Articles Tagged With:
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ICU Bed Availability: Does It Make a Difference?
Nationwide, the volume of ICU admissions from the ED has increased significantly over recent years (by 50% from 2001 to 2009). When demand exceeds bed availability, complex decisions regarding ICU must be made. Does bed availability affect triage decisions? If many beds are available, patients who are too ill or too well to benefit from the ICU may be admitted. Conversely, if too few beds are available, ICU admission may be denied to patients who may benefit. In prior studies, ICU denial has been associated with increased hospital mortality.
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Is There a Role for Steroids in ARDS Management?
Mortality rates from acute respiratory distress syndrome (ARDS) remain high, even as therapy has improved over the last decade. Recent guidelines for management center on mechanical ventilation, with initial therapy beginning upon identification and treatment of the underlying cause of the ARDS. There is reasonable consensus regarding the use of lung-protective strategies, such as low tidal volume ventilation, prone positioning for those meeting criteria for severe ARDS, and restrictive fluid management after the initial resuscitation. However, for patients with the most severe disease, these treatments often are not completely effective, and we look for other therapies that might help.
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The Risk of Malignancy in Hysterectomy
There has been significant publicity about the risk of malignancy associated with morcellation in hysterectomy, but in reality the incidence is quite low.
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Is Vaginal Estrogen Still the Gold Standard for Treating GSM?
In this 12-week randomized, controlled trial of 302 women, neither vaginal estrogen nor vaginal moisturizer was more effective than placebo for reducing the participants’ most bothersome symptom (pain with vaginal penetration, vulvovaginal itching, vulvovaginal pain, vaginal dryness, or vulvovaginal irritation).
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Fertility Preservation in Women With Borderline Ovarian Tumors
A large retrospective cohort analysis from a single medical center suggests that fertility preservation in women with borderline ovarian tumors does not decrease length of survival.
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Brain Imaging and Alzheimer’s Risk: Valid Surrogates or Just Pretty Pictures?
In an observational multimodality brain imaging study, investigators found sex and age differences correlated with endophenotypes of late-onset Alzheimer’s disease.
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Cervical Spinal Injury
Although spinal injuries are uncommon, they should be considered when children have sustained head or neck trauma or multiple severe injuries. Children with severe or multisystem trauma are more likely to suffer a spinal injury. Thus, emergency department providers should have a lower threshold to immobilize and image such patients to prevent morbidity and mortality. This article reviews the most common pediatric spinal fractures and injuries and optimal management practices.
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Study: Diagnostic Accuracy Still Largest Claims Risk
Diagnosis-related events are the single largest root cause of medical professional liability claims, according to a recent analysis from Coverys.
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Avoiding Costs, Risks Through Reduced Hospitalization Among Older Adults
New research involving three medical centers suggests that older patients seen by transitional care nurses with geriatric training are less likely to be admitted than similar patients who do not receive these specialized evaluations.
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Mobile Integrated Health Helps With Patients’ Transitioning Gap
A health system uses mobile integrated health to improve outcomes and reduce readmission rates among patients with chronic conditions such as heart failure and chronic obstructive pulmonary disease.