Articles Tagged With:
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Radiation Oncologists Want, but Often Lack, Palliative Care Training
Residents, practicing radiation oncologists, and program directors believe palliative care training is important, but education is lacking in some areas, according to multiple recent studies.
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Patients More Likely to Choose Do Not Resuscitate After Educational Video
Hospitalized patients who watched a video about code status choices were less likely to choose full code, and more likely to choose do not resuscitate or do not intubate, found a study of 119 patients hospitalized on the general medicine service at Minneapolis Veterans Affairs Health Care System in Minnesota.
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Study: Surrogates Sometimes Place Own Wishes Over Patient’s
Surrogate decision-makers are valuing what they think is best for the patient more than they value patient preferences in the process of making medical decisions for them, found a recent study.
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Ethical Debate Continues Over Genetically Modified Human Embryos
The first-known experiment creating genetically modified human embryos in the U.S. using a gene-editing tool called CRISPR reignited ethical debate on this type of research.
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Advance Care Planning Often ‘Useless’: Providers Can’t Always Access in EHRs
With electronic health records, patients’ advance care planning should be only a mouse click away. Too often, this isn’t reality.
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Tachycardia
The recognition, diagnosis, and treatment of tachycardia is a cornerstone of emergency medicine practice. This article will cover the most commonly seen supraventricular and ventricular tachycardias encountered in the ED, with a focus on their electrocardiographic diagnoses and treatment options.
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In-hospital vs. Telephone Availability of an Intensivist at Night
When overnight shifts were staffed by nighttime intensivists rather than residents with attending intensivists on call remotely, most nurses perceived improvements in clinical care, procedures, efficiency, communication, and job place comfort.
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Is There Still a Role for High-frequency Oscillatory Ventilation in ARDS?
In this patient-level meta-analysis of four well-known randomized, controlled trials of high-frequency oscillatory ventilation (HFOV) in acute respiratory distress syndrome (ARDS), the authors found that HFOV increases mortality for most patients with ARDS but may improve survival among patients specifically with severe ARDS.
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Hyponatremia in the Critically Ill
Hyponatremia is the most common electrolyte disorder encountered in hospitalized patients (30-40%) and is present in 17.7% of patients admitted to the ICU. A recent registry demonstrated significant practice variation regarding this common disorder, underlining the frequent diagnostic and therapeutic challenges clinicians face in this area.
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Transcatheter Mitral Valve Replacement as an Alternative to Other Surgical Options
A large registry study of transcatheter mitral valve replacement (TMVR) in patients with degenerated mitral valve bioprostheses or failed mitral annuloplasty repairs who were at high risk for repeat surgery showed that TMVR can be performed successfully. However, the initial and long-term results are better in the degenerated bioprothesis group.