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This blinded, randomized, multicenter trial compared the colloid solution low-molecular-weight hydroxyethyl starch (HES 130/0.42) with the crystalloid solution Ringer's acetate for the treatment of severe sepsis.
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Coquin and colleagues evaluated the accuracy of noninvasive total hemoglobin measurement using a widely marketed pulse oximeter in patients admitted to the ICU with acute gastrointestinal (GI) hemorrhage.
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The purpose of this study was to measure light levels in patient rooms, and also to determine if there were any relationships between greater light levels and mortality, length of stay, ventilator-free days, and amount of medication.
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Managing chronic pain is a challenge for patients and clinicians alike, with 52% of chronic pain patients being treated solely by their primary care physician.1 Chronic myofascial pain affects 116 million American adults, which is more than heart disease, cancer, and diabetes combined.2
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My mother was on warfarin for a number of years and her degree of anticoagulation was difficult to manage. She had a number of complications, including bleeding episodes. So, I was enthusiastic about these new anticoagulants with their more predictable therapeutic effect. As with all new drugs, there are downsides; currently the lack of a readily available coagulation test to assess if there is a significant coagulopathy and an effective reversal agent. As these drugs are increasingly used, emergency physicians will see patients such as the three cases presented below.
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Medically self-sabotaging behavior encompasses a number of diverse phenomena that include factitious disorder, making medical situations worse on purpose, and preventing wounds from healing.
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