Articles Tagged With:
-
Not All Round Rashes Are Ringworm: A Differential Diagnosis of Annular and Nummular Lesions
Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment.
-
Telemedicine Improves Outcomes in Heart Failure
In patients with chronic heart failure, adding a remote patient management program to usual care was associated with improvement in unplanned cardiovascular hospitalization or death.
-
Total Arterial Revascularization: Where Is It?
The results of a long-term follow-up study of matched pairs of patients undergoing surgical coronary artery revascularization showed that total arterial graft usage significantly reduced all-cause mortality vs. left internal mammary artery plus saphenous vein grafts.
-
VEST: A Positively Negative Clinical Trial
In a randomized trial of the wearable cardioverter-defibrillator prescribed to patients with left ventricular dysfunction after acute myocardial infarction, overall compliance rates were low. The authors observed no significant improvement in arrhythmic death rates; yet, overall mortality was lower.
-
Surgical Smoke State Laws: What IPs Need to Know
Rhode Island recently became the first state to require healthcare facilities to take measures to protect healthcare workers from the hazardous plume. With other states likely to follow, infection preventionists may want to revisit this issue, particularly the presence of toxic chemicals in the plume and the risk of possible infections and disease. -
Intervention Reduces Infection Threat Posed by Therapy Dogs
While most patients can enjoy the benefits of pet therapy without risk of infection, those with cancer and other immune deficiency disorders are less protected. Researchers have pilot-tested a protocol that would make this activity safe for oncology patients, with plans now to test it in larger clinical settings. -
LDL Cholesterol: How Low Do We Go?
A meta-analysis of 29 cholesterol-lowering outcome studies with baseline average low-density lipoprotein (LDL) cholesterol levels ≤ 70 mg/dL showed consistent major adverse cardiovascular event risk reductions down to average LDL levels of 21 mg/dL without any increase in adverse events.
-
MitraClip Scores Big Win in COAPT
The largest trial to date of MitraClip in highly selected patients with congestive heart failure and functional mitral regurgitation revealed significant reductions in heart failure hospitalization and two-year mortality.
-
Is Outpatient Prescribing Out of Control?
While restricting antibiotic use in hospitals has been heavily emphasized to stave off the rise of drug-resistant infections, a new study shows such efforts are conspicuously absent in outpatient settings — where 80% of these life-saving drugs are prescribed. -
One Century After the Great Pandemic of 1918
Having killed some 50 million people worldwide and disappeared in little over a year, the 1918 influenza pandemic is steeped in fear and dread in infectious disease lore. Indeed, a warning of the “return” or emergence of such a virus is often cited as the need for an improved universal flu shot and mass immunization.