Articles Tagged With:
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ECMO vs. Prone Position in ARDS: The Curious Rejection of Evidence-based Practice
Despite credible evidence from a large, randomized, controlled trial and numerous meta-analyses demonstrating improved outcomes, prone position is seldom attempted prior to initiating extracorporeal membrane oxygenation to treat severe acute respiratory distress syndrome.
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Critical Illness-related Corticosteroid Insufficiency: What’s New?
For critically ill patients with sepsis, septic shock, acute respiratory distress syndrome, and major trauma, a multispecialty task force of 16 international experts developed evidence-based recommendations for the diagnosis of corticosteroid insufficiency and use of corticosteroids in the ICU.
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A Perspective on PEEP at 50 Years
Fifty years ago, positive end-expiratory pressure (PEEP) was introduced as an effective technique for improving oxygenation in patients with large intrapulmonary shunt, the hallmark of acute respiratory distress syndrome (ARDS). Although PEEP remains the primary means for stabilizing oxygenation in ARDS, consensus on how to approach setting it remains elusive. This is a narrative review on how our understanding and approach to PEEP has evolved over the past half century.
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Feds Unhappy About Duodenoscope Reprocessing
FDA issues warning letters to leading manufacturers regarding federally mandated studies assessing contamination risk.
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CDC Releases Sweeping Report on Traumatic Brain Injuries in Children
Agency identifies care gaps and offers solutions on how to close those gaps.
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ED Malpractice Claims Allege Failure to Obtain Translator
According to one expert: “An entire case can be brought around one inadvertent slip-up."
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Will Antibiotics for Appendicitis Become Standard of Care for ED?
Antibiotics instead of surgery is a reasonable approach for some patients with early uncomplicated appendicitis, according to the authors of a recent study; however, it is not the standard of care.
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Plaintiff Attorney Could Depict ‘Early Adopters’ of New ED Treatment Approaches as Reckless
New treatment approaches may be good options for a particular ED patient, but a bad outcome can trigger malpractice litigation alleging the standard of care was violated.
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Untwisting the Myths: A Medicolegal Review of Testicular Torsion
Testicular torsion (TT) is a urologic emergency with potentially devastating consequences and costs for providers and patients alike. With an annual incidence of approximately 4.5 per 100,000 males aged 1-25 years, TT is an uncommon medical condition, yet is the third most common cause of medical malpractice suit in this demographic. Because of varying presentations and physical exam findings, along with diagnostic imaging subject to individual interpretation, ED providers may miss this time-sensitive diagnosis.
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Once on Leadership Track, Registrars Remain on Team
The chance for growth within patient access gives employees a sense of loyalty and ownership. This makes it more likely they will stay in the department.