The Medical Joyworks Monthly

 

Connect to MJ's thriving community

Issue #5 (February 2020)

IN THE NEWS

The latest from MJ

  • If you're an MJ app user, then you've probably seen banner ads on your display. Ads have helped us fund our work; and though we're progressively reducing our reliance on them, we do believe that announcing jobs and other healthcare related opportunities can be very valuable to our users. Take our recent IMB campaign, for instance: through it, we received 21 applications from professionals eager to volunteer. While the average healthcare industry click through rate (CTR - a ratio showing how often people who see an ad end up clicking it) is ~0.15%, our IMB ads had a CTR of 1.24%! This effectiveness is on par with other ad campaigns we've run. Therefore, if you'd like to get an important message out to our community, contact us at monsoonyeti.com to learn more.
  • This month we welcomed our newest writing contributor, Dr. Branka Donevska. Like all MJ medical writers, Dr. Donevska is a practicing physician working as a resident at Echuca Regional Health in Victoria, Australia. She was born and raised in North Macedonia, and graduated from St. Petersburg Pavlov State Medical University and specialized in Obstetrics & Gynaecology in Moscow as well. Expect to see more of Dr. Donevska's clinical insights as she continues to author stories and articles throughout our apps. 
  • That's it for now. Remember to check out the jobs page on our website for the latest vacancies available. If something catches your interest, simply follow the instructions provided in the job posting. For details, visit https://www.medicaljoyworks.com/jobs.

DOCTORS' LOUNGE

Q&As from our user community

Clinical Sense: Bitten again (Tetanus following dog bite)

Q: Is a tetanus booster necessary here? According to the 20th Edition of Harrison's Medicine, if the patient has been vaccinated against tetanus within the last 10 years (i.e., a full course of 3 injections), a booster is not required?
A: According to WHO guidelines https://www.who.int/ith/vaccines/tetanus/en/, a tetanus booster is not necessary in clean wounds, if the last dose was less than 10 years ago; or in dirty wounds, if the last dose was less than 5 years ago.

In this scenario, the patient has been bitten by a dog (i.e., a dirty wound) and the last vaccination was 7 years ago. Therefore, a tetanus booster is indicated. 
If you would like to play this scenario or join the conversation, go to the Clinical Sense app in your mobile device.

Prognosis: Your Diagnosis: Very ill (Overwhelming post - splenectomy infection)

Q: This patient has a qSOFA score of 3 (altered mentation, respirations>22/min, systolic BP<100mmHg). I know that this score is not widely used, but it is helpful in identifying patients in early sepsis.
A: The qSOFA score is useful for mortality prediction, albeit with some limitations: while it has good specificity, the low sensitivity is problematic. Therefore, SIRS is still preferred over qSOFA as a sepsis screening tool. However, a case can probably be made for the use of qSOFA in a well-equipped setting with low infection mortality.

For more details: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453603/, https://annals.org/aim/article-abstract/2671919/prognostic-accuracy-quick-sequential-organ-failure-assessment-mortality-patients-suspected, https://sjtrem.biomedcentral.com/articles/10.1186/s13049-018-0527-9
If you would like to play this scenario or join the conversation, go to the Prognosis: Your Diagnosis app in your mobile device.

IN CASE YOU MISSED THEM

Recently released stories

Clinical Sense

Psychiatry
Low (Updated)
Medicine
Internal (Updated)

Prognosis: Your Diagnosis

Neurology
Heady (updated)
Oncology
Yellow 2 (Updated)
That's all for now!

Tell us what you think or share valuable insights with the community by writing to us at: penelope@medicaljoyworks.com.

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