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Anaphylaxis is a true life-threatening emergency that may occur following a variety of exposures. Foods, such as peanuts and tree nuts, antibiotics, and more recently, latex have all been implicated as potential triggers of a severe analpylactic reaction.
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Health care workers were heroes of Hurricane Katrina as they worked under grueling conditions to keep their patients alive despite lack of electricity, air conditioning and water, and sewer service.
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Editors note: This e-mail was written by Pamela McVey, RN, CIC, chief nursing officer at Biloxi (MS) Regional Medical Center, to a chief nursing officer in Natchez, MS. McVey was formerly director of infection control/employee health at the hospital. She gave Hospital Employee Health permission to reprint this e-mail, and added this postscript: " We all understand that there is no getting back to normal. We are now in the process of redefining what is normal. There is a great spirit here in the coastal counties of Mississippi. Well be OK."
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Even before hurricanes Katrina and Rita struck the Gulf Coast, the Joint Commission on Accreditation of Healthcare Organizations in Oakbrook Terrace, IL, worried that small communities were not doing enough to prepare for a disaster.
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If a major disaster struck your community, how many of your employees would show up for work?
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Five years after the Needlestick Safety and Prevention Act became law, hospitals have made a dramatic shift to safety devices, bringing about a decline of one-third to one-half in the rate of needlesticks among health care workers.
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Employee health professionals are beginning to retire, leaving opportunities for other nurses to move into the field and raising the value of the more seasoned, experienced practitioners.
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This retrospective analysis from the European Transplant Registry summarizes the outcome after autologous transplant for 65 patients treated for t-MDS/AML. The cumulative incidence of relapse was 58% with a lower rate for patients in CR1 prior to transplant (CR1 vs non-CR1 at 3 years: 48 vs 89%; P = 0.05). The probability of 3-year overall and disease-free survival were 35% (95% CI, 21-49%) and 32% (95% CI, 18-45%), respectively. Improved outcome was seen in patients younger than 40 years and those transplanted in CR1.
