Hospital Medicine Alert – May 1, 2008
May 1, 2008
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Considering CORTICUS: Hydrocortisone in Septic Shock
A multicenter, randomized, double-blind, placebo-controlled trial of hydrocortisone replacement in patients with septic shock found no mortality benefit in those patients with inadequate baseline response to corticotropin stimulation. -
An Enhanced Risk of Cancer from CT Scans
There is an increased risk of future cancer as a consequence of performing repeated CT scans, and the younger the patient at the time of scanning, the greater the subsequent risk. -
Heart Failure Risk with Non-Cardiac Surgery
Risk prediction algorithms for non-cardiac surgery and therapeutic trials have focused on the prevention of myocardial ischemic events. -
Intensive Insulin Therapy and Colloid Resuscitation in Severe Sepsis
This study of severe sepsis patients showed that intensive insulin therapy does not improve mortality or organ dysfunction, and resuscitating patients with the colloid hydroxyethyl starch is harmful. -
Can We Predict the Outcome of Bacterial Meningitis?
The risk of adverse outcomes in bacterial meningitis can be estimated upon initial patient presentation using six clinical features. -
Swimming with Little Turtles and Human Salmonellosis
Exposure to small turtles has lead to a multistate outbreak of Salmonella paratyphi B var. Java infections. This MMWR report summarizes the epidemiologic and laboratory investigation conducted by CDC and state and local health departments since the first reported illness on 5/4/07.