Practical Summaries in Acute Care Archives – September 1, 2005
September 1, 2005
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Etomidate Again Linked to Adrenal Suppression
Etomidate is a commonly used anesthetic induction agent in the emergency department. Its predictable dosing and favorable hemodynamic profile make it an appropriately popular choice to use as part of a rapid sequence induction cocktail. -
PCI: Better Late than Never!
Percutaneous coronary intervention (PCI) has developed into the clear choice as the reperfusion strategy in acute myocardial infarction (MI) when weighed against fibrinolysis. When used within 12 hours of symptom onset, PCI has demonstrated increased myocardial salvage, preservation of left ventricular function, and overall improved survival as compared with intravenous fibrinolytic strategies. -
Head Positioning in Patients With Acute Ischemic Stroke: Does it Matter?
The purpose of this study was to determine if middle cerebral artery flow velocity could be augmented by simple head-of-the-bed (HOB) positioning during acute stroke while avoiding arterial flow compromise as might occur with an increase in intracranial pressure (ICP). -
Special Feature: Heat Stroke
Heat illness includes several distinct syndromes, presenting across a range of severity; two distinct syndromes include heat exhaustion and heat stroke. Heat exhaustion, the least concerning of these illnesses, is seen in patients who have been exposed excessively to high ambient temperatures for prolonged time periods. -
ECG Review: Class IV Symptoms Post-MI
The electrocardiogram (ECG) in the Figure was obtained from a 60-year-old man with a history of two prior myocardial infarctions. His most recent infarction was 8 months earlier, and was remarkable for an extended course complicated by severe heart failure. -
Pharmacology Watch: Beta-Blockers May Be Useful for Noncardiac Surgery
Promising New Weight Loss Drug?; Treating Shift-Work Disorder; Another Flu Vaccine Shortage?; FDA Actions. -
Clinical Briefs in Primary Care supplement
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Trauma Reports Supplement