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Risk Management Falls Under Criticism After a Patient is Forcibly Removed
Risk management at a Florida hospital was cited as insufficient in the state investigation following a high publicized incident in which a patient was forcibly removed, and the state rejected the hospital’s corrective action plan.
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Improve On-Call ED Coverage by Making it Easier on Specialists
You come to work Monday morning and hear this tale from your emergency department: A patient presented in the ED over the weekend with compartment syndrome and needed a fasciotomy, but no specialist was available. None of the available physicians had done one since medical school, so the physician who drew the short straw studied the procedure on YouTube before proceeding.
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The Current Outlook for Cardiac Tamponade
In the modern era, cardiac tamponade is most commonly caused by malignancies with poor prognosis. As compared to older literature, iatrogenic causes have increased, most resulting from complications of percutaneous coronary intervention.
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Ventricular Tachycardia Ablation for Recurrent Arrhythmia and Coronary Artery Disease
Acute and long-term success rates with ventricular tachycardia ablation in patients with coronary artery disease are relatively high with an acceptably low complication rate.
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Cardiopulmonary Exercise Testing and Survival in Systolic Heart Failure
A large study of patients with chronic systolic heart failure undergoing cardiopulmonary exercise testing found peak oxygen uptake, exercise duration, and percent predicted peak oxygen uptake were the strongest predictors of survival.
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Prognostic Value of Coronary Calcium on Standard Chest CT Scans
Coronary calcium scan on standard CT scans performed for other indications is of equivalent prognostic value to that seen on ECG-gated coronary studies and should be included in radiology test reports.
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TAVR Still a Viable Option for Many Left Main Disease Patients
Performing planned left main percutaneous intervention before or during transcatheter aortic valve replacement does not confer increased risk of short- or intermediate-term adverse outcomes.
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Outcome of PCSK9 Inhibitor-treated Patients
In a recent study, proprotein convertase subtilisin-kexin type 9 serine protease inhibitors significantly improve lipid profiles and reduce all-cause mortality, but were associated with more neurocognitive adverse events than placebo.
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Global Village: After Ebola and Zika, Patient Admitted to U.S. Hospital with Lassa Fever
As this issue went to press, the CDC confirmed that a patient admitted to Emory University Hospital’s Serious Communicable Diseases Unit has Lassa fever, a hemorrhagic virus endemic in parts of West Africa.
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Zika Update: U.S. Approaching 200 Cases
As confirmed cases of the Zika virus disease continue to mount in the United States, frontline providers are scrambling to ensure that appropriate patients are screened for the illness, and to minimize the risk of transmission, especially to pregnant women.