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"Many times in the pre-hospital arena, we see medications given as if the person were young and with good kidneys and liver," says Joan Somes, PhD, MSN, RN, CEN, FAEN, ED educator at St. Joseph's Hospital in St. Paul, MN. "One of the issues I have dealt with frequently of late, is fentanyl given for pain."
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(Editor's note: This story is part two of a two-part series on care of psychiatric patients in the ED. This month reports on the best ED nursing practices for reassessment during long waits. Last month, we gave tips for identifying underlying medical conditions.)
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If a middle-aged woman walked into your ED and told you she felt as if something terrible was going to happen to her, but denied any other symptoms, what would you suspect?
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With pulmonary computed tomographic (CT) angiography increasingly used to diagnose acute pulmonary thromboembolism (PE), it has become commonplace to report not only the presence of clot when the study is positive, but also an estimate of the clot burden.
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The lung-protective effects of low tidal volumes, as demonstrated by the ARDSnet study, are well accepted in patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS).
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In the issue: 5-á reductase inhibitors and hip fracture in men; the effects of drug-reimbursement policy on outcomes; new guidelines for type 2 diabetes; beta-blocker-associated brady-cardia is linked to CVD events; FDA Updates.
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Investigators in the Department of Neurology at the Mayo Clinic in Rochester, MN, reviewed the charts of patients admitted with myasthenic crisis (MC) between 1987 and 2006 who received either invasive or noninvasive mechanical ventilation.
