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In a new report, the Institute of Medicine calls for conventional medical treatments and complementary and alternative medical (CAM) treatments to be held to the same standards for demonstrating clinical effectiveness to make it easier for health care providers and the public to make evidence-based decisions about CAM use.
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Implantable cardioverter defibrillators (ICDs) are lifesaving devices, as demonstrated by a 2004 study that showed ICDs reduced death by 23% in people with moderate heart failure and poor pumping function, compared to patients who did not receive ICDs. But what if that lifesaving device outstays its welcome and prolongs death because its users havent discussed when their ICDs should be deactivated?
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Its illegal, it may undermine international treaties, and there are warnings that patient safety is at risk but for many, the cost savings of buying re-imported drugs outweighs all the arguments against it.
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This prospective multicenter observational study demonstrates that patients with do-not-intubate (DNI) status who receive non-invasive positive pressure ventilation (NPPV) for respiratory failure have high hospital mortality. Presence of cough, being awake, or having a primary diagnosis of COPD or CHF, is associated with improved outcome.
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Based on emerging evidence, there are increased efforts around the world to maintain strict glycemic control in non-diabetic critically ill patients. Management of hyperglycemia through the use of insulin protocols is a new standard in critical care. Several protocols have been evaluated and reported in the literature.
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A Crackdown on Importation of Drugs; FDA Actions.
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The Department of Health and Human Services (HHS) has placed a draft influenza preparedness and response plan on its web site. This detailed document provides useful advice about health care system guidance on staffing, infection control, and strategies to limit transmission of infection within health care institutions.
