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No one enjoys watching a video of a talking head and, even if you know the course is required, it is hard to learn the material when you are thinking about fighting traffic to get home or about how boring or out of date the video is.
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Three years ago, Visiting Nurse Services of the Northwest in Mountlake Terrace, WA, began offering telemedicine services to a wide range of patients.
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This is the basic framework of the SBAR (Situation, Background, Assessment, and Recommendation) checklist developed by Kaiser Permanente in Oakland, CA.
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In this randomized-controlled trial, Koeman and associates wanted to determine the effect of two oral decontaminating gels, chlorhexidine 2% (CHX) or chlorhexidine 2% plus colistin 2% (CHX/COL), compared to a placebo, on the development of ventilator-associated pneumonia (VAP) in patients requiring more than 48 hours of mechanical ventilation.
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In this prospective observational study, Kollef and associates enrolled patients with ventilator-associated pneumonia (VAP) in 20 ICUs across the United States in order to characterize the patients and the antimicrobial regimens used in treating them, as well as their mortality and lengths of stay.
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In the early 2000s, substantial evidenced-based interventions were added to the care of critically ill patients that significantly reduced mortalityincluding low tidal volume ventilatory support for acute respiratory distress syndrome (ARDS), protocolized sedation with daily awakening, Drotrecogin-alpha for severe sepsis, tight glycemic control, corticosteroids for refractory septic shock and preventative strategies for ventilator associated pneumonia.
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TNF Blockers: Should You Be Concerned?; FDA Actions
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