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In this prospective study, cook and associates looked at prevalence and incidence of deep vein thrombosis (DVT) as diagnosed by compression ultrasonography in ICU patients.
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Doering and colleagues used a nonrandomized, comparative, longitudinal design to study 72 patients after CABG surgery to investigate the association among depressive symptoms, infections, and impaired wound healing.
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Implementation of the Health Insurance Portability and Accountability Act (HIPAA), and especially its Privacy Rule, has affected everyone who works in health care. This study from the University of Michigan sought to determine the potential effect of the Privacy Rule on the conduct of clinical research in the form of a telephone interview-based follow-up study.
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Defensive medicine has been defined as clinical care that deviates from sound medical practice primarily as a result of medicolegal liability concerns. In this study, investigators conducted a mail survey in Pennsylvania of 824 physicians from six high-risk specialties including emergency medicine.
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The gum elastic bougie (GEB) is an established tool that has gained increased usage during difficult endotracheal intubation scenarios during the last several years. The GEB is a 60-cm tracheal tube introducer with a smoothly angled tip. If the glottis is not visualized fully during direct laryngoscopy, the GEB may be passed blindly (or with partial visualization) behind the epiglottis.
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Several recent studies have significantly expanded the evidence for the central role of computed tomography (CT) in the evaluation of the patient with suspected pulmonary embolism (PE). We review these studies below and summarize the current understanding of the advantages and disadvantages of CT.
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The rhythm in the Figure was obtained from a 70-year-old woman who was admitted to the hospital with a history of "falling out" on several occasions during the week prior to admission. Her initial 12-lead electrocardiogram (ECG) was unremarkable, and acute serum markers were negative for recent infarction.
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In this meta-analysis, Quiroz and colleagues attempted to identify all English-language reports published since 1990 that included at least three months of follow-up in patients clinically suspected of having pulmonary thromboembolism (PTE), whose computed tomography (CT) angiograms were negative, and who did not receive anticoagulant therapy.
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Appendicitis is a serious diagnosis with the potential for catastrophic outcomes in any age group, but especially in the young child. Although the clinician may have this diagnosis in the differential for select patient populations, this article highlights the clinical scenarios when the clinician should consider the diagnosis in a child.
