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Cyclic antidepressant (CA) poisoning has significant potential for life-threatening complications, most notably malignant dysrhythmia, obtundation, and seizure. In adults, overdose frequently is intentional and the amount ingested may be unclear.
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Well-done studies have established that percutaneous transluminal coronary angioplasty (PTCA) is superior to fibrinolytic administration for the reduction of early death (7% vs 9%), non fatal re-infarction (3% vs 7%), or stroke (1% vs 2%), provided that the center where it is performed has expertise with the procedure, and door-to-balloon time can be kept to 90 minutes or less.
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Community-acquired pneumonia (CAP) develops in more than 5 million individuals annually in the United States, one-fifth of whom are hospitalized. While the overall mortality of CAP is 1-5%, mortality among hospitalized patients reaches 12%, underscoring that CAP is a frequent cause of death.
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Clinical Scenario: The series of consecutive rhythm strips shown in Panels A, B, and C of the Figure were obtained from an elderly woman on multiple medications including digoxin.
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Emergency practitioners must be well versed in the management of diabetic emergencies. New-onset diabetes discovered on presentation to the emergency department (ED) is not an infrequent occurrence.
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Because most sleep apnea cases have not been identified, it is not sufficient for same-day surgery providers to simply ask patients if they have sleep apnea, according to the Washington, DC-based American Sleep Apnea Association.
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While a recently published review of Florida surgeries said that death or injury is 10 times more likely in the physician office setting,1 another recently published report indicates a high level of safety in physician offices, at least with oral and maxillofacial procedures.
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Editors note: Health Insurance Portability and Accountability Act (HIPAA) regulations require providers to offer ongoing training. As a service for our readers, were offering information on some unique educational programs that can help managers meet the staff training requirements.
