice by offering only silicone implants. There is a large number of women who, regardless of physical characteristics, feel more comfortable with saline; period.

Still . . .
Still, the number one question most patients have when they are contemplating their choice between saline and silicone is “what will it look like?” Safety is one issue. To be frank, if a patient is worried at all about the overall safety of implants – will they be rejected? […]

Get Ready for Exciting Introductions to the Filler Market

Cosmetic treatments are interesting. What we consider new may be a product or technique that has already become popular in other countries. Likewise, the U.S. has set trends for certain cosmetic treatments, leaving the usual leader, Europe, wanting. Kybella is one example. This year, physicians are anxiously awaiting the arrival, or should we say approval, of two new filler products that are already being used across the pond.

The two products are both formulated with hyaluronic acid, similar to those in the Juvederm family. Hyaluronic acid is advantageous due to its biocompatibility and high record of safety. The substance is already present in the body, but its stores diminish with age, which results in the development of lines and creases around the eyes, nose, and mouth. It is estimated that at least half of the hyaluronic acid stores we have are gone by age 50. How unfair!

It may come as no surprise to hear that these products, Volbella and  Volift, will be brought to us by the makers of Botox and Juvederm, the Allergan company. Let’s look at how they will differ from other popular products:

Volift is formulated with low and high molecular weight. This has been shown to achieve soft correction and longer lasting results. At this time, it is predicted that this filler will outlast those that are currently used; up to 15 months in all. Physicians in Europe are using Volift in combination with other fillers, such as Voluma, to enhance the overall result.
Volbella is not as thick in its consistency as Volift and other fillers. This product is appreciated for its effects on finer lines, like those that appear around the mouth. It is also being used as a […]

The Types of Electrical Stimulation Therapists can Implement to Assist Their Patients

Electrical stimulation, or e-stim, is a common practice among chiropractors, physical therapists, and sports medicine practitioners. This therapeutic modality is valuable to clinical success, which is why it pays to know how to use it in the most efficient manner. Here, we will explore the 4 methods of electrical stimulation in physical rehabilitation.

Pain and inflammation. When electrical stimulation is used to minimize swelling and discomfort around an injured joint, it is referred to as interferential stimulation. The method incorporates 2 currents which interfere with pain signals at a sensory level. Used in the treatment of low back, shoulder, knee, and ankle injuries, this method of stimulation has been a mainstay in rehabilitation since the mid-60s.
Soft tissues and connective tissues: pre-mod. Pre-mod may be introduced into therapy as an adjunct to manual modalities such as trigger-point release or Graston therapy. This method is common in the treatment of a tendon or ligament, as well as for muscle tears. It can reinforce physical and mechanical changes, and also decrease pain.
Russian. This method of muscle strengthening was developed by Russian physician Dr. Kots. The motor stimulation of muscle tissue causes contraction that can improve strength in a muscle after injury or surgical treatment. Due to the immediate contraction of muscles, it is necessary to develop precise techniques for this type of electrical stimulation in order to avoid patient discomfort.
Hi-volt tissue stimulation. This method of electrical stimulation involves positive and negative forces that can promote wound healing and improve comfort. It is especially valuable to patients with circulatory conditions that would naturally inhibit tissue healing and new tissue production.

Electrical stimulation methods are valuable in the clinical setting, and are quite complementary to rehabilitation modalities […]

Why Botox Injection Training could be the Best Thing you Do for your Practice

One of the key points of your practice is to attract new clients. This can be challenging when time is one of your most valuable resources, and you likely don’t have nearly as much time as you would like. However, to bring new clients into your practice takes investment. The beautiful thing about injectibles is that your investment does not involve pricey devices or technology. Instead, it involves an investment of your time and dedication to learning proper technique. Seeing the immense popularity of Botox and dermal fillers (over 250,000 searches a month), this investment is well worth it.

Rising Above the Pack

One of the things we have seen accompany the rise in popularity of injectible treatments is an increase in substandard care. More and more consumers are learning that there is more to cosmetic injections than meets the eye. As they do, trained, qualified personnel are rising head and shoulders above the pack.

The Importance of Training

There are several aspects to injectibles like Botox and dermal fillers that you need to know in order to predict, with any amount of accuracy, what the product will do for each individual client. It is not enough to read the marketing material offered to you by manufacturers. To understand how to treat a patient, you need a firm grasp on factors such as:

Facial anatomy. There are numerous nerves, arteries, and blood vessels that are crucial to the anatomical structure and movement of the face. Without proper training, there is a risk of inadvertently injecting product into an important vessel or nerve. This is especially relevant around the eyes and mouth.
In order to achieve the desired result from cosmetic injectibles, you must use the proper dosage of […]

CPR Basics

CPR has the ability to save lives, so it is important to know what to do in an emergency. Having your employees learn CPR can help everyone in your company stay safer. Keep reading to learn a little more about CPR.
Before Performing CPR
If someone near you goes into cardiac arrest there are a few things you should do before starting CPR.

Start by checking to see if the person is unconscious. Then call 911 and give emergency responders detailed information. If you have someone with you one person should call while the other helps the person in cardiac arrest.

If an AED is available, get it and carefully follow the instructions on the device to give the patient one shock before beginning CPR.

If you have no training, you can still perform hands-only CPR. If you’ve been trained, you should begin normal CPR as quickly as possible

What is Hands-Only CPR?
The American Heart Association recommends performing hands-only CPR if you don’t know how to perform regular CPR. It can still save lives. To perform hands-only CPR, call 911 to get medical help on the way. Then push hard and fast on the center of the person’s chest. The American Heart Association suggests using the song “Stayin’ Alive” to pace yourself. Pushing to the beat of this song is the right speed.

