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The critically ill or injured child presents both a diagnostic and therapeutic challenge to any Emergency Department. Vascular access, airway management, fluid therapy, invasive procedures and medication selection all must be coordinated and delivered in a time-sensitive manner.
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In this single-center study of what happened to 126 consecutive patients who survived an ICU admission requiring prolonged mechanical ventilation, 56% of them were alive after one year, but only 11 of these were functioning independently. On average, the patients spent 74% of all post-discharge days in the hospital, in a post-acute care facility, or at home receiving paid home health care.
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A retrospective study of 12,333 infants < 6 months of age with urinary tract infections showed no difference in treatment failure between short-course (≤ 3 days) and long-course (≥ 4 days) of antibiotic therapy.
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A critically ill patient, who was a heroin user, was admitted to a hospital in Scotland in December 2009 and was found to be infected with Bacillus anthracis.
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The dispatcher-assisted resuscitation trial (DART) tested the hypothesis that 911 dispatcher instructions to provide chest compressions only would be superior to similar instructions that included both chest compressions and rescue breathing. Calls to a 911 system for patients in cardiac arrest were eligible for inclusion in the trial if the dispatcher felt the patient was in cardiac arrest and bystander CPR had not yet been attempted.
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For this study of bacterial contamination of the cell phones of health care workers in a teaching hospital in Saudi Arabia, the investigators swabbed the screen, dialing pad, and sides of the phones and used standard culture techniques.
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There is considerable concern regarding in-stent thrombosis of drug-eluting stents (DES) when aspirin and clopidogrel are stopped for non-cardiac surgery (NCS), but a paucity of data.
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Nasal carriage of methicillin-resistant coagulase negative staphylococci (MR-CoNS) was investigated in 291 adults upon hospital admission. MR-CoNS carriage was present in 19.2% of patients. SCCmec type IV was found in 22% of the Co-NS isolated, and sequencing revealed extensive structural homology between SCCmec IV in methicillin-resistant Staphylococcus epidermidis (MRSE) and methicillin-resistant Staphylococcus aureus (MRSA).
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Do all of your ST-elevation myocardial infarction (STEMI) patients receive treatment within recommended timeframes every time? If there are delays in primary percutaneous coronary intervention (PPCI) or fibrinolysis, these delays can significantly increase the patient's risk of death within 30 days, according to a study of 1,832 patients treated in 2006 and 2007 at 80 Quebec, Canada, hospitals.
