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The day started out routinely: A 77-year-old man had breakfast with his wife, who left at 8:45 a.m. to run errands and returned at 11 a.m.
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Next time you ask an older adult about a history of stroke, consider that the response might not be accurate. Older adults might deny a history of stroke, when in fact they have had one.
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ED nurses see 47,000 elderly patients each year for injuries from falls involving use of walkers and canes, says a new study from the Centers for Disease Control and Prevention that examined six years of ED medical records.1 Most (87%) of the injuries involved walkers. Older women were more likely to be injured than men; they sustained 78% of walker-related injuries and 66% of cane-related injuries.
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With a vaccine shortage projected for novel H1N1 influenza A, only the highest priority groups are likely to be offered the shot when initial lots are cleared for distribution this fall.
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The introduction of telemedicine in the ICU dates to the 1980s when Grundy and colleagues reported results of an 18-month trial using interactive television to provide consultation between university-based critical care physicians and a small (7-bed) inner city ICU with no intensivist of its own.
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After randomized controlled trials demonstrated the benefit of daily sedation and analgesia vacations in critically ill patients, sedation and analgesia practices in many centers changed, such that patients are now maintained at a lighter depth of sedation.
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After identifying the first 2 cases of novel influenza (H1N1) infection in the United States in mid-April 2009, the Centers for Disease Control and Prevention (CDC) provided interim recommendations to reduce the risk of transmission in health care settings.
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Nassar and colleagues at the University of São Paulo in Brazil investigated the incidence, associations, and outcomes of constipation among all patients admitted to their 14-bed surgical ICU during a 6-month period.
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Levin and colleagues at Hebrew University-Hadassah Medical School in Jerusalem carried out a 4-phase study to clarify the role of radiology technicians and portable X-ray equipment as potential vectors for the spread of infection in their 20-bed ICU, as well as to determine whether an intervention designed to diminish this role would be effective.