Normal CPR Basics
While hands-only CPR is a good option if there is nothing better, regular CPR is even better. The basics of CPR include chest compressions, checking the airway, and rescue breathing.

If you’ve been trained, put the person on their back on a firm surface and put the heel of your hand in the center of the person’s chest. Then place your other hand on top of […]

December 15th, 2015|Medical Training|0 Comments|

Preventing Medical Errors

Medical errors are all too common, and all too often, medical errors become deadly. One study in 2013 put medical errors as the 3rd leading cause of death in America, right behind heart disease and cancer. Hopefully the numbers aren’t actually that high, but they are higher than they should be. To reduce the number of medical errors (and especially fatal errors) patients and medical providers need to work together to keep health care safer.
What Patients Can Do
There are a few steps that patients can take to prevent problems with health care.

Always be honest with your doctors, even if it is embarrassing. Tell them about any medications you are taking and any prior health issues you’ve had.
Ask questions and be informed. You should be able to respect and trust your health care providers, but it is also important to understand things for yourself. If your doctor prescribes something, find out what it does and how it works. When you pick it up at the pharmacy, don’t be afraid to double check the medicine given and make sure it is correct.
Always follow the instructions given by your doctor and listed on medications.
Seek a second or third opinion for serious issues, especially if you are uncomfortable with your experience or if your doctor doesn’t communicate well with you.

What Medical Providers Can Do
Medical providers have extensive training to help them do the best job possible. The following steps can help you keep your patients safer:

Keep detailed records and check them whenever starting something new.
Avoid overworking yourself or your team. People are much more likely to make errors if they are tired, unfocused, or hungry. Taking care of yourself is one of […]

November 15th, 2015|Medical Training|0 Comments|

The AED: A Device Everyone Should Know How To Use

An automated external defibrillator (or AED) is a simple, but powerful medical device that everyone should know how to use. Sudden cardiac arrest is a leading cause of death in the United States, but using a defibrillator quickly and correctly can help save lives in an emergency.

Keep reading to learn more:
When Is It Unsafe To Use A Defibrillator?
A defibrillator should not be used if the person is still breathing or if they still have a pulse. They are also not usually safe to use on children under 1 year of age.
When Should A Defibrillator Be Used?
If you see someone collapse, call 911 immediately, or send someone else to call while you check on the person in distress.

Check to see if they are breathing, make sure nothing is blocking their airway, and check for a pulse.

Once you have confirmed that they are actually in cardiac arrest, it is time to use the defibrillator in conjunction with CPR.
How Do You Use A Defibrillator?
Have another person continue CPR while you prepare the defibrillator.

Make sure the unconscious person is dry.
Turn on the AED and follow the accompanying instructions precisely. In most cases you’ll be instructed to attach cables for pads to the machine.
Make sure the chest area is clear. Remove the patient’s shirt and any metal jewelry. If a woman is wearing a bra with an underwire, that will need to be removed as well. In some cases it may be necessary to shave some areas of the chest. Check for a pacemaker or other implanted device that could cause interference.
Once the patient’s chest is clear, attach the pads to the chest. One pad should be attached on the right side below the collarbone. […]

Why is Protective Equipment Important During Surgery?

At our facilities, we use top-notch protective equipment. While you may or may not be training on a human specimen, it’s important to simulate your working environment.

There are a number of different protective equipment pieces that are essential to performing any medical procedure. Below is a list of the most basic items and when they should be worn:

Masks – A sufficient mask spans from the bridge of the nose to under the chin. It protects both the patient from any particles originating in the surgeon’s mouth and nose, as well as the surgeon from spatter from the patient. The patient is extremely exposed during surgery. Largely for their protection, a mask is one of the most crucial pieces of protective equipment. Masks should not be reused, as the collected debris could be harmful to future patients.

Goggles – Protective eyewear serves a similar purpose as a mask. However, goggles mostly protect the surgeon from blood, mucus, and other bodily fluids. The eyes are highly susceptible to absorbing toxins into the body. Make sure that they’re properly covered.

Gloves – A surgeon’s hands are his/her best tools. Keep them safe from potentially harmful bodily fluids by wearing gloves. The hands also carry quite a bit of bacteria and are often the first point of contact with other surfaces. Gloves will keep patients clean while they’re exposed during surgery.

Apparel – Some sort of protective smock can keep the remainder of a surgeon’s body clean of blood, mucus, and other bodily fluids during surgery. Make sure that the sleeves overlap the gloves for full coverage.

The overall cleanliness of the operating room is largely based on the surgeons, assistants, and equipment that enter the space. Clean protective equipment is essential. […]

Training After Medical School

Any field receives updates and new technologies long after you may have finished schooling, and the medical field is no exception. Whether you are trying to catch up with the changes that have been made since you left school, or you’re simply trying to expand your skill set and your offered services, there will come a time when you need extra training.
Whether you are a physician, a nurse, or any other type of medical practitioner, your job will revolve around using medical devices and implants on live patients in various stages of health and illness. Because you are taking people’s lives into your hands, it is very important for you to fully understand the product and the procedure. You need to feel confident, and your patient needs to feel confident in you too.
The Steps to Get There
Before a new product is approved for use in a surgical setting, there is a long road of development and financing. A product needs to be thought up, produced, tested and tweaked. And just as the product is tested before being implemented for general use, you should be too.
New technologies require new training. This honors the long process that came before to get the product approved, but it also makes it much more likely that its use will be a success. You do not want to make any mistakes on a live patient, and so just as the product itself needs to be tested and tried, you need to have thorough training on how to properly use medical implants and devices before you start using them in your live practice on the people you care for.
How We Can Help
If you want to set up a training course for […]

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