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A systematic review and meta-analysis found that the healthcare-associated pneumonia concept was based on low-quality evidence confounded by publication bias and does not accurately identify antibiotic-resistant pathogens.
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Implementation of an evidence-based extubation-readiness bundle was associated with a decrease in mechanical ventilation days and pneumonia in brain-injured patients.
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At this time, ventricular fibrillation (VF) early after acute myocardial infarction (MI) is not an indication alone for an implantable cardioverter-defibrillator (ICD) therapy. However, there is concern that despite the efficacy of mechanical and pharmacological therapy for acute MI, the risk of subsequent sudden cardiac death (SCD) in patients with VF complicating acute MI may be higher and the guidelines should be revisited.
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ACEP, AAP, and several other prominent pediatric and critical care organizations have endorsed the practice of offering parents the choice about being present during invasive procedures and resuscitations.
The majority of the literature supports providing the parents the choice to be able to remain with their children during procedures, including resuscitative efforts.
There have also been psychological benefits with family members who remained present during resuscitations by lowering their anxiety and depression scores, having fewer disturbing memories, and lowering degrees of intrusive imagery and post-traumatic avoidance behavior.
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Most of the positive results in routine tuberculosis screening of health care workers are false positives. That statistical artifact is creating headaches for employee health professionals as they try to find the best TB testing method and struggle with unexpected results.
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With historically low rates of tuberculosis in the United States and ongoing challenges with TB tests, employee health professionals are understandably frustrated. But the American College of Occupational and Environmental Medicine (ACOEM) has a message: Remain vigilant to prevent occupational risk.
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Employers are unreliable stewards of their workers' health. Most hospitals and other large employers offer wellness programs, but they struggle to engage the employees who need it most.
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Employers often struggle to raise participation in a wellness program, especially among those who are most at risk of chronic health conditions. The RAND Corp., based in Santa Monica, CA, researched wellness programs among a wide range of employers and identified these five strategies.
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Biometric screening is a common entry point for wellness programs. If the screening detects high blood pressure, blood sugar or cholesterol, employees can take steps to avoid serious medical issues.
