Hospital Medicine Alert – April 1, 2006
April 1, 2006
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Intensive Insulin Therapy in the Medical ICU
The use of an insulin infusion protocol to keep blood glucose between 80 and 110 mg/dL in adult medical ICU patients had no overall effect on mortality but appeared to decrease selected complications. -
Intensivist-to-Bed Ratio Impacts Length-of-Stay in the Medical ICU
Differences in intensivist-to-bed ratio ranging from 1:7.5 to 1:15 were associated with an increased ICU length-of-stay. -
Under Pressure to Heal an Ulcer?
of Stage II-IV pressure ulcers is associated with use of moist dressings and adequate nutrition. -
A Normal Temperature May Not Be What We Were Taught
Oral temperatures for 100 nursing home residents were measured on 3 consecutive days using a single digital electronic thermometer, and once during mid-day office visits for 50 community dwellers. -
Rescue Angioplasty: The REACT Trial
Event-free survival after failed thrombolytic therapy was significantly higher with rescue PCI than with repeated thrombolysis or conservative treatment. -
Troponin vs CKMB in ACS
Among patients with NSTE ACS, an elevated troponin level identifies patients at increased acute risk regardless of CK-MB status, but an isolated CK-MB+ status has limited prognostic value.